| |
Order Process/Rx |
|
Electromed,
Inc’s Reimbursement Department has pioneered unique referral forms
to reduce the paperwork and medical documentation required from
the health care staff. We do everything possible to successfully
gain authorization without tapping the time resources of your group. |
| |
| The
health care team member simply FOLLOWS THESE STEPS |
|
Complete
the SmartVest® Patient
Referral Form listing
patient demographics, payor information, and health
care facility contact information (a face sheet
or print out of this information is acceptable in place
of this form).
|
|
|
Complete Electromed, Inc.’s
proprietary Certificate of
Medical Necessity/Prescription Form (CMN/Rx or
a Medicare CMN/Rx). It
will permit you to check off the reason(s) for the referral
and to write a brief patient note. These forms greatly
reduce the need for physician intervention and streamline
the submission process.
|
|
|
| Now, all you
have to do is fax the above, which must include the
patient Rx, to us at 866-758-5077. We will take care of the rest! |
|
|
| Electromed, Inc. Manages the rest |
| Electromed,
Inc. determines patient Medical Insurance benefit status
by confirming that a policy is active and includes
coverage for durable medical equipment. |
| An
Electromed, Inc. Respiratory Therapist from our Patient
Services Department then interviews the patient and/or
caregiver to gather appropriate facts to support use
and reimbursement of a SmartVest® Airway
Clearance System. These facts must include |
 |
Patient
medical history |
|
Current
health status |
|
Current
treatment methods |
|
Family,
school, and work circumstances |
|
|
|
| |
|
| |
Your
Clinical Area Manager (CAM) or our Patient Services Department
will advise your office of any additional information required
and the status of the process until it is completed. |
| |
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