This form is a sample personal injury complaint alleging that orthodic shoe was not constructed according to plaintiff's prescription, thereby causing plaintiff' fall and resulting injuries.
Guam Complaint regarding Defective Design of Orthopedic Shoe
State:
Multi-State
Control #:
US-PI-0294
Format:
Word;
Rich Text
Instant download
Description
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How to fill out Complaint Regarding Defective Design Of Orthopedic Shoe?
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FAQ
Do you take Medicare? Our diabetic shoes are approved by Medicare, but we do not accept insurance. To receive coverage by Medicare for our shoe, you must order them from a provider that bills Medicare. To find one of these providers, please feel free to use our professional locator search page.
HCPCS Level II code L3260 is defined as: SURGICAL BOOT/SHOE, EACH. A postoperative shoe is NOT separately payable when it is dispensed in conjunction with a surgical procedure code. It is considered to be part of the procedure. In reality, the shoe is considered to be part of the dressing.
If you have foot problems such as foot deformites, toe deformities, a complicated or severe foot injury, extremely wide bunions, an open sore, or a neurological disease that affects your feet you may require orthopaedic shoes.
There is only one HCPCS code that is appropriate for a post-op shoe (L3260, surgical shoe, each). Like orthotics, this item is a statutorily excluded benefit by Medicare and DME and will not be covered under any circumstances.
The specific conditions covered by Medicare include severe foot disease and diabetes. Orthotics are covered under Part B. Technically, orthotics are considered part of the durable medical equipment (DME) bracket, including: Bracing for ankle, foot, knee, back, neck, spine, hand, wrist, and elbow.
Orthopedic shoes are specially designed to provide more room for your toes and heels while supporting your arches. With these larger toe spaces, proper arch support, and shock absorbency, orthopedic shoes can ease the impact on your joints and ligaments.
The format of a complaint letter follows the format of a formal letter. To write a complaint letter, you can start with the sender's address followed by the date, the receiver's address, the subject, salutation, body of the letter, complimentary closing, signature and name in block letters.
I am writing to express my disappointment with the level of customer service I received from your store assistants, as well as the poor quality of a product I recently purchased from your store. On [date], I visited your store to purchase a pair of shoes, and unfortunately, the experience was not pleasant.
Medicare will only cover your therapeutic shoes if your doctors and suppliers are enrolled in Medicare. Doctors and suppliers have to meet strict standards to enroll and stay enrolled in Medicare.
Tips for writing a successful complaint letter Structure. ... Address the letter to a real person. ... Be honest and straightforward. ... Maintain a firm but respectful tone, and avoid aggressive, accusing language. ... Include your contact information. ... Tell them what you want. ... Do not threaten action. ... Keep copies and records.