Everything YOU Need to Know about O&P DOCUMENTATION REQUIREMENTS

Payment for prosthetic devices and services is now based solely on the information in the prescribing physician’s records.

Therefore, in order to be in compliance with Medicare and receive reimbursement for services prescribed, we require the following information from your medical records on your patient whom we are serving:

Physical examination.
History of amputation: Reason(s), date(s), and side(s).
Assessment of the patient’s functional potential. Include limitations and capabilities with examples of activities of daily living.
Patient’s desire to ambulate.
Status of residual limb(s).
Status of prosthesis (if applicable) including past experience.