Elizabeth Carlstroms Blog

AFO coverage 

Written by Senkfuss Thursday, November 18, 2010 2:07:05 PM
Hello all, Where can I find information on how often a new AFO is covered by Medicare and other insurances. Can a patient get a new i.e. solid ankle AFO ( L-1960) every new calender year? Thanks, Heinz read more
 

Who's the Boss??? 

Written by Elizabeth Carlstrom Friday, January 29, 2010 1:13:45 PM
After conducting a massive amount of research this week, I was reflecting on some of my past experiences with past employers and co-workers.  Specifically, I recall a particular nurse I worked with (many years ago) at a Cardiothoracic Surgeon... read more
 

PECOS  

Written by Saturday, January 23, 2010 10:05:54 PM
CMS announced a delay in implementation of Phase II of the PECOS - Provider Enrollment, Chain and Ownership System until April 5, 2010, to give physicians and non-physician practitioners more time to update their Medicare Enrollment... read more
 

Do you really know how to File a Claim correctly??? 

Written by Friday, September 25, 2009 2:40:09 PM
As I read thru some of my emails today, I am just astounded at the numerous emails asking questions about "How To for...".  Simply astounding, in my opinion!   I have been teaching Claims &  Billing Symposiums for over five ... read more
 

Documentation & Claims 

Written by Monday, September 21, 2009 1:55:33 PM
Many DMEPOS Suppliers simply do not have enough medical record documentation in their patients medical records to JUSTIFY claims for payment/reimbursement.  Furthermore, I have found that many DMEPOS Suppliers simply have a "Detailed... read more
 

Who should Code the Medical Device??? 

Written by Monday, September 21, 2009 2:19:00 AM
Regardless of how you do things in your office, it is my firm belief that the Practitioner, who is directly involved with, and treating the patient, is the one who should be coding the medical device, and not the administrative staff. ... read more
 

Repair & Replacement Modifiers 

Written by Wednesday, June 10, 2009 9:25:39 PM
It never ceases to amaze me...I recently read a post on the O&P List Serve from someone inquiring about a denial for repairs to a C-Leg.   The writer gave the LCode and Modifier for what they were billing, and the first thing I noticed... read more
 

Good Day vs. Bad Day 

Written by Friday, June 05, 2009 10:33:00 AM
Happy Friday!   It's a "Good Day" when you verify insurance and actually get a human being on the phone to speak with.  The Bonus...when they know what they are doing and what they are talking about.   A "Bad Day"...when you get a ... read more
 

Off the Shelf - Non Custom Devices 

Written by Thursday, June 04, 2009 10:21:52 PM
I like to watch for patterns, trends and developments, especially relating to insurance.  With that being said, the past several months, while verifying insurance, it has become more evident, thru "VERBAL" communications with insurance... read more
 

Do you know your DMEPOS Medical Policies? 

Written by Wednesday, June 03, 2009 5:04:04 PM
Knowing your DMEPOS Medical Policies can lead you in the right direction in claim justification and correct coding.  The problem that most O&P folks have, when it comes to claims, billing and insurance, is that they are not up-to-date on... read more
 
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