Effective March 1st, 2019, all DMEPOS suppliers must begin billing bilateral Medicare claims on separate claim lines using the right (RT) and left (LT) modifier individually. Suppliers may continue to bill these items on a single claim line prior to the effective date but should discontinue this practice beginning March 1st. Impacted items and policies include, but are not limited to, lower limb prostheses, knee orthoses, and therapeutic shoes.
Please refer to the applicable Local Coverage Determination and Policy Article for your respective DME MAC website for correct coding and billing practices. This will ensure that you and your team know the most efficient ways to separate claim lines moving forward. Offices will want to double check with their billing software company to guarantee everything will work properly following this change. Prior to the effective date, be sure to review the updated processes, and train staff accordingly. Claims that are not separated or billed accurately will be denied, ensuring your staff is properly trained and can handle this change is imperative.
– Content written by Michelle Wullstein, O&P Insight
Cascade provides a wide variety of continued education courses and offers both scientific and business credits to certified practitioners. Clinical education programs are delivered by Cascade’s Clinical Manager, Pam Hale, CPO, and range from product specific content like the WillowWood® Alpha DESIGN® Liners to more broad-based series like Contemporary Orthotic Solutions, which include various product categories. Business courses include topics like Medicare, Competitive Bidding & OTS Orthosis, Same and Similar, and Patient Financial Responsibility. These courses are delivered by Lesleigh Sisson, CFom and Michelle Wullstein from O&P Insight.
Our Continued Education Courses are available in person or via webinar, and range from one to three hours in length. To learn more or schedule a course, please contact your Cascade Sales Territory Account Manager.
Cascade is constantly looking for ways to improve your experience on the website. We have recently incorporated tracking information into the order history section of “My Account.”
In the website Account Dashboard, you can now select a recent order and view the associated tracking numbers. This new section is housed on the left-hand side of the order summary and provides complete shipment details.
Stay tuned as we continue to offer new products, resources, and solutions in 2019.