RE Region A Medicare/Prosthetics

Description

Title:

RE Region A Medicare/Prosthetics

Date:

3/4/2014

Text:

We are being told that the current Medical Director for Region A believes that we are “unbundling” when we bill several codes to describe a prosthesis, that all of these addition codes are included in the base code. The most recent ongoing dispute is regarding billing both acrylic and total contact. Here is the question we received today:



“Is it possible for you to obtain any clinical articles, whitepapers. Etc… regarding billing the both of the additions or any additional information to substantiate the need for both the acrylic and total contact additions?”



If anyone has any articles, papers, etc, related to this issue, would you please forward them to me? I will copy all of these onto the listserv so everyone has the info, as I know we will not be the only prosthetic facility affected.



Please keep appealing!



Thank you,

Georgia Loney

WillowBrook P&O

                          

Citation

“RE Region A Medicare/Prosthetics,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 1, 2024, https://library.drfop.org/items/show/236187.