Getting a Pump Approved: E0651 vs. E0652 and Documenting Conservative Therapy
Most pump denials come down to missing documentation, not a lack of medical need. Knowing which device code fits and what the chart notes must show gets patients their pump faster.
Garment Replacement Schedules and Insurance Limits
Compression garments wear out with daily use, and a worn garment no longer controls swelling. Planning replacements around insurance limits keeps patients in effective compression without gaps or surprise costs.
Documentation for Custom Compression Garments
Custom garments cost more than ready-to-wear, so insurance plans look closely at the paperwork. Clear, complete documentation is the fastest way to get a custom garment approved and into the patient's hands.
Documentation for Ready-to-Wear Compression Garments
Ready-to-wear (standard) garments need less justification than custom garments, but the paperwork still has to be complete. Missing details are the most common reason an order is delayed or a claim is denied.