Got FAQs?
By Lisa Lake-Salmon  The future of your practice depends on
knowledgeable billing and collection information. Under-standing
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 recently found out that codes K-0630 through
K-0649 were added to the HCPCS list, but I cannot find the fee
amounts for these. Can you point me in the right
direction?
A: The fees for codes K-0630 through K-0649
will be implemented and posted as of July 1, 2004, on the Centers
for Medicare & Medicaid Services (CMS) website, which can be
accessed at http://www.cms.hhs.gov
Q: I understand if I get a denial from Medicare
stating "same or similar," I must have an ABN form on file in order
to bill the patient. If I do not have an ABN, am I allowed to pick
up the item from the patient?
A: According to Medicare, you need an ABN form
on file to bill the patient, and if the patient refuses to make
payment, you are entitled to retrieve the item.
Q: I recently billed a claim to Medicare, which is
being held for proof of delivery. What documentation do I need to
send to Medicare for payment of the claim?
A: A validation of receipt must be signed by
all patients upon delivery of DMEPOS. Sending the signed
documentation to Medicare will be sufficient proof for payment of
the claim as long as Medicare finds the item was medically
necessary.
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 and has been serving the O&P industry
nationwide for over a decade. Lisa Lake-Salmon is Executive Vice President, Acc-Q-Data, Inc. 
Table Of Contents - July 2004
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