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Physician/Supplier Documentation Requirements to Accurately Submit TSD Claims

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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).


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