Thursday, May 26, 2022

more good news..not!

Mike Rieth, LPO

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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