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Proposed changes to insert guidelines draw criticism

December 1, 2017Theresa Flaherty, Managing Editor

WASHINGTON - A proposal to “explode” the code for custom therapeutic inserts has raised eyebrows among stakeholders who say it's unnecessary. In a Special Open Door Forum Nov. 28, CMS officials outlined plans to revise the DMEPOS Quality Standards for custom fabricated inserts to account for advances in technology that allow them to be direct milled using computer assisted software. However, because the technology is so different, the inserts must be billed under a new code, rather...

American Orthotic & Prosthetic Assoc (AOPA), Custom Fabricated Inserts, therapeutic inserts