Re: Medicare billing
Shlomo Heifetz
Description
Collection
Title:
Re: Medicare billing
Creator:
Shlomo Heifetz
Date:
11/13/2018
Text:
Hi Cindy,
See Medicare Claims Manual Chapter 15 section 20.3< <URL Redacted>> and the medicare minute video below: In the narrative field (Box 19) for each line we write salvage claim due to .....(the reason for the salvage. i.e. death, patient refused delivery, condition changed, cannot contact patient for delivery). We also remove all codes for parts that we can return or use on another device like unused knees and feet, liners, socks, etc.
<URL Redacted>
[ <URL Redacted>< https://urldefense.proofpoint.com/v2/url?u=https-3A__www.cgsmedicare.com_jc_education_video_vid-5Fsalvage.html&d=DwIGaQ&c=pZJPUDQ3SB9JplYbifm4nt2lEVG5pWx2KikqINpWlZM&r=pVyaAUHOR6gxxThvjGI9X7hrz_ONYByMAadML4fTENI&m=XHsU84VVm2Q5udXxUzKAC4_Af28OSSyE6qaWa-WE8Ck&s=g79FNhOfFyAO7MTZQeOUFgPM5oi2ziXPT6jYZdTVOTQ&e= >
Medicare Minute℠: Salvage Claims< https://urldefense.proofpoint.com/v2/url?u=https-3A__www.cgsmedicare.com_jc_education_video_vid-5Fsalvage.html&d=DwIGaQ&c=pZJPUDQ3SB9JplYbifm4nt2lEVG5pWx2KikqINpWlZM&r=pVyaAUHOR6gxxThvjGI9X7hrz_ONYByMAadML4fTENI&m=XHsU84VVm2Q5udXxUzKAC4_Af28OSSyE6qaWa-WE8Ck&s=g79FNhOfFyAO7MTZQeOUFgPM5oi2ziXPT6jYZdTVOTQ&e= >
www.cgsmedicare.com
Dr. Robert Hoover, Medical Director for CGS Administrators, Jurisdiction C DME MAC talks about billing for custom fabricated items when the beneficiary cancels the order, their condition changes, or they pass away before delivery.
https://urldefense.proofpoint.com/v2/url?u=https-3A__www.cms.gov_Regulations-2Dand-2DGuidance_Guidance_Manuals_downloads_bp102c15.pdf&d=DwIGaQ&c=pZJPUDQ3SB9JplYbifm4nt2lEVG5pWx2KikqINpWlZM&r=pVyaAUHOR6gxxThvjGI9X7hrz_ONYByMAadML4fTENI&m=XHsU84VVm2Q5udXxUzKAC4_Af28OSSyE6qaWa-WE8Ck&s=aFBQDaYqCqed0QSFdTeTqsNYQmmbQtWLCR143tmLsvo&e=
Medicare Benefit Policy Manual< https://urldefense.proofpoint.com/v2/url?u=https-3A__www.cms.gov_Regulations-2Dand-2DGuidance_Guidance_Manuals_downloads_bp102c15.pdf&d=DwIGaQ&c=pZJPUDQ3SB9JplYbifm4nt2lEVG5pWx2KikqINpWlZM&r=pVyaAUHOR6gxxThvjGI9X7hrz_ONYByMAadML4fTENI&m=XHsU84VVm2Q5udXxUzKAC4_Af28OSSyE6qaWa-WE8Ck&s=aFBQDaYqCqed0QSFdTeTqsNYQmmbQtWLCR143tmLsvo&e= >
www.cms.gov
Medicare Benefit Policy Manual . Chapter 15 – Covered Medical and Other Health Services . Table of Contents (Rev. 241, 02-02-18) Transmittals for Chapter 15
Best,
Shlomo
Shlomo Heifetz
Director of Operations
o 216-371-0660 x 200 f 866-536-2954 e <Email Address Redacted> <mailto:<Email Address Redacted>>
[1516822924848_Presque_Isle_Logo.png]
2440 W 8th St I Erie I Pennsylvania I 16505
2101 Richmond Rd STE 1000 I Beachwood I Ohio I 44122 **NEW ADDRESS**
4055 W Peterson Ave I Chicago I Illinois I 60646
Silver Spring I Maryland I Mobile Services
________________________________
From: Orthotics and Prosthetics List < <Email Address Redacted> > on behalf of Cindy Anderson < <Email Address Redacted> >
Sent: Friday, November 9, 2018 3:58:13 PM
To: <Email Address Redacted>
Subject: [OANDP-L] Medicare billing
Hello All,
I was wondering if anyone can point me to the chapter in the Medicare manual
regarding billing for refused custom made orthoses. I'm not sure if it's
still the same as billing the date of death and have been unable to find
anything current.
Thanks,
Cindy
749 Hope Road, Suite C
Eatontown, NJ 07724
(732) 380- 0366 Phone
(732) 380-0245 Fax
<Email Address Redacted>
********************
To unsubscribe, send a message to: <Email Address Redacted> with
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If you have a problem unsubscribing,or have other
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OANDP-L is a forum for the discussion of topics
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Public commercial postings are forbidden. Responses to inquiries
should not be sent to the entire oandp-l list. Professional credentials
or affiliations should be used in all communications.
********************
To unsubscribe, send a message to: <Email Address Redacted> with
the words UNSUB OANDP-L in the body of the
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If you have a problem unsubscribing,or have other
questions, send e-mail to the moderator
Paul E. Prusakowski,CPO at <Email Address Redacted>
OANDP-L is a forum for the discussion of topics
related to Orthotics and Prosthetics.
Public commercial postings are forbidden. Responses to inquiries
should not be sent to the entire oandp-l list. Professional credentials
or affiliations should be used in all communications.
See Medicare Claims Manual Chapter 15 section 20.3< <URL Redacted>> and the medicare minute video below: In the narrative field (Box 19) for each line we write salvage claim due to .....(the reason for the salvage. i.e. death, patient refused delivery, condition changed, cannot contact patient for delivery). We also remove all codes for parts that we can return or use on another device like unused knees and feet, liners, socks, etc.
<URL Redacted>
[ <URL Redacted>< https://urldefense.proofpoint.com/v2/url?u=https-3A__www.cgsmedicare.com_jc_education_video_vid-5Fsalvage.html&d=DwIGaQ&c=pZJPUDQ3SB9JplYbifm4nt2lEVG5pWx2KikqINpWlZM&r=pVyaAUHOR6gxxThvjGI9X7hrz_ONYByMAadML4fTENI&m=XHsU84VVm2Q5udXxUzKAC4_Af28OSSyE6qaWa-WE8Ck&s=g79FNhOfFyAO7MTZQeOUFgPM5oi2ziXPT6jYZdTVOTQ&e= >
Medicare Minute℠: Salvage Claims< https://urldefense.proofpoint.com/v2/url?u=https-3A__www.cgsmedicare.com_jc_education_video_vid-5Fsalvage.html&d=DwIGaQ&c=pZJPUDQ3SB9JplYbifm4nt2lEVG5pWx2KikqINpWlZM&r=pVyaAUHOR6gxxThvjGI9X7hrz_ONYByMAadML4fTENI&m=XHsU84VVm2Q5udXxUzKAC4_Af28OSSyE6qaWa-WE8Ck&s=g79FNhOfFyAO7MTZQeOUFgPM5oi2ziXPT6jYZdTVOTQ&e= >
www.cgsmedicare.com
Dr. Robert Hoover, Medical Director for CGS Administrators, Jurisdiction C DME MAC talks about billing for custom fabricated items when the beneficiary cancels the order, their condition changes, or they pass away before delivery.
https://urldefense.proofpoint.com/v2/url?u=https-3A__www.cms.gov_Regulations-2Dand-2DGuidance_Guidance_Manuals_downloads_bp102c15.pdf&d=DwIGaQ&c=pZJPUDQ3SB9JplYbifm4nt2lEVG5pWx2KikqINpWlZM&r=pVyaAUHOR6gxxThvjGI9X7hrz_ONYByMAadML4fTENI&m=XHsU84VVm2Q5udXxUzKAC4_Af28OSSyE6qaWa-WE8Ck&s=aFBQDaYqCqed0QSFdTeTqsNYQmmbQtWLCR143tmLsvo&e=
Medicare Benefit Policy Manual< https://urldefense.proofpoint.com/v2/url?u=https-3A__www.cms.gov_Regulations-2Dand-2DGuidance_Guidance_Manuals_downloads_bp102c15.pdf&d=DwIGaQ&c=pZJPUDQ3SB9JplYbifm4nt2lEVG5pWx2KikqINpWlZM&r=pVyaAUHOR6gxxThvjGI9X7hrz_ONYByMAadML4fTENI&m=XHsU84VVm2Q5udXxUzKAC4_Af28OSSyE6qaWa-WE8Ck&s=aFBQDaYqCqed0QSFdTeTqsNYQmmbQtWLCR143tmLsvo&e= >
www.cms.gov
Medicare Benefit Policy Manual . Chapter 15 – Covered Medical and Other Health Services . Table of Contents (Rev. 241, 02-02-18) Transmittals for Chapter 15
Best,
Shlomo
Shlomo Heifetz
Director of Operations
o 216-371-0660 x 200 f 866-536-2954 e <Email Address Redacted> <mailto:<Email Address Redacted>>
[1516822924848_Presque_Isle_Logo.png]
2440 W 8th St I Erie I Pennsylvania I 16505
2101 Richmond Rd STE 1000 I Beachwood I Ohio I 44122 **NEW ADDRESS**
4055 W Peterson Ave I Chicago I Illinois I 60646
Silver Spring I Maryland I Mobile Services
________________________________
From: Orthotics and Prosthetics List < <Email Address Redacted> > on behalf of Cindy Anderson < <Email Address Redacted> >
Sent: Friday, November 9, 2018 3:58:13 PM
To: <Email Address Redacted>
Subject: [OANDP-L] Medicare billing
Hello All,
I was wondering if anyone can point me to the chapter in the Medicare manual
regarding billing for refused custom made orthoses. I'm not sure if it's
still the same as billing the date of death and have been unable to find
anything current.
Thanks,
Cindy
749 Hope Road, Suite C
Eatontown, NJ 07724
(732) 380- 0366 Phone
(732) 380-0245 Fax
<Email Address Redacted>
********************
To unsubscribe, send a message to: <Email Address Redacted> with
the words UNSUB OANDP-L in the body of the
message.
If you have a problem unsubscribing,or have other
questions, send e-mail to the moderator
Paul E. Prusakowski,CPO at <Email Address Redacted>
OANDP-L is a forum for the discussion of topics
related to Orthotics and Prosthetics.
Public commercial postings are forbidden. Responses to inquiries
should not be sent to the entire oandp-l list. Professional credentials
or affiliations should be used in all communications.
********************
To unsubscribe, send a message to: <Email Address Redacted> with
the words UNSUB OANDP-L in the body of the
message.
If you have a problem unsubscribing,or have other
questions, send e-mail to the moderator
Paul E. Prusakowski,CPO at <Email Address Redacted>
OANDP-L is a forum for the discussion of topics
related to Orthotics and Prosthetics.
Public commercial postings are forbidden. Responses to inquiries
should not be sent to the entire oandp-l list. Professional credentials
or affiliations should be used in all communications.
Citation
Shlomo Heifetz, “Re: Medicare billing,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 5, 2024, https://library.drfop.org/items/show/209231.
