In a joint DME MAC article on public health emergency (PHE) protocols published a while back, contractors instructed suppliers to bypass the:
The DME MAC article on PHE protocols contemplates the impact of document deficiencies that arise from setups during the PHE. Under the relaxed guidelines, it is probable that questions on these forms do not apply or otherwise disqualify a beneficiary under normal circumstances. To avoid claim processing complications, the DME MACs decided to forego the attachments entirely for affected claims.
When suppliers qualify oxygen or external infusion pump patients using relaxed baseline criteria and known deficiencies exist, suppliers should release the claims without a CMN or DIF form attachment. These claims should also contain an appropriately applied CR modifier and a COVID-19 narrative.
SOURCE LINKS
https://cgsmedicare.com/jc/pubs/news/2020/05/cope17333.html
- Certificate of Medical Necessity (CMN) attachment for select oxygen claims.
- DME MAC Information Form (DIF) attachment for select external infusion pump claims.
The DME MAC article on PHE protocols contemplates the impact of document deficiencies that arise from setups during the PHE. Under the relaxed guidelines, it is probable that questions on these forms do not apply or otherwise disqualify a beneficiary under normal circumstances. To avoid claim processing complications, the DME MACs decided to forego the attachments entirely for affected claims.
When suppliers qualify oxygen or external infusion pump patients using relaxed baseline criteria and known deficiencies exist, suppliers should release the claims without a CMN or DIF form attachment. These claims should also contain an appropriately applied CR modifier and a COVID-19 narrative.
SOURCE LINKS
https://cgsmedicare.com/jc/pubs/news/2020/05/cope17333.html
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