DME and supplies used and dispensed in the medical office and by DME supplies are direct costs to the providers that usually require payment for these items, and then reimbursement once billed to insurance carriers or paid for by patients. It is critical that the specific insurance carrier guidelines and proper selection of the HCPCS and CPT codes are performed to ensure the maximum allowed reimbursement for any DME or supply. There are many tools to help with this if you are aware of where they can be found and the proper use. Understanding code descriptions can also be a vital part of reporting the right code. When dispensing these, it is important to have the correct documentation and obtain the proper paperwork when there is a question of reimbursement from the insurance carrier, and what can be done before the patient receives the supply to hold the patient accountable if it is denied. Improper coding and utilization of these codes can result in financial loses to practices.
Coding for DME and supplies is also not easy and there is specific information needed in the medical record in order to substantiate medical necessity. Rules and guidelines are laid down specifically when you can and cannot bill for supplies used in office and bills for braces, crutches and other devices that have to be supplied to the patient, if need be. This conference by expert speaker Lynn M. Anderanin, CPC, CPC-I, COSC, ICD10 focuses on assigning HCPCS codes to supplies which can be reported, and the references available to know when something can be reported. You will receive the proper reimbursement while fulfilling the requirements that are necessary by sharing tools required for coding. New terminology for orthotics for 2014 and the current DME RAC auditor information will be shared. Going further, you will learn what documents are needed in the patient’s medical coding while dispensing DME.
Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.
Who should attend? Physicians in Orthopedics, Podiatrists, DME suppliers, coders, billers, Physical Therapists, Occupational Therapists
Lynn Anderanin, CPC, CPMA, CPPM, CPC-I, COSC, is the Sr. Director of Coding Education for Healthcare Information Services, a physicians revenue cycle management company. She has over 35 years experience in all areas of the physician practice, and specializes in Orthopaedics. Lynn is currently a workshop and audio presenter. She is a former member of the American Academy of Professional Coders (AAPC) National Advisory Board, and has served...
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