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Foot Evaluation Form Diabetic Shoes1525 W Homer St Suite 101, Chicago, IL 60642 Phone: 18887857370 Fax: 18887857380 www.americasdietitians.comPatient Name: ___ Gender: ___ Patient Height: ___Patient

How to fill out diabetic-shoe-documentation-requirements-medicare

How to fill out diabetic-shoe-documentation-requirements-medicare

1. Gather all necessary documentation such as medical records, prescription for diabetic shoes, and documentation of a foot exam by a qualified healthcare provider.
2. Complete the Supplier Documentation Form CMS-8496 for Diabetic Shoes.
3. Ensure that the patient meets Medicare's coverage criteria for diabetic shoes.
4. Submit the completed documentation to the Medicare contractor for review and approval.
5. Keep a copy of all documentation for your records.

Who needs diabetic-shoe-documentation-requirements-medicare?

1. Individuals with diabetes who require therapeutic shoes or inserts to prevent complications related to their condition.
2. Healthcare providers, suppliers, and Medicare beneficiaries who are eligible for Medicare coverage of diabetic shoes.

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What is diabetic-shoe-documentation-requirements-medicare?

Diabetic-shoe-documentation-requirements-medicare refers to the necessary documentation and requirements set by Medicare for individuals with diabetes to receive coverage for diabetic shoes.

Who is required to file diabetic-shoe-documentation-requirements-medicare?

Healthcare providers and suppliers who provide diabetic shoes to Medicare beneficiaries are required to file diabetic-shoe-documentation-requirements-medicare.

How to fill out diabetic-shoe-documentation-requirements-medicare?

Healthcare providers need to include specific information such as patient diagnosis, prescription, and medical necessity in the documentation for diabetic shoe coverage under Medicare.

What is the purpose of diabetic-shoe-documentation-requirements-medicare?

The purpose of diabetic-shoe-documentation-requirements-medicare is to ensure that Medicare beneficiaries with diabetes receive appropriate coverage for necessary footwear to manage their condition.

What information must be reported on diabetic-shoe-documentation-requirements-medicare?

The documentation for diabetic shoe coverage must include patient diagnosis, prescription from a healthcare provider, and medical necessity information.