Physician’s Order and Notes

Process For Patient Care
Miller Prosthetics Fax# 888-972-5171

• Please fax written order and if available, patient information to Miller Prosthetics & Orthotics
  • Please provide prescription with medical diagnosis ICD10 code and orders for prosthetic or orthotic intervention.
    • If service needed is unknown, please have therapist, nurse or physician call Miller Prosthetics & Orthotics at 740-421-4211 to discuss patient’s medical condition and therapy goals.
• Please fax physician notes with specific diagnosis codes and describe reasons prostheses or custom orthoses is necessary. (see “Physician Notes” below)
  • Appointment at Miller Prosthetics & Orthotics will be initial evaluation.
  • Insurance will be verified and authorization sought if necessary by Miller Prosthetics & Orthotics
  • Detailed Rx will be created and faxed to physician for signature
• Please have physician sign detailed Rx and fax back.
  • Once documentation is received and insurance verified and communicated with patient, orthotic or prosthetic will be delivered to patient and insurance company billed by Miller Prosthetics & Orthotics.

Physician Notes – Insurance Requirements for Orthotics and Prosthetics

• Please mention in notes that you “wrote an order”.
  • We can help with the detailed Rx after our evaluation.

• If “custom” brace is needed, please stat the word “custom” and provide the reason, such as”
  • Foot/ankle needs to be controlled in more than one plane.
  • Expected length of need is longer than 6 months.
  • Needed for anatomical issues, if shape is abnormal and not able to be fit with a standard sized brace.

• “Pain” is not a sufficient diagnosis for orthotics
  • Please provide more specific diagnosis codes