O&P INsight Events

This webinar will review the requirements for the ABN form under the traditional fee-for-service Medicare program.  This includes instructions for properly completing the ABN form and tips for preventing commonly made mistakes.  We will also differentiate between situations when the ABN would be required versus when it is optional. Lastly, we will review some common scenarios when an ABN would appropriate for O&P items.

As of September 1st, 2024, significant updates to the Lower Limb Prostheses Local Coverage Determination (LCD) have officially taken effect, including important revisions to K2 coverage for microprocessor technology. These changes, along with revisions to the accompanying Policy Article, mark a new era in prosthetic care. In this session, we will break down the updated language in both documents and explore how these advancements could impact your business operations. Stay ahead of the curve and ensure your practices align with the latest guidelines.

Join Fillauer to explore the new offerings from TASKA and learn why it’s the preferred multiarticulating hand for those that want to do more. In addition to being reliable, waterproof and easy, TASKA now offers remote connection allowing you to assist patients from outside the clinical space. Need reimbursement and documentation support? O & P Insight will provide an overview of the new TASKA reimbursement reference guide, created in partnership with Fillauer, to help you navigate claim submissions. This webinar is one you won’t want to miss!

There are many things that can impact a claim, potentially causing it to process incorrectly or even deny. Often, claim issues are due to supplier and provider enrollment errors. Additionally, there are many other errors that can be prevented through a more detailed intake process. We will also discuss the importance of reading payer-specific medical policies, not only for coverage criteria, but for coding and billing rules. Lastly, when claim denials are inevitable, it is essential to be able to read and understand the remark codes on the remittance. This is crucial to resolving the claim denials or receive a favorable outcome in a subsequent appeal.

Take a closer look into what reports business owners and managers can use regularly to assess the health of their business.  Learn more about the fundamental reports that review task management, WIP, AR, payments, adjustments, and L-code details.  Let’s get prepared in 2025 to produce valuable and actionable data

Learning Objectives: Review commonly used reports, understand report functionality and how to apply this to your business, and recommended reporting cadence.

As the year concludes, we will highlight the major industry changes throughout 2024, including coding and billing, Local Coverage Determination (LCD) and Policy Article, and claims processing updates.  We will also look into our predictions for 2025, sharing our “Insight” for the coming year.

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