Medicare O&P Documentation, Without the Guesswork
Working guides to the policies that decide whether O&P claims get paid — written from the primary sources, cited on every page, and kept current the same way ClaimGrade itself is.
Every guide cites its CMS / DME MAC sources · citations verified July 13, 2026
LCD L33787: Lower Limb Prostheses
The coverage policy your records are graded against — coverage logic, denial triggers, and a working checklist.
K-Levels (K0–K4), Explained
The five functional levels in CMS’s own words, and why a bare "K3" in the chart is not documentation.
SWO & WOPD Requirements
The Standard Written Order elements, the Required List, and the six-month face-to-face window.
The Dear Physician Letter
What the DME MACs tell referring physicians to document, the corroboration rule, and how to act on it.
Documenting Functional Need & ADLs
Writing function so a reviewer can corroborate it — surfaces, distances, assistance, baseline vs potential.
Orthoses: OTS vs Custom-Fit vs Custom-Fab
Coming soon.
Reading policy is the slow way to compliance
ClaimGrade applies these requirements to your actual chart notes — criterion by criterion, for the exact L-codes you bill — in under a minute.
Request Access