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Custom Orthotic billing Question

  1. Default Custom Orthotic billing Question
    Medical Coding Books
    When is it appropriate to bill for the orthotic? When the casting is taken or when the pt receives the orthotic?

  2. Default
    I bill for them when the casting is done & a no charge visit for pick up.

  3. #3
    Default Posting Orthotic Charges
    Actually, you may have it a little backward. CMS rules state that you have to bill it when the patient has the supply IN HAND, so you should be billing a no charge visit for the fitting, and the actual cost on the date of delivery. Make sure it matches your signed "Receipt for Delivery" which is also a requirement of CMS. I figure if Medicare wants it that way, so will the other carriers, and besides, it makes us consistent.
    [COLOR="DarkOrchid"]Barbara Fontaine, CPC
    2011-2015 AAPCCA [B]Past Board of Directors Chair

    COLOR="Blue"]Assume Positive Intent...Be Kind!

    Past President St. Louis West Chapter


  4. #4
    Flint, Michigan
    Is there a standard form for "Receipt of Delivery" or is it something that we do ourselves?

  5. #5
    The last office I worked at we did custom orthotics & prosthetics. We billed out for the date that the patient received the DME and kept a "delivery slip" that was signed by the patient in their chart as well.

  6. Default
    What do you do if a patient does not come back to pick up the orthotics?

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