Mastectomy Care Patient Rights

Post-mastectomy care is more than fitting bras, it is a vital step in the healing process for all breast cancer survivors. Whatever the care choice, proper post-mastectomy care begins immediately after, or slightly before, a mastectomy and extends throughout a person’s lifetime. It may involve simple education, multi-stage reconstruction surgery or external breast prostheses and specially designed and properly fit post-surgical garments, radiation or compression bras and lymphedema garments.  Or, it may involve a combination of care.

Whatever the choices of care, each individual is entitled to appropriate and sufficient care provided by properly trained, licensed and Certified Fitters.

In collaboration with breast cancer survivors, Certified Fitters, medical professionals and breast cancer organizations,  American Association of Breast Care Professionals has developed a post-mastectomy care patient bill of rights that outlines the basic rights and expectations of appropriate standards of post-mastectomy care.

CMS Administrator confirmed

Seema Verma, has now been confirmed as the new Centers for Medicare and Medicaid Services (CMS) Administrator.

She will oversee an agency that includes oversight over the Medicare, Medicaid, SCHIP and Affordable Care Act (ACA) programs, CMS’ 5,000 employees are responsible for managing and regulating the largest health insurance program in the country and expenditures of almost 1 trillion dollars per year.

Items Provided on a Recurring Basis and Request for Refill Requirements

as published on the CMS website

 

Items Provided on a Recurring Basis and Request for Refill Requirements

Joint DME MAC Publication

Requirements
For all DMEPOS items and supplies provided on a recurring basis, billing must be based on prospective, not retrospective use. For DMEPOS products that are supplied as refills to the original order, suppliers must contact the beneficiary prior to dispensing the refill and not automatically ship on a pre-determined basis, even if authorized by the beneficiary. This shall be done to ensure that the refilled item remains reasonable and necessary, existing supplies are approaching exhaustion, and to confirm any changes or modifications to the order. Contact with the beneficiary or designee regarding refills must take place no sooner than 14 calendar days prior to the delivery/shipping date. For delivery of refills, the supplier must deliver the DMEPOS product no sooner than 10 calendar days prior to the end of usage for the current product. This is regardless of which delivery method is utilized.

NOTE: These requirements apply directly to post-mastectomy care and the provision of quarterly bras and garments.

click here for the full text

CMS Standard Documentation Requirements

Released March 16, 2017 on the CMS website

Standard Documentation Requirements for All Claims Submitted to DME MACs

“Many errors reported in Medicare audits are due to claims submitted with incomplete or missing requisite documentation. Consequently, the Durable Medical Equipment Medicare Administrative Contracts (DME MACs) have created standardized language to assist Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) suppliers in understanding the information necessary to justify payment.

The documentation requirements are compiled from Statutes, Code of Federal Regulations, Centers for Medicare and Medicaid Services (CMS) manuals, and DME MAC publications. This article sets out the general requirements that are applicable to all DMEPOS claims submitted to the DME MACs.

Documentation must be maintained in the supplier’s files for seven (7) years from date of service.”

 

click here to read the full requirements

Mastectomy is EXPOSED at NYC Fashion Week Runway

AnaOno Lingerie mastectomy designs hit NYC Fashion Week runway

This week all eyes will be on New York Fashion Week,  and on the first ever mastectomy runway event AnaOno Lingerie will make it one for the record books with EXPOSED!

EXPOSED: a powerful runway show experience celebrating a diverse set of women living with varying stages of breast cancer, previvor to survivor, presented by AnaOno Lingerie and #Cancerland at Art Hearts Fashion during New York Fashion Week. The groundbreaking event is proudly hosted by Academy Award-winning actress and breast cancer advocate Mira Sorvino, lifelong best friend to #Cancerland Founder and advocate Champagne Joy. Led by Champagne, models walking the show range from a ballet dancer to a tattoo artist; a musician to public figures, encompassing varying breast cancer diagnoses, surgery and reconstruction choices as well as surgical scarring. All 15 women taking the runway are set to bravely expose the reality of breast cancer alongside their own strength and determination in fighting through the battle.

AnaOno Lingerie founder, designer and survivor Dana Donofree, hopes that this event will raise awareness by opening a national dialog for the need for post-mastectomy products and services.

“We need to bring the conversation forward that women with mastectomies and lumpectomies, with or without reconstruction, need alternative options from the traditional bra market, and that includes a specialized fit, construction, and expertise!”

The groundbreaking show is proudly hosted by Academy Award-winning actress and breast cancer advocate Mira Sorvino, lifelong best friend to #Cancerland Founder and advocate Champagne Joy. AnaOno x #Cancerland EXPOSED will take place at Art Hearts Fashion New York Fashion Week on Sunday, February 12 at 5 p.m. at the Angel Orensanz Center (172 Norfolk Street) on the Lower East Side. 

 

Can’t make it to NYC? See AnaOno & meet Dana Donofree at the AABCP Summit & Expo, July 27 & 28th, 2017  in New Orleans