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Sample Presentation Title - NCOPE

VIEWS: 4 PAGES: 13

									NCOPE Resident Business Methods
           March 21, 2002




         Edward Barber, C.O.
Methods for Teaching Business
Segment of O & P
• For NCOPE Residents

• The Residents don’t know what they don’t know.

• It’s our job to teach them or business methods so that
  they become valuable assets to our practices and the
  profession.

• How do we do it?
Coding Using HCPCS L-Codes
•   The Illustrated Guide to Orthotics and Prosthetics
•   Medicare coding and reimbursement guides
•   Medicaid coding and reimbursement guides
•   Understanding parent and sibling codes
•   Understanding exclusionary codes
•   Our coding “short form”
                                 CHoA O&P SHORT CODING LIST

        ANKLE FOOT ORTHOSIS
L1945           AFO Floor Reaction
L1960           AFO Posterior, Solid Ankle, Molded to Patient Model, Plastic
L1970           AFO, Plastic, Molded to Patient Model with Ankle Joint
L4310           Multi-Podus Splint for Lower Limb (PRAFO)

        ANKLE JOINTS ADDITIONS
L2200           Limited Ankle Motion, Each Joint
L2210           Dorsiflexion Assist, Each joint
L2220           Dorsiflexion and Plantar Flexion Assist/Resist, Each Joint

        ADDITIONS TO LOWER EXTREMITY - MISC.
L2270           Varus/Vargus Correction T Strap, Padded/Lined or Malleolus Pad
L2280           Molded Inner Boot
L2350           Prosthetic Type BK Socket, Molded to Patient
                Model (Used for "PTB AFO" Orthosis)
L2375           Torsion Control, Ankle Joint & Half Solid Stirrup
L2380           Torsion Control, Straight Knee Joint, Each Joint
                                   (For use when attaching Torsion Cables to AFO)
L2820           Soft Interface for Molded Plastic, B K Section
Medicare Billing
•   Patients’ portion of payment
•   Write-offs
•   Non-covered services
•   Waiver of liability for non-covered services
•   Fraud and Abuse
Understanding the Paperwork
•   Prescriptions
•   Deductibles
•   Co-pays
•   Contracted prices
•   Signatures for receipt of services
•   Medicaid timeframes for submission
Proprietary Information
• Understanding proprietary price lists
• Understanding costing of services
• Recognizing the fear of your competitors getting your
  proprietary information
Ethics
•ABC Cannon of Ethics
•Patient Confidentiality
•Fraud and Abuse

								
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