Watch this tutorial to understand the intent behind the specific questions we recommend when verifying third-party coverage for custom orthotics. Download, review and save this customizable tool to reference as you learn the reasoning and recommendations behind performing specific orthotics verification. Put this form into practice when verifying coverage in your office. Review the sample to see how to use the form.
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Download, review and save this customizable tool to reference as you learn the reasoning and recommendations behind performing specific orthotics verification. Put this form into practice when verifying coverage in your office. Review the sample to see how to use the form.
Just because someone has insurance coverage for other healthcare, there is no guarantee that coverage is available for Durable Medical Equipment (DME) like custom orthotics. And then, even if there is orthotic coverage, there may be restrictive limitations on the conditions for which orthotics may be prescribed. Sometimes, the payer requires DME to be dispensed by a licensed DME supplier to be a covered benefit. This overview tutorial calls attention to the most important considerations when reviewing coverage for your patients for the potential coverage of custom orthotics through their health plan. It also includes a demonstration on how to find the Medical Review Policy for orthotics, if one exists. Download and refer to the sample Reference Document which is an example of the details in some payers’ Medical Review Policy for orthotics.
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Sample Medical Review Policy (MRP) for Orthotics
Download Fact Sheet NP Data Collection Financial Procedure-Financial
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Download Fact Sheet The New Patient Pre-Acceptance Interview
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Download Support Tool ChiroHealthUSA First Visit Scripting
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