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 started using the new codes that replaced the
A-Codes for diabetic shoes. Should I still bill with a KX in front
of the K-0628 and K-0629?
A: The codes may have changed, but the
modifiers stay the same. Anytime you bill for diabetic shoes or
inserts, you would always use the KX modifier.
Q: I have a patient who came to my facility in a
power wheelchair with a prescription for a unilateral prosthesis.
Will Medicare cover this?
A: First, you need to know if Medicare paid for
the patient's wheelchair. If so, Medicare will not cover the
prosthesis since these two items would be conflicting. A power
chair states the patient cannot ambulate, and a prosthesis says the
patient can.
Q: I heard that Medicare would only accept claims
that are in the new HIPAA format. Is this true?
A: Effective July 1, 2004, Medicare has
modified its HIPAA contingency plan. The modification states that
Medicare will continue to allow submission of noncompliant
electronic claims. However, it will take 13 additional days to
process these claims.
We invite readers to ask any questions you have regarding
billing, collections, or any other 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 2004
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