This episode of our journey through the FootID Pro Configurator leads us to the area of “Pads and Cushions” that address primarily the plantar forefoot in and around the distal metatars...
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Do I need FA and SB
I've recently heard that Medicare to combat fraud is going to institute a yearly Facility Accreditation and they have also started cracking down on something I never heard of Surety Bonding. What i...
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Biomechanics of the Achilles Tendon Part 8: Case Report
Achilles Pain in a Triathlete (based on a 14 point workup protocol) History and Chief Complaint While training for his first Ironman Triathlon in Kona, Hawaii, this 40-year-old man b...
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The Biomechanics of the Achilles Tendon: Part 7 (the role of heel height)
What is the role of heel height for the stress of the achilles when wearing. Here we are limiting our discussion to wearing a particular shoe while working out...
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Using the Configurator in FootID Pro, Part 11
Today we will continue our review of the various pads and cushions available to customize your orthotic devices within the FootID Pro application. Many of these simple, yet effective additions not ...
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Audits of Custom Fitted
Several months ago, this column addressed the difference between custom fit and off the shelf AFOs. Compliance with proper documentation is still insufficient as RAC and other post payment audits c...
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The Biomechanics of a Weakened Achilles Tendon: Part 6
Every day and week you will find patients that have weak achilles tendons. As you have learned, there are actually 2 types of weakness. When the achilles is too tight ...
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Inspection Letter 2
I am freaking out about a DME inspection. What do I do Part 2: At the time of the inspection the inspector may ask you to prove that you are compliant with all of the 30 Supplier Standards...
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Using the Configurator in FootID Pro, Part 10
Functional custom foot orthotic devices are biomechanics based in nature and are intended to correct the deforming forces that create lower extremity symptomatology. This function is performed the ...
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The Biomechanics of the Achilles Tendon Part 5: What happens when Flexibility Is Not in a Healthy Range?
This post is about the marvelous adaptations/compensations that our bodies make when the achilles is not quite right. Let’s start with the easy stuff concerning equinus forc...
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Using the Configurator in FootID Pro, Part 9
Hopefully, by now, those of you reading this have become quite familiar with using the FootID Pro application on your phone and your computer, and are taking advantage of all it has to offer the bu...
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Inspection Letter
I am freaking out, I got a letter notifying me that the DME inspector is coming. What do I do?? I got a letter from Palmetto GBA saying they are making a site visit. I am meticul...
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The Biomechanics of the Achilles Tendon Part 4: The Role of Strengthening Exercises
Today I would love to discuss the role of strengthening of the achilles tendon in our practices. I think we all know the vital importance of the achilles tendon for no...
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Using the Configurator in FootID Pro, Part 8
We continue our journey through a step by step review of the various options available for our clients in customizing their patients’ custom foot orthotics. Lastly, we left off with a fairly ...
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The Biomechanics of the Achilles Tendon: Part 3 More on Flexibility
As a follow up to my last blog post on Achilles flexibility Issues, we all know that if we find Achilles tightness (aka Equinus) we should begin the patient on a flexibility progr...
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Using the Configurator in FootID Pro, Part 7
The most recent entry in this series of discussions focused on the rearfoot posting options within the FootID Pro application. The next field we will discuss is “Forefoot Post”. As I st...
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Part V: Custom Milled Insert or Toe Filler, Can I provide Both??
In this last series of articles on therapeutic shoe/insert claims, there is another common scenario often faced by those providing services covered by the Medicare Therapeutic Shoe Policy. In this ...
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The Biomechanics of the Achilles Tendon: Part 2 on Flexibility
There are so many ways to measure the achilles tendon and I will only show the one method that I have used over the years. I think most methods are fine, so ch...
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Using the Configurator in Foot ID Pro, Part 6
We have reviewed the first three columns in the FootID Pro Configurator thus far, “Congruency”, “Frame”, “Frame Options”, and now we move on to the fourth column...
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Part IV: Therapeutic Shoe Insert Dilemma: A5514 or L3000-L3020?
The previous three issues of this newsletter revolved around how to know whether a patient has already received inserts under the therapeutic shoe program, do they need to receive shoes at ...