Attention all ASHT members - ASHT needs data from you!
ASHT has been collaborating with the American Occupational Therapy Association and the American Physical Therapy Association and the Academy of Hand and Upper Extremity (APTA) in an effort to address a problem with orthosis denials and CMS. CMS has a rule that a patient cannot receive the same orthosis code within a five-year timeframe (the “Reasonable Useful Lifetime"). This is problematic for hand therapists who custom fit and fabricate orthoses for a number of reasons:
We are asking that ASHT members and hand therapists across the country submit information about denials you have seen related to reasonable useful lifetime restrictions. Our goal is to gather data to demonstrate the continued impact this is having on practitioners. Please do not include patient names or identifiers in your submissions.
Thank you in advance for taking the time to provide us with information regarding the Medicare orthosis denials you have experienced. If you have multiple cases of these denials, please enter each denial. At the end of the survey you will be able to continue entering additional examples of denials.