First, Medicare states to supply any orthotic or prosthetic device to a medicare beneficiary the supplier must have a detailed written order on hand. The doctor may send you over with a non detailed written order that just states what he is looking for such as a knee brace, or lower prosthesis. This is great and allows us to evaluate the patient and get the ball rolling. However before we can deliver the device we must have the detailed written order signed by your doctor. We work much like a pharmacy in that we full fill orders from doctors, so a lot like at a pharmacy if you have a prescription for a knee brace we cannot deliver anything but a knee brace.
A detailed written order must be signed and dated by the ordering doctor. This order or prescription must state many things including:
Prescribing Doctors Name
The order Date or start date of treatment
A detailed description of the item to be ordered and it's corresponding L-Code such as
L1832 - Right Hinged Knee Brace
The prescribing physicians signature and the date
This is a great start but to be sure that medicare covers the beneficiary many suppliers ask for additional information to help with reimbursement. Other things we highly recommend on detailed written orders are:
Diagnosis code for item including description and ICD-10 code
Frequency of use
Estimated length of use of device
Side of injury that the device is to be used
With a detailed written order on hand we have a great basis to not only bill your insurance but also to fit the patient with the best device possible. Vague prescriptions that lack information do not allow your orthotist or prosthetist to help the patient to their maximum capacity.
O'Connor Orthopedic & Prosthetic can supply doctors with blank prescription pads for orders, and detailed written orders with information that doctors or their staff give to us so that they are not wasting time trying to figure out exactly what needs to be on the order.