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Self-Service Tools - Jurisdiction A

Tools and Materials - Jurisdiction B

Modifier Tool - Jurisdiction C

Upcoming Events

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Manual Wheelchairs

Manual Tilt Wheelchair Cheat Sheet

Manual Wheelchair Cheat Sheet

Manual Wheelchair Documentation Checklist

Physician Order form Heavy Extra-Heavy Manual Wheelchair

Physician Order form High Strength Lightweight Manual Wheelchair

Physician Order form Standard Lightweight Manual Wheelchair

Training Handout - Billing Manual Wheelchairs

Training Handout - Billing Wheelchair Accessories

Power Mobility

POV-Scooter Cheat Sheet

Power Wheelchair Cheat Sheet

Home Evaluation Form - PMD

Physician Documentation Request - PMD also available as a Word Document

PMD Documentation Checklist

PMD Purchase Option - Sample Letter

Training Handout - Billing Power Mobility Devices

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Domos HME Billing
Phone: 425.882.2035
Fax: 888.553.1063
Email: Domos HME Billing