Re: Medicare PrePayment Audits
Wil
Description
Collection
Title:
Re: Medicare PrePayment Audits
Creator:
Wil
Date:
9/16/2010
Text:
Dear Colleagues and Guests,
Jim has pointed us to an excellent video interview that should be viewed
in its entirety by everyone who reads the information on this listserve.
Folks, this is just the tip of the iceberg. Who will the real losers be,
beside a few orthotists, prosthetists, and their respective companies?
I'll tell you who. It will soon be the consumers who need orthotic and
prosthetic services. It will also be the manufactures who no longer have
the feedback from professionals who know what they are doing, so that
appropriate research and development can continue on. What a tragedy
this will be. We are going to allow a federal government agency to
intervene in our lives, without cause, just as we have allowed insurance
companies to intervene with unqualified personnel making decisions about
who gets appropriate medical care and who does not. The last GAO report
that I know about stated that problems with orthotists and prosthetists
represented a very small percent of the problems associated with the L
Code system. Has that suddenly changed? I doubt it.
At any rate, please watch the video that Jim has pointed us to. I don't
think you will regret watching it.
Wil Haines
MaxCare Bionics
Avon, IN
On 9/16/2010 2:32 PM, Jim Thelen wrote:
> Within the last few weeks we have gone from zero CMS Audits to nearly
> 100% prepayment audits. This is apparently common among DME dealers
> in some states. Since we do DME as well as O&P and I haven't seen any
> complaints posted here about them, I am wondering if other O&P
> facilities are seeing this audit issue and from what states. Replies
> will be posted without identifying information.
>
> There is an excellent interview with Andrea Stark, a reimbursement
> consultant, about this issue. It would be good for everyone to listen
> to it. <URL Redacted>
>
> Thanks
>
Jim has pointed us to an excellent video interview that should be viewed
in its entirety by everyone who reads the information on this listserve.
Folks, this is just the tip of the iceberg. Who will the real losers be,
beside a few orthotists, prosthetists, and their respective companies?
I'll tell you who. It will soon be the consumers who need orthotic and
prosthetic services. It will also be the manufactures who no longer have
the feedback from professionals who know what they are doing, so that
appropriate research and development can continue on. What a tragedy
this will be. We are going to allow a federal government agency to
intervene in our lives, without cause, just as we have allowed insurance
companies to intervene with unqualified personnel making decisions about
who gets appropriate medical care and who does not. The last GAO report
that I know about stated that problems with orthotists and prosthetists
represented a very small percent of the problems associated with the L
Code system. Has that suddenly changed? I doubt it.
At any rate, please watch the video that Jim has pointed us to. I don't
think you will regret watching it.
Wil Haines
MaxCare Bionics
Avon, IN
On 9/16/2010 2:32 PM, Jim Thelen wrote:
> Within the last few weeks we have gone from zero CMS Audits to nearly
> 100% prepayment audits. This is apparently common among DME dealers
> in some states. Since we do DME as well as O&P and I haven't seen any
> complaints posted here about them, I am wondering if other O&P
> facilities are seeing this audit issue and from what states. Replies
> will be posted without identifying information.
>
> There is an excellent interview with Andrea Stark, a reimbursement
> consultant, about this issue. It would be good for everyone to listen
> to it. <URL Redacted>
>
> Thanks
>
Citation
Wil, “Re: Medicare PrePayment Audits,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/231803.
