NCOPE Resident Business Methods

1. NCOPE Resident Business Methods March 21, 2002 Edward Barber, C.O.

2. Methods for Teaching Business Segment of O & P • For NCOPE Residents • The Residents don’t know what they don’t know. • It’s 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?

3. 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”

5. Medicare Billing • Patients’ portion of payment • Write-offs • Non-covered services • Waiver of liability for non-covered services • Fraud and Abuse

11. Understanding the Paperwork • Prescriptions • Deductibles • Co-pays • Contracted prices • Signatures for receipt of services • Medicaid timeframes for submission

12. Proprietary Information • Understanding proprietary price lists • Understanding costing of services • Recognizing the fear of your competitors getting your proprietary information

13. Ethics ABC Cannon of Ethics Patient Confidentiality Fraud and Abuse