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Oxygen Referrals

http://www.dmereferral.info/oxygen-referrals

Please download and complete this order form. Detailed Written Order (DWO). Face to Face Notes-. These are signed clinical notes supporting the Medical Necessity for Oxygen Therapy and should include discussion of the related symptoms. (SOB, hypoxia related symptoms etc.) Diagnosis alone is not sufficient. Please reference our Face to Face Quick Reference Guide. Qualifying Pulse Oximetry Testing-. SPO2 on Room Air Resting. SPO2 on Room Air with Exertion. SPO2 on lpm with Exertion. You are here:  .

2

File List - Files

http://www.dmereferral.info/homepage

Detailed written order-oxygen and nebulizer therapy 2016.pdf. Oxygen Referral Cover Sheet. Oxygen referral cover sheet.pdf. Medicare LCD - Oxygen. Oxygen qualification pathway.pdf. Respiratory Assist Device-Central/Complex Apnea. Central complex apnea pathway.pdf. Hypoventilation syndrome pathway.pdf. Respiratory Assist Device-Neuromuscular Disease Restrictive Thoracic. Neuromuscular disease restrictive thoracic pathway.pdf. Home Oxygen Therapy Qualification. Oxygen qualification pathway.pdf.

3

Medicare Qualification Guides

http://www.dmereferral.info/auto-generate-from-title

For further information on how to qualify a patient under Medicare's rules, check out these easy to follow guides. Home Oxygen Therapy Qualification. Positive Airway Pressure (CPAP/AutoPAP) Qualification-Obstructive Sleep Apnea. Respiratory Assist Device-Severe COPD. Respiratory Assist Device-Central/Complex Apnea. Respiratory Assist Device-Neuromuscular Disease Restrictive Thoracic. You are here:  . 2016 DME Referral Information.

4

All Resources

http://www.dmereferral.info/all-resources

For your convenience, all available resources including forms and qualification guidelines are listed. Detailed Written Order Form. Face to Face Quick Reference Guide. Oxygen Order Quick Reference Guide. Oxygen Referral Cover Sheet. You are here:  . 2016 DME Referral Information.

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Welcome to Oxygen One and Knueppel's referral resource website. We have created this website to provide you with important information on how to refer your patients for home medical equipment. If at any time you have questions or would like further information, please contact our office at (262)522-9228. Please let us know what resources you would like to see added for your convenience. Thank you for your business! You are here:  . 2018 DME Referral Information.

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