How to Bill Compliantly and Get Paid for DME
Are your AFO’s, Knee Orthoses LSO’s getting denied? Are you receiving Pre-pay review requests? Do you know all the rules and guidelines?
In this 45-minute complimentary webinar we will discuss the Medicare basics that you need to know including:
- What needs to be in your note to substantiate the medical necessity for payment?
- Proof of delivery and order requirements.
- Coverage criteria for DME items and where to find the coverage criteria.
- Modifiers, ABN’s and replacement requirements.
- Top 10 denial reasons for AFO, Knee and Spinal Orthoses.
Marissa has over 24 years of experience in the healthcare industry in all areas of revenue cycle management with focus on prospective and retrospective auditing, compliance, and education. She has extensive experience in multi-specialty evaluation/management (E&M), surgical coding and auditing with a focus on educating physicians and mid-level providers on correct coding and documentation for compliant billing to maximize reimbursement.
Laura earned a Bachelor of Science degree in Mechanical Engineering from Texas A&M University, a Master of Science degree in Biomechanical Engineering from Drexel University, and a Prosthetic Practitioner Certification from Northwestern University’s Feinberg School of Medicine. Laura began her career as a lead product development engineer, where she designed spinal and orthopedic implants and their associated surgical instruments, taking the products from concept through the FDA 510(k) regulatory approval process. Laura then transitioned into clinical practice as a Prosthetic Practitioner, working to design the most functional device for each individual patient. Combining her clinical expertise and strong regulatory background led Laura into compliance in the Orthotic and Prosthetic industry. Laura has 11 years of experience in the world of compliance and has built a robust compliance program at Medical Express.
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