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This version of the form is not currently in use and is provided for reference only. Download this version of
Form CMS-854
for the current year.
Form CMS-854 Certificate of Medical Necessity -continuation Form
What Is Form CMS-854?
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.
FAQ
Q: What is the Form CMS-854?
A: Form CMS-854 is the Certificate of Medical Necessity - continuation form.
Q: What is the purpose of Form CMS-854?
A: The purpose of Form CMS-854 is to provide additional information on medical necessity.
Q: Who needs to fill out Form CMS-854?
A: Form CMS-854 needs to be filled out by the healthcare provider or supplier.
Q: When should Form CMS-854 be filled out?
A: Form CMS-854 should be filled out when requested by Medicare for additional information.
Q: Are there any fees associated with Form CMS-854?
A: No, there are no fees associated with Form CMS-854.
Q: Can I submit Form CMS-854 electronically?
A: Yes, Form CMS-854 can be submitted electronically.
Q: What should I do with Form CMS-854 once it is filled out?
A: Once Form CMS-854 is filled out, it should be sent to the appropriate Medicare contractor.
Form Details:
- Released on February 1, 2017;
- The latest available edition released by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services;
- Easy to use and ready to print;
- Yours to fill out and keep for your records;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form CMS-854 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.
Download Form CMS-854 Certificate of Medical Necessity -continuation Form
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