Dear List serve Members:
I recently received an advertisement flyer concerning diabetic shoes and custom inserts (3 pairs) provided from a local pharmacy. I telephone this pharmacy and spoke to the person providing the shoes and inserts. They informed me they will bill Medicare for the shoes and plastizote inserts (three pairs) for a total of $260.00!
When asked if they are qualified to provide these shoes and inserts under the Medicare Therapeutic Shoe Guidelines for our region, they informed me Dr. Zen, the company providing the shoes, educated them under the provision of “other qualified individual.” I telephoned Dr. Zen and inquired about this “educational instruction” they provide to their exclusive dealers. Their reply, “We provide a short course on training and then apply for BOC certification to provide the shoes and inserts.” Interesting?…………..
Someone please advise if I am barking up the wrong tree……Someone please advise on undercutting Medicare fee schedule……What happens to the “qualified individual” when a customer has diabetic breakdown…..Does BOC license these “qualified individuals” and then grandfathers them into ABC?
Kenneth M. Heide, CPO
Regional Artificial Limb & Brace Co, Inc.
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