Certificate of medical necessity explained

In the US a certificate of medical necessity is a document required by Centers for Medicare and Medicaid Services to substantiate in detail the medical necessity of an item of durable medical equipment or a service to a Medicare beneficiary.^[1] There are different types of CMN for different requirements, e.g., insulin pumps, home health and private duty nursing services, etc.^[2]

A CMN typically requires several dates to be specified, such as:

1. The "initial date" of the CMN
2. The "revised date" of the CMN
3. The "recertification" date (usually for oxygen)
4. The date the beneficiary signed it
5. The date the supplier signed it and
6. The date the physician signed it.^[2]

See also

• Medical device
• Medical equipment

References

• Certificates of Medical Necessity/Durable Medical Equipment Information Forms

External links

• Physician's News Digest article on Certificates of Medical Necessity
• Statutory definition of a CMN at the SSA website
• Medicare manual that provides exhaustive information about the practical use of CMNs, particularly section 5.3. This is the official source of information for contractors administering the Medicare system about the use of CMNs.

Notes and References

1. Web site: CMNs. Home Care Medical . 9 June 2019.
2. Web site: ODM Certificate of Medical Necessity Forms Effective July 16, 2018 . Ohio Association of Medical Equipment Services. 12 July 2018. List of 21 CMNs for different purposes.