Group 1 Support Surface Cmn

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Medicare Policy Regarding Pressure Reducing Support ...

    https://www.cms.gov/Medicare/Medicare-Contracting/ContractorLearningResources/downloads/JA1014.pdf
    - A group 2 support surface is covered if the patient has a stage II pressure sore located on the trunk or pelvis, has been on a comprehensive pressure sore treatment program (which has included the use of an appropriate group 1 support surface for at least one month), and has sores which have worsened or remained the same over the past month.

Pressure Reducing Support Surfaces - Group 1

    https://www.northwoodinc.com/wp-content/uploads/2014/09/Pressure-Reducing-Support-Surfaces-Group-1.pdf
    Pressure Reducing Support Surfaces – Group 1 Medical Policy Pressure Reducing Support Surfaces – Group 1 Description A pressure reducing support surface is a foam overlay or mattress that provides support to prevent pressure ulcers. Policy Pressure reducing …

CG-DME-16 Pressure Reducing Support Surfaces – Groups 1, 2 & 3

    https://medicalpolicies.amerigroup.com/medicalpolicies/guidelines/gl_pw_a053642.htm
    Group 1 Support Surfaces (as defined in the Definition Section). Medically Necessary: Use of a group 1 mattress overlay or mattress is considered medically necessary if the individual meets:. Criterion 1, or Criterion 2 or 3 and at least one of criteria 4-7 . Completely immobile – that is, individual cannot make changes in body position without assistance

Group 2 Pressure Reducing Support Surface (PRSS) (DME MAC ...

    https://www.cgsmedicare.com/pdf/dme_checklists/grp2_support_surfaces_2018re.pdf
    • Continued use of a group 2 support surface is covered until the ulcer is healed or, if healing does not continue, there is documentation in the medical record to show that: (1) other aspects of the care plan are being modified to promote healing, or (2) the use of the group 2 support surface is medically necessary for wound management.

Pressure Reducing Support Surfaces - Group 3

    https://www.northwoodinc.com/wp-content/uploads/2014/09/Pressure-Reducing-Support-Surfaces-Group-3.pdf
    Pressure Reducing Support Surfaces – Group 3 1. The member has coexisting pulmonary disease (the lack of firm back support makes coughing ineffective and dry air inhalation thickens pulmonary secretions); 2. The member requires treatment with wet soaks or moist wound dressings

Support Surface Resources - CGS Medicare

    https://www.cgsmedicare.com/jc/mr/SSR.html
    Support Surface Resources. Documentation Checklist: Group 1 Pressure Reducing Support Surface; Documentation Checklist: Group 2 Pressure Reducing Support Surface; Documentation Checklist: Group 3 Pressure Reducing Support Surface; Inappropriate Medicare Payments for Pressure Reducing Support Surfaces ; Lessons Learned: Group 2 Support Surfaces

Support Surface Reimbursement for Homecare : Span America

    http://www.spanamerica.com/about_reimbursement_surfaces_home_care.php
    Support Surface Reimbursement for Homecare. ... This is a simplified guide to the Medicare patient criteria to qualify for Group 1 or Group 2 Support Surfaces, and the Span-America products that are approved for each Group. ... Recommended CMN and DIF Form for Group 2 support surfaces.

Statement of Ordering Physician Group 1 Support Surfaces

    https://downloads.cms.gov/medicare-coverage-database/lcd_attachments/11563_13/spsrgroup1revised2007.pdf
    1) Completely immobile—i.e. patient cannot make changes in body position without assistance. 2) Limited mobility—i.e. patient cannot independently make changes in body position significant enough to alleviate pressure. 3) Any pressure ulcer on the trunk or pelvis. 4) Impaired nutritional status. 5) …

U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES CENTERS …

    https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/downloads/CMS842.pdf
    SUPPORT SURFACES SECTION A Certification Type/Date: ... _____ 1-99 (99=LIFETIME) ANSWERS (Circle Y for Yes, N for No, or D for Does Not Apply, Unless Otherwise Noted) QUESTIONS 1-11, 17 AND 18 ARE RESERVED FOR OTHER OR FUTURE USE. Y N D 13. ... submitting a REVISED or a RECERTIFIED CMN, be sure to always furnish the INITIAL date as well as the ...

Lawriter - OAC - 5160-10-18 DMEPOS: hospital beds, bed ...

    http://codes.ohio.gov/oac/5160-10-18
    (D) Coverage of pressure-reducing support surfaces. (1) The default CMN form is the ODM 02904, "Certificate of Medical Necessity: Pressure-Reducing Support Surfaces" (rev. 7/2018). (2) For a group 1 surface, the CMN must include an attestation that at least one of the following criteria is met:



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