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CGS Administrators, LLC

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Documentation Requirements

Medicare requires you to have proper documentation to support payment of your claim. Review this section for information on documentation requirements.

Before submitting a claim to the DME MAC, you must have on file a dispensing order, the written order, the Certificate of Medical Necessity (CMN) (if applicable), the DME MAC Information Form (DIF)PDF (if applicable), information from the treating physician concerning the patient's diagnosis, and any information required for the use of specific modifiers of attestation statements as defined in certain Local Coverage Determinations (LCDs).

We have created a variety of checklists and other helpful forms and tools. They are located under the "helpful forms" in this section. We have also provided direct links to some of those forms below.

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