Form CMS-484 Certificate of Medical Necessity - Oxygen

What Is Form CMS-484?

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 December 1, 2018 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form CMS-484?
A: Form CMS-484 is a Certificate of Medical Necessity for Oxygen.

Q: What is the purpose of Form CMS-484?
A: The purpose of Form CMS-484 is to document the medical necessity for oxygen therapy.

Q: Who needs to complete Form CMS-484?
A: Healthcare providers, such as doctors or suppliers, who prescribe or provide oxygen therapy, need to complete Form CMS-484.

Q: What information is required on Form CMS-484?
A: Form CMS-484 requires information about the patient, the oxygen equipment being prescribed, the medical condition necessitating oxygen therapy, and the expected duration of the therapy.

Q: Is Form CMS-484 specific to the United States and Canada?
A: Form CMS-484 is specific to the United States and is used by healthcare providers to comply with Medicare requirements. A similar form may exist in Canada, but specific information would need to be obtained from Canadian healthcare authorities.

Q: Are there any fees associated with completing Form CMS-484?
A: There are no fees associated with completing Form CMS-484.

Q: Can Form CMS-484 be submitted electronically?
A: Yes, Form CMS-484 can be submitted electronically as long as it complies with applicable guidelines and regulations.

Q: Is Form CMS-484 required for all types of oxygen therapy?
A: Yes, Form CMS-484 is required for all types of oxygen therapy, whether it is provided in the home or in a healthcare facility.

Q: What is the role of Form CMS-484 in the reimbursement process?
A: Form CMS-484 helps Medicare determine if oxygen therapy is medically necessary and eligible for reimbursement.