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MACs to Evaluate CMN and DIF

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MACs to Evaluate CMN and DIF

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The Centers for Medicare & Medicaid Services (CMS) requests that Medicare Administrative Contractors (MACs) evaluate CMN and DIF depending upon medical record content and the existence of any errors or omissions, for the purposes of deciding whether denials are appropriate.

Full Transmittal: https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R733PI.pdf

Subject: Clarification of Certificate of Medical Necessity (CMN) and Durable Medical Equipment Information Forms (DIFs)

Number: 733

Title: 10148

Release Date: July 27, 2017

Effective Date: August 28, 2017

Implementation Date: August 28, 2017

Special Notes: N/A