Have you had trouble understanding insurance and how to get coverage? Get the latest tips from the pros!

Medicare Fraud Strike Force Expands Operations into... 

Wednesday, December 16, 2009 7:40:47 AM
Continuing Strike Force Operations Lead to Indictment of 30 Individuals Charged in Miami, Detroit and Brooklyn with more than $61 Million in Fraudulent Billing to Medicare WASHINGTON - Thirty people have been charged in three cities for their... read more
 

What is durable medical equipment? 

Thursday, October 15, 2009 12:35:51 PM
  Durable medical equipment is sometimes referred to simply as DME.  This type of equipment:   Can be used repeatedly Is medically necessary   DME can include prosthetic limbs, walkers, canes,... read more
 

Trends in workers' compensation funding for prosthetics 

Thursday, October 15, 2009 12:20:04 PM
  Like all other funding sources in this economy, workers’ compensation carriers have begun to focus more on cost containment. Unlike an amputation due to vascular disease, cancer, or congenitaldefect, injured workers who... read more
 

Prosthetic Parity Act 5615 

Thursday, October 15, 2009 12:17:43 PM
  The Prosthetic Parity Act (HR 5615) aims to guarantee amputees reasonable coverage forprosthetics under employer-funded and group health plans. The bill must travel through several levels of approval before being considered in the... read more
 

Does Medicare Cover Prosthetics? 

Thursday, October 15, 2009 12:15:33 PM
  For the most part, Medicare provides excellent coverage for prosthetic services.  Of course, that 20% coinsurance can really drain a beneficiary's saving's account.  Many people assume, because they are on Medicare, the... read more
 

Insurance FAQs By O&P Business Solutions 

Thursday, October 15, 2009 12:12:24 PM
  “Specializing in Business, Compliance, Claims & Billing & Administrative Practices in Orthotics &Prosthetics”                 ... read more
 

Life Care Plans 

Thursday, October 15, 2009 12:09:45 PM
  An orthotic/prosthetic Life Care Plan, sometimes referred to as a Lifetime Care Cost Projection, refers to the estimated cost of care for an individual for a lifetime of orthotic and/or prosthetic services.  This is an... read more
 

Primary Care Physician 

Thursday, October 15, 2009 12:08:34 PM
  A primary care physician, or PCP, is a physician who provides both the first contact for a person with an undiagnosed health concern as well as continuing care of varied medical conditions, not limited by cause, organ system,... read more
 

How often can I get a new orthosis (brace)? 

Thursday, October 15, 2009 12:07:28 PM
  Replacement orthosis are determined by the individual insurance policy.  There are some policies that will not allow you to get a new orthosis during the first five years, stating five years is the reasonable useful lifetime for the... read more
 

Are shoes and inserts covered durable medical equipment? 

Thursday, October 15, 2009 12:05:23 PM
  Insurance companies process shoes and inserts under 2 different categories:  orthopedic and therapeutic.   Orthopedic Shoes are considered shoes that are Oxford, high top, depth inlay, or custom non-diabetic shoes. ... read more
 
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