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Medicare Chart Note Requirements

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All applicable Medicare statutory and regulatory requirements must be met to be covered by Medicare.
Medicare requires a physical evaluation of the patient.  Please provide the PDFs below to your physician for compliant chart note content
(Medicare does not consider a letter part of the medical record).  Please fax any Medicare-compliant chart notes to our office.

Prefabricated AFO (ankle-foot-orthosis)

Enhanced Vacuum System Addition to a Prosthesis

Custom Dynamic AFO

Custom KAFO (knee-ankle-foot-orthosis)

Prefabricated KO (knee orthosis)

Revo System

Custom LSO (lumbo-sacral-orthosis)
or Custom TLSO (thoraco-lumbo-sacral)

Prefabricated AFO (ankle-foot-orthosis)

Replacement Socket or Major Prosthetic Component

Prosthetic Liners

Custom KO (Knee Orthosis)

HiFi Socket Design

Prefabricated LSO (lumbo-sacral-orthosis)
or Prefabricated TLSO (thoraco-lumbo-sacral)

Cornerstone Running Man

Medicare Chart Note Requirements

Cornerstone Running Man

All applicable Medicare statutory and regulatory requirements must be met to be covered by Medicare.
Medicare requires a physical evaluation of the patient.  Please provide the PDFs below to your physician for compliant chart note content.  (Medicare does not consider a letter part of the medical record).  Please fax any Medicare-compliant chart notes to our office.

Prefabricated AFO (ankle-foot-orthosis)

Custom KAFO (knee-ankle-foot-orthosis)

Custom LSO (lumbo-sacral-orthosis)
or Custom TLSO (thoraco-lumbo-sacral)

Prefabricated LSO (lumbo-sacral-orthosis)
or Prefabricated TLSO (thoraco-lumbo-sacral)

Cornerstone Running Man

How To Videos

Dynamic AFO Cable Replacement

How to repair and replace a broken Revo string or Revo dial in a dynamic AFO.

Unloader One® with SmartDosing™ by Össur
Self bracing application

Unloader One® is a comfortable, lightweight, low-profile brace that provides excellent suspension and pain relief.

Sleeq Max Universal TLSO Fitting 

United Ortho FKB (Anterior Frame) – Application

United Ortho recently launched a unique and highly innovative Functional Knee Brace (the “FKB”) designed to protect the knee's ligaments. This video is intended to educate patients and Healthcare Practitioners on how to apply the FKB.

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