Although the majority of the recommendations in our group’s Public Comments were incorporated into the final rule, the issue of therapist reimbursement for fitting and measuring services has yet to be resolved.
In March, we joined the APTA, AOTA, and the Alliance of Woundcare Stakeholders in sending this joint stakeholder letter to the Center for Medicare and Medicaid Services (CMS). Also submitted to CMS was this table of FAQs and a separate letter from SunMED Medical. We will pass on answers and updates as we receive them.
As a reminder, we have a one-pager about the new coverage that is very easy to download and print. Patients can bring this to clinicians and suppliers who may not be aware of the new coverage or who need more information. And likewise, clinicians and suppliers can use this to educate patients who may not be aware of the new benefits available to them.
Additionally, if you have been denied coverage for a compression garment order placed on or after January 1, 2024 – whether you have traditional Medicare or any other plan – we want to know. We are now tracking this through our Denial Reporting Form in order to identify where additional advocacy may be needed.
If you have questions, please consult our Frequently Asked Questions documentfirst. If you do not find the answers you are seeking there, or elsewhere on our website, feel free to respond to this email.
Lastly, if you are a patient with cancer-related lymphedema, you are invited to take part in this survey, We are sharing this on behalf Jazmine Mack, OTDS, MOTR/L, CLT, who is conducting research to help medical professionals to establish best practices for informing cancer patients about lymphedema during their treatment.We will continue to share opportunities like this for patients, clinicians, and others as they become available.
As depicted in the graphic below, we’ve come a long way and accomplished a great deal, but there is still more work to do, such as securing therapist reimbursement for fitting and measuring services. Donations to support our continued efforts are always deeply appreciated. Thank you so much and we hope you find this information helpful!
Heather Ferguson
Founder & Executive Director
Lymphedema Advocacy Group
LymphedemaTreatmentAct.org
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