"Frustrated"--Medical justification for lower limb prosthetics
David Hansford
Description
Collection
Title:
"Frustrated"--Medical justification for lower limb prosthetics
Creator:
David Hansford
Date:
5/28/2013
Text:
I guess that the solution to any problems these days requires that the
solution be more time consuming and complex to the extent that only a lawyer
can figure it out.
I looked over the recent proposed-Lower Limb Prosthesis Electronic Clinical
Template proposal from CMS.
On page one it states:
A lower limb prosthesis is covered when the beneficiary:
1. Will reach or maintain a defined functional state within a
reasonable period of time: and
2. Is motivated to ambulate.
That is all that the Medicare Manual requires except there are reasonable
and necessary requirements in the form of LCD ( L11442, L27013, L11464,
L11453).
The above mentioned Draft policy contains 22 elements for the physician to
address in order to meet the 2 covered criteria as well as the 4 LCDs.
Sounds like typical bureaucracy where the answer is in the amount of paper
work you can pile on no matter the relevance. This is what the future is for
O&P, fill out a new form to request the old form to request the older form
and so on and so forth till you get lost in the paperwork. That gives the
bureaucrat a way to justify their useless non- productive jobs.
Sounds like Congress. Do more to accomplish less at everyone else's expense.
Sorry but the more that comes out of Washington the less I enjoy my work.
Helping those who need our help has always been my goal.
Not helping those in Washington justify and keep their jobs.
David Hansford, CPO, FAAOP
solution be more time consuming and complex to the extent that only a lawyer
can figure it out.
I looked over the recent proposed-Lower Limb Prosthesis Electronic Clinical
Template proposal from CMS.
On page one it states:
A lower limb prosthesis is covered when the beneficiary:
1. Will reach or maintain a defined functional state within a
reasonable period of time: and
2. Is motivated to ambulate.
That is all that the Medicare Manual requires except there are reasonable
and necessary requirements in the form of LCD ( L11442, L27013, L11464,
L11453).
The above mentioned Draft policy contains 22 elements for the physician to
address in order to meet the 2 covered criteria as well as the 4 LCDs.
Sounds like typical bureaucracy where the answer is in the amount of paper
work you can pile on no matter the relevance. This is what the future is for
O&P, fill out a new form to request the old form to request the older form
and so on and so forth till you get lost in the paperwork. That gives the
bureaucrat a way to justify their useless non- productive jobs.
Sounds like Congress. Do more to accomplish less at everyone else's expense.
Sorry but the more that comes out of Washington the less I enjoy my work.
Helping those who need our help has always been my goal.
Not helping those in Washington justify and keep their jobs.
David Hansford, CPO, FAAOP
Citation
David Hansford, “"Frustrated"--Medical justification for lower limb prosthetics,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 24, 2024, https://library.drfop.org/items/show/235076.
