Current Pedorthics | January-February 2016 | Vol.48, Issue 1 | Page 45

as these codes come in defining a performance and product standard. Shore A will not tell you the life of the insert, or the materials required, assuming the author cared or knew which to specify. The material must be heat moldable? Why specifically heat moldable? How hot? Will heat affect a materials durometer? Anything up to body temperature would never stop molding and rapidly become useless. Higher temperature and directly molding to the patient's foot would place many diabetics at grave risk for limb loss. This is scary. Question, where does directive A37076 demonstrate value as a quality performance standard for therapeutic footwear? Where does this leave the producer of footwear products specified by the Medicare directives? This is a serious situation. Considering the onslaught of audits, you will have to justify your ability to properly fill a prescription and to deliver an expected product. Auditing and billing holds you accountable to directive A37076. what is expected from you? Can you deliver? You are flying blind. This is the relationship between Standards, Specific Detail and Jeopardy. QUADRA STEP A B C D E F SYSTEM Revolutionize the way you look at FEET! Choose from 6 Custom-to-Foot-Type Prefabricated Foot Orthotics Accommodative Cushioning available for your Geriatric Patients! A Quad Great for: High Arches Ankle Pain and Instability Sesamoiditis B Quad Great for: Flatter Arches Toe-In Walking Sacroiliac Pain C Quad Great for: Toe Out Walking Hip and Back Pain Heel Pain D Quad Great for: Flat Feet Plantar Fasciitis Metatarsalgia/Neuromas E Quad Great For: Shin Splints Knee Pain Achilles Tendinitis F Quad Great For: Severe Foot Pronation Ankle Pain and Swelling Bunions No Casting Ready to Dispense Call NOW! thequadrastepsystem.com TM the alternative to custom orthotics [email protected] 877.792.4669 maker of the QUADRASTEP SYSTEM® and littleSTEPS® foot orthotics - end 1 of 3 Full URL link for: "Therapeutic Shoes for Persons with Diabetes" https://c.ymcdn.com/sites/pedorthics.site-ym.com/resource/resmgr/080411_TSD_LCDs_and_PAs/072010_Noridian_TSD_PA.pdf Current Pedorthics January/February 2016 43