CMS is discontinuing certificates for medical necessity and durable medical equipment.
CMS is discontinuing Certificates of Medical Necessity and Durable Medical Equipment (DME) information forms effective Jan. 1, 2023.
You don’t need to complete these forms for claims with dates of service on or after Jan. 1, 2023:
In breaking this down, my favorite is the CMS-854-Section C Continuation form. The instructions on the form require:
I would have to say requiring the physician to have all this information for the DME that they prescribe is a daunting task indeed. I imagine many physicians have software that has the “Medicare Fee Schedule Allowances,” but this means that physicians, or really the folks doing their billing would have to make sure that the codes in the form agree with the DME the patient requires.
Right up with the continuation form is the “Seat Lift Mechanism” form. The physician must answer the following questions:
It makes folks just want to scream, “They just need help getting out of a chair.”
Let’s hope CMS keeps making our life easier.
EDITOR’S NOTE: The author of this article used artificial intelligence (AI)-assisted tools in its composition, but all content, analysis, and conclusions were based on the
The articles describe a significant 2026 dispute over the misuse of health information exchanged by asserting a treatment purpose through Carequality. (Raths) The core allegation
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