Query: Billing Patient for Next Day Visit
I saw a new patient yesterday. He showed up again today and was seen as he had additional questions. I spent about another 10 minutes or so with him which threw off the schedule some. Is it possible to bill his insurance for a follow-up office EP visit one day after the initial NP office visit?
Tom Silver, DPM, Minneapolis, MN
Query: Billing a Medicare ACO Patient
A patient has traditional Medicare as well as an ACO as primary coverage. I am not part of the ACO. Am I supposed to bill the ACO or bill traditional Medicare?
PM News Subscriber
Query: eChange Electronic Claims Hack
Has anyone changed their claims clearinghouse to start submitting and receiving claims payment? I am still awaiting return to normalcy! Any good recommendation or stay patient?
John Moglia, DPM, Berkeley Hts, NJ
Query: Documentation Requirements for L4396
L4396 (Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise) includes the need for "customization" within its description.
Outside of adjusting the straps and making sure that the device fits properly, what else should be documented to satisfy Medicare requirements? This DME device rarely needs to be bent, molded, or assembled for the treatment of plantar fasciitis.
PM News Subscriber
