Certificate of Medical Necessity

In File Maintenance, you can create Certificate of Medical Necessity (CMN) forms for Durable Medical Equipment (DME) devices by SIM code. Each form includes specific questions and answer formats that are required by payers for a specific DME device.

When you create the CMN form, it is used in NextGen® Enterprise PM to enter information and answer questions related to a patient’s DME device. This information is then included in the electronic 837P (1500) claim file for payers that require CMN information for that specific CPT4 code.