This version of the form is not currently in use and is provided for reference only. Download this version of Form CMS-848 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-848?
A: Form CMS-848 is a Certificate of Medical Necessity for a Transcutaneous Electrical Nerve Stimulator (TENS).
Q: What is a Transcutaneous Electrical Nerve Stimulator (TENS)?
A: A TENS is a device that uses electrical stimulation to relieve pain.
Q: Why would I need to fill out Form CMS-848?
A: You would need to fill out Form CMS-848 to document the medical necessity of a TENS device.
Q: Who can fill out Form CMS-848?
A: Form CMS-848 can be filled out by a healthcare provider or other authorized individual.
Q: What information is required on Form CMS-848?
A: Form CMS-848 requires information about the patient, healthcare provider, and documentation of the medical necessity for the TENS device.
Q: How do I submit Form CMS-848?
A: You can submit Form CMS-848 to the appropriate Medicare Administrative Contractor (MAC) for processing.
Q: Is there a cost for Form CMS-848?
A: There is no cost for Form CMS-848 as it is a standard form provided by CMS.
Q: What should I do if I have questions about Form CMS-848?
A: If you have questions about Form CMS-848, you can contact your healthcare provider or the CMS for assistance.
Form Details:
Download a printable version of Form CMS-848 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.