L5981 APPEAL HELP!
Jim Sedlak
Description
Collection
Title:
L5981 APPEAL HELP!
Creator:
Jim Sedlak
Date:
11/5/2013
Text:
I am looking for any help in fighting an appeal for the L5981 code that we
used for a foot from a delivery in Jan. 2012. We are in the second stage of
the denial. Any ideas or help would be so greatly appreciated. They state
that the claim is not covered by Medicare. I am sure this type of question
has been posted before. If so, is there a way I can easily look up the past
responses on the list serve? If not, I still need help in fighting this BS!
I have submitted all the good stuff from the physician, and a supporting
letter from the physician stating that the patient still is and was at the
time of delivery a functional level 3 amputee. At the time of delivery in
Jan. 2012, I had no knowledge that the good stuff had to be in the
physician's documentation. Anyways, any good ideas going forward with this
fight?
TIA!
Jim Sedlak, CP
Prosthetic HealthCare Services
Kearney, NE
used for a foot from a delivery in Jan. 2012. We are in the second stage of
the denial. Any ideas or help would be so greatly appreciated. They state
that the claim is not covered by Medicare. I am sure this type of question
has been posted before. If so, is there a way I can easily look up the past
responses on the list serve? If not, I still need help in fighting this BS!
I have submitted all the good stuff from the physician, and a supporting
letter from the physician stating that the patient still is and was at the
time of delivery a functional level 3 amputee. At the time of delivery in
Jan. 2012, I had no knowledge that the good stuff had to be in the
physician's documentation. Anyways, any good ideas going forward with this
fight?
TIA!
Jim Sedlak, CP
Prosthetic HealthCare Services
Kearney, NE
Citation
Jim Sedlak, “L5981 APPEAL HELP!,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 27, 2024, https://library.drfop.org/items/show/235770.
