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Billing s as AFO's/frustrated with orthotists!

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Kori, I think it was you that had mentioned that was

able to modify the shoes to make them qualify as AFO's, hence the

reason they are using the AFO insurance code. My orthotics department

doesn't believe me apparently - do you happen to know why they qualify

as AFO's?

They all think I'm nuts... and they also told me that if they were to

order the p/m fab (love the new abbreviation) it would be $700-800

instead of the ~$400 that it is online, simply because they are

orthotists. Does anyone know if that is true?

....and if it is true (here comes my vent), why the heck should it

matter how much it costs for them to order them if it is what my child

NEEDS to help her feet? As if there is a budget - we must correct her

feet for less than $xx.xx amount. The more I think about it, the more

that answer I got from them upsets me.

So angry right now......ok, maybe more just frustrated...no, I'm angry

too. The drive to Portland is looking better and better, but I hate

to give up on my own hospital this soon. I'll talk to the doc

tomorrow when we go in and see what he says..maybe the stress will

jump start my labor.

Thanks for listening,

Darby

Livi 3.15.04 bi cf

due TOMORROW (do the babies always come out, or do some women

stay pregnant forever? :) )

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Darby,

They're nuts. Plain old nuts. Who are they to say whether the shoes

qualify as AFO's or not? And the price is the price, why would it cost more

if they order it? What a crock! They're nuts I tell ya!

I don't know exactly what he did to them to make them qualify. You'd have

to ask that. But it's something... exactly why would these people

question it anyway? Are THEY the insurance company? Why do they care what

it costs if your insurance pays?

Have them call about this. There's not a single person on the planet

that could tell them these things about the P/M FAB other than

himself. And I SERIOUSLY doubt he told them it'd cost $800 for the

shoes. OMFG!!!

Who are these people and why do they have their heads up their rear ends

anyway? I so love the *Orthotist God Complex*... I got it today as I

ARGUED with one about whether or not my daughter's bar was too short or

not. Finally threatened to leave, thought better of it and asked point

blank... " why do I have to argue about this with you anyway? " she says,

" well, I'd have to cut it and use hose clamps to hold it together, and it

may take a little while " ...

Well WTF do you think I'm here in the first place?? I just like to come up

to this brace shop, wait around for half an hour to be told the bar length

is fine yet my daughter wakes at night saying " ow " with leg cramps? Which

STARTED when she got this new bar?? Exactly why do you think I wouldn't

WAIT for you to do this? I waited for half an hour for someone to come out

and see me and I had a freaking appointment! UGH!!! I was PISSED!~!! I

think she hates me... I hope so...

ok, that was all about me sorry... but you're right... and your brace

shop people are loony in the brain and very wrong. would not charge

them $800... Exactly why are these people so NOT into helping people?

Kori

t 04:20 PM 5/11/2005, you wrote:

>Kori, I think it was you that had mentioned that was

>able to modify the shoes to make them qualify as AFO's, hence the

>reason they are using the AFO insurance code. My orthotics department

>doesn't believe me apparently - do you happen to know why they qualify

>as AFO's?

>

>They all think I'm nuts... and they also told me that if they were to

>order the p/m fab (love the new abbreviation) it would be $700-800

>instead of the ~$400 that it is online, simply because they are

>orthotists. Does anyone know if that is true?

>

>...and if it is true (here comes my vent), why the heck should it

>matter how much it costs for them to order them if it is what my child

>NEEDS to help her feet? As if there is a budget - we must correct her

>feet for less than $xx.xx amount. The more I think about it, the more

>that answer I got from them upsets me.

>

>So angry right now......ok, maybe more just frustrated...no, I'm angry

>too. The drive to Portland is looking better and better, but I hate

>to give up on my own hospital this soon. I'll talk to the doc

>tomorrow when we go in and see what he says..maybe the stress will

>jump start my labor.

>

>Thanks for listening,

>

>Darby

>Livi 3.15.04 bi cf

> due TOMORROW (do the babies always come out, or do some women

>stay pregnant forever? :) )

>

>

>

>

>

>

>

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THANK YOU!!!! Glad someone understands... why must everything be

such a battle with these people?! I'm going to have a talk with

Dr. Schmale tomorrow during our appointment and see if maybe he can

get them to see things my way. I'm going to ask that Livi go back

in casts too :( which makes me sad.... the longer it takes for me to

get the brace, the longer she'll have to be in them I guess.

Can't believe the lady argued with you about the bar length... and

didn't want to fix it because it might take awhile?!?!?! Amazing.

I emailed with my q's so I can print out his answers and show

the people what he said in writing. We'll see.

Darby

> >Kori, I think it was you that had mentioned that was

> >able to modify the shoes to make them qualify as AFO's, hence the

> >reason they are using the AFO insurance code. My orthotics

department

> >doesn't believe me apparently - do you happen to know why they

qualify

> >as AFO's?

> >

> >They all think I'm nuts... and they also told me that if they

were to

> >order the p/m fab (love the new abbreviation) it would be $700-800

> >instead of the ~$400 that it is online, simply because they are

> >orthotists. Does anyone know if that is true?

> >

> >...and if it is true (here comes my vent), why the heck should it

> >matter how much it costs for them to order them if it is what my

child

> >NEEDS to help her feet? As if there is a budget - we must correct

her

> >feet for less than $xx.xx amount. The more I think about it, the

more

> >that answer I got from them upsets me.

> >

> >So angry right now......ok, maybe more just frustrated...no, I'm

angry

> >too. The drive to Portland is looking better and better, but I

hate

> >to give up on my own hospital this soon. I'll talk to the doc

> >tomorrow when we go in and see what he says..maybe the stress will

> >jump start my labor.

> >

> >Thanks for listening,

> >

> >Darby

> >Livi 3.15.04 bi cf

> > due TOMORROW (do the babies always come out, or do some

women

> >stay pregnant forever? :) )

> >

> >

> >

> >

> >

> >

> >

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Darby, you are going to Children's in Seattle, right? Let me know if you

manage anything. I HATE the orthotist there! He actually argued with me

about doing something with Kai's old Markells that Dr Mosca & Dr P both had

advised us to keep doing and have the orthotist help us with (a wedge under

the toes) ... finally I told him to call up and ask Dr M, THEN he conceeded

to do it :P

He also looked at us like we were from another planet when we explained how

putting the buckles on the inside made hooking the shoes SO MUCH EASIER!

lol Overall, I really can't stand him and never even thought of having

Children's order the 's for us. But, at the rate we are going with

sending an impression kit ... (ordered just after Kori did and we STILL

dont have it UGH!) we might just have to deal with them to get impressions

done :P

Angel

Caitlen 8/29/97

Arica 8/22/01

Kai 12/31/02

----Original Message Follows----

Reply-To: nosurgery4clubfoot

To: nosurgery4clubfoot

Subject: Billing s as AFO's/frustrated with

orthotists!

Date: Wed, 11 May 2005 23:20:02 -0000

Kori, I think it was you that had mentioned that was

able to modify the shoes to make them qualify as AFO's, hence the

reason they are using the AFO insurance code. My orthotics department

doesn't believe me apparently - do you happen to know why they qualify

as AFO's?

They all think I'm nuts... and they also told me that if they were to

order the p/m fab (love the new abbreviation) it would be $700-800

instead of the ~$400 that it is online, simply because they are

orthotists. Does anyone know if that is true?

....and if it is true (here comes my vent), why the heck should it

matter how much it costs for them to order them if it is what my child

NEEDS to help her feet? As if there is a budget - we must correct her

feet for less than $xx.xx amount. The more I think about it, the more

that answer I got from them upsets me.

So angry right now......ok, maybe more just frustrated...no, I'm angry

too. The drive to Portland is looking better and better, but I hate

to give up on my own hospital this soon. I'll talk to the doc

tomorrow when we go in and see what he says..maybe the stress will

jump start my labor.

Thanks for listening,

Darby

Livi 3.15.04 bi cf

due TOMORROW (do the babies always come out, or do some women

stay pregnant forever? :) )

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GAH! See what happens when you have to reformat your hard drive and

Microsoft will no longer let you use Outlook to check mail on an account

that you have had for YEARS and is supposed to be " grandfathered " in for

Outlook Express use?!?!

Anyway, after I sent this I saw the rest of this conversation and where it

ended up. All I can say is that Children's orthotics SUCKS! I cannot tell

you how relieved I was to get the 's and not have to deal with those

#(%( anymore! Dr Mosca is great - a little obtuse sometimes, but arent we

all ;) - but I would like to throw the orthotics guys out the window in

orthopedics! (For those who arent familiar with Seattle Children's,

orthopedics is on the 7th floor)

I had a really fun conversation with our insurance about the P/M Brace.

