Burned by Medicare policy?
Randall McFarland, CPO
Description
Collection
Title:
Burned by Medicare policy?
Creator:
Randall McFarland, CPO
Text:
Hello List members-
We have had more than one case where the client didn't tell us you that he
received the identical or similar device withing the past year. A couple of
times it was a language barrier. The other cases, we didn't ask and nothing
was said by the client.
I understand it's not permissible to routinely ask all Medicare beneficiaries
to sign the probable denial form.
It would seems that a disclaimer would be prudent, not only to warn clients
to not try seeking duplicate devices from different providers, but also to
protect the unknowing providers. In our situations, it was probably
unintentional but we still had to eat the device and the time spent,
because we couldn't legally bill the client without the probable denial
form being signed by the client.
>From now on, I will not only ask what has been provided previously, but I'll
ask when it was provided.
Just passing along something I learned today.....
Randy McFarland, CPO
We have had more than one case where the client didn't tell us you that he
received the identical or similar device withing the past year. A couple of
times it was a language barrier. The other cases, we didn't ask and nothing
was said by the client.
I understand it's not permissible to routinely ask all Medicare beneficiaries
to sign the probable denial form.
It would seems that a disclaimer would be prudent, not only to warn clients
to not try seeking duplicate devices from different providers, but also to
protect the unknowing providers. In our situations, it was probably
unintentional but we still had to eat the device and the time spent,
because we couldn't legally bill the client without the probable denial
form being signed by the client.
>From now on, I will not only ask what has been provided previously, but I'll
ask when it was provided.
Just passing along something I learned today.....
Randy McFarland, CPO
Citation
Randall McFarland, CPO, “Burned by Medicare policy?,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 6, 2024, https://library.drfop.org/items/show/216056.
