RETIRED - Initial Oxygen Testing Requirement for HMO Beneficiaries Joining Medicare Fee For Service January 2001

IMPORTANT: THIS DOCUMENT CONTAINS OUTDATED INFORMATION.Content Provided on this page contains outdated information and instruction and should not be considered current. Noridian is providing this archived information for research purposes only. This archived article contains previously issued instructions that have since been updated or are no longer applicable for Medicare billing purposes.

Article retired due to content incorporation into the applicable Local Coverage Determination or related Policy Article.

Original Effective Date: 01/01/2001
Revision Effective Date: 11/01/2013

The DMERC medical policy on Oxygen and Oxygen Equipment says that for Initial Certifications, the blood gas study reported on the CMN must be obtained within 30 days prior to the Initial Date on the CMN. A special exception is being made for beneficiaries who transfer from a Medicare HMO to traditional Medicare fee-for-service in the month of January 2001. An Initial CMN must be submitted to the DMERC. However, for these beneficiaries, the blood gas study reported on the Initial CMN does not have to be obtained within 30 days prior to the Initial Date, but must be the most recent study obtained while the patient was in the HMO under the testing guidelines specified in the DMERC policy.


            Last Updated Thu, 10 Jan 2019 12:43:50 +0000