Option 2 Free Text Documentation
Free Text in Physician Progress Note: Home Oxygen Assessment
• Face to Face Documentation must be identified as “Face to Face” on MD Progress Note
• Encounter Date must be included• Patients Medical Condition related to the need
for Home Oxygen • Document: I certify that Home Oxygen is
medically Necessary for the Patient due to….I have discussed the need for Home Oxygen with the patient/caregiver
Continued
• Progress Note Must Contain:– Home Oxygen per Nasal Cannula/Mask at 2Liters
per Minute continuous/Nocturnally
• Other Documentation Required to Complete Referral is the Oxygen Saturation or Blood Gas Labs done at Office, Hospital, or Clinical Lab– Refer to Next Slide for Medicare Qualifying
Requirements for Home Oxygen Lab Results
Home Oxygen Assessment• Can not be done using a paper
form/template• Must be documented in the patient’s medical
record
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