This version of the form is not currently in use and is provided for reference only. Download this version of Form CMS-846 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-846?
A: Form CMS-846 is the Certificate of Medical Necessity for Pneumatic Compression Devices.
Q: What is a pneumatic compression device?
A: A pneumatic compression device is a medical device that helps improve circulation and reduce swelling by applying pressure to the limbs.
Q: Who needs to fill out Form CMS-846?
A: The healthcare provider or supplier who is prescribing the pneumatic compression device needs to fill out the form.
Q: What information is required on Form CMS-846?
A: The form requires information about the patient, the healthcare provider or supplier, the device being prescribed, and the medical need for the device.
Q: Is Form CMS-846 required for all pneumatic compression devices?
A: Yes, Form CMS-846 is required for all pneumatic compression devices that are being prescribed to Medicare beneficiaries.
Q: What happens after Form CMS-846 is submitted?
A: The form is reviewed by Medicare to determine if the pneumatic compression device meets the coverage criteria. If approved, Medicare may provide reimbursement for the device.
Q: Can I get a pneumatic compression device without Form CMS-846?
A: No, Form CMS-846 is required for Medicare beneficiaries to receive reimbursement for a pneumatic compression device.
Q: Is Form CMS-846 specific to Medicare?
A: Yes, Form CMS-846 is specific to Medicare and is used for Medicare reimbursement purposes.
Form Details:
Download a printable version of Form CMS-846 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.