NCOPE Resident Business Methods

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NCOPE Resident Business Methods

• March 21, 2002
• Edward Barber, C.O.

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Methods for Teaching Business Segment of O P

• For NCOPE Residents
• The Residents dont know what they dont know.
• Its our job to teach them or business methods so
  that they become valuable assets to our practices
  and the profession.
• How do we do it?

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Coding Using HCPCS L-Codes

• The Illustrated Guide to Orthotics and
  Prosthetics
• Medicare coding and reimbursement guides
• Medicaid coding and reimbursement guides
• Understanding parent and sibling codes
• Understanding exclusionary codes
• Our coding short form

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Medicare Billing

• Patients portion of payment
• Write-offs
• Non-covered services
• Waiver of liability for non-covered services
• Fraud and Abuse

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Understanding the Paperwork

• Prescriptions
• Deductibles
• Co-pays
• Contracted prices
• Signatures for receipt of services
• Medicaid timeframes for submission

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Proprietary Information

• Understanding proprietary price lists
• Understanding costing of services
• Recognizing the fear of your competitors getting
  your proprietary information

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Ethics

• ABC Cannon of Ethics
• Patient Confidentiality
• Fraud and Abuse