Verification of benefits without a review of the payer’s Medical Review Policy (MRP) is like peanut butter without jelly. It’s critical to know the specific coverage allowed and for which diagnosis codes benefits will be provided. It’s not always possible to receive reimbursement for functional orthotics that are prescribed for spinal conditions. This is a sample MRP. Download and review it, and then watch the video to see how to find the MRP for all the payers you work with and expect to bill for functional orthotics. Notice the diagnosis codes allowed, the conditions under which orthotics would be considered, and other important payer information.

Download Support Tool

Sample Orthotic Medical Review Policy