1) Does the patient have multiple stage II pressure ulcers on the trunk or pelvis? Y N D. 2) Has the ...
The Statement of Ordering Physician – Group II Support Surfaces form was developed to help document the medical necessity of the Group II support surface, and ...
CMS Statement of Ordering Physician for Group 2 support surfaces.
A group 2 support surface is covered if the patient meets: a.
... Amendment Plan of Care for Decubi's Ulcers · Statement of Ordering Physician Group 1 Support Surfaces · Statement of Ordering Physician Group 2 Support ...
Criteria from Medicare to qualify a patient for a Group I or II support surface. • Group I & II Statement of Ordering Physician. • Sample statement of ordering ...
Pressure Reducing Support Surfaces - Group 2 (L5068). Contractor
It should also be noted that the Statement of Ordering Physician ( SOP) ...
April 1996 DMERC Medicare Advisory. Page 96-167. Statement of Ordering Physician. Group 2 Support Surfaces. Patient name: HIC #.
Conditions for criteria 2 and 3 (in each case the medical record must document the