Justifying Costs
John T. Brinkmann, CPO, FAAOP
Description
Collection
Title:
Justifying Costs
Creator:
John T. Brinkmann, CPO, FAAOP
Date:
12/31/2002
Text:
Dear List Members: An insurance company recently denied coverage for
L5301 (definitive endoskeletal BK base code) and demands an itemized
description of the components and costs involved in providing this item
prior to agreeing to pay for it. Strangely, they covered other codes
involved in providing the prosthesis, but denied this one. (Incarnate
evil has its own logic. Apparently, however, it lacks any bodily form,
since I cannot talk to anyone who will give me any more information
about what info they want/need and why.)
I'd appreciate any info on how you have handled similar situations.
Obviously, the cost of the materials is minimal - what other costs would
you include in such an itemized description? (A 4-year education,
hourly labor, the light bill!?) Any help would be appreciated.
John Brinkmann, CPO, FAAOP
L5301 (definitive endoskeletal BK base code) and demands an itemized
description of the components and costs involved in providing this item
prior to agreeing to pay for it. Strangely, they covered other codes
involved in providing the prosthesis, but denied this one. (Incarnate
evil has its own logic. Apparently, however, it lacks any bodily form,
since I cannot talk to anyone who will give me any more information
about what info they want/need and why.)
I'd appreciate any info on how you have handled similar situations.
Obviously, the cost of the materials is minimal - what other costs would
you include in such an itemized description? (A 4-year education,
hourly labor, the light bill!?) Any help would be appreciated.
John Brinkmann, CPO, FAAOP
Citation
John T. Brinkmann, CPO, FAAOP, “Justifying Costs,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 24, 2024, https://library.drfop.org/items/show/220166.
