The physician’s progress notes are an integral part of the patient’s medical records and may be requested in order to prove medical necessity has been met. The physician’s progress notes should be in their typical format, documenting the medical necessity in regards to the need for a hospital bed. There should be information regarding the patient’s history, diagnosis, mobility functions and limitations, prognosis, and any information to support a medical condition which requires positioning of the body in ways not feasible with an ordinary bed. Please keep in mind that the need of elevation less than 30 degrees does not usually require the use of a hospital bed.