First the lady told me that they do not pay for ANY foot orthotics ... I got

to explain that they had been paying for foot orthotics for my son for a

year before we got this brace (since we got a prototype the first one did

not cost us anything). Then she refused to tell me what they authorize in

payment for a FAB. I then asked her what codes WOULD they pay for? She

told me she could not tell me that either, but that I could have Dr Mosca

call and find out! I havent called back yet as I was wanting to wait until

I had the invoice that was going to send with the impression kit before

going rounds again ........

and on that note, how long did it take the rest of you to get impression

kits?? I have called and asked for one TWICE in the last 3 months and still

havent gotten one :( Kai's shoes are way too small and he is not wearing

them more than he is wearing them because they are hurting his foot ... at

best he can wear them every other day, but lately it is more like every 3rd

day :( At this rate he is going to need surgery and all of the work we have

done will be moot!

Angel

Caitlen 8/29/97

Arica 8/22/01

Kai 12/31/02

----Original Message Follows----

Reply-To: nosurgery4clubfoot

To: nosurgery4clubfoot

Subject: RE: Billing s as AFO's/frustrated with

orthotists!

Date: Fri, 13 May 2005 22:46:37 -0700

Darby, you are going to Children's in Seattle, right? Let me know if you

manage anything. I HATE the orthotist there! He actually argued with me

about doing something with Kai's old Markells that Dr Mosca & Dr P both had

advised us to keep doing and have the orthotist help us with (a wedge under

the toes) ... finally I told him to call up and ask Dr M, THEN he conceeded

to do it :P

He also looked at us like we were from another planet when we explained how

putting the buckles on the inside made hooking the shoes SO MUCH EASIER!

lol Overall, I really can't stand him and never even thought of having

Children's order the 's for us. But, at the rate we are going with

sending an impression kit ... (ordered just after Kori did and we STILL

dont have it UGH!) we might just have to deal with them to get impressions

done :P

Angel

Caitlen 8/29/97

Arica 8/22/01

Kai 12/31/02

----Original Message Follows----

Reply-To: nosurgery4clubfoot

To: nosurgery4clubfoot

Subject: Billing s as AFO's/frustrated with

orthotists!

Date: Wed, 11 May 2005 23:20:02 -0000

Kori, I think it was you that had mentioned that was

able to modify the shoes to make them qualify as AFO's, hence the

reason they are using the AFO insurance code. My orthotics department

doesn't believe me apparently - do you happen to know why they qualify

as AFO's?

They all think I'm nuts... and they also told me that if they were to

order the p/m fab (love the new abbreviation) it would be $700-800

instead of the ~$400 that it is online, simply because they are

orthotists. Does anyone know if that is true?

....and if it is true (here comes my vent), why the heck should it

matter how much it costs for them to order them if it is what my child

NEEDS to help her feet? As if there is a budget - we must correct her

feet for less than $xx.xx amount. The more I think about it, the more

that answer I got from them upsets me.

So angry right now......ok, maybe more just frustrated...no, I'm angry

too. The drive to Portland is looking better and better, but I hate

to give up on my own hospital this soon. I'll talk to the doc

tomorrow when we go in and see what he says..maybe the stress will

jump start my labor.

Thanks for listening,

Darby

Livi 3.15.04 bi cf

due TOMORROW (do the babies always come out, or do some women

stay pregnant forever? :) )

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Angel,

Call any orthotics shop or even a podiatrist to get a foot form. A

chiropractor may have them lying around the office too. I got our form

right after I called, but that was at least 2 months ago if not more. I

think it was before her birthday actually. I think I posted about the

codes and billing as AFO's shortly after I talked to him and the kit

arrived shortly after that. I sat on it trying to figure out how I was

going to afford them and only recently made her impressions. I wish I

hadn't though because I would have sent ours to you. Kai needs his shoes

sooner than Darbi that's for darn sure. But he's got to make an insole or

mold for the kid's larger size feet. Darbi's about out of size 5 shoes and

wearing 6's pretty well. What's Kai wearing now?

Call , you may have slipped through the cracks a bit. Jeane, his wife

can help you too. But they've got to get the forms of the feet to make the

larger shoe mold I think. I should have sent Darbi's impressions back long

ago, waiting for Shriners has worked out for us but at least he'd have

bigger feet molds to work with already.

Try the shops around you for a kit right away. Isn't there an orthotics

shop at the hospital there? Dirk said it was pretty built up when he was

there a while back, there has to be someone in that town who has a kit they

can sell you. I'd bet on Naturopaths and Chiropractors to have one

available if no one else does.

I'm into Shriners on Tuesday and I'll ask them to either send the

impressions back right away or I will ship them myself. Either way,

they'll be there by the end of next week. And if Kai's feet are about the

same size, the mold he makes for her shoe should be good to go for Kai's

too. And then he's going to have to get onto the next size up because

their feet grow a lot this 3rd year and Kai will need new shoes sooner than

later and longer than we will.

