Got FAQs?
By Lisa Lake-Salmon .jpg) 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 receive my Medicare payments and EOBs
electronically. Is it necessary to inform Medicare if I move to a
new physical address, since I do not receive anything by mail from
them?
A: According to the Medicare Supplier Standard
#2, suppliers are required to inform the National Supplier
Clearinghouse (NSC) of any location change within 30 days. I
suggest you notify the NSC as soon as possible since failure to do
so could result in the termination of your supplier number.
Q: I am an O&P provider with multiple locations
throughout West Virginia. I applied for an NPI number for my main
office only, and I am not sure if I need to apply for one for each
of my locations?
A: If you are a sole proprietor of your
practice, it is not necessary to obtain an NPI number for each
location. According to CMS, if a Medicare supplier is a sole
proprietor, he/she is eligible for only one NPI number regardless
of the number of locations. If you are not a sole proprietor of
your practice, then it is necessary to obtain an NPI number for
each location.
Q: Can you tell me what the allowable amount is for
L-3672 and L-3673 for the state of Oregon? I looked for these codes
on the Medicare fee schedule for 2006 and can not find the
allowable amount anywhere. I want to make sure we are billing the
appropriate amount.
A: HCPCS code L-3672 and L-3673 did not appear
on the Medicare fee schedule until July 2006. The allowable amount
for the state of Oregon is L-3672 ($801.31) and L-3673 ($873.35).
The updated third-quarter fee schedule is now available on the
DMERC Region D website.
We invite readers to ask questions regarding billing,
collections, or related subjects. For more information, contact lisa@opedge.com Acc-Q-Data provides
billing, collections, and practice management software and has
served the O&P industry nationwide for more than a
decade.
Lisa Lake-Salmon is Executive Vice President, Acc-Q-Data
Inc. 
Table Of Contents - December 2006
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