More often than not, when I am doing an initial evaluation of a patient for scoliosis, a parent will ask, “Is there something I could have done to prevent this from happening to my child?” The majority of the time the answer to the question is, “No.” That being said, I usually go on to explain the different types of scoliosis, what is happening to their child anatomically, and more importantly the types of orthoses designed to treat their specific type of scoliosis.
As each new year begins we as orthotists and prosthetists always anxiously await the new guidelines and documentation requirements brought forth by the powers that be from CMS and Medicare. Being allied health care providers we here at Sierra Orthopedic treat every patient respectfully and uphold the stringent guidelines introduced by Medicare.
As of January 1, 2013, Medicare has introduced a new set of criteria and documentation to be required for all custom fabricated ankle foot orthoses (AFO’s). Regardless of the diagnosis, here is a synopsis of what is needed for a custom fabricated ankle foot orthosis to be covered by Medicare/CMS: