Friday, March 29, 2024

AFO/KAFO policy

Jason Auyer

Dear Listserve,

I wanted to get some feedback from the list. I recently was on AOPA’s
conference call and they discussed that not only do we need to be getting
K-level information for Medicare patients from physician’s notes, but that
physicians also need to have in their notes justification for why we would
fit a custom AFO/KAFO instead of an OTS. Obviously we have to have this
info in our patient notes but I was not aware that Medicare was starting to
make physicians have this in their notes. Of course all the burden is on
us in the O&P community to make this happen because there is no incentive
for docs to do this.

A few questions:

1. Does anyone know the exact requirements that Medicare wants in these
situations?
2. Are your offices actively doing this for your Medicare patients?
3. Is the practitioner or the office staff handling this?
4. Are there specific forms people are using, or are you cutting and
pasting your notes, faxing to the doc and having them sign?

I will post responses


Jason Auyer, LCP, LCO
Licensed Certified Prosthetist, Licensed Certified Orthotist
Atlanta Prosthetics and Orthotics
1100 Sherwood Park Drive
Suite 220
Gainesville, GA 30501
ph: (770) 287-2395
fax: (770) 287-2398
www.atlantapo.com

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