Patient Care Facility Accreditation Guide

ABC offers different accreditation programs tailored to the type of patient care services provided at each of your patient care locations. Your main service should be the accreditation program that most fully encompasses your facility’s patient care services. All other services can be indicated on your application as additional services. Remember that you must apply for ABC Accreditation in all of the services provided regardless of whether you are billing CMS or another payer for those services.

Main Accreditation Programs

Orthotics and Prosthetics

These services must be provided by a certified or licensed orthotist and prosthetist. Orthotic & Prosthetic Accreditation includes all services outlined in both the Orthotic and Prosthetic Accreditation descriptions below.

Orthotics

These services must be provided by a certified or licensed orthotist. Orthotics Accreditation includes custom fabricated, prefabricated, offthe-shelf orthotic devices, pedorthics and noncustom therapeutic footwear.

Prosthetics

These services must be provided by a certified or licensed prosthetist. Prosthetics Accreditation is a stand-alone accreditation and does not encompass any other services, such as mastectomy or ocular prostheses.

Pedorthics

These services must be provided by a certified and/or licensed orthotist or pedorthist. This program is designed for facilities that provide pedorthics, therapeutic and diabetic footwear items and services. The scope of service includes the assessment, treatment and education of patients and the ability to provide non-custom therapeutic footwear and non-custom diabetic multi-density inserts.

Prefabricated Orthotics

These services must be provided by a certified or licensed orthotist or orthotic fitter. This program is designed for facilities that only provide prefabricated custom fit. Pedorthic, therapeutic and diabetic footwear services are not covered under the scope of services for this accreditation program.

Off-the-Shelf Orthotics

This program is designed for facilities that only provide off-the-shelf orthotic devices. The scope of services for this accreditation is limited to those orthotic devices that require only minor adjustments and does not include therapeutic and diabetic footwear.

Non-Custom Therapeutic Footwear

These services must be provided by a licensed or certified orthotist, pedorthist, therapeutic shoe fitter or appropriately licensed professional. This program is designed for facilities that only provide non-custom therapeutic footwear and non-custom diabetic multi-density inserts.

Mastectomy

These services must be provided by a certified or licensed mastectomy fitter. This program is designed for facilities that provide patient care services related to post mastectomy prostheses and accessories. This program does not include pneumatic compression devices (lymphedema pumps). If your facility is only providing Mastectomy, please review our Mastectomy Patient Care Guide.

NOTE: The Mastectomy Accreditation program is not included in any other accreditation program and must be indicated separately on your application.

Ocular Prosthetics

The services provided by these facilities must be provided by a board certified or licensed ocularist or an ocular Diplomate or Associate of the American Society of Ocularists. This program is designed for facilities that provide fitting, shaping, painting and maintenance of ocular prostheses.

NOTE: The Ocular Prosthetics Accreditation program is not included in any other accreditation program and must be indicated separately on your application.

Additional Accreditation Programs

Durable Medical Equipment (DME) and Ancillary Assistive Device (AAD)

NOTE: ABC does not provide DME or AAD as a stand-alone accreditation program. To be eligible for DME or AAD Accreditation, you must also apply for one of ABC’s main accreditation programs and maintain that accreditation. If your facility is providing any of the items listed in either or both programs, your facility must obtain additional accreditation in DME or AAD.

DME or AAD Accreditation is necessary for all facilities that provide durable medical equipment in addition to orthotics, prosthetics, pedorthics, non-custom therapeutic footwear, prefabricated orthotics, off-the-shelf orthotics, mastectomy and ocular prostheses. AAD is considered a sub-category of DME; therefore, all AAD services are covered in the DME Accreditation. If you are providing services that span both categories, it is only necessary to apply for DME. If you are renting any products listed in the following charts, you must apply for DME Accreditation. The chart will provide you with guidance on the products covered by each of the accreditation programs.

The chart will provide you with guidance on the products covered by each of the accreditation programs.

If your facility is renting any of the above items, regardless of your main accreditation category, your facility must apply for DME Accreditation.