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A letter of medical necessity (LOMN) is a document from your licensed healthcare provider that recommends a particular treatment, product, or equipment for medical purposes. The letter often includes relevant patient history, medical needs, and the duration of the treatment.
The letter of medical necessity is a LEGAL document and patients need legal support against giant corporations that want to spend as little as possible on care. It is the formal medical judgement of a licensed physician as to why a patient needs a specific treatment and why other treatments are not appropriate.
A letter of medical necessity (LMN) is a letter written by your doctor that verifies the services or items you are purchasing are for the diagnosis, treatment, or prevention of a disease or medical condition. This letter is required by the Internal Revenue Service (IRS) for certain eligible expenses.
The primary purpose of the DME documentation requirements is to provide a paper trail that substantiates the persons medically necessary reasons for needing the DME supplies.
Sample Format Letter of Medical Necessity Dear [Insert Contact Name]: [Insert Patient Name] has been under my care for [Insert Diagnosis] [Insert ICD-10-CM Code] since [Insert Date]. Treatment of [Insert Patient Name] with [medication] is medically appropriate and necessary and should be covered and reimbursed.
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A certificate of medical necessity (CMN) is documentation from a doctor which Medicare requires before it will cover certain durable medical equipment (DME). The CMN states the patients diagnosis, prognosis, reason for the equipment, and estimated duration of need.

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