Thank you to all who replied to my inquiry. I found it interesting that there is a lot of opinions on what should be done but no simple answer. I believe this is at the core of our issues with CMS today. There is simply no concrete understanding of what we should be doing as O&P providers. Everything I have read in the LCD, supplier manual etc, indicates functional classification can be determined by the prosthetist and/or the physician, however we all know the CMS audit contractors have chosen to overlook this language. It shows a clear example of Medicare needing to provide us the tools so that we might be successful in treating our patients rather than the current approach of “guilty until proven innocent”.
John Boldt, C.P.O.
