Good Afternoon to Everyone!
We are going to appeal for a C-Leg for one of our patients.
Has anyone any experience with appealing this type of prosthesis to an
insurance company? The nurse case manager said to concentrate on “Level of
Functionality” and the microprocessed knee. She also said to send in medicare
documentation as a guideline.
Any “hints” or “tips” before I get started?
As always, thanks in advance………
Karen A. Schebesta, CPC
Orthotic and Prosthetic Center
226 Cedar Wood Plaza, Route 37 West
Toms River, NJ 08755