Coverage

• Glucose Monitors and Testing Supplies Local Coverage Determination (LCD) and Policy Article [PDF]
• Home Blood Glucose Monitors National Coverage Determination (NCD)

Documentation

• Glucose Monitors and Related Suppliers Documentation Checklist [PDF] - Checklist to ensure suppliers gather all required documentation
• Patient Documentation Form - Insulin Using [PDF] - Patients using insulin may bring this letter to physicians to help them in medical record documentation
• Patient Documentation Form - Non-Insulin Using [PDF] - Patients not using insulin may bring this letter to physicians to help them in medical record documentation
• Physician Documentation Requirements - Blood Glucose Strips and Lancets [PDF] - Letter may be used as communication tool between suppliers and physicians to ensure documentation compliance for DMEPOS claims and audits
• Physician Letter - Continued Medical Necessity [PDF] - Physician directed letter that reminds them that ongoing need for and use of DMEPOS item must be documented in patient's medical record
• Physician Letter - Home Blood Glucose Monitor (BGM) [PDF] - Physician directed letter that advises them as to what type of documentation is necessary in medical records to support payment of glucose monitors and related supplies
• Physician Letter - Therapeutic Continuous Glucose Monitor (CGM) [PDF] - Physician directed letter that advises them as to what type of documentation is necessary in medical records to support payment of glucose monitors and related supplies

Reviews/Audits

• Medical Review - View notifications/findings of pre/post claim reviews completed by Noridian Medical Review