Billing/Coding
Last Updated: Apr 29
Articles from The O&P EDGE
- Got FAQs: Addressing billing for multiligamentus AFOs and documentation requirements for prosthetics patients.
- Got FAQs: Coding for microprocessor-controlled knee systems and coordinating component coding with a patient's functional level.
- The New Reality: Documenting O&P Medicare Claims
- Got FAQs: Medicare Change in Products and Services, submitting claims to TRICARE, and new rates for L-7520.
- The Challenge of Justification
- Got FAQs: Microprocessor knee L-Codes and the Medicare overpayment appeals process.
- Clinical Benefits are Critical to Reimbursement Success
- Got FAQs: New lower-limb prosthesis L-Codes for 2013 and addition codes for L-1840, L-1844, and L- 1846
- Got FAQs: Prosthetic Medicare audits and billing for shoe inserts for patients who have undergone toe amputation
- Got FAQs: Billing for services to patients prior to discharge from a skilled nursing facility or hospital, inserts for diabetic shoes, and verifying items on the PDAC list
- Got FAQs: Surety bonds for Medicare, modifiers for L-4002, and new electronic funds transfer requirements for Medicare payments
- Getting Paid: Building Your Case and Defending Your Claims
- The Evolving Business of O&P
- Got FAQs: Spinal osteogenesis stimulators and durable medical equipment fee schedules for worker's compensation and no-fault claims
- Got FAQs: Cosmetic additions, toe fillers or inserts for patients with diabetes, and modifiers for L-3923
- Got FAQs: Medical necessity for L-1840 and L-1844, and obtaining last date of service for diabetic shoes and inserts for Medicare patients
- Got FAQs: NOC codes, Medicare billing for consumables, and POS codes
- Got FAQs: Manufacturers’ microprocessor knee L-Code recommendations, shoulder-elbow orthoses L-Codes, and the Medicare appeal process
- Billing and Collections Q&A
- Got FAQs: Submitting corrected Medicare claims, coding for prosthetic hands, and new codes to replace L-3964 and L-3965.
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