Diabetic Shoe Program Compliance Quiz 1 Diabetic Shoe Program Compliance Quiz 1 Email* Name* First Last Practice Name* 1. Which of the following should staff members who are involved with the diabetic shoe program keep current with?* a. Compliance Charges b. Documentation Requirements c. Coding adjustments and modifications d. Rules that change at any time e. All of the above 2. What is the most important responsibility of the staff member(s) who is/are running the diabetic shoe program?* a. To call Medicare on a weekly basis to check claims status b. To keep returns (which are costly to the practice) at a minimum c. To make sure they have coverage when taking a vacation d. To update/educate their fellow team members and doctors on program details. e. To keep a record of patients coming in to pick up shoes 3. What does CDFE stand for?* a. Complete Diabetes For Education b. Comprehensive Diabetic Formulary Exam c. Comprehensive Diabetic Foot Exam d. Chronic Dependent Formulary Exam e. Chief Doctor For Evaluation 4. What is the main purpose of the CDFE?* a. Only to determine the need for shoes/inserts b. To find out how bad the patient’s diabetes is c. To see if the patient can feel his/her toes d. To determine the need for additional services required as part of diabetic preventative care e. To bill for an office visit once a year 5. Which of the following are possible “risk findings” determined by the CDFE?* a. Peripheral Neuropathy b. History of Ulceration c. Foot Deformity d. History of Partial or Complete Amputation of the Foot e. All of the above 6. True or False: Every diabetic patient whose disease is managed by a primary care physician qualifies for shoes.* a. True b. False 7. Which of the following roles does the DPM serve in the diabetic shoe program?* a. Prescriber b. Supplier c. Dispensing Agent d. Provider of Shoes e. A and B 8. What is required once it is determined that a diabetic patient qualifies for shoes/inserts?* d. Nothing, the DPM can provide shoes/inserts right away c. A Prescription stating the diagnosis and the medical necessity for shoes/inserts e. An ABN from the patient stating they will be responsible if Medicare denies the claim b. A letter to the patient’s family describing the importance of proper shoe gear a. A letter to Medicare stating the findings 9. What role does the physician managing the patient’s diabetes play in the diabetic shoe program?* a. He/she signs the patient’s chart and sends it back to the DPM b. He/she verbally states that they agree with the risk findings c. He/she needs to sign that they agree with the DPM’s findings and are managing the patients disease d. He/she needs to record when the patient was last seen for a diabetes check e. C and D 10. Which of the following documents are required from the DPM prior to dispensing diabetic shoes/inserts?* a. Dispensing SOAP Notes – signed by DPM b. Certificate of Receipt – signed by patient c. Supplier in person evaluation (CDFE) d. Prescription written by DPM e. All of the above 11. Which documents are required from the physician managing the patient’s diabetes?* a. Chart notes from the last 12 months b. Records from any other physician participating in preventative care c. Relevant Medical Records d. Statement of Therapeutic Necessity e. C and D 12. What is the newest rule about the primary care physician’s signature?* b. The signature must be an MD or DO a. It must be signed in 2 places d. It must be legible e. The signature must be correctly placed c. Staff is allowed to sign in cases where the doctor is too busy 13. What was required as part of the certificate of receipt/break in instructions?* a. Patient’s name and Address b. Patient’s signature and date dispensed c. Witness d. Make, model, size and width of shoe dispensed e. All of the above 14. What is now required as part of the certificate of receipt as of 2016?* a. Physician Name and Signature b. Physician Address c. Physician NPI and DEA# d. Restating of PCP information e. A, B, and C *** 15. How many copies of the certificate of receipt should be made?* a. 1 Copy b. 3 Copies c. 2 Copies - 1 for the chart and 1 for the patient d. 0 Copies e. 4 copies as 2 will go to the primary care physician 16. What happens when shoes/inserts are not dispensed within 90 days of physician signature?* d. The patient is asked to pay cash for the shoes b. Shoes must be returned to the manufacturer e. The inserts cannot be dispensed c. The certification is considered void a. Nothing if the shoes are dispensed shortly after 17. Within what period of time must the patient be treated by his/her primary care physician (for management of their diabetes)?* a. 30 days b. 6 weeks c. 6 months d. 90 days e. One calendar year 18. How are shoes and inserts billed to Medicare?* a. As individual units b. As pairs c. With A codes combined with number of units and appropriate modifiers d. When they are dispensed e. C and D 19. Which of the following is an appropriate reason to dispense custom rather than pre-fabricated inserts?* b. The patient has thickened, discolored toenails a. The patient has a history of ulceration on the right hallux c. The patient has a mild foot deformity e. The DPM knows that custom inserts reimburse higher than pre-fabricated inserts d. The patient has severely dry skin 20. How can a patient be casted for custom inserts?* a. Biofoam impression b. STS casting sock c. Scanning d. Drawing an outline of both feet on a piece of paper e. A, B, or C 21. What is the best way to keep your shoe program running efficiently?* a. Hire an outside company to keep track of it for you b. Maintain a detailed shoe log c. Call primary care offices each day to remind them of the required documentation d. Place documentation on the DPM’s desk and hope it is not lost e. Make patient aware of the risk of losing their benefit if they do not pick up their shoes by the end of the year. 22. Along with a copy of the certificate of receipt, which other document is required to be handed to the patient upon dispensing shoes/inserts?* a. An ABN b. The 30 Supplier Standards c. The encounter form d. A brochure regarding diabetic preventative care e. A business card listing the practice’s hours of operation 23. In the event that you are asked to provide additional documentation regarding a patient who has received diabetic shoes/inserts:* a. Immediately write a check to Medicare for the total amount of reimbursement b. Take your time and gather your documentation regardless of time constraints stated in the request c. Respond within the stated time and send certified mail d. Clearly identify each of the 6 requested documents e. C and D CAPTCHACommentsThis field is for validation purposes and should be left unchanged. Δ Back to the lesson Go to Team Trainings