Compliance Medicare

Question 1

Progress notes only require cosigning by an ABC practitioner for evaluation and delivery appointments

Answer 1

False

Question 2

A prescription or CMN is required to contain which of the following?
Patient Identification
Description of Services needed
Physician Signature
Date

Answer 2

All of the Above

Question 3

When items are shipped to a patient, what documentation must be filed in the patients chart?

Answer 3

Shipping invoice and tracking #
VOR
Copy of packing slip with specific list of items
Shipping service confirmation of delivery

Question 4

When items are shipped to a patient, what documents must be included in the package

Answer 4

VOR

Question 5

Release of Information/Assignment of Benefits Form must be signed and dated by ____ and maintained in the patient’s file.

Answer 5

All patients seen

Question 6

True/False: Billing or invoicing prior to delivery is permitted

Answer 6

FALSE

Question 7

A warranty mist be given to each patient for each device provided and a signed copy or acknowledgement dated on the date of service must be kept in the patient’s file.

Answer 7

TRUE

Question 8

The VOR must include the quantity and descriptions each procedure code provided/billed.

Answer 8

True

Question 9

For cases when a patient is unable to sign and date a VOR Hanger staff may act as the patient’s qualified representative.

Answer 9

False

Question 10

The date of service must always agree with the date of delivery.

Answer 10

False

Question 11

Progress notes for prosthetics must also include

Answer 11

functional level assessment
documentation of the technologic or design