New Medicare Prosthetic Coverage Requirements?
Brett R. Saunders, CPO, FAAOP
Description
Collection
Title:
New Medicare Prosthetic Coverage Requirements?
Creator:
Brett R. Saunders, CPO, FAAOP
Date:
1/21/2013
Text:
CGS Medicare has published a new Prosthetic Documentation Checklist and if I read this correctly,
Prosthetic devices can only be delivered to patients in SNF units if:
1 It will be medically necessary after discharge, AND
2 Is fit and delivered within 2 days of discharge from the SNF, AND
3 Is NOT needed for inpatient treatment or rehabilitation.
Is this a new change in policy on coverage for prosthetics??
The document I am referencing is found at cgsmedicare.com/jc/coverage/mr/PDF/MR_checklist_LLP.pdf
How could a prosthesis NOT be considered as needed for inpatient treatment and rehabilitation?
Brett R. Saunders, CPO, FAAOP
Prosthetic devices can only be delivered to patients in SNF units if:
1 It will be medically necessary after discharge, AND
2 Is fit and delivered within 2 days of discharge from the SNF, AND
3 Is NOT needed for inpatient treatment or rehabilitation.
Is this a new change in policy on coverage for prosthetics??
The document I am referencing is found at cgsmedicare.com/jc/coverage/mr/PDF/MR_checklist_LLP.pdf
How could a prosthesis NOT be considered as needed for inpatient treatment and rehabilitation?
Brett R. Saunders, CPO, FAAOP
Citation
Brett R. Saunders, CPO, FAAOP, “New Medicare Prosthetic Coverage Requirements?,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 5, 2024, https://library.drfop.org/items/show/234528.
