Audits
Sandra Chisum, C. Ped
Description
Collection
Title:
Audits
Creator:
Sandra Chisum, C. Ped
Date:
4/4/2013
Text:
I know there have been the question of who else is being audited? We do
the diabetic shoes, inserts, testing supplies & breathing medications.
This last month we have been audited on every order we have filled for
testing supplies. We do get audited on shoes, inserts and breathing
supplies randomly. We have been getting paid after the redeterminations
except we have returned one claim 3 times (shoes) and are still waiting
response. We even had one claim of a person with an ulcer that got denied
the first time. Crazy! We are also going back and forth with the doctors
offices because of documentation. They are horrible of documenting the
feet. A lot of our patients have toe deformities and callusing but the
doctors just don't look at their feet and document it. Also, they don't
document specific areas of callusing or specific toes that are deformed.
It is very aggravating to say the least explaining why and what we need.
They don't read either because the paperwork we send states exactly what
we need. We do not order shoes until we have the documentation.
Sandra Chisum, CPed
the diabetic shoes, inserts, testing supplies & breathing medications.
This last month we have been audited on every order we have filled for
testing supplies. We do get audited on shoes, inserts and breathing
supplies randomly. We have been getting paid after the redeterminations
except we have returned one claim 3 times (shoes) and are still waiting
response. We even had one claim of a person with an ulcer that got denied
the first time. Crazy! We are also going back and forth with the doctors
offices because of documentation. They are horrible of documenting the
feet. A lot of our patients have toe deformities and callusing but the
doctors just don't look at their feet and document it. Also, they don't
document specific areas of callusing or specific toes that are deformed.
It is very aggravating to say the least explaining why and what we need.
They don't read either because the paperwork we send states exactly what
we need. We do not order shoes until we have the documentation.
Sandra Chisum, CPed
Citation
Sandra Chisum, C. Ped, “Audits,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/234953.
