Medicare Criteria Guidelines
The forms below illustrate the clinical guidelines for coverage. Please give us a call if you have any questions, and we will be glad to assist you.
Download the CPAP Helpful Hints for information describing coverage and payment information for positive airway pressure (PAP) devices and accessories. Coding, coverage, payment, and documentation guidelines are listed in CPAP Helpful Hints. Please use this as a guide for filing.
The Physician Documentation for PAP Helpful Hints can help you identify the evaluation criteria and documentation that Medicare requires Marie's Medical Supply (the DME supplier) to have on file to facilitate your patient's access to therapy.
Philips Respironics announced a voluntary recall for Continuous and Non-Continuous Ventilators (certain CPAP, BiLevel PAP and Ventilator Devices) due to two issues related to the polyester-based polyurethane (PE-PUR) sound abatement foam used in these devices. For information on the Recall Notice, a complete list of impacted products, and potential health risks, visit philips.com/src-update. Please contact our office with any questions.
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