Insurance issues NY
Marty Mandelbaum
Description
Collection
Title:
Insurance issues NY
Creator:
Marty Mandelbaum
Date:
7/27/2018
Text:
Hi,
Does anyone have problems with:
-insurance companies saying no auth is required and then decide not to pay
for some of the line items?
-insurance companies not letting you know how or what they will cover for a
999 code and then find out it is less than your cost after the job is
delivered?
-Insurance companies deciding that acrylic or carbon reinforcement add ons
are not covered
-insurance companies deciding not to cover lion upgrades over nicads?
Also, if a patient wants a device that is more expensive than the Lcode
reimburses for and you are contracted with the insurance company, can you
have a signed waiver for the patient paying the difference over ins
reimbursement if the patient does not want the lesser cost device?
Thanks for your responses
Marty Mandelbaum CPO, FAAOP
Does anyone have problems with:
-insurance companies saying no auth is required and then decide not to pay
for some of the line items?
-insurance companies not letting you know how or what they will cover for a
999 code and then find out it is less than your cost after the job is
delivered?
-Insurance companies deciding that acrylic or carbon reinforcement add ons
are not covered
-insurance companies deciding not to cover lion upgrades over nicads?
Also, if a patient wants a device that is more expensive than the Lcode
reimburses for and you are contracted with the insurance company, can you
have a signed waiver for the patient paying the difference over ins
reimbursement if the patient does not want the lesser cost device?
Thanks for your responses
Marty Mandelbaum CPO, FAAOP
Citation
Marty Mandelbaum, “Insurance issues NY,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 5, 2024, https://library.drfop.org/items/show/209031.
