Medicaid
Billing
Description
Collection
Title:
Medicaid
Creator:
Billing
Date:
11/15/2012
Text:
Good morning list,
I have a question regarding SC Medicaid if anyone has Medicaid in this state. I called provider services and asked if there was a place in the provider manual for DME that shows the procedure codes and how many a year patients are allowed for certain items. The representative told me they don't have that anymore because they took it out due to providers abusing it. She then told me she was not allowed to tell me how many liners are allowed per year and the only way to find this out is to bill for the liners and if it denies, then we will know how many are allowed. I personally do not agree with this because if we simply bill for too many liners and get denied because only a certain amount are allowed are year, then we end up eating the cost of the other liners because we cannot bill Medicaid patients.
My question is, does anyone know the allowed amount of liners per year or where I can find out this information? Thank you.
Lindsey Metts
Billing Department
W.T. Hinnant Artificial Limb Co.
120 E. Kingston Ave.
Charlotte, NC 28203
704.375.2587 Phone
704.333.4429 Fax
www.hinnantprosthetics.com
I have a question regarding SC Medicaid if anyone has Medicaid in this state. I called provider services and asked if there was a place in the provider manual for DME that shows the procedure codes and how many a year patients are allowed for certain items. The representative told me they don't have that anymore because they took it out due to providers abusing it. She then told me she was not allowed to tell me how many liners are allowed per year and the only way to find this out is to bill for the liners and if it denies, then we will know how many are allowed. I personally do not agree with this because if we simply bill for too many liners and get denied because only a certain amount are allowed are year, then we end up eating the cost of the other liners because we cannot bill Medicaid patients.
My question is, does anyone know the allowed amount of liners per year or where I can find out this information? Thank you.
Lindsey Metts
Billing Department
W.T. Hinnant Artificial Limb Co.
120 E. Kingston Ave.
Charlotte, NC 28203
704.375.2587 Phone
704.333.4429 Fax
www.hinnantprosthetics.com
Citation
Billing, “Medicaid,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 5, 2024, https://library.drfop.org/items/show/234146.
