Medicare Diabetic Shoe Program
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Did you know...
Medicare patients are permitted one pair of shoes and three custom inserts per calendar year, yielding pharmacies an average profit of $200 per pair. Some insurance companies permit a new pair of shoes every six months. Diabetic shoes offer an additional revenue stream for your facility or pharmacy plus keeps patients returning to your establishment. Your fitting area can also be used for immunizations and mastectomy.
If there is no documented physical assessment with the patient file, the Medicare reimbursement claim will be denied during an audit. The hardest part of running a successful diabetic shoe business is keeping up with new regulations and ensuring proper documentation.
That's where we can help... Medicare Quality Standards “Appendix C” requires facilities to have policies and procedures for your diabetic (therapeutic) shoe program as well as a fitter assessment.
I highly recommend R.J. Hedges & Associates for your pharmacy for pharmacy compliance. It has been very strategic for me to have one place to go for DME, pharmacy, and now compounding accreditation. Jeff's programs gives you peace of mind knowing that you have yourself covered with policies and procedures and compliance programs. All you have to do is make sure you are living by them and you are doing your monthly checklists.The end result is that you are compliant and have the peace of mind needed in today's world. There is too much to know and to go do it alone. I highly suggest giving R.J. Hedges & Associates a try and get compliant.
Owner of Medicap 8391 & 8362
Common Compliance Questions
- What does it take to be 100% compliant?
- How do we stay up-to-date with changes?
- What does 100% customized mean?
- How can we talk to a compliance expert?
First and foremost is the desire to be compliant. Compliance isn’t a fun topic and most people don’t like it, however most facilities understand that they have to follow rules and keep up with regulations. If you have the mindset that you are going to get your store in compliance and maintain it, your life will be much easier. At R.J. Hedges, we understand that an owner's day-to-day is often spent balancing thousands of tasks making it difficult to prioritize compliance. We make staying in compliance as simple as possible as we guide you on what you need to know and what you need to do.
Jeff Hedges, President and CEO of R.J. Hedges & Associates is what we like to call a walking compliance encyclopedia. Jeff has an amazing ability to read and dissect laws and turn them into easy-to-understand content and forms. We work with several state and national organizations to ensure that our clients have the most up-to-date resources.
R. J. Hedges & Associates does the hard work for you. Our program has no surprises, no "fill in the blanks". You don’t have to create any policies and procedures, forms, plans etc. Everything is written and documented by the R.J. Hedges & Associates staff and is presented to you in a completed format, ready for implementation. Our extensive knowledge base will enable you to work comfortably through the program and allow you to stay focused on the other areas of running a successful facility.
Our compliance strategists would be happy to schedule an appointment to discuss your compliance questions. They can also provide recommendations on compliance solutions you may already have access to. Click below to sign up and schedule a 1-on-1 session.
Our Diabetic Shoe Program Includes:
- Detailed Diabetic Shoe Fitting Assessment for both the Initial and Final Assessments and Fittings
- Documentation that can be used for any manufacturer
- Processes to ensure documentation compliance for Medicare audits
- Standards that meet Medicare and insurance audit requirements
- Plus Web-based Training
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