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Problems and Solutions with Reimbursement and Payer Contracts

Location: Palma Ceia Ballroom

Monday, February 10, 2020 ~ 2:45PM - 4:45PM

In dealing with payers including Medicare, Medicaid, Medicare Advantage Plans, and other third-party payers, providers want to know how to bill correctly to get paid. Ronda and Craig will conduct a reimbursement analysis of the most common misconceptions about documentation and billing that have become habit through lack of clear guidance and using old techniques because that is how things were always done. Arm yourself with the necessary tools to ensure you will receive timely and accurate reimbursement for qualified customers.  Craig and Ronda will also review the challenges with the payers so suppliers can make sure the contracts are working in the best way for their business.

Learning Objectives: 
- Identify key components required for all DME (F2F Ruling, addendums, ABNs, ICD-10, audits and appeals)
- Examine the requirements for breast prosthesis, bras, resupply, and compression by reviewing claims
- Implement a pre-delivery protocol
- Identify key information to assist with negotiating payer contracts

This session has been approved for 2.0 Business credits through the Board of Certification/Accreditation (BOC) and 2.0 Category I Business credits through the American Board for Certification in Orthotics, Prosthetics & Pedorthics (ABC).


Have any questions about the event or registration? Get in touch with us, we can help!

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