This version of the form is not currently in use and is provided for reference only. Download this version of Form CMS-849 for the current year.
This is a legal form that was released by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services on February 1, 2017 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form CMS-849?
A: Form CMS-849 is the Certificate of Medical Necessity.
Q: What is a seat lift mechanism?
A: A seat lift mechanism is a device used to help individuals with mobility issues to stand up or sit down.
Q: Who needs to complete Form CMS-849 for seat lift mechanisms?
A: The prescribing healthcare professional needs to complete Form CMS-849 for seat lift mechanisms.
Q: What information is required on Form CMS-849?
A: Form CMS-849 requires information such as patient's name, medical condition, and justification for the medical necessity of the seat lift mechanism.
Q: What is the purpose of Form CMS-849?
A: The purpose of Form CMS-849 is to document the medical necessity of a seat lift mechanism for reimbursement purposes.
Q: Is Form CMS-849 required for reimbursement of seat lift mechanisms?
A: Yes, Form CMS-849 is required for reimbursement of seat lift mechanisms under Medicare and Medicaid.
Q: Can I submit Form CMS-849 electronically?
A: Yes, you can submit Form CMS-849 electronically through the appropriate channels.
Q: What should I do with the completed Form CMS-849?
A: You should keep a copy of the completed Form CMS-849 for your records and submit the original form to the appropriate authority for reimbursement.
Q: Are there any fees associated with submitting Form CMS-849?
A: There are no fees associated with submitting Form CMS-849 for reimbursement.
Form Details:
Download a fillable version of Form CMS-849 by clicking the link below or browse more documents and templates provided by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services.