Saturday, May 21, 2022

Help with finding a ‘CMS Article’

William Lifford

Hello colleagues,

I was in the process of trying to appeal an insurance carrier’s denial
of certain codes on a patient’s prosthesis. The insurer’s denial letter
said that “the specific guideline used in making this determination was
the Centers for Medicare and Medicaid article A47897.”

I was unable to find this article through a Google search, and have not
had much luck looking through www.cms.hhs.gov., either Would any of you
have some insight as to where I can find the text of this article?

Thank you so much for your help with this… I’ll post a summary of
answers to the list should I receive a number of replies.

Bill Lifford, CP
Progressive O&P, Inc.
516-338-8585

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