Medicare Therapy Coverage For Lymphedema
- September 28, 2017
- Posted by: marlenedubois
- Category: Nursing Assistant Classes
Getting Medicare to recognize lymphedema therapy as essential medical expenditure has been a difficult task. Lymphedema patients have been long trying to get the benefit of Medicare for the expenses in which they incur for the therapy in which continues throughout their life. The Women’s Health as well as also Cancer Rights Act states in which complications arising due to breast cancer surgery, which includes lymphedema, must be covered by all insurance providers. However, in which coverage does not extend to those who suffer by primary or secondary lymphedema. In February 2008, the compression garments considered an essential part of lymphedema therapy were classified as covered items for Medicare.
Lymphedema is usually a condition in which has no medical cure, although in which can be managed with therapy which is usually known as the Complete Decongestive Therapy or CDT. The process involves a lymphatic massage combined with the use of compression bandages as well as also compression garments, a skin care routine as well as also a regular exercise regimen. The most important aspect of the therapy is usually the manual lymph drainage (MLD) which aims at draining the stagnated lymph to reduce the swelling. Occasionally, the therapist might use the Sequential Gradient Pump to loosen fibrotic tissues before the massage. The therapist performing the lymphatic massage is usually a specialized professional trained inside the technique. Therapy sessions inside the early stages may be held frequently, at least 5 days a week. Those who do not have easy access to the lymphedema therapist may use a sequential gradient pump for the lymphatic drainage process.
Medicare covers the lymphedema pump therapy, although recently the coverage rules have been modified. Previously, although the pneumatic compression devices were included in coverage, the patient had to attempt all additional methods of treatment first, a process in which took many months. in which has changed currently. Compression devices have been included under durable medical expenses for both primary as well as also secondary lymphedema. There is usually a four-week trial period which the doctor must observe. A course of medication, use of compression garments as well as also elevation of the limb is usually followed by the patient as well as also if no improvement is usually seen, the doctor prescribes a pneumatic pump. The doctor is usually required to give a Certificate of Medical Necessity to enable the patient to procure a lymphedema pump by a Medicare authorized supplier. The supplier of the pump must be enrolled with Medicare as well as also possess the Medicare Supplier Number, or you will not be reimbursed the claim.
In case of compression garments, which can be a large recurring expense, lymphedema sufferers have had to deal with legislatures which prevented their inclusion in Medicare coverage lists. A positive judgment in February 2008 has come to the aid of lymphedema patients. Compression garments were classified as items meeting the standards for covered items. Items like compression bandages, compression sleeves as well as also stockings were considered medically essential as well as also could be covered as prosthetic devices under Medicare for lymphedema therapy. The lymphedema patients can take advantage of in which edict as well as also claim a compensation for these medically essential items in which help them to manage the lymphedema.