Medicare denied claim for knee scooter post foot surgery

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Have any of you been able to get Medicare to
pay for a knee scooter post orthopedic foot surgery or any surgery. Medicare advised me to
have the surgeon state the necessity for knee scooter because I've had
lymph nodes removed. He stated that on the RX but Medicare is
still denying the claim.

The supplier is billing me $244 per
month, for 3 months. Ouch! I could have bought a used scooter for
$250. The knee scooter supplier is now threatening me with late
penalties while I'm in appeal of the claim to Medicare.

BTW, I
also have thoracic outlet syndrome, numbness in hands and pain in
shoulders. Crutches were not an option. My foot surgery was, in my
opinion, because of damage from the taxanes which caused extreme
neuropathy in my feet for two years post chemo. My toes became claw-like
and crossed over one another. I now have screws in 3 toes, plus the
surgeon tightened up muscles and ligaments in my forefoot. Of the 12
surgeries I had in my 68 years, this was the most painful with the
longest recovery (November - June). I would definitely not have foot
surgery knowing what I've just been through. The other foot needs
correction but I'll die with it in this deformed painful condition
rather than operate.

Please the best way to get a knee
scooter covered by Medicare. I truly can't afford the rental fee of
$732 of which I wasn't advised in advance.

BUT the GOOD NEWS! No recurrence of CA, clean mammo on other breast. Seven years post chemo.

Comments

  • SheChirple
    SheChirple Member Posts: 954
    edited August 2014

    It is very important that your orthopaedic refer to and quote chapter and verse of the medical treatment utilization schedule that recommends a knee scooter for your condition.  He will need to include the course of treatment you have had, what improvement you have achieved, if any, and what relief or improvement is expected by temporary or permanent use of the knee scooter.

    It also depends if you have part A-B- or C.

     


     

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