WebChecklist to ensure suppliers gather all required documentation. On this page you can look up every shoe and inserts that is approved by Medicare and print a copy of the … WebAug 1, 2008 · Diabetic patients with signs or symptoms of vascular disease ( Table 2) or absent pulses on screening foot examination should undergo ankle brachial pressure index (ABI) pressure testing and be considered for a possible referral to a vascular specialist.

Diabetic Shoes Documentation Checklist1 - apma.org

Web3.__Copy of treating physician diabetes mgmt exam . 4.__Treating physician’s foot exam or agreement w/DPM exam . 5.__Statement of Certifying Physi cian (form) 6.__Selection visit - documenting selection of shoes, measurements, impressions (for custom shoes &/or inserts) 7.__Dispensing visit – documenting an assessment of the fit of the ... WebCERT Alert: Therapeutic Shoes for Persons with Diabetes Coverage and Documentation Checklist Top Reasons for CERT Denial 1. No documentation or insufficient documentation of a qualifying foot condition 2. No documentation or insufficient medical record documentation of the management of diabetes 3. Invalid detailed written orders 4. how to say let\u0027s go in italian

Comprehensive Diabetic Foot Exam & Shoe Order Form

Web1. Prescription for Diabetic Shoes and Inserts 2. Documentation of Patient Evaluation Prior to Shoe Selection Enter information at safestep.net. “WorryFree DME” will create and fax to MD: Don't waste time faxing forms yourself, let SafeStep do it 3. Physician Notes on Qualifying Condition(s) 4. Statement of Certifying Physician WebCERT Alert: Therapeutic Shoes for Persons with Diabetes Coverage and Documentation Checklist Top Reasons for CERT Denial 1. No documentation or insufficient … WebCGS Medicare north korea football stadium