As has been discussed, Medicare is asking for more information when reviewing claims.
It has become a topic of discussion in the office as to what information to provide when Medicare wants to know the manufacturer when a prosthesis is provided to a patient.
The question, it seems, is this…Are we, as providers who fabricate the complete unit, the manufacturer or are the manufacturers of all the components those that need to be provided.
I understand providing the type, model, and manufacturer of a foot and/or knee unit may be needed to justify the functional level and usage, but does the manufacturer of the tube clamp or pin lock matter?
How is this handled in your office?
Do you have a different approach to this question when dealing with insurance companies?
Brett Saunders, CPO, FAAOP
