POD results

POD results

captnkw

11/24/2015

Here are the responses so far on the manufacturer list on proof of delivery
slip.


1) Kirk,

I was just at the AOPA billing seminar and their recommendation was to
create an addendum to the POD that has all the information. The patient can
then attest to the fact that the items listed on the addendum were in fact
delivered on that date. Hope that helps! < <Email Address Redacted> >

I'm fighting this right now. My claim is a whole leg. I'm at
reconsideration stage. I had the patient sign her component form that has
all the info required, it just wasn't on the official delivery ticket. She
received everything. I'm guessing it will go to alj, and at that time I
will hopefully get a reasonable judge.

Erin Ruxton CPO, LPO
McKinney Prosthetics

2) Kirk - I would try. An ALJ judge will likely rule in your favor. We
got slammed with a ton of Humana audits early this year and I asked if we
could have PODs resigned that included brand, serial/model number and
delivery address - and they agreed. They have overturned just about all of
them in our favor. Of course this is Humana - not Medicare - but I think
an ALJ will work with you. I would try...

3) The POD must have the original delivery date and the new date signed.
Be very transparent about when signed. You want them to keep trusting you
as one of the good guys...

Joe Huntsman
CEO, Southern Orthocare

4) I tried this once with success & another time without success. The one
I argued, I claimed it was a clerical error. We have OPIE & I provided
screen shots showing the process. I explained that the components only
printed if the secretaries click that button & they failed to click it. My
argument was that the components were indeed on there, they just didn't
print out due to clinical error. I had patient sign another delivery
receipt with all components listed & with DOS as date signed. That one
passed. :-)

Joan Cestaro, CP

5) Generally no. Medicare expects everything to be pristine when submitted.

Do you have any manufacturers packing lists, invoices, or other
receipts that actually have your patients name listed on it as proof that
the part was ordered specifically for that patient? If not, going forward
institute that into your ordering practices. If you do, try appealing with
those and throw yourself on a sword with as much detail as you can to
explain the error. Whatever you can do to plead your case.

6) Don't reprint and have the patient re-sign because Medicare already
knows that the patient did sign on the original POD and to recreate it
would be fraudulent because it would have to be back dated, especially if
the patient dated their signature, and you don't want to get into 'that'
kind of trouble.

 Ruth Ann

7) I would create a new POD (don't discard the original) with all required
information and send it to the patient for signature. Of course make a
phone call and/or send a cover letter explaining why it was revised. Also,
include a copy of the original signed POD with void written across it so
the patient can see what changes were actually made. When you appeal
Medicare, send the cover letter you sent to the patient, new and old PODs,
as well as the Purchase Order/Invoice from the manufacturer. It's great if
you use OPIE because the patient's name is listed on the PO.

Good luck!

< <Email Address Redacted> >

Thanks everyone for all of the responses!

Kirk Wise CPO

<Email Address Redacted>