Problems with parts codes
Elizabeth Park
Description
Collection
Title:
Problems with parts codes
Creator:
Elizabeth Park
Date:
5/31/2017
Text:
Hello List,
Have any of you had problems with insurance companies (especially Medicare Advantage plans) not paying on parts codes: L4210 & L7510? They are denying or paying way below MSRP. When denied, the reason they give is always because Medicare doesn't have an associated fee schedule.
They are saying that the only recourse is to appeal, which never turns out in our favor. Have any of you experienced something similar and how have you handled it?
Any information is greatly appreciated!
~ Elizabeth
Elizabeth A.M. Park, Operations Manager
Sound Limbs Orthotics & Prosthetics
www.soundlimbs.com
Have any of you had problems with insurance companies (especially Medicare Advantage plans) not paying on parts codes: L4210 & L7510? They are denying or paying way below MSRP. When denied, the reason they give is always because Medicare doesn't have an associated fee schedule.
They are saying that the only recourse is to appeal, which never turns out in our favor. Have any of you experienced something similar and how have you handled it?
Any information is greatly appreciated!
~ Elizabeth
Elizabeth A.M. Park, Operations Manager
Sound Limbs Orthotics & Prosthetics
www.soundlimbs.com
Citation
Elizabeth Park, “Problems with parts codes,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 5, 2024, https://library.drfop.org/items/show/243022.
