Must I obtain a new Prescription and Statement of Certifying Physician each year when a patient gets shoes?
According to the Medicare Supplier Manual, “A new order is not required for the replacement of an insert or modification within one year of the order on file. However, the supplier’s records should document the reason for the replacement. A new order IS REQUIRED for the replacement of any shoe. A new order is also required for the replacement of an insert or modifications more than one year from the most recent order on file.” “A new Certification Statement is required for a shoe, insert or modification provided more than a year from the most recent Certification Statement on file.” So, the bottom line is: 1. Benefits are per CALENDAR year. 2. A neworder (prescription or notes in patient’s chart) is required for each new pair of shoes regardless of the time since the receipt of the previous pair. 3. The Statement of Certifying Physician is the only thing that is good for a full twelve months and a new one is not required if the shoes are provided in time.
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