Thursday, May 26, 2022

Rx, Brand Names, and Billing question

The Kogans

It was my impression that if a physician put onto a precription a brand name
item, we (under the law) were obligated to honor this. Is this not so? I
worked at another facility that laminates every orthotic brace including
PLS-AFOs just cause it reimburses higher. When I started working there, my
physicians were expected to recieve thermoplastic braces. I specifically
asked them to write on the precription “thermoplastic”. My boss back then
would just dismiss it and laminate it anyway. Does this fall under the terms
of do what is written on the Rx or do what the doc wants functionally?

On a different note:
I just downloaded the 2002 Medicare fee schedule. I would like to find an
Up-to-date code list for the items that medicare does not cover with 2001 or
2002 prices for the northern east coast, NJ preferred.

Thanks,

Mike Kogan, CP

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