Respiratory Assist Devices - JD DME
Respiratory Assist Devices
Coverage
- Respiratory Assist Devices Local Coverage Determination (LCD)
- Respiratory Assist Devices Policy Article
Documentation
- Standard Documentation Requirements for All Claims Submitted to DME MACs
- Clinician Checklist Central Sleep Apnea or Complex Sleep Apnea [PDF] - Checklist to assist clinicians with coverage and documentation requirements
- Clinician Checklist Continued RAD Therapy [PDF] - Checklist to assist clinicians with coverage and documentation requirements
- Clinician Checklist Hypoventilation Syndrome - Respiratory Assist Devices (RADs) - With or Without Backup Feature [PDF] - Checklist to assist clinicians with coverage and documentation requirements
- Clinician Checklist Respiratory Assist Device (RAD) - Restrictive Thoracic Disorder [PDF] - Checklist to assist clinicians with coverage and documentation requirements
- Clinician Checklist for Respiratory Assist Devices (RAD) - Severe COPD [PDF] - Checklist to assist clinicians with coverage and documentation requirements
- Clinician Letter - Medical Records [PDF] - Letter may be sent to clinicians to assist in obtaining documentation
- Clinician Letter - RAD for Central Sleep Apnea or Complex Sleep Apnea [PDF]
- Clinician Letter - RAD for Chronic Obstructive Pulmonary Disease (COPD) [PDF]
- Clinician Letter - RAD for Hypoventilation Syndrome [PDF]
- Clinician Letter - RAD for Restrictive Thoracic Disorders [PDF]
- RAD 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
Tips
Topic | Details |
---|---|
RAD vs. PAP Compliance |
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Diagnosis Categories |
A RAD (E0470, E0471) is covered for those beneficiaries with one of the following clinical disorders:
RAD is a diagnosis driven policy each with their own coverage criteria requirements outlined in the LCD. |
Replacement |
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Last Updated Wed, 12 Oct 2022 16:39:52 +0000
Related Articles
The below are topic specific articles which have been published to "Latest Updates" and sent out in Noridian emails within the past two years. Exclusions to this include time sensitive related announcements such as: Noridian and CMS educational events, Ask-the-Contractor Teleconferences and claims processing downtime.