eLymphNotes: ^^Florida Protocol^^ Medicare and... -
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Published on: 9/19/2004
Last Visited: 9/19/2004
Medicare's response to this drawn out, intense lobbying effort was detailed in an advisory dated October 20, 1996, written by Sidney Sewell, M.D.Dr. Sewell was, and remains, the Medical Director of Medicare Florida.Dr. Sewell stated then that Comprehensive Decongestive Physiotherapy was considered "experimental."As far as Florida Medicare was concerned, the case was closed.
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When each of these physicians was convinced that CDP offered a viable medical option, they agreed to write a supportive letter to Dr. Sewell.In response to this independent physician input, Dr. Sewell agreed to review his previous decision.Our clinic then wrote a new proposal that would allow the essential aspects of the European system to be defined using established CPT codes.We felt it very important that physical therapy time limits or monetary caps not define the program.It was essential that the new protocol be medically correct, attentive to American socioeconomic realities, easily documentable and fraud proof.It is important to note that documentation of functional physical and occupational outcomes were stressed by the Medicare evaluation office.Medicare then evaluated our recommendations and those of other interested parties.To the enormous credit of Dr. Sewell and his staff, the "Florida Lymphedema Protocol" became law one year to the day after the original denial.