Medicare now differentiates between off-the-shelf and custom fitted type prefabricated AFOs including pneumatic and non-pneumatic walkers and plantar fascia night splints.
Traditionally used codes reflect the custom fitted version and the allowable amounts for both are currently the same. For devices traditionally billed using L4360, L4386 and L4396, new codes reflecting the off-the-shelf definition most likely apply.
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NEW BILLING CODES FOR PLANTAR FASCIA NIGHT SPLINTS, 150127
Schedule a FREE Training Session with a SafeStep DME EXPERT to learn how with WorryFree DME, Medicare documentation when fitting diabetic shoes need no longer be a concern.
SafeStep Training Sessions are designed to help your practice grow. Schedule a FREE one-on-one personalized on-line appointment with one of our trained EXPERTS to make fitting diabetic shoes an important part of your practice. In one 45-minute session, you will cover:
- The essentials of shoe fitting
- How to perform the comprehensive diabetic foot exam
- How to benchmark the number of patients in practice who should be fit with therapeutic shoes
- Establishing office protocol to ensure that patients with diabetes are scheduled for annual risk assessment
- The role of the shoe fitter
- The essentials of Medicare DME compliance
- The benefits of outsourcing procurement of Medicare required compliance documentation
At the conclusion of your training session, your DME EXPERT will ensure that you:
- Determine your “Number”, the number of patients in your practice with Medicare and diabetes.
- Your office is set up for shoe fitting success
- Can track your practice shoe fitting success using the SafeStep Practice Report Card
- Determine if it would be beneficial to utilize free electronic billing to Medicare
- Know where more assistance is available.
- Schedule a follow-up appointment for additional training.
- Earn your PQRS incentive bonus from Medicare
SafeStep DME Training is intended to help you grow your practice, improve patient care and enhance practice revenue.
Call 866.712.7837 or email us at firstname.lastname@example.org to schedule your FREE individualized on-line session!
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Let Us Teach You
In 2011, many podiatrists were audited by Medicare and had to refund money because rules had changed and many were not aware of the documentation required to fit diabetic shoes.
As one famous retailer once said, “An educated consumer is our best customer”. In that spirit I have acquired one of the world’s largest collections of audit letters relating to the Medicare therapeutic shoe program. Examples are displayed in the “Library” section on the SafeStep website, accessible only after logging in.
When podiatrists have failed shoe audits, the vast majority of times it has been for :
- Failure to demonstrate that the primary care physician has documented a qualifying foot condition and has had an in-person visit with the patient during which diabetes management is addressed within 6 months prior to the patient receiving shoes.
Even when podiatrists have figured out what they need to do to be complaint, the effort required to fill out the necessary forms and the time required to repeatedly fax these forms to the primary care physician and to be assured that the patient had a visit in the proceeding 6 months is so onerous that it might hardly seem worth the effort.
Guess what? There is a convenient way to assure Medicare compliance when fitting shoes and it’s called, “WorryFree DME”.
Here are the steps:
- Identify patients with Medicare and diabetes.
- Evaluate patients and determine qualifying conditions for therapeutic shoes.
- Select appropriate footwear.
- Fill out SafeStep information collection form.
- Enter required information into SafeStep website.
You are done! SafeStep takes over!
- SafeStep creates the Statement of Certifying Physician for Therapeutic Shoes.
- SafeStep creates the documentation required to be in the patient’s file of the primary care physician.
- SafeStep assures that patient was seen by primary care physician not more than 6 months prior to being fit with shoes.
- SafeStep faxes the forms, as though from the podiatrist for up to 3 weeks to get required signatures and dates.
Without any more work on your part:
- SafeStep sends you the signed and dated documents.
- SafeStep ships you the shoes.
Don’t let fear of Medicare audits nor the effort required to be compliant stop you from providing important care to your patients and creating revenue for your practice.
Use WorryFree DME to fit your patients conveniently and compliantly.
To learn more, go to SafeStep.net and register for a free 45 minute webinar on how to get started.