Physician/Supplier Documentation Requirements to Accurately Submit Claims for Therapeutic Shoes, Inserts and Modifications to Your Regional Jurisdictional DME MAC
Presented by John Shero, CPA, C. Ped., PFA Board of Directors
This program reviews the Physician/Supplier Requirements to accurately
submit claims for therapeutic shoe, inserts and modifications to the regional
Jurisdictional DME MACs. This session also includes coverage Criteria for the
Certifying Physician and an in-person evaluation of the patient, DMEPOS quality
standards published in October 2009; coding examples; utilization limitations of
coverage, required modifiers; documentation Requirements of a typical
beneficiary file, orders, Statement of Certifying Physician, and medical
records; CERT (Comprehensive Error Rate Testing) which includes the Audit
Process and responding to a request from the CERT Contractor; and, DME MAC
resources & events.
This program has been approved for 2.0 Category I Business CEUs by the American Board for Certification in Orthotics, Prosthetics and Pedorthics (ABC), and 2.0 Category I CPE by the Board of Certification/Accreditation, International (BOC).