Saturday, April 27, 2024

Fw: more good news..not!

Kevin Matthews

Is this true? Can we be denied due to the physician not
Hello all,

Is this true?  Can we be denied due to the physician not checking the box, with no way to verify?  I will check with AOPA, but I saw this again and would like someone to verify.  May 1st is almost tomorrow.

 
Kevin C. Matthews, CO/LO
Advanced Orthopedic Designs
12315 Judson Rd. #206
San Antonio, Texas 78233
210-657-8100
210-657-8105 fax
www.AdvancedOrthopedicDesigns.com
[email protected]

—– Forwarded Message —–
>From: “Mike Rieth, LPO”
>To: [email protected]
>Sent: Thursday, April 4, 2013 1:51 PM
>Subject: [OANDP-L] more good news..not!
>
>Attention all:
>
>If you receive a denial code from Medicare that is a CO 184…
>
>IT MEANS…….that the referring physician is not allowed to
>write prescriptions for Prosthetics and Orthotics.  Medicare
>will deny the claim or revoke the payment.
>
>What this mean’s and I was trying to explain this last week, is that,
>if the referring doctor has not filled out the “attestation form” in their
>application for a P-TAN/Supplier number ..indicating / checking the box
>that says they are going to write prescriptions for O & P products,
>Medicare will not pay the claim.  Now…how this corrrelates w/  PECOS
>and NPI numbers???  I am still getting the run around on this portion of
>the policy.  It’s typical, the right hand doesn’t know what the left hand is doing.
>Cart before the horse, Blind leading the blind..call it what you want..just BEWARE!
>
>I tried to call the supplier clearinghouse, and they say, thay cannot release other
>provider files information to me.  So, I guess I’m suppose to either ask the Doctor’s office
>if they can write Rx’s for O & P products or send the claim out and give our services away
>only to be denied, or payment revoked, or to play the re-determination game, etc, etc. 
>
>Doesn’t make anyyyyyyyyyyy sense to me.  I, am still working to find a way that we can obtain this
>info without having to badger our referring docs.  I, personally called a physician’s office the
>other day and asked the Off. Mgr.  “do you know if you checked the box off on the attestation form
>while applying for a Medicare number?”  She’s say’s…..What’s a attestation form…and then she say’s..
>.oh jeezeeeeeeeee…what is that?  So there ya have it.
>
>Best wishes to all!!
>
>
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