Your Practice's Missing Piece


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November 01, 2018

The O&P Edge: The RAC Facts

You can walk through either one of my company's locations on any day and I can almost guarantee you will hear a conversation about a Recovery Audit Contractor (RAC) audit. Discussions can range from celebrating a win in the appeals department or being astonished by the collective number of audit requests that came across our desks in one day. Either way, the topic always offers fresh perspectives to write about. In this article, I will review some RAC facts and offer a few refreshers and clarifications that I have identified through the large number of audits my company handles.

Full article at publication website

September 01, 2018

The O&P Edge: Billing Company Secrets (Shhhh!)

In our years in business handling over 100,000 O&P claims per year in 22 states, CBS Medical Billing and Consulting has acquired some important resources and strategies that help us successfully navigate the insurance and reimbursement maze. I will share a few that we find invaluable that you can add to your list.

Full article at publication website

July 01, 2018

The O&P Edge: Making Late Entries, Addendums, and Corrections to the Medical Record Showcase

Medicare coverage guidelines dictate that physician notes are required for corroboration of medical necessity, and this documentation must be available to the DME MAC upon request. It is strongly recommended that O&P practices use proactive strategies to educate your referral sources about the requirements outlined in Medicare's policies to ensure the notes you receive are accurate and relevant.

Full article at publication website

May 01, 2018

The O&P Edge: When and How to Use an ABN

Our practice receives numerous questions from clients regarding the Centers for Medicare & Medicaid Services (CMS) Advanced Beneficiary Notice of Noncoverage (ABN) for Medicare claims. The ABN and the associated modifiers can be confusing, so this article addresses when ABNs should be used, when they are valid, and which modifiers are appropriate.

Full article at publication website

March 01, 2018

The O&P Edge: PTAN Reminders and Tips

As a Medicare provider, you have completed CMS' 27-page 855S Medicare Enrollment Application, had a successful site visit, and received a provider transaction account number (PTAN) that identifies your practice as a Medicare supplier in good standing. With a PTAN you can bill Medicare for the services you provide to patients. It is all too often that my office receives a call from a provider with an urgent PTAN question or concern. Here are some tips to help your practice avoid common PTAN dilemmas.

Full article at publication website

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