Medicare payment for foot orthotics

Karla Shay Office Manager

Description

Title:

Medicare payment for foot orthotics

Creator:

Karla Shay Office Manager

Text:

I am new to O&P billing. Just got started in Jan 2001 with no background in
any type of claims filing.

I had a patient who wanted us to bill Medicare for FO's, even though MCare
doesn't cover them.

I used L codes L3020 & L2275. MCare is paying 80% of the L2275. I assume
MCare doesn't realize the L2275 is part of the foot orthotic.

I also think if MCare reviews the claim at a later date and finds the L2275
is part of an FO, they'll charge us back the 80% they paid, and we may not be
able to collect from the patient.

What is a better way to handle this situation?

                          

Citation

Karla Shay Office Manager, “Medicare payment for foot orthotics,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 8, 2024, https://library.drfop.org/items/show/216364.