
Home Oxygen Therapy – Medical Record Requirements
March 27th, 2018 - Raquel Shumway 0 Votes - Sign in to vote or comment. |
The Medical Record must contain sufficient documentation to substantiate the need for home oxygen therapy. According to the MLN Booklet for Home Oxygen Therapy, this would include the following:
- Type, quantity and frequency of use.
- Meet LCD Requirements
- Support for the patient’s continued need for:
- Oxygen therapy in home
- Use of oxygen equipment
- The Certificate of Medical Necessity (CMN). The information found in the patient’s medical record and the information found in the supplier’s records must correlate with the information on the CMN.
- All medical records must be kept for 7 years from the date of service (DOS).
Patient Information to be included in the Medical Record (This is also in the MLN Booklet):
- Diagnosis
- Duration of condition
- Clinical course (worsening or improving)
- Prognosis
- Results of the blood gas study, either printed data from test or written in the notes
- If portable oxygen is needed, an indication that patient is mobile within the home
- Nature and extent of functional limitations
- Other therapeutic interventions and results
- Past experience with related items and
- Any other information that might be pertinent
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