Manufacturer Fitter Certification Exam
This exam consists of 25 questions.
This is a Pass-Fail, open book exam.
The purpose is to learn the basics of supplying diabetic footwear and be qualified to fit patients with our footwear.
Please use your catalog and Training manual to answer each question.
To pass, you must achieve 70% or better, which means you can miss no more than 7 questions.
Your score will be provided at the end of the exam.
Answers and explanations will be provided after each question.
You may retake the exam as many times as necessary to pass.
After Read moreyou pass the exam, a certificate will be provided for you to print and keep in your records.
Note that this material and certificate is not intended to replace the more advanced fitting designations such as Cfts, or C. Ped. Please check with your state licensing body or Accrediting Body to comply with any regulations, before providing diabetic shoes. Good Luck with the exam!
- 1.
Which is NOT a Correct statement.
- A.
All Diabetics qualify for diabetic shoes
- B.
Diabetic shoes help reduce the chances of ulcer development
- C.
Diabetic shoes should be worn with special inserts
- D.
Diabetic inserts have a HCPCS code
Correct Answer
A. All Diabetics qualify for diabetic shoesExplanation
Not all diabetics qualify for diabetic shoes. Qualifications for diabetic shoes are:
1. Diagnosis of diabetes
2. presence of one additonal risk factor:
- Poor circulation in either foot
- History of ulcerations
- Foot deformity
- Neuropathy AND callus formation
- prior amputation
3. Patient must be under a plan of care for diabetes and MD must certify it.Rate this question:
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- 2.
How many diabetic shoes will Medicare allow each year, for a qualified patient?
- A.
6
- B.
2
- C.
3
- D.
1
Correct Answer
B. 2Explanation
gotcha? Medicare allows 2 UNITS, per calendar year. Billing is done by UNIT, not by pair, as in, 1 left shoe, and 1 right shoe. Why, you ask? Simple. Some diabetic patients don't have two feet. If one has been amputated, you cant bill for a diabetic shoe for a right foot.. which isn't there. So, yes this was a trick question. How'd you do?Rate this question:
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- 3.
How many diabetic inserts (insoles) will Medicare allow each year, for a qualified patient?
- A.
1
- B.
2
- C.
4
- D.
6
Correct Answer
D. 6Explanation
Billing is done by unit, not by pair. So, Medicare allows up to 6 UNITS of inserts (insoles) for diabetic shoes, each calendar year. If you were looking for "3", you're thinking "pairs"..but that is not how the items are billed or reimbursed.Rate this question:
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- 4.
How often should prescribed diabetic shoes and inserts be worn?
- A.
Only when indoors
- B.
No more than 2 hours per day
- C.
All the time, every day
- D.
Only when feet hurt
Correct Answer
C. All the time, every dayExplanation
Diabetic footwear should be worn all the time, escpecially when outdoors.Rate this question:
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- 5.
Diabetic shoes are reimburseable under the benefits of Medicare Part _____
- A.
Part A
- B.
Part B
- C.
Part C
- D.
Part D
Correct Answer
B. Part BExplanation
Diabetic shoes are a part B benefit, classified as Durable Medical Equipment.Rate this question:
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- 6.
The HCPCS code for "off the shelf, extra depth shoes, made for diabetics" is ______
- A.
A5512
- B.
A5513
- C.
A5510
- D.
A5500
Correct Answer
D. A5500Explanation
HCPCS A5512 is for heat moldable inserts, A5513 is for custom fabricated inserts, A5510 is for custom shoes (not off the shelf) so A5500 is the proper code.Rate this question:
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- 7.
True or False. A supplier is required to heat up the diabetic inserts, in order to bill Medicare for HCPCS A5512.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
To bill for diabetic inserts under HCPCS A5512, the inserts must be heated to a temperature of 230 degrees, and molded directly to the patients feet, to achieve total arch contact.Rate this question:
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- 8.
True or False. Any good pair of shoes can be reimbursed by Medicare as diabetic shoes, if an MD or Podiatrist approves them.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
Medicare approves shoes which are submitted by Manufacturers for approval. These have to have features which Medicare requires. Shoes without this "SADMERC Approval" cannot be provided or billed to Medicare. Doctors/Podiatrists cannot approve the items for Medicare.Rate this question:
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- 9.
True or False. Medicare requires a Podiatrist to certify the medical need for diabetic footwear.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
A podiatrist can prescribe the shoes, but the medical need must be certified by the MD or DO, who is treating the patients diabetes. A Podiatrist cannot certify the medical need.Rate this question:
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- 10.
Which of the following is NOT a benefit of diabetic shoes?
- A.
Snugger fit
- B.
Higher toe box
- C.
Extra depth
- D.
Lightweight
Correct Answer
A. Snugger fitExplanation
Diabetic shoes should not be tight on the foot. Diabetic shoes should provide penty of room and not create points of friction.Rate this question:
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- 11.
What percentage of the allowable cost, does Medicare pay for diabetic shoes and inserts?
- A.
50
- B.
75
- C.
80
- D.
100
Correct Answer
C. 80Explanation
After the patient's annual deductible is met, Medicare pays 80% of the allowable amount, and the patient pays a 20% co pay. This is true for all durable medical equipment under Part B.Rate this question:
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- 12.
Which of the following would NOT be considered a foot deformity?
- A.
Hammer Toe
- B.
Bunion
- C.
Mallet Toe
- D.
Neuropathy
Correct Answer
D. NeuropathyExplanation
Neuropathy is the term for damage to nerves, not a condition of the feet.
A bunion is an abnormal, bony bump that forms on the joint at the base of your big toe. A hammertoe is a toe deformity in which your toe becomes curled up like a claw. mallet toe is a deformity similar to hammer toe. These conditions can cause constant rubbing inside your shoe.Rate this question:
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- 13.
True or False. The medical record must show that the certifying physician has had a face to face meeting with the patient to discuss the patients plan of care for diabetes in order to meet the medical necessity for diabetic footwear.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
For service provided after January 1, 2011, the certifying MD or DO must meet personally with the patient no more than 6 months prior to shoes and inserts being dispensed, and the date of certification must not be more than 3 months after this meeting. The supplier is required to get the documentation from doctors office.Rate this question:
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- 14.
Which is not true about custom inserts (A5513)
- A.
They cost more
- B.
They reimburse more
- C.
They achieve and maintain total arch contact
- D.
They are heat molded to the patient's foot by the fitter
Correct Answer
D. They are heat molded to the patient's foot by the fitterExplanation
custom inserts are fabricated from a mold or scan of the patient's foot by a certified orthotic lab. They acheive and maintain arch contact, cost more, and are reimbursed at a higher rate than heat moldable inserts (A5512).Rate this question:
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- 15.
True or false. When we measure a foot and it falls between sizes, we should pick the smaller size.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
shoes which are too tight are not wearable, so its common sense to choose the larger size, when in doubt. Also many diabetics have edema, or swelling, which can add to the sizing. Be sure you account for swelling.Rate this question:
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- 16.
True or False: A basic foot examination is required to be performed by the supplier in order to meet the documentation requirements to provide diabetic footwear
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
True. There must be documentation in the patient chart, of a basic foot examination, an in person fitting, and a statement by the fitter as to how the shoes and inserts will help the patient.Rate this question:
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- 17.
True or false. If the patient requests it, and they live more than 10 miles from the supplier's place of business, and if the prescription and certification is on file, it is permissable to ship the shoes and inserts to the patient's home.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
It is never permissable. An in-person final fitting, and delivery, must be completed, and signed for, by the patient. The patient must be given instructions on proper use and care of the product, and the final fitting must be made and accepted by the patient- in person.Rate this question:
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- 18.
True or false: Inserts are changed by the patient every 6 months.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
False. Inserts should be changed as needed but not more than 120 days (4 months). A patient is issued 3 sets for the year.Rate this question:
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- 19.
Which is NOT True.
- A.
Diabetic footwear helps to cure peripheral neuropathy
- B.
Diabetic footwear can help reduce the chances of developing ulceration/amputation
- C.
Diabetic footwear helps reduce friction and pressures inside the shoe
- D.
Diabetic footwear is an important part of diabetic foot care
Correct Answer
A. Diabetic footwear helps to cure peripheral neuropathyExplanation
Diabetic footwear does not help to cure neuropathy.Rate this question:
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- 20.
True or False. If a patient has had a partial amputation, such as the removal of the big toe, an insert with a toe filler should be supplied.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
Toe fillers are custom inserts and can be provided by the lab. The fitter should send an impression box with the patient's impression. The billing code is HCPCS L5000 for inserts with toe fillers.Rate this question:
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- 21.
True or False: if a patient has severe edema, the fitter should direct the patient to a style with a tighter upper, to help control and keep the swelling down.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
The shoe should accommodate the patients condition. A stretchy, lycra type upper should be recommended to give and take with swelling. Tight shoes can create problems!Rate this question:
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- 22.
Diabetic Footwear helps to prevent all of the following except _______.
- A.
Neuropathy
- B.
Ulceration
- C.
Amputation
- D.
Callus
Correct Answer
A. NeuropathyExplanation
Neuropathy is a condition of the nerves, not of the feet. The other items are related to the feet which can be helped or prevented, by wearing diabetic footwear.Rate this question:
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- 23.
True or False. All diabetic inserts are reimbursed the same by Medicare.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
Diabetic inserts are reimbursed differently based on the construction and HCPCS code. There are 3 basic codes.
A5512 is for heat moldable diabetic inserts. A5513 is for inserts custom made for a patients foot using a model of the patients foot to create it. L5000 is for a custom insert which has accommodations for missing toes, or other accommodations. Each of these reimburses a different amount.Rate this question:
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- 24.
Using the Ritz Stick, a woman measures size 9 on the left foot and size 9.5 on the right foot. Which size should we order for her.
- A.
9
- B.
9.5
- C.
10
- D.
One size 9 and one size 10
Correct Answer
B. 9.5Explanation
up to one size can be accommodated with spacers, Order size 9.5 for the larger foot, and add a spacer if needed on the smaller foot. You can "split pairs" (two sizes) for an additional charge, but in practice this is usually done only if the size difference is more than a full size.Rate this question:
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- 25.
Using the Ritz Stick, a man measures as size 11 in length, and 23 in width. Using the conversion chart on the back of the Ritz Stick, what would the correct shoe width be?
- A.
D
- B.
E
- C.
EE
- D.
EEE
Correct Answer
B. EExplanation
see Ritz StickRate this question:
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