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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-10125
for the current year.
Form CMS-10125 Dme Information Form - External Infusion Pumps
What Is Form CMS-10125?
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-10125?
A: The Form CMS-10125 is a DME (Durable Medical Equipment) Information Form.
Q: What does DME stand for?
A: DME stands for Durable Medical Equipment.
Q: What is an external infusion pump?
A: An external infusion pump is a medical device that delivers fluids, such as medications or nutrients, directly into a patient's bloodstream.
Q: What is the purpose of the Form CMS-10125?
A: The purpose of the Form CMS-10125 is to gather information about external infusion pumps for reimbursement purposes.
Q: Who needs to fill out the Form CMS-10125?
A: Healthcare providers who supply external infusion pumps to Medicare beneficiaries need to fill out the Form CMS-10125.
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-10125 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-10125 Dme Information Form - External Infusion Pumps
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