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Referrals & Order Forms

Thank you for choosing Phoenix Home Medical. We're honored to be able to serve your patients for all their home health needs. Below you’ll find our order forms and Medicare Coverage Guidelines. If you have any questions or need help, give us a call at 337-239-9100 or fill out our online contact form.

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Medicare Coverage Guidelines

Medicare contractors publish Local Coverage Determinations (LCDs) by region that review the medical necessity and documentation requirements for coverage of Durable Medical Equipment Prosthetics and Orthotics (DMEPOS).   

Phoenix Home Medical is bound by the rules and coverage limitations imposed by Medicare and we have no authority to work outside the guidelines presented to us. In the interest of organizing these guidelines for our professional partners, we have provided convenient links for the LCDs on commonly ordered and prescribed DMEPOS items listed below. Patients must meet the clinical criteria outlined in these guidelines and our organization must adhere to the documentation guidelines outlined therein. We take great pride in our business practices and record of delivering compliant, effective care for our patients and professional partners. 

If we are asking for a piece of documentation, it is most likely because the LCD and Medicare Regulations require us to do so; we appreciate your partnership and support as we continue to deliver high-quality care to the patients who meet the criteria. 

  • PAP Devices 
  • Home Oxygen 
  • Hospital Beds 
  • Blood Glucose Monitors and supplies 
  • Therapeutic Shoes for Diabetics 
  • Wheelchairs 
  • Nebulizers 


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