Who is eligible to use a Moore Balance Brace?

Virtually anyone who meets the necessary criterion.  Individual must be ambulatory, at risk for falls, and have a diagnosis related to increased fall risk, (such as neuropathy, difficulty walking, unsteadiness on feet, or lower extremity weakness).

Is the cost of the brace covered by insurance?

Yes. Medicare and Medicaid cover 80% of the cost of the brace with secondary insurance paying the 20% copayment in most, if not all, cases.

Is the therapist reimbursed by Medicare for their time?

Yes. Licensed therapists are able to bill and be reimbursed for units of time related to this process.  Interactions with the patient are considered skilled, and are therefore reimbursable.

Does the therapist require a Physician order for the DME?

Yes. Just like all DME, an order signed by an MD, PA, and CNP is needed, along with a Certificate of Medical Necessity. Pac Ortho can show you how to fill out the necessary forms. Please email or contact us at any time for assistance.

Is prior authorization required?

Yes, and the Pac Ortho billing staff does that for you after the physician signs off on the order and prior to the fitting.  We can coordinate everything.

How long does it take to manufacture a custom brace and ship it to the therapist or patient?

It can vary slightly but once the measurements have been taken of the relevant foot/feet and shipped, it is between two and three weeks until arrival.

Who 'places' the brace once it is manufactured?

The brace arrives with instructions to be placed by the relevant clinician (and Medicare provides reimbursement for therapist time in doing so).

Can your forms be filled out electronically?

Yes. Because you will want copies in your charts for excellent documentation, you can absolutely take these forms to your IT department to be made into electronic forms in our own system. These forms are not proprietary.

Can someone with edema be cast correctly for these braces?

Yes. Their edema must be stable, however. If the individual in question has edema that fluctuates, the braces will only fit correctly some of the time. It is best to treat the underlying cause of the edema medically first, then cast. Incidentally, many causes of edema also cause balance impairment. By treating the underlying cause, you might also reduce their fall risk.

Can these braces be used for individuals who have dementia?

Absolutely. People with dementia commonly forget to use their walking devices, placing at higher risk for falling than individuals without dementia. The Moore Balance Brace will help make them more stable, thus less likely to fall, when they walk away from their assistive devices. If the individual in question has mild dementia, they can sill learn a new routine of wearing braces through the use of therapy. If their dementia is more advanced, they most likely have a caregiver who assists them with dressing skills who can be trained in the proper use of the Moore Balance Braces.

Can just 1 brace be ordered, instead of 2?

Of course. This most commonly occurs when an individual who is at risk for falling already has an AFO for 1 limb, such as with a stroke, or when the person has had an amputation. In these instances, only 1 Moore Balance Brace would be needed. There are, of course, other instances where you might consider only bracing unilaterally, but recognize what this will do to the individual’s foot and pelvic alignment, which can contribute to other orthopedic complications over time. Ultimately, balance is rarely a localized problem. It is a global condition of the body requiring bilateral intervention. Therefore, the Moore Balance Braces have been designed to be used bilaterally.