Re: Responses diabetic rules
Richard Feldman
Description
Collection
Title:
Re: Responses diabetic rules
Creator:
Richard Feldman
Date:
12/30/2010
Text:
Would someone please inform me as to why you cannot bill the patient
private pay using
the Advanced Beneficiary Notice of possible denial?
Is there any rule that says as a Medicare provider a O and P office must
take assignment on
this diabetic shoe service?
Am I alone in wanting to receive a reasonable and customary fee for saving a
patient from a
amputated toe, foot, ankle, or leg?
Please reply to this list. I would appreciate any factual reply.
Sincerely, rick/cpo
On Thu, Dec 30, 2010 at 5:23 AM, Rick < <Email Address Redacted> > wrote:
> ORIGINAL QUESTION:
> My office manager highlighted the new Medicare diabetic shoes rules in the
> December edition of the Almanac...
>
> One in particular bothers me:
> Effective Jan 1, 2011...the certifying physician must have an in-person
> visit with the patient during which diabetes management is addressed within
> 6months before delivery of the shoes and/or inserts. ....there must also be
> documentation of an in-person visit with the prescribing physician within
> 6months of delivery of the shoes and/or inserts.
>
> The bothersome part is WE are responsible to ensure that the patient's
> prescribing physician documents abouou their diabetes & need for protective
> footwear...are we supposed to get copy of their Dr visit-notes?
>
> Good thing: Physician's in our area will not sign an Rx or certifying forms
> unless they have seen the pt within 6months, but who's to say the patient
> will follow through w/their Dr appt following receipt of shoes/inserts?
>
> I don't love working with diabetic shoes/inserts, but I'd hate to leave
> diabetic footwear to the shoe stores that specialize in diabetic shoes.
> You know the ones.... they allow Tommy Highschooler who loves running
> shoes fit the diabetic shoes.
>
> Who's dropping diabetic shoes/inserts from their scope of practice?
> If you are continuing to provided diabetic footwear, how are you going to
> ensure the physician's documentation adequately covers what you're doing?
>
>
private pay using
the Advanced Beneficiary Notice of possible denial?
Is there any rule that says as a Medicare provider a O and P office must
take assignment on
this diabetic shoe service?
Am I alone in wanting to receive a reasonable and customary fee for saving a
patient from a
amputated toe, foot, ankle, or leg?
Please reply to this list. I would appreciate any factual reply.
Sincerely, rick/cpo
On Thu, Dec 30, 2010 at 5:23 AM, Rick < <Email Address Redacted> > wrote:
> ORIGINAL QUESTION:
> My office manager highlighted the new Medicare diabetic shoes rules in the
> December edition of the Almanac...
>
> One in particular bothers me:
> Effective Jan 1, 2011...the certifying physician must have an in-person
> visit with the patient during which diabetes management is addressed within
> 6months before delivery of the shoes and/or inserts. ....there must also be
> documentation of an in-person visit with the prescribing physician within
> 6months of delivery of the shoes and/or inserts.
>
> The bothersome part is WE are responsible to ensure that the patient's
> prescribing physician documents abouou their diabetes & need for protective
> footwear...are we supposed to get copy of their Dr visit-notes?
>
> Good thing: Physician's in our area will not sign an Rx or certifying forms
> unless they have seen the pt within 6months, but who's to say the patient
> will follow through w/their Dr appt following receipt of shoes/inserts?
>
> I don't love working with diabetic shoes/inserts, but I'd hate to leave
> diabetic footwear to the shoe stores that specialize in diabetic shoes.
> You know the ones.... they allow Tommy Highschooler who loves running
> shoes fit the diabetic shoes.
>
> Who's dropping diabetic shoes/inserts from their scope of practice?
> If you are continuing to provided diabetic footwear, how are you going to
> ensure the physician's documentation adequately covers what you're doing?
>
>
Citation
Richard Feldman, “Re: Responses diabetic rules,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 5, 2024, https://library.drfop.org/items/show/232126.
