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I want to thank Gil Gulbrandson for sharing his document.  He puts the K Level documentation and explanation on the reverse of his eval form, found below.  Kevin, I have put together a check list that I am dropping off to my docs on behalf of my prosthetist.  I have laminated a sheet with  a list of the areas that must be included in the note on one side. this list is directly from CMS...Now, have the rules changed since we received this? who knows? On the other side is a list of the K levels, again taken from CMS. Interestingly, but not surprisingly, NONE of my referring M.D.s had any idea what a K level was. To a man, their response to our request for a K level is...."What's a K level?...." I am afraid that is what we are up against. Trouble is, when requesting these more comprehensive notes, they simply don't have them, have never been instructed on taking notes like this, certainly do not have notes of this nature 3 years post. I'm not sure we will ever get our notes from the M.D.s to the level wanted by CMS and their visiting terrorists. If you would like a copy of what we are delivering, let me know.   Gil Gulbrandson CO/LO Gulbrandson Orthotics and Prosthetics   When my office gal comes in I'll have her send it. I'm too challenged tech wise to pull that off! In answer to your thought of filling in blanks or check offs, I don't know how well that would work as they are to do a history of the patient with physical exam etc. Not sure how that could be done in a point and click design. But you know....there are a lot of folks out there smarter than me! Let me know if you get something good. Gil   DOCUMENTATION CHECKLIST FOR AMPUTEE PATIENT FUNCTIONAL CAPABILITIES   The following check list of physical and cognitive capabilities must be documented in the patient’s chart for us to proceed with prosthetic care:   ______   1.  History of the present condition and past medical history that is relevant to functional deficits.   _______ 2.  Symptoms limiting ambulation or dexterity _______ 3.  Diagnoses causing these symptoms _______ 4.  Other co-morbities relating to ambulatory problems or impacting use of new prosthesis   ______  _5.  What ambulatory assistance is currently used?   ______  _6.   Descriptions of activities of daily living (ADLs)                                                                                                                                 and how impacted by deficit.   ________7.   Physical examination that is relevant to  functional deficits.    NOTE:  K LEVELS MUST BE INCLUDED WITHIN                                                                                                 THIS DOCUMENTATION.  PLEASE REFER TO THE K LEVEL CLASSIFICATIONS ON REVERSE SIDE.  Thank you, Gil. This is a good start!  Kevin       Kevin C. Matthews, CO/LO Advanced Orthopedic Designs 12315 Judson Rd. #206 San Antonio, Texas 78233 210-657-8100 210-657-8105 fax www.AdvancedOrthopedicDesigns.com [E-mail Address Removed]