La. Admin. Code tit. 40, § I-4117 - Billing Instructions
A. All
initial claims for the rental or purchase of DME must be filed with a statement
of medical necessity. The authorized physician should supply the durable
medical equipment provider with a prescription stating the medical necessity
for such services with the claimant's diagnosis, prognosis, and expected time
span for which the equipment or supplies will be required. The recommended form
for this information is on the following page. The form should be presented to
the DME Supplier by the claimant and must be attached to the initial claim form
for the rental or purchase of DME.
B. DME Certification Form
Click Here To View Image
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.