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CMN: Transcutaneous Electrical Nerve Stimulator
The fields for CMN 06.02 are detailed here.
Type RX - Indicates whether this is the first CMN prepared. "1" indicates initial certification (default), "2" indicates
a revision, and "3" indicates a re-certification.
Replacement - "Y" Indicates that the item in this CMN is replacing a previously purchased item. "N" indicates that
it isn't.
Facility - The ID for the hospital, nursing home, laboratory, or other facility where services submitted on the claim
were rendered. You can either choose a facility from the drop-down list or type one into the field. If you type a new
facility into the field, Noble*Direct asks if you want to add it. Choosing to add the facility displays the Hospital /
Facility File Maintenance window. You can also add a new facility or choose an existing facility from a list by
pressing the Magnifying Glass button next to the Facility field. See File Maintenance: Hospitals / Facilities for more
details on the Hospital Choice List.
Length of Need - The number of months that the items or services defined by this CMN will be required. The
designated time should be rounded up to the nearest month, must be certified by a physician, and can be in the range
of 1 to 99 months. If the item or service will be required for the lifetime of the patient, enter "99" in this field. Using
"99" is equivalent to checking the "lifetime" box in Section B of the DMERC CMN form.
Warranty - Indicates whether the item defined by this CMN is covered by a warranty. Completing this field is
required only for purchased equipment. Enter "Y" for yes, "N" for no, or "D" for does not apply.
Certificate on File - To electronically transmit CMNs, you must maintain a copy of the paper certification, signed
and dated by the physician. Enter "Y" to indicate that certification is on file or "N" to indicate that certification is not
on file.
Date Needed-Initial - The beginning date of this certified period of medical necessity. To quickly clear this date,
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File Maintenance