I just went through a similar process with Medicare and Medtronic for pump infusion sets. I was told that I needed a 30-day blood glucose (fingerstick) log that showed an average of 4 tests/day. I think the word “average” makes compliance with this type of rule easier. My electronic log showed an average of 6 test/day, did not miss any days, and no day showed less than four tests.
If the Medicare rule is enforced exactly as you wrote, “a minimum of four times a day over the last 60 days,” one skipped day or a day with only three checks will negate full compliance with the letter of the rule.
The acceptance of a manual (I’m assuming this means hand written) log means that a person wishing to meet this fastidious rule will be sorely tempted to “pencil whip” compliance. I’m not advocating this but I think administering this rule as an “average of 4 checks per day” will make truthfully living with it an easier task.
I wonder what documentation Medicare wants to see to show that we “made treatment decisions based on the results.” Will that mean that we must annotate the log with one remark per blood glucose entry? Every time I monitor my CGM display, I make a decision to either act or not. Actions could include: eat fast acting carbs, take more insulin, or go for a walk. I wonder how they would respond to a list dominated by, “I decided to take no action at this time?” A decision to not act is an action.
I’ll be curious to see what the actual requirements will be. As you can see, even this list of 7 rules is not completely clear.