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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.
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...
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.
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.
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?
