| Estimated Length of need | This field determines how long the physician states the patient will need the equipment. |
| Diagnosis Codes | These are the diagnosis codes relating to the patient. |
| Section B may not be completed by the supplier on HCFA forms 484 and 841-853. Section B may be completed by the physician, the physician’s employee or another clinician involved in the care of the patient (e.g., nurse, physical or occupational therapist, etc.) as long as that person is not the supplier. |
| You should enter CMN information directly from the paper CMN. Once this information is entered, you can always go back and review this document. Although this document is stored in your computer, there are strict guidelines on retaining paper documentation. Medicare has strict conditions on the appearance of CMN’s. You can use a pre-printed form or you can print your CMN’s. TeamDME! recommends a quality laser printer with a duplexer. |
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