ForwardHealth Wisconsin
Kramarczyk, Charles
Description
Collection
Title:
ForwardHealth Wisconsin
Creator:
Kramarczyk, Charles
Date:
2/24/2016
Text:
Looking for some advice from fellow Wisconsin practitioners or anyone who has dealt with ForwardHealth. I have a 21 year old BK patient who has been in his preparatory prosthesis for 1 year now, currently wearing 15 ply of sock even with multiple pads in the socket. We were looking to get him his definitive prosthesis, but currently they are denying 7 L-Codes, because I am using them again before the end of their 5 year life expectancy. They denied the following:
Test socket
Locking Mechanism
Alignable System
Ultralight Material
Total Contact
Flexible Inner Socket
Flex Foot Walk System.
I couldn't even do a socket replacement without using a majority of those codes, so I am not sure what ForwardHealth would like me to build the patient. Has anyone had success appealing this, what's the process like?
Thanks
Chuck K
Test socket
Locking Mechanism
Alignable System
Ultralight Material
Total Contact
Flexible Inner Socket
Flex Foot Walk System.
I couldn't even do a socket replacement without using a majority of those codes, so I am not sure what ForwardHealth would like me to build the patient. Has anyone had success appealing this, what's the process like?
Thanks
Chuck K
Citation
Kramarczyk, Charles, “ForwardHealth Wisconsin,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 24, 2024, https://library.drfop.org/items/show/238018.
