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Medicare's Prepayment Review for Therapeutic Shoes
Posted By: Thomas M. Wilson on May 13, 2010
Dear List, I am hearing from some of my C.Ped. friends that in region B Medicare has instituted a "Prepayment Review for Therapeutic Shoes" making the supplier of shoes and inserts for diabetics to submit a bunch more documentation and they are having big issues. After this "review", if Medicare feels the primary care physician's documentation does not prove a comprehensive diabetic care plan, the claim is denied and the patient is NOT responsible for payment. We have been fortunate enough not to have been required to submit the additional paperwork - yet. My question is that I have only heard from a few region B C.Peds, and I can't find any documentation from Medicare implementing this in any other region. Can anyone send me a link or a clue if Medicare is going to or have already initiated this in other regions? (I am in region C.) Any guidance will be greatly appreciated! I will post appropriate replies. Thank you all. Thomas M. Wilson Certified Licensed Orthotist Certified Licensed Pedorthist |
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