WE JUST RECENTLY GOT SOME OF THESE DENIALS FOR RESIDENTS
OF AN SNF WHO WERE RECEIVING MED A BENEFITS. THIS EVEN
THOUGH THE THERAPISTS ORDERING THE DEVICE AND THE
BILLING DEPTS ASSURED US THE RESIDENTS WERE MED B AND
NOT PPS. ID LIKE TO ASSUME THIS IS INCOMPETENCE ON THE
PART OF THE NURSING HOME STAFF RATHHER THAN BELIEVE I AM
BEING OUT AND OUT LIED TO BUT THE END RESULT IS STILL NO PAYMENT FOR THESE PTS TO US. OTHER THAN INVOICING THE FACILITIES NOW (HA HA) DO WE HAVE ANY RECOURSE TO DISPUTE THESE SINCE WE ARE ULTIMATELY DEPENDENT ON THE INFO THE SNF GIVES US? ALSO FIRST PROSTHETICS WERE INCLUDED IN PPS THEN REMOVED NOW IM HEARING THEY ARE BACK IN-IS THIS TRUE? IF SO SINCE WHEN? LASTLY IVE HEARD RUMORS AOPA IS WORKING HARD TO GET O&P EXCLUDED FROM PPS AND ONCE AGAIN MAKE THESE SERVICES COVERED BY MED B EVEN FOR PPS PTS. ANY TRUTH TO THE RUMOR THIS COULD BE AS SOON AS JANUARY 2003? IF ANYBODY OUT THERE IS AS UNFORTUNATE AS WE ARE TO DERIVE A GOOD PERCENTAGE OF THEIR REVENUE FROM PTS IN NURSING HOMES AND KNOWS THE ANSWERS TO THESE QUESTIONS ANY FEEDBACK WOULD BE GREATLY APPRECIATED.
