Billing Decoded
Prosthetic Supplies: Compliant Refill Documentation
As a supply item, Medicare and many other payers have defined refill requirements that must be followed when providing the...
Read moreDetails
Medicare Enrollment Oversights: The Risks Associated With Outdated Enrollment
Many billers and administrative staff are well versed in claim denials related to things like missing or inappropriate modifiers, medical...
Read moreDetails
Clinical Documentation: The Rise of Templated Evaluations and AI
Time is a fleeting commodity, stretched thin between our work and personal lives. The lack of time has caused some...
Read moreDetails
Compliance Is Key to PDAC Coding Verifications
Medicare Pricing Data Analysis and Coding (PDAC) verification rules are often misunderstood, specifically when it pertains to coding and documentation....
Read moreDetails
Expansion of the CMS Master List and the Prior Authorization Program
Effective August 12, Medicare is expanding its list of Healthcare Common Procedure Coding System (HCPCS) codes for prior authorization, face-to-face...
Read moreDetails
Where Is the Custom in Custom Fabrication?
There has been a long-standing requirement, by Medicare and many other payers, that any custom-fabricated item must be supported by...
Read moreDetails
Medicare Lower Limb Prostheses Proposed Local Coverage Determination
The profession is buzzing with talk of the proposed Medicare Lower Limb Prostheses (LLP) Local Coverage Determination (LCD). The last...
Read moreDetails
Lymphedema Treatment Act: Coverage for Compression Expanded
There has been a long-standing struggle for patients diagnosed with lymphedema to receive Medicare and other payer coverage for compression...
Read moreDetails
Repairs: Why Aren’t You Getting Paid?
There is a common misconception in O&P that repair claims either aren’t paid at all or they aren’t paid adequately....
Read moreDetails
Medicare Advantage Plans: The New Rules
Have you heard the news? The Centers for Medicare & Medicaid Services (CMS) is cracking down on how Medicare Advantage...
Read moreDetails
Get unlimited access!
O&P JOBS
Are you sure want to unlock this post?
Unlock left : 0Are you sure want to cancel subscription?
