Coverage

• Durable Medical Equipment (DME) Reference (280.1) National Coverage Determination (NCD)
• Patient Lifts Local Coverage Determination (LCD) L33799 and PA 52516 [PDF]

Documentation

• Clinician Letter - Continued Medical Necessity [PDF] - Clinician directed letter that reminds them that ongoing need for and use of DMEPOS item must be documented in the patient's medical record
• Clinician Letter - Medical Records [PDF] - Letter may be sent to clinicians to assist in obtaining documentation
• Patient Lifts Documentation Checklist [PDF] - Checklist to ensure suppliers gather all required documentation

Reviews/Audits

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