Ultralight materials denial
ingvar
Description
Collection
Title:
Ultralight materials denial
Creator:
ingvar
Date:
3/30/2011
Text:
Good morning
I have just found that Medicare is blanket denying ultralight materials
on any of our patients. Per our insurance department, ultralight
material is denied for prostheses up front as medically not necessary
and we have to appeal every single instance.
We are in Region D, Western Coast states, from CA to AK.
Is this something AOPA is aware of, others are experiencing, or it's
just us missing something in paperwork?
Personally, I turn in LMJs for every piece of componentry and design,
along with detailed Rx from a doctor.
Thank you
Igor Lesko, LPO
Pacific Medical P&O
Seattle
I have just found that Medicare is blanket denying ultralight materials
on any of our patients. Per our insurance department, ultralight
material is denied for prostheses up front as medically not necessary
and we have to appeal every single instance.
We are in Region D, Western Coast states, from CA to AK.
Is this something AOPA is aware of, others are experiencing, or it's
just us missing something in paperwork?
Personally, I turn in LMJs for every piece of componentry and design,
along with detailed Rx from a doctor.
Thank you
Igor Lesko, LPO
Pacific Medical P&O
Seattle
Citation
ingvar, “Ultralight materials denial,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 6, 2024, https://library.drfop.org/items/show/232454.
