Certain covered items can be reimbursed by Medicare only if the doctor has furnished the supplier with a written prescription for the item before delivery. Most supplies require a prescription to be covered by Medicare
Important Note: If the item is prescribed after the purchase date, the claim will be denied
A Certificate of Medical Necessity (CMN) is a form required by Medicare authorizing the use of certain durable medical items and equipment prescribed by a physician. This form is to be completed by your doctor or the doctor's employee. We will coordinate with your doctor to see that all the necessary information is submitted to Medicare. A change in prescription and/or a change in your condition requires that an updated certificate be completed and submitted.
The following items require a CMN:
Air-fluidized beds
Continuous Positive Airway Pressure (CPAP) devices
Hospital beds
External infusion pumps
Lymphedema pumps/pneumatic compression devices
Osteogenesis stimulators
Oxygen
Parenteral and enteral nutrition
Power Operated Vehicles (POVs), or scooters
Seat lift mechanisms
Transcutaneous electronic nerve stimulators (TENS)
Wheelchairs
