Tuesday, July 16, 2024

Performance recovery audit

Frank Shirley

I recently received an audit. Within the text of the letter it said the
subject of the audit was L1960. However the patient also received a KAFO
of the other side. The amount listed for recovery was the amount for both
orthoses. I called to clarify but got the standard answer of send as much
documentation as you think appropriate. I will send documentation for both
orthosis but I wondered if anyone had run into this situation before on a
audit, I realize that more than likely the first submission will be
rejected so then will follow with appeal. Any input on this specific
situation will be appreciated.
Frank Shirley C.O.

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