Fw: Re: [OANDP-L] USA billing - covered???
ADVANCED O & P
Description
Collection
Title:
Fw: Re: [OANDP-L] USA billing - covered???
Creator:
ADVANCED O & P
Date:
11/7/2002
Text:
----- Original Message -----
From: ADVANCED O & P < <Email Address Redacted> >
To: Ted Trower < <Email Address Redacted> >
Sent: Wednesday, November 06, 2002 5:28 PM
Subject: Re: Re: [OANDP-L] USA billing - covered???
> I'm back!! I just now spoke to another gentleman @ Cigna Reg D
> Medicare(Patrick McCreary)--his first response was why does a person need
a
> prosthesis if they are in an electric wheelchair/ or on the other hand,
why
> do they need an electric wheelchair if they can walk with a prosthsesis?
He
> then talked to an RN that told him that Medicare will not deny the
> prosthesis based on the fact that the patient has an electric wheelchair.
> He said that all of the medical criteria for each patient will be
> considered on a case by case basis. Sounds like the government version of
> CYA. HELP!!!! Can anyone provide specific cases where they were denied
> payment for a prosthetic patient because they had an electric wheelchair?
> Please respond ASAP as we have 2 patients waiting for a response.
> Thanks in advance!!!
> ----- Original Message -----
> From: Ted Trower < <Email Address Redacted> >
> To: < <Email Address Redacted> >
> Sent: Wednesday, November 06, 2002 12:39 PM
> Subject: Re: [OANDP-L] USA billing - covered???
>
>
> > At 07:51 AM 11/4/02 -0600, you wrote:
> > >The overwhelming response to my question concerning medicare coverage
> > >for prosthetic treatment when the patient has a medicare covered power
> > >wheel chair ------ no! Medicare feels as though the power chair is
> > >indicative of a patient who has given-up the possibility of ambulation
> > >and no coverage is provided.
> > >
> > >Thanks to all who jogged my memory.
> > >
> > >Gordon Bass CPO
> >
> >
> > Does this rule apply equally to trans-tibial amputees? Or is it only
> > applicable to trans-femoral amputees?
> >
> >
> > Ted A. Trower C.P.O.
> > A-S-C Orthotics & Prosthetics
> > Jackson, Michigan, USA
> >
> > www.amputee.com
> >
> >
From: ADVANCED O & P < <Email Address Redacted> >
To: Ted Trower < <Email Address Redacted> >
Sent: Wednesday, November 06, 2002 5:28 PM
Subject: Re: Re: [OANDP-L] USA billing - covered???
> I'm back!! I just now spoke to another gentleman @ Cigna Reg D
> Medicare(Patrick McCreary)--his first response was why does a person need
a
> prosthesis if they are in an electric wheelchair/ or on the other hand,
why
> do they need an electric wheelchair if they can walk with a prosthsesis?
He
> then talked to an RN that told him that Medicare will not deny the
> prosthesis based on the fact that the patient has an electric wheelchair.
> He said that all of the medical criteria for each patient will be
> considered on a case by case basis. Sounds like the government version of
> CYA. HELP!!!! Can anyone provide specific cases where they were denied
> payment for a prosthetic patient because they had an electric wheelchair?
> Please respond ASAP as we have 2 patients waiting for a response.
> Thanks in advance!!!
> ----- Original Message -----
> From: Ted Trower < <Email Address Redacted> >
> To: < <Email Address Redacted> >
> Sent: Wednesday, November 06, 2002 12:39 PM
> Subject: Re: [OANDP-L] USA billing - covered???
>
>
> > At 07:51 AM 11/4/02 -0600, you wrote:
> > >The overwhelming response to my question concerning medicare coverage
> > >for prosthetic treatment when the patient has a medicare covered power
> > >wheel chair ------ no! Medicare feels as though the power chair is
> > >indicative of a patient who has given-up the possibility of ambulation
> > >and no coverage is provided.
> > >
> > >Thanks to all who jogged my memory.
> > >
> > >Gordon Bass CPO
> >
> >
> > Does this rule apply equally to trans-tibial amputees? Or is it only
> > applicable to trans-femoral amputees?
> >
> >
> > Ted A. Trower C.P.O.
> > A-S-C Orthotics & Prosthetics
> > Jackson, Michigan, USA
> >
> > www.amputee.com
> >
> >
Citation
ADVANCED O & P, “Fw: Re: [OANDP-L] USA billing - covered???,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 24, 2024, https://library.drfop.org/items/show/219984.