The three orthotists I've worked with down here have actually been very

cool. This new one I talked to, I haven't met but over the phone but he

was pretty excited to see how this all plays out so I'm hopeful for

him. My regular one is a pretty great guy, and actually humors me with

pretty good attitude. He's from NY with a fun outgoing personality and

knows that I know what I'm talking about with all this. He's a keeper

too. But that woman... just couldn't get past the idea that the brace was

*fine* three times when I told her no, it wasn't. ugh... So I've made at

least one enemy there too.

Nice to see you back!

Kori

At 12:40 AM 5/14/2005, you wrote:

>GAH! See what happens when you have to reformat your hard drive and

>Microsoft will no longer let you use Outlook to check mail on an account

>that you have had for YEARS and is supposed to be " grandfathered " in for

>Outlook Express use?!?!

>

>Anyway, after I sent this I saw the rest of this conversation and where it

>ended up. All I can say is that Children's orthotics SUCKS! I cannot tell

>you how relieved I was to get the 's and not have to deal with those

>#(%( anymore! Dr Mosca is great - a little obtuse sometimes, but arent we

>all ;) - but I would like to throw the orthotics guys out the window in

>orthopedics! (For those who arent familiar with Seattle Children's,

>orthopedics is on the 7th floor)

>

>I had a really fun conversation with our insurance about the P/M Brace.

>First the lady told me that they do not pay for ANY foot orthotics ... I got

>to explain that they had been paying for foot orthotics for my son for a

>year before we got this brace (since we got a prototype the first one did

>not cost us anything). Then she refused to tell me what they authorize in

>payment for a FAB. I then asked her what codes WOULD they pay for? She

>told me she could not tell me that either, but that I could have Dr Mosca

>call and find out! I havent called back yet as I was wanting to wait until

>I had the invoice that was going to send with the impression kit before

>going rounds again ........

>

>and on that note, how long did it take the rest of you to get impression

>kits?? I have called and asked for one TWICE in the last 3 months and still

>havent gotten one :( Kai's shoes are way too small and he is not wearing

>them more than he is wearing them because they are hurting his foot ... at

>best he can wear them every other day, but lately it is more like every 3rd

>day :( At this rate he is going to need surgery and all of the work we have

>done will be moot!

>

>

>

>Angel

>Caitlen 8/29/97

>Arica 8/22/01

>Kai 12/31/02

>

>

>

>

>----Original Message Follows----

>

>Reply-To: nosurgery4clubfoot

>To: nosurgery4clubfoot

>Subject: RE: Billing s as AFO's/frustrated with

>orthotists!

>Date: Fri, 13 May 2005 22:46:37 -0700

>

>Darby, you are going to Children's in Seattle, right? Let me know if you

>manage anything. I HATE the orthotist there! He actually argued with me

>about doing something with Kai's old Markells that Dr Mosca & Dr P both had

>advised us to keep doing and have the orthotist help us with (a wedge under

>the toes) ... finally I told him to call up and ask Dr M, THEN he conceeded

>to do it :P

>

>He also looked at us like we were from another planet when we explained how

>putting the buckles on the inside made hooking the shoes SO MUCH EASIER!

>lol Overall, I really can't stand him and never even thought of having

>Children's order the 's for us. But, at the rate we are going with

> sending an impression kit ... (ordered just after Kori did and we STILL

>dont have it UGH!) we might just have to deal with them to get impressions

>done :P

>

>Angel

>Caitlen 8/29/97

>Arica 8/22/01

>Kai 12/31/02

>

>

>

>

>----Original Message Follows----

>

>Reply-To: nosurgery4clubfoot

>To: nosurgery4clubfoot

>Subject: Billing s as AFO's/frustrated with

>orthotists!

>Date: Wed, 11 May 2005 23:20:02 -0000

>

>Kori, I think it was you that had mentioned that was

>able to modify the shoes to make them qualify as AFO's, hence the

>reason they are using the AFO insurance code. My orthotics department

>doesn't believe me apparently - do you happen to know why they qualify

>as AFO's?

>

>They all think I'm nuts... and they also told me that if they were to

>order the p/m fab (love the new abbreviation) it would be $700-800

>instead of the ~$400 that it is online, simply because they are

>orthotists. Does anyone know if that is true?

>

>...and if it is true (here comes my vent), why the heck should it

>matter how much it costs for them to order them if it is what my child

>NEEDS to help her feet? As if there is a budget - we must correct her

>feet for less than $xx.xx amount. The more I think about it, the more

>that answer I got from them upsets me.

>

>So angry right now......ok, maybe more just frustrated...no, I'm angry

>too. The drive to Portland is looking better and better, but I hate

>to give up on my own hospital this soon. I'll talk to the doc

>tomorrow when we go in and see what he says..maybe the stress will

>jump start my labor.

>

>Thanks for listening,

>

>Darby

>Livi 3.15.04 bi cf

> due TOMORROW (do the babies always come out, or do some women

>stay pregnant forever? :) )

>

>

>

>

>

>

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Angel,

You might want to call him again and tell him you haven't received them yet.

Same thing happened to us and we called him and had them 2 days later. He sent

them second day..

--------- Billing s as AFO's/frustrated with

orthotists!

Date: Wed, 11 May 2005 23:20:02 -0000

Kori, I think it was you that had mentioned that was

able to modify the shoes to make them qualify as AFO's, hence the

reason they are using the AFO insurance code. My orthotics department

doesn't believe me apparently - do you happen to know why they qualify

as AFO's?

They all think I'm nuts... and they also told me that if they were to

order the p/m fab (love the new abbreviation) it would be $700-800

instead of the ~$400 that it is online, simply because they are

orthotists. Does anyone know if that is true?

....and if it is true (here comes my vent), why the heck should it

matter how much it costs for them to order them if it is what my child

NEEDS to help her feet? As if there is a budget - we must correct her

feet for less than $xx.xx amount. The more I think about it, the more

that answer I got from them upsets me.

So angry right now......ok, maybe more just frustrated...no, I'm angry

too. The drive to Portland is looking better and better, but I hate

to give up on my own hospital this soon. I'll talk to the doc

tomorrow when we go in and see what he says..maybe the stress will

jump start my labor.

Thanks for listening,

Darby

Livi 3.15.04 bi cf

due TOMORROW (do the babies always come out, or do some women

stay pregnant forever? :) )

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Angel,

I wouldn't even bother with Children's orthotics to do the

impression or bill the insurance. Hopefully you will get yours

soon!!

I have the billing codes that the s said to use, but

Children's refuses to use those billing codes because it classifies

the shoes as AFO's, which technically they're not.

I'm going to write a letter to someone at the hospital- haven't

figured out who that is yet, but someone higher up than the people

in the orthotics clinic are going to be hearing from me. Children's

has the ability to help me get what is medically NECESSARY for my

baby. The Markells simply do not work for Livi. But due to their

financial aid policy of not helping to pay for anything they don't

normally stock, combined with a stupid $400 mark up when all they

have to do is call and order the darn shoes, they are doing two

things. One, they are punishing Olivia for her difficult feet -

which is unfair. Up to 5% of kids with club feet just aren't made

for the Markells - so they are basically saying they refuse to help

those kids. Two, they have made the cost so outrageous that I

(someone who qualifies for their financial aid for a reason -

because we desperately need it) can't afford their help! It's not

as if I want the shoes so Livi can make a fashion statement - it's

really our only option at this point. And god forbid these shoes

don't work... I don't even want to think about that.

We are ordering the shoes on our own, using the money which we were

saving for my maternity leave (namely, money for the car payment,

phone, electricity, and insurance payments that are due 6/15) and

who knows how long it will take for the insurance to reimburse,

since the s are unknown in the Aetna system.

Stupid stupid stupid. Sorry for my long rant again.. I'm still

upset about the whole thing.

Darby

> GAH! See what happens when you have to reformat your hard drive

and

> Microsoft will no longer let you use Outlook to check mail on an

account

> that you have had for YEARS and is supposed to be " grandfathered "

in for

> Outlook Express use?!?!

>

> Anyway, after I sent this I saw the rest of this conversation and

where it

> ended up. All I can say is that Children's orthotics SUCKS! I

cannot tell

> you how relieved I was to get the 's and not have to deal

with those

> #(%( anymore! Dr Mosca is great - a little obtuse sometimes,

but arent we

> all ;) - but I would like to throw the orthotics guys out the

window in

> orthopedics! (For those who arent familiar with Seattle

Children's,

> orthopedics is on the 7th floor)

>

> I had a really fun conversation with our insurance about the P/M

Brace.

> First the lady told me that they do not pay for ANY foot

orthotics ... I got

> to explain that they had been paying for foot orthotics for my son

for a

> year before we got this brace (since we got a prototype the first

one did

> not cost us anything). Then she refused to tell me what they

authorize in

> payment for a FAB. I then asked her what codes WOULD they pay

for? She

> told me she could not tell me that either, but that I could have

Dr Mosca

> call and find out! I havent called back yet as I was wanting to

wait until

> I had the invoice that was going to send with the impression

kit before

> going rounds again ........

>

> and on that note, how long did it take the rest of you to get

impression

> kits?? I have called and asked for one TWICE in the last 3 months

and still

> havent gotten one :( Kai's shoes are way too small and he is not

wearing

> them more than he is wearing them because they are hurting his

foot ... at

> best he can wear them every other day, but lately it is more like

every 3rd

> day :( At this rate he is going to need surgery and all of the

work we have

> done will be moot!

>

>

>

> Angel

> Caitlen 8/29/97

> Arica 8/22/01

> Kai 12/31/02

>

>

>

>

> ----Original Message Follows----

> From: " Angel Gray "

> Reply-To: nosurgery4clubfoot

> To: nosurgery4clubfoot

> Subject: RE: Billing s as

AFO's/frustrated with

> orthotists!

> Date: Fri, 13 May 2005 22:46:37 -0700

>

> Darby, you are going to Children's in Seattle, right? Let me know

if you

> manage anything. I HATE the orthotist there! He actually argued

with me

> about doing something with Kai's old Markells that Dr Mosca & Dr P

both had

> advised us to keep doing and have the orthotist help us with (a

wedge under

> the toes) ... finally I told him to call up and ask Dr M, THEN he

conceeded

> to do it :P

>

> He also looked at us like we were from another planet when we

explained how

> putting the buckles on the inside made hooking the shoes SO MUCH

EASIER!

> lol Overall, I really can't stand him and never even thought of

having

> Children's order the 's for us. But, at the rate we are

going with

> sending an impression kit ... (ordered just after Kori did

and we STILL

> dont have it UGH!) we might just have to deal with them to get

impressions

> done :P

>

> Angel

> Caitlen 8/29/97

> Arica 8/22/01

> Kai 12/31/02

>

>

>

>

> ----Original Message Follows----

> From: " Darby "

> Reply-To: nosurgery4clubfoot

> To: nosurgery4clubfoot

> Subject: Billing s as

AFO's/frustrated with

> orthotists!

> Date: Wed, 11 May 2005 23:20:02 -0000

>

> Kori, I think it was you that had mentioned that was

> able to modify the shoes to make them qualify as AFO's, hence the

> reason they are using the AFO insurance code. My orthotics

department

> doesn't believe me apparently - do you happen to know why they

qualify

> as AFO's?

>

> They all think I'm nuts... and they also told me that if they were

to

> order the p/m fab (love the new abbreviation) it would be $700-800

> instead of the ~$400 that it is online, simply because they are

> orthotists. Does anyone know if that is true?

>

> ...and if it is true (here comes my vent), why the heck should it

> matter how much it costs for them to order them if it is what my

child

> NEEDS to help her feet? As if there is a budget - we must correct

her

> feet for less than $xx.xx amount. The more I think about it, the

more

> that answer I got from them upsets me.

>

> So angry right now......ok, maybe more just frustrated...no, I'm

angry

> too. The drive to Portland is looking better and better, but I

hate

> to give up on my own hospital this soon. I'll talk to the doc

> tomorrow when we go in and see what he says..maybe the stress will

> jump start my labor.

>

> Thanks for listening,

>

> Darby

> Livi 3.15.04 bi cf

> due TOMORROW (do the babies always come out, or do some

women

> stay pregnant forever? :) )

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I hadn't thought of trying to just get the foot form, but I did try to get a

local shop to do the form and send them ... got the same line of crap as

Darby did with Children's ... they would have to have the brace sent to

them, and then they would mark it up BLAH BLAH BLAH. I never thought of a

chiropractor tho ... I will have to check into it.

Then again, Kai is just at a size 5.5 - 6 right now (for his big foot

anyway! lol) I bet I could take measurements and have adjust off

Darbi's impressions since it sounds like they are right at the same size.

I should check with and see if that would be ok with him; after all, he

did the first pair with nothing more than me telling him to " draw around

that form with a pencil " lol. I don't know what the deal is with them

forgetting to send the impression kit out twice, but we are getting pretty

desperate now! I bet I have a 2 year old that alot of people here would

love to have ... he BEGS to get his shoes on and THROWS A FIT when I have to

tell him no because his foot is all munched up! Crazy, isnt it? lol

Thanks for the welcome back. My stupid hard drive started convulsing after

I downloaded a video driver (from Microsoft, no less!) and ended up with

fatal errors and had to be completely reformatted ... then we find it is

about to go out anyway, so I am running the system pretty bare to spare

myself big losses when it finally does go kaput. Add that to the fact that

I am back on dial-up again (I hate cutting financial corners, but DANG these

medical bills are getting big!) and stupid Outlook won't support my hotmail

anymore ... GRRR! Well, suffice to say I am not having the best of computer

times LOL

Angel

Caitlen 8/29/97

Arica 8/22/01

Kai 12/31/02

----Original Message Follows----

Reply-To: nosurgery4clubfoot

To: nosurgery4clubfoot

Subject: RE: Billing s as AFO's/frustrated

with orthotists!

Date: Sat, 14 May 2005 08:37:35 -0700

Angel,

Call any orthotics shop or even a podiatrist to get a foot form. A

chiropractor may have them lying around the office too. I got our form

right after I called, but that was at least 2 months ago if not more. I

think it was before her birthday actually. I think I posted about the

codes and billing as AFO's shortly after I talked to him and the kit

arrived shortly after that. I sat on it trying to figure out how I was

going to afford them and only recently made her impressions. I wish I

hadn't though because I would have sent ours to you. Kai needs his shoes

sooner than Darbi that's for darn sure. But he's got to make an insole or

mold for the kid's larger size feet. Darbi's about out of size 5 shoes and

wearing 6's pretty well. What's Kai wearing now?

Call , you may have slipped through the cracks a bit. Jeane, his wife

can help you too. But they've got to get the forms of the feet to make the

larger shoe mold I think. I should have sent Darbi's impressions back long

ago, waiting for Shriners has worked out for us but at least he'd have

bigger feet molds to work with already.

Try the shops around you for a kit right away. Isn't there an orthotics

shop at the hospital there? Dirk said it was pretty built up when he was

there a while back, there has to be someone in that town who has a kit they

can sell you. I'd bet on Naturopaths and Chiropractors to have one

available if no one else does.

I'm into Shriners on Tuesday and I'll ask them to either send the

impressions back right away or I will ship them myself. Either way,

they'll be there by the end of next week. And if Kai's feet are about the

same size, the mold he makes for her shoe should be good to go for Kai's

too. And then he's going to have to get onto the next size up because

their feet grow a lot this 3rd year and Kai will need new shoes sooner than

later and longer than we will.

The three orthotists I've worked with down here have actually been very

cool. This new one I talked to, I haven't met but over the phone but he

was pretty excited to see how this all plays out so I'm hopeful for

him. My regular one is a pretty great guy, and actually humors me with

pretty good attitude. He's from NY with a fun outgoing personality and

knows that I know what I'm talking about with all this. He's a keeper

too. But that woman... just couldn't get past the idea that the brace was

*fine* three times when I told her no, it wasn't. ugh... So I've made at

least one enemy there too.

Nice to see you back!

Kori

At 12:40 AM 5/14/2005, you wrote:

>GAH! See what happens when you have to reformat your hard drive and

>Microsoft will no longer let you use Outlook to check mail on an account

>that you have had for YEARS and is supposed to be " grandfathered " in for

>Outlook Express use?!?!

>

>Anyway, after I sent this I saw the rest of this conversation and where it

>ended up. All I can say is that Children's orthotics SUCKS! I cannot

tell

>you how relieved I was to get the 's and not have to deal with

those

>#(%( anymore! Dr Mosca is great - a little obtuse sometimes, but arent

we

>all ;) - but I would like to throw the orthotics guys out the window in

>orthopedics! (For those who arent familiar with Seattle Children's,

>orthopedics is on the 7th floor)

>

>I had a really fun conversation with our insurance about the P/M Brace.

>First the lady told me that they do not pay for ANY foot orthotics ... I

got

>to explain that they had been paying for foot orthotics for my son for a

>year before we got this brace (since we got a prototype the first one did

>not cost us anything). Then she refused to tell me what they authorize in

>payment for a FAB. I then asked her what codes WOULD they pay for? She

>told me she could not tell me that either, but that I could have Dr Mosca

>call and find out! I havent called back yet as I was wanting to wait

until

>I had the invoice that was going to send with the impression kit

before

>going rounds again ........

>

>and on that note, how long did it take the rest of you to get impression

>kits?? I have called and asked for one TWICE in the last 3 months and

still

>havent gotten one :( Kai's shoes are way too small and he is not wearing

>them more than he is wearing them because they are hurting his foot ... at

>best he can wear them every other day, but lately it is more like every

3rd

>day :( At this rate he is going to need surgery and all of the work we

have

>done will be moot!

>

>

>

>Angel

>Caitlen 8/29/97

>Arica 8/22/01

>Kai 12/31/02

>

>

>

>

>----Original Message Follows----

>

>Reply-To: nosurgery4clubfoot

>To: nosurgery4clubfoot

>Subject: RE: Billing s as AFO's/frustrated

with

>orthotists!

>Date: Fri, 13 May 2005 22:46:37 -0700

>

>Darby, you are going to Children's in Seattle, right? Let me know if you

>manage anything. I HATE the orthotist there! He actually argued with me

>about doing something with Kai's old Markells that Dr Mosca & Dr P both

had

>advised us to keep doing and have the orthotist help us with (a wedge

under

>the toes) ... finally I told him to call up and ask Dr M, THEN he

conceeded

>to do it :P

>

>He also looked at us like we were from another planet when we explained

how

>putting the buckles on the inside made hooking the shoes SO MUCH EASIER!

>lol Overall, I really can't stand him and never even thought of having

>Children's order the 's for us. But, at the rate we are going

with

> sending an impression kit ... (ordered just after Kori did and we

STILL

>dont have it UGH!) we might just have to deal with them to get impressions

>done :P

>

>Angel

>Caitlen 8/29/97

>Arica 8/22/01

>Kai 12/31/02

>

>

>

>

>----Original Message Follows----

>

>Reply-To: nosurgery4clubfoot

>To: nosurgery4clubfoot

>Subject: Billing s as AFO's/frustrated with

>orthotists!

>Date: Wed, 11 May 2005 23:20:02 -0000

>

>Kori, I think it was you that had mentioned that was

>able to modify the shoes to make them qualify as AFO's, hence the

>reason they are using the AFO insurance code. My orthotics department

>doesn't believe me apparently - do you happen to know why they qualify

>as AFO's?

>

>They all think I'm nuts... and they also told me that if they were to

>order the p/m fab (love the new abbreviation) it would be $700-800

>instead of the ~$400 that it is online, simply because they are

>orthotists. Does anyone know if that is true?

>

>...and if it is true (here comes my vent), why the heck should it

>matter how much it costs for them to order them if it is what my child

>NEEDS to help her feet? As if there is a budget - we must correct her

>feet for less than $xx.xx amount. The more I think about it, the more

>that answer I got from them upsets me.

>

>So angry right now......ok, maybe more just frustrated...no, I'm angry

>too. The drive to Portland is looking better and better, but I hate

>to give up on my own hospital this soon. I'll talk to the doc

>tomorrow when we go in and see what he says..maybe the stress will

>jump start my labor.

>

>Thanks for listening,

>

>Darby

>Livi 3.15.04 bi cf

> due TOMORROW (do the babies always come out, or do some women

>stay pregnant forever? :) )

>

>

>

>

>

>

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Guest guest

Just an idea for where to get an impression: your dentist. I know mine is

friendly and would think it'd be a kick to help us out. Hmmm... Police

departments, do they keep these kind of things on hand in the forensics lab?

Did you already try your local medical supply store?

Ok, it's late. Glad to see you back.

Naomi

The Family

Naomi Hannah(02/21/01) Jonah(06/20/03, bilateral clubfoot, FAB 14/7)

Angel Gray m_kitaki@...> wrote:

I hadn't thought of trying to just get the foot form, but I did try to get a

local shop to do the form and send them ... got the same line of crap as

Darby did with Children's ... they would have to have the brace sent to

them, and then they would mark it up BLAH BLAH BLAH. I never thought of a

chiropractor tho ... I will have to check into it.

Then again, Kai is just at a size 5.5 - 6 right now (for his big foot

anyway! lol) I bet I could take measurements and have adjust off

Darbi's impressions since it sounds like they are right at the same size.

I should check with and see if that would be ok with him; after all, he

did the first pair with nothing more than me telling him to " draw around

that form with a pencil " lol. I don't know what the deal is with them

forgetting to send the impression kit out twice, but we are getting pretty

desperate now! I bet I have a 2 year old that alot of people here would

love to have ... he BEGS to get his shoes on and THROWS A FIT when I have to

tell him no because his foot is all munched up! Crazy, isnt it? lol

Thanks for the welcome back. My stupid hard drive started convulsing after

I downloaded a video driver (from Microsoft, no less!) and ended up with

fatal errors and had to be completely reformatted ... then we find it is

about to go out anyway, so I am running the system pretty bare to spare

myself big losses when it finally does go kaput. Add that to the fact that

I am back on dial-up again (I hate cutting financial corners, but DANG these

medical bills are getting big!) and stupid Outlook won't support my hotmail

anymore ... GRRR! Well, suffice to say I am not having the best of computer

times LOL

Angel

Caitlen 8/29/97

Arica 8/22/01

Kai 12/31/02

---------------------------------

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