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Got FAQs?
By Lisa Lake-Salmon  The future of your practice depends on
knowledgeable billing and collection information. Understanding the
full aspect of billing guidelines and procedures will effectively
increase your reimbursement. This informative column will help
providers and their staff with a better understanding of billing
procedures and reimbursement strategies.
Q: I am a new O&P provider, and I am not certain
as to what documentation is required to provide a patient with an
AFO or KAFO.
A:You must have a signed prescription
on file that states the features of the base HCPCS code and all
additions that will be billed on a separate line. Please note when
billing for either L4396 or L4392 that your prescription must
include the patient's diagnosis.
Q: I billed for the first time a breast prosthesis
to Medicare and my claim was denied for CO-16. I contacted Medicare
and I was told my claim was missing the appropriate modifier. Which
modifier do I use?
A: When billing for a breast
prosthesis, you must use either the RT (right) or LT (left)
modifier.
If the patient had a bilateral mastectomy, you must use both
modifiers on one line item and your number of units should be
two.
We invite readers to ask any questions you have regarding
billing, collections, or any other related information. To send
your questions or for more information, contact:lisa@westernmediallc.com
Acc-Q-Data provides billing, collections and practice
management software serving the O&P industry nationwide for
over a decade. Lisa Lake-Salmon is Executive Vice President, Acc-Q-Data Inc. 
Table Of Contents - September 2003
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PT Direct Access: Threat to O&P?
Should physical therapists have “direct access” to patients—being able to provide physical therapy
services without a physician’s prescription?
With or without the passage of “direct access”
legislation, should physical therapists be allowed to provide orthotic and prosthetic services and devices, without additional education, training, licensing, and/or certification, as part of their scope of practice?
Feature
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NegReg Crashes: Why? O&P's Battle Continues
Susie Funkhouser reports on what happened at the Negotiated Rulemaking Committee meetings, why consensus could not be reached, and where the O&P field stands now on this important issue.
DC Direct
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O&P: Failing To Protect ‘Qualified’ Status through Licensure?
DC Direct
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Stability Within the Socket Creates Stable World
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Scoliosis Course at UDB a Success
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AAA Riders Promote Attitude, Goals
Sports Page
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The Secret of ABC’s Success
The American Board for Certification’s new Registered Fitter credential has generated remarkable interest in six months of existence. Here’s why:
Education Outlook
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Got FAQs?
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Reporte: Presentación del Kit de Escoliosis
Global View
- Exclusively Online
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Stop, Drop, and Roll
Perspective
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From the Editor
Sometimes the winds of change seem more like a hurricane.
Viewpoints
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