Getting Paid for Orthotics

Options exist for payment of orthotics beyond the insurance carrier. Some patients have no coverage, and some have partial coverage. It all begins with setting proper fees and discounts as a baseline for your orthotics practice. This tutorial outlines the considerations necessary to establish a solid financial foundation for prescribing and dispensing functional orthotics to all patients who need them, not just those with insurance coverage.


The Practice’s Actual Fee Schedule

What Will You Charge? One of the most important tasks for any provider opening a practice is to decide what to charge. There are many ways to come up with this “actual” fee schedule. One is to set a pre-defined master fee for each service and code offered in the office. This “Charge Master” is...
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Your Actual Fee-The Cornerstone of Your Proper Fee System

The Actual Fee, or your charge master, is the controlling fee in your system. From this actual fee, all discounts are taken. Often, because of contracted fees and other elective discounts, we forget that the main fee must be based on certain elements, such as demographics and practice costs. This overview outlines the purpose and...
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FAQ-Medicare Fee Schedule

Medicare Fee Schedule FAQs Q: Where can I find my Medicare Fee Schedule? A: You can find the Medicare Fee Schedule on your Medicare Administrative Contractor’s (MACs) website. Many of the MACs offer a link on their home page that directs you to the fee schedule look-up tool. You need to know your enrollment status...
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