Coverage Guidelines
Medicare coverage guidelines and documentation requirements continue to evolve and have recently become more difficult, primarily attributed to the Affordable Care Act and the Medicare Modernization Act. Preferred Homecare and LifeCare Solutions works closely with your physicians and other healthcare professionals, to help ensure a clear understanding of Medicare’s coverage guidelines and documentation requirements. Our goal is for each patient to receive the equipment, supplies and services that are considered medically necessary by your physician for your continued health and well-being.
Are you a Medicare patient and need help with your CPAP device or supplies? Click here.
The tools below are designed to provide insight in to Medicare’s coverage criteria and can be used as a guide to understand what Medicare considers in qualifying a patient for payment of their equipment, supplies and services.
In addition, our dedicated Medicare team is here for you, to answer your questions and help navigate ever changing Medicare requirements.
Medicare at a Glance –Preferred Homecare/LifeCare Solutions created these condensed summaries to provide an overview of the 1) order/prescription requirements, 2) qualifying medical necessity criteria, 3) face-to-face and chart note prerequisites, and finally 3) examples of chart notes that will help guide healthcare providers regarding Medicare’s specific coverage obligations.
View Medicare-at-a-Glance
Medicare’s Documentation Checklists
Use these links to Medicare’s Durable Medical Equipment Regional Carrier (DMERC) sites to access specific information regarding coverage and documentation requirements.
To see all documentation checklists for Medicare Jurisdiction C click here.
(CO, NM, OK, TX)
To see all documentation checklists for Medicare Jurisdiction D click here.
(AZ, CA, ID, NV, UT, WA)
Medicare Dear Physician Letters
These letters inform Healthcare Professionals about the documentation needed to meet Medicare coverage.
To see all physician letters for Medicare Jurisdiction C click here.
(CO, NM, OK, TX)
To see all physician letters for Medicare Jurisdiction D click here.
(AZ, CA, ID, NV, UT, WA)
