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DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE MEDICAID SERVICES Form Approved OMB No. 0938-0679 CERTIFICATE OF MEDICAL NECESSITY CMS-849 SEAT LIFT MECHANISMS SECTION A DME 07. PHYSICIAN S SIGNATURE DATE // Form CMS-849 09/05 EF 08/2006 INSTRUCTIONS FOR COMPLETING THE CERTIFICATE OF MEDICAL NECESSITY FOR SEAT LIFT MECHANISMS CMS-849 May be completed by the supplier CERTIFICATION TYPE/DATE If this is...
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cms 849
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