The supplier must also keep a signed written order for therapeutic shoes, inserts or modifications, in the patient's file. If the most recent order on file is more than one year old, Medicare requires a new order to replace any shoe, insert or modification. Fitting Concerns Medicare policy also mandates that only qualified professionals fit therapeutic shoes. This language limits shoe fitting to these providers, who have specific training and experience in evaluating and designing foot orthoses and shoes for people requiring protective support or correction due to muscle or bone impairment, disease or deformity. A board or organization usually certifies these people, evidencing their expertise and training in this field.
Suppliers often wonder who is considered qualified to fit therapeutic shoes.
Unfortunately, the current guidance on this topic is not definitive. HCFA forwarded the request to its Office of General Counsel for review and determination. At press time, a response has not been issued. No matter what the diabetic product, proper documentation is key to getting reimbursement. American Diabetes Association Home Page.