Your Practice's Missing Piece


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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

January 01, 2018

The O&P Edge: Your Clients Are Looking At Reviews, Are You?

Based on a 2016 Nielsen study, more than 80 percent of Americans seek recommendations when making a purchase of any kind. Aren't you more likely to choose a restaurant that has five stars than one that has one star or has no web presence at all? Why should it be any different for people choosing a medical provider?

Full article at publication website

November 01, 2017

The O&P Edge: Avoidable Claim Rejections and Denials

Whether your claim is rejected or denied the result is the same; you are not getting paid. So let's review some common avoidable mistakes.

Full article at publication website

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