Certificate of Medical Necessity definition

Certificate of Medical Necessity or "CMN" means the DMAS-352 form that operates as a plan of care, and that must be completed and submitted in order for DMAS to provide coverage.
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Certificate of Medical Necessity or “CMN” means an approved Medicare form or a similar form which has been submitted to and approved by the department for use. This form shall contain all the documentation required for DME;
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Certificate of Medical Necessity means the United States Department of Health and
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Examples of Certificate of Medical Necessity in a sentence

  • Section 13, Benefits and Limitations, identifies circumstances for which a Certificate of Medical Necessity form is required for each program.

  • For information regarding submission of the Certificate of Medical Necessity for claims submitted by a Durable Medical Equipment provider see Section 7.1.A. If a claim is resubmitted, the provider must again attach a copy of the Certificate of Medical Necessity form.Medical consultants and medical review staff review the Certificate of Medical Necessity form and the claim form to make a determination regarding payment of the claim.

  • Additional information regarding the use of this form may also be found in Section 14, Special Documentation Requirements.Listed below are several examples of claims for payment that must be accompanied by a completed Certificate of Medical Necessity form.

  • The form must be related to the particular patient involved and must detail the risk to the patient if the service(s) had not been provided.The Certificate of Medical Necessity form must be either submitted electronically with the electronic claim or submitted on paper attached to the original claim form.

  • This attachment may be submitted via the Internet (see Section 3.8 and Section 23) or mailed to:Wipro InfocrossingP.O. Box 5900Jefferson City, MO 65102-5900If the Certificate of Medical Necessity is approved, the approved time period is six (6) months from the prescription date.

  • Any claim matching the criteria (including the type of service) on the Certificate of Medical Necessity for the approved time period can be processed for payment without a Certificate of Medical Necessity attached.

  • If medical necessity is not documented or supported, the claim is denied for payment.7.1.A CERTIFICATE OF MEDICAL NECESSITY FOR DURABLE MEDICAL EQUIPMENT PROVIDERSThe Certificate of Medical Necessity for durable medical equipment should not be submitted with a claim form.

  • END OF SECTIONTOP OF SECTION SECTION 7-MEDICAL NECESSITY 7.1 CERTIFICATE OF MEDICAL NECESSITYThe MO HealthNet Program requires that the Certificate of Medical Necessity form accompany claims for reimbursement of certain procedures, services or circumstances.

  • A Certificate of Medical Necessity for Oxygen, Form CMS-484, or a reasonable facsimile is completed by a physician, physician assistant, or advanced registered nurse practitioner and qualifies the member in accordance with Medicare criteria.

  • To identify the medical necessity for oxygen therapy, a Certificate of Medical Necessity for Oxygen, Form CMS-484, or a reasonable facsimile completed by a physician, physician assistant, or advanced registered nurse practitioner, shall qualify the member in accordance with Medicare criteria.


More Definitions of Certificate of Medical Necessity

Certificate of Medical Necessity or "CMN" means the DMAS-352 form required to be completed and submitted in order for DMAS to provide reimbursement.
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Related to Certificate of Medical Necessity

  • Certificate of Appropriateness means the written approval of a permit application for work that is appropriate and that does not adversely affect a resource.

  • Certificate of Catholic Practice means a certificate issued by the family’s parish priest (or the priest in charge of the church where the family attends Mass) in the form laid down by the Bishops’ Conference of England and Wales. It will be issued if the priest is satisfied that at least one Catholic parent or carer (along with the child, if he or she is over seven years old) have (except when it was impossible to do so) attended Mass on Sundays and holy days of obligation for at least five years (or, in the case of the child, since the age of seven, if shorter). It will also be issued when the practice has been continuous since being received into the Church if that occurred less than five years ago. It is expected that most Certificates will be issued on the basis of attendance. A Certificate may also be issued by the priest when attendance is interrupted by exceptional circumstances which excuse from the obligation to attend on that occasion or occasions. Further details of these circumstances can be found in the guidance issued to priests http://rcdow.org.uk/education/governors/admissions/

  • Certificate of Limited Partnership means the Certificate of Limited Partnership of the Partnership filed with the Secretary of State of the State of Delaware as referenced in Section 7.2, as such Certificate of Limited Partnership may be amended, supplemented or restated from time to time.

  • certificate of fitness means a certificate issued by the Department to a contract bus carrier.

  • Medical necessity means that the service or supply is provided by a physician or other health care provider exercising prudent clinical judgment for the purpose of preventing, evaluating, diagnosing or treating an illness, injury or disease or its symptoms, and that provision of the service or supply is:

  • medical certificate of fitness means a certificate valid for one year issued by an occupational health practitioner, issued in terms of these regulations, whom shall be registered with the Health Professions Council of South Africa;

  • Certificate of approval means a certificate of approval obtained from the

  • Certificate of Compliance means a certificate issued in terms of the Regulations in respect of an electrical installation or part of an electrical installation by an accredited person;

  • certificate of competency means a certificate issued by the Washington state board of boiler rules to a person who has passed the tests as set forth in WAC 296-104-050.

  • Certificates of Merger has the meaning set forth in Section 2.2.

  • Certificate of Conformance means a document issued by the NCWM based on testing by a participating laboratory that constitutes evidence of conformance of a type.

  • Clinical nurse specialist means a registered nurse with relevant post-basic qualifications and 12 months’ experience working in the clinical area of his/her specified post-basic qualification, or a minimum of four years’ post-basic registration experience, including three years’ experience in the relevant specialist field and who satisfies the local criteria.

  • Certificate of Completion means the certificate of completion given by the Engineer-in- charge pursuant to clause 40 of these conditions;

  • Certificate of Conformity means Executive Order certifying vehicles for sale in California.

  • Certificate of accreditation means a certificate issued by an accrediting body to a licensed testing laboratory, entity, or site to be registered in the state.

  • Certificate of Final Completion means the certificate issued by A/E that documents, to the best of A/E’s knowledge and understanding, Contractor’s completion of all Contractor’s Punchlist items and pre-final Punchlist items, final cleanup and Contractor’s provision of Record Documents, operations and maintenance manuals, and all other closeout documents required by the Contract Documents.

  • Certificate of organization means the certificate required by section 489.201. The term includes the certificate as amended or restated.

  • Certificate of Merger has the meaning set forth in Section 2.2.

  • certificate of registration means registration with the CPSBC that allows the Participant to practice medicine in British Columbia, other than the certificate of registration which allowed the Participant to enrol in Postgraduate Medical Education;

  • Medical certification means a statement which attests that the medical information reported on the certificate of death or fetal death is accurate to the best of the medical certifier’s knowledge.

  • the Secretary of State means the Secretary of State for Education;

  • Certificate of Amendment means the Certificate of Amendment to Amended and Restated Certificate of Incorporation of the Company, substantially in the form attached to this Agreement as Exhibit A.

  • medical certificate means a certificate signed by a registered medical practitioner.

  • Certificate of ownership means a paper or an electronic

  • Practice of medicine or osteopathic medicine means the prevention, diagnosis and treatment of

  • Certificate of eligibility means a document issued by the bureau stating that the criminal record and all records of arrest, investigation, and detention associated with a case that is the subject of a petition for expungement is eligible for expungement.