decisionhealth Newsletters, Part B News - 2014 Issue 8 (August)
CMS proposal could cut fees for orthotics supplied in your office
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Article Overview
This article explains a CMS proposal and contractor policy updates affecting office-based orthotic fitting under Medicare. It is relevant to orthopedic practices, DME suppliers, and billing staff tracking Medicare reimbursement, staffing, and documentation changes tied to custom-fitted versus off-the-shelf orthotics.
Why This Topic Matters
The article helps readers understand proposed and pending Medicare payment and documentation changes that could affect how orthotic services are staffed, billed, and reimbursed in physician offices.
Article Sections
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Billing
Overview of the proposed Medicare policy change and how it could affect office-based orthotic fitting and reimbursement. The section also summarizes practice concerns and the broader operational impact.
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Resources
Reference links to the federal proposal, comment portal, and related contractor notices cited in the article.
What You Will Learn
- How a CMS proposal may affect Medicare reimbursement for office-fitted orthotics
- Which types of clinical staff are discussed in connection with orthotic fitting
- How DME MAC policy changes may affect documentation and review expectations
- Why orthopedic practices are monitoring off-the-shelf versus custom-fitted orthotic billing issues
Who Should Read This
- Orthopedic practice administrators
- Medical coders and billers
- DME suppliers
- Revenue cycle staff
- Compliance staff
- Clinicians who fit or dispense orthotics
Codes Discussed
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