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Medicare

REGCLR7 - Use of Ankle Foot Orthotics to Improve Patient Function
MIPS

REGCLR7 - Use of Ankle Foot Orthotics to Improve Patient Function

by Michael Brody, DPM, CEO Registry Clearinghouse

REGCLR7 - Use of Ankle Foot Orthotics to Improve Patient Function
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HIPAA

Data Breach of Medicare information may impact your billing

by Michael Brody, DPM

Your Claims may be denied as a result of this data breach.
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Coding

Medicare Requirements for Home Health Care

by Michael Warshaw, DPM, CPC

Medicare Requirements for Home Health Care
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Coding

Can you please explain the Medicare Appeals process?

by Michael Warshaw, DPM, CPC

Can you please explain the Medicare Appeals process?
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Coding

Orthotics Codes with Medicare

by Michael Warshaw, DPM, CPC

Orthotics are supposed to be statutorily not covered by Medicare unless they are attached to a brace. I was told to just append the KX modifier to the codes that are being billed for orthotics and I will get paid. Is this true and is it right to do this? Can I get in trouble?
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Coding

"Homebound" for Housecalls?

by Michael Warshaw, DPM, CPC

Does a patient have to be “Homebound” in order to provide foot care services in the patient’s home?
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Coding

Appealing Medicare Decisions

by Michael Warshaw, DPM, CPC

APPEALING MEDICARE DECSIONS Once an initial claim determination is made participating physicians generally have the right to appeal. Physicians who do not take assignment have limited appeal rights. Beneficiaries my assign their appeal rights to Physicians who provide them with services or items.
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Coding

Mycotic Nail Debridement in the Otherwise Healthy Individual

by Michael Warshaw, DPM, CPC

UNLESS THE FUNGUS INFECTION IN A NAIL REQUIRES DEBRIDEMENT BECAUSE IT CAUSED THE NAIL TO BE ABNORMALLY THICK WHICH RESULTED IN EITHER PAIN OR A SECONDARY INFECTION OR A MARKED LIMITATION OF WALKING, THE TREATMENT SERVICE IS CONSIDERED SIMPLY A NAIL TRIMMING AND IS NOT PAYABLE BY MEDICARE.
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Coding

KX Modifier to Get Paid for Orthotics

by Michael Warshaw, DPM, CPC

“If orthotics are not covered by Medicare, if the KX modifier is appended to L3000-RT and L3000-LT, I am getting paid. Is it wrong to use the KX modifier to get paid for orthotics?”
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Coding

Updates Regarding CPT codes 11730 and 11750

by Michael Warshaw, DPM, CPC

Updates Regarding CPT codes 11730 and 11750
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