CMS-485 Form (02-94)
Home Health Certification and Plan of Care
Use the software today! Order online and the shopping cart will e-mail you the PDF.
CMS-485 serves as a plan of care. The completed form provides all the information required to deliver relevant treatment and medical care to a patient, outside of a specialized institution. Patients must be evaluated and the Nurses supervised and orders rewritten at least every sixty days. All Therapies and medications listed become Doctors Orders once signed. All other documents (i.e., Medication Administration Record) in the home chart should follow the orders listed on the 485, except interim orders written/signed after the date of the 485. The 485 should be the “Go To” document when unsure, or verification of Rx/Tx's is needed.
- CMS-485 Fillable PDF
Support
You can order the fillable PDF through our secure online shopping cart any time of the day. We will email you a copy of the fillable PDF.
Our sales staff is available by phone from 7am to 5pm MST. Technical support is also available during that time and at nights and weekends. If you have technical support questions, please call (608-444-6575) or email support@medclaimsoftware.com at any time.
Adobe Reader
Our CMS 485 fillable PDF works with the free version of Adobe Reader and on any Windows operating system. The software functions on networks or stand-alone personal computers and is compatible with all printers.
Related...
cms 485 home health claim fillable pdf, cms 485 home health claim, cms 485 home health forms, cms 485 claim form, home health claim forms
Please send an e-mail to info@MedClaimSoftware.com with any comments or questions you might have.
