• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

DME orders

1

1073358

Expert
Messages
454
Location
Merrill, WI
I am in an ortho clinic. We give out a lot of braces, etc. If it is documented in the office visit that XXX brace was dispensed to patient, is that sufficient? Or does there need to be a literal order placed for that brace?
 
depends on the payer, like for Medicare that is definitely not enough. Documentation needs to say why the brace is medically necessary and hopefully be enough to match up with coverage guidelines in the LCD for that HCPCS code. Just saying you gave the patient a brace and not specifying why is not going to be sufficient.

If the patient is Medicare, you will also have to consider if an ABN form is necessary.
 
You must log in or register to reply here.
Top