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CMS Manual System, Pub. 100-04, Medicare Claims Processing Manual, Chapter 20, §100.2.1. A Certificate of Medical Necessity (CMN) or DME Information Form This manual contains an overview of important and useful information for DMEPOS suppliers regarding the Medicare program. The intent of the service provider manual is to present useful in approved uniform Centers for Medicare and Medicaid Services (CMS) time-studies.The Centers for Medicare & Medicaid Services (CMS), the government agency which oversees the. Medicare program, selected four companies to process DMEPOS claims Prior manuals may be located through the provider website archives. Medical Equipment, Prosthetics, Orthotics, and Medical Supplies (DMEPOS) Manual 5.9 - Documentation in the Patient's Medical Record. 5.10 - Supplier Documentation. 5.10.1 - Suppliers Documentation for DMEPOS Repair Claims A4453 - Rectal catheter for use with the manual pump-operated enema system The supplier furnishing the substitute devices at no additional cost can bill

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