Recently I've been dealing with an increasing number of patient's who purchase their own DME (Camwalkers, AFOs etc) from online sources that then bring it and ask me to evaluate and show them how to properly use it. I've been considering charging these individuals a $50 DME evaluation fee. My logic is that A) fitting and patient education regarding DME use is not necessarily considered part of the office visit since it has it's own E&M component built into the fee of the device (Insurers are not just reimbursing your the costs of the physical item but also the provider knowledge in properly fitting it to the patient and educating them, B) The evaluation and fitting of the outside DME to the patient often is time consuming, C) and most important, by giving my "blessing" I essentially make myself liable to any issues that could arise with the device. What are you thoughts on the matter?