For Providers & Therapists
The process for providers.
Send us the referral and we take it from there — documentation, benefit verification, prior authorization, fitting, billing and appeals. You will hear back from us when your patient is fitted.
Compression pumps · wraps · ready-to-wear garments · night garments · custom flat knit
Step 1
Three ways to send an order
Parachute Health is our preferred method — it removes the faxing, emailing and phone time, and gets product to your patient faster.
Parachute Health
Create a login, select from our catalog and pin Midwest Compression for future orders. Patients can opt in to communicate with us directly.
Fax
Send the completed packet to 800-886-4201. Everything you need is in the Provider Forms below.
Call or email us
Not sure what the patient needs, or what your plan requires? Call and we will work it out with you before anything is sent.
Step 2
What to send us
Three documents
- E0651 or E0652 packet — completed, depending on the device.
- Demographic face sheet — including insurance, primary and secondary. Front and back of the cards if you have them.
- Recent signed progress note — within the past six months.
Three documents
- Signed prescription — upper or lower extremity RX form.
- Demographic face sheet — including insurance information.
- Recent signed progress note — within the past six months, and it must include a diagnosis of lymphedema.
Custom garments also need documentation supporting the medical necessity of a custom garment, plus measurements if you have them.
Step 3
What happens next
Once the referral is in, your office is done. Here is what we do.
We contact your patient
Within two business days of receiving the referral.
We handle the paperwork
Documentation, benefit verification and prior authorization where it applies. No chart-note chasing for your office.
We fit the patient
A Certified Compression Therapist measures and fits, then sets up and educates on proper use of pump equipment.
We confirm back to you
You hear from us once your patient is fitted. We then handle billing, appeals, refills and replacement eligibility.
Before anything ships, we discuss financial responsibility with your patient so there are no surprises.
Forms & criteria
Download what you need
Everything below is also in Provider Forms, along with sizing charts and measurement forms.
Compression pumps
Provider completes E0651 or E0652, attaches the face sheet and progress notes, and faxes to 800-886-4201.
- Compression Pump Referral Instructions
- Pneumatic Compression Device CriteriaReview insurance criteria before you refer
- E0651 PackageNon-calibrated
- E0651 progress note template
- E0652 PackageCalibrated
- E0652 progress note template
Compression garments
Fax the signed RX, demographic face sheet and recent progress note to 800-886-4201.
Coverage — compression garments
What your patient's plan typically covers for garments
Most insurers have followed the Lymphedema Treatment Act, which created a benefit category for doctor-prescribed compression garments. The quantities below are the garment allowances most plans work to. We verify your patient's actual benefit in writing before anything is ordered.
Compression pumps are different. Pneumatic compression devices are not covered under the Lymphedema Treatment Act garment benefit — they are approved under separate device criteria, with their own documentation and prior authorization requirements. See the Pneumatic Compression Device Criteria above, or call us and we will tell you what the plan will want to see.
Have a patient who might benefit?
Send the referral, or call us first if you are not sure what the plan requires — garment or pump. We will tell you what is needed before your office spends time on it.
Midwest Compression is not billing Medicare or Medicaid at this time. All insurance plans vary, and most cover garments only with a specific diagnosis such as lymphedema. Cash pay is available for patients who do not fit insurance criteria. HSA and FSA cards and all major credit cards are accepted.