This Journey through Medicare Part B is not for the fainthearted. I have Medicare, and a good supplement.
CSS has denied me access to the instructions and regulations for documentation required for pump and cgm supplies. Only the Dr. can see this information? Meanwhile the Dr. says he has no idea what CSS wants and keeps re-sending documentation only to have it returned. CSS complains of those ‘darn ever changing medicare rules’ I ask “What are the rules and the instructions exactly pray tell?” “oh, we can’t tell you ( of all people why tell the patient right)…we can only talk to the Dr., have him give us a ring” ummmmm
I had the same trouble in Pennsylvania…now in Texas. Its not the doctors or the pharmacies or the patients. If we all had the same set of documentation rules, regulations and instructions we would could all speak the same language and simplify the entire process.
The law and the documentation rules and regulations regarding all of this should be public information.
Has anyone been able to get a copy or a link to this mysterious knowledge? Does anyone know where to start (no legislators have helped yet)
What about a redacted copy of an effective dr. work order?, what about an itemized list of questions and tests that needs to be submitted by the Dr.
Better yet - Why isn’t there an online form the Dr can complete for his diabetic patients for instant submission…rather than delayed transcriptions and faxes and lab results that get lost in the shuffle.