Custom DME Quiz 1

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1. Which types of patients could benefit from a custom AFO?*

2. What is the most beneficial type of custom AFO to control patients who have gait instability?*

3. When discussing the benefits of custom bracing with a patient, which of the following is important?*

a. Utilizing staff to reinforce the benefits of custom braces
b. Providing examples of other patients who have benefitted from similar devices
c. Staying positive regarding the patient’s prognosis with compliance
d. Presenting the patient’s options with confidence and allowing them to make an educated decision
e. All of the above

4. What is the general “rule” when billing insurance for custom braces?*

a. Always dispense the most expensive brace, as it will provide the best support.
b. Bill insurance the day that the patient is casted
c. Try a lower cost (pre-fabricated) brace prior to dispensing a custom brace and document the necessity for a custom device to follow
d. Document that it is necessary to place the patient directly into a custom brace (even if the condition is moderate)
e. None of the above

5. Which of the following needs to be documented when casting a qualifying patient?*

6. Which of the following can be observed while calling a patient from the reception area back to the treatment room?*

7. What is the name of the form used to categorize the instability of a patient?*

8. What is the major difference between dispensing custom AFOs and diabetic shoes?*

a. No compliance paperwork is necessary for dispensing shoes
b. Shoe dispensing requires the patient’s primary care physician to agree with the DPM’s diagnosis
c. The DPM cannot act as the prescriber and supplier of custom braces
d. Staff is not able to cast for or dispense custom braces
e. The supplier standards are not required for custom braces

9. Which types of commonly seen ankle problems can be effectively treated with the use of a custom AFOs?*

10. When could it be appropriate to utilize a unilateral balance brace?*

11. When it comes to brace closure, which is the most beneficial?*

12. What is the most important element in the casting process?*

13. Which are therapeutic objectives for a patient that require a custom brace?*

14. Which of the following is used to protect the patient’s skin from the fiberglass casting sock?*

15. For the standard Arizona (or gauntlet style) brace, which is appropriate to bill?*

16. Which forms are required upon dispensing custom AFOs?*

17. How should you best prepare your patients for adjustment to their custom brace?*

a. Ask them to bring several different pairs of shoes when they receive the brace
b. Reiterate the importance of a slow break in period
c. Set realistic expectations of how long they will need to adjust
d. Remind them that the brace serves to correct biomechanical deformities and may not feel natural at first
e. All of the above

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