Medicare Group 2 Support Surfaces

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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.

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

    https://www.cgsmedicare.com/pdf/dme_checklists/grp2_support_surfaces_2018re.pdf
    clinical conditions which meet the criteria for coverage of a group 2 support surface, and that adequate documentation exists in the medical record reflecting these conditions. REMINDERS • All new rental series claims for the following Group 2 Support Surfaces with a date of

Pressure Reducing Support Surfaces - Group 2 LCD and PA

    https://med.noridianmedicare.com/documents/2230703/7218263/PRSS+Group+2+LCD+and+PA
    For any item to be covered by Medicare, it must 1) be eligible for a defined Medicare benefit category, 2) be reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a : ... Pressure Reducing Support Surfaces - Group 2 LCD and PA ...

Pressure Reducing Support Surfaces Prior Authorization

    https://www.cgsmedicare.com/jb/mr/prsspa.html
    Pressure Reducing Support Surfaces Prior Authorization. CMS has added the following Group 2 Pressure Reducing Support Surfaces Healthcare Common Procedure Codes (HCPCS) to the required prior Authorization List: E0193, E0277, E0371, E0372, and E0373.

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

Documentation Checklist - Pressure Reducing Support ...

    https://med.noridianmedicare.com/documents/2230703/6750839/Documentation+Checklist+-+Pressure+Reducing+Support+Surfaces+%28PRSS%29%20-+Group+2
    Documentation Checklist Pressure Reducing Support Surfaces (PRSS) - Group 2 The content of this document was prepared as an educational tool and is not intended to grant rights or impose obligations. Use of this document is not intended to take the place of either written law or regulations.

0029 - Group 2 Support Surfaces CMS

    https://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/Recovery-Audit-Program/Approved-RAC-Topics-Items/0029-Group-2-Support-Surfaces-
    Description Medical Necessity: Documentation will be reviewed to determine if Group 2 Support Surfaces meet Medicare coverage criteria. Affected Codes HCPCS codes: E0193, E0277, E0371, E0372, E0373 Applicable Policy References

Support Surface Reimbursement for Homecare : Span America

    http://www.spanamerica.com/about_reimbursement_surfaces_home_care.php
    For support surfaces, that documentation includes an order signed and dated by the treating physician, and a signed and dated statement concerning which criteria listed in the Coverage and Payment Rules sections of the medical policies for Group 1 or Group 2 support surfaces the patient meets.

Pressure Reducing Support Surfaces Clinical Review Criteria

    https://provider.ghc.org/all-sites/clinical/criteria/pdf/support_surfaces.pdf
    Pressure Reducing Support Surfaces - Group 2 - Policy Article (A52490) ... For Non-Medicare Members Group 2 Pressure Reducing Support Surfaces: Alternating Pressure and Low Air Loss Mattresses and Overlays A group 2 support surface is considered medically necessary DME …

Support Surfaces - Russell Medical

    https://www.russellmedical.com/medicare/support-surfaces/
    Face to Face Evaluation – Completed Face to Face evaluation from physician for most Group 1 Support Surfaces. If you are in need of more detailed information please click the link below to access the LCD. Group 1 Support Surface LCD Group 2: Pressure-Reducing. Medicare Qualifications



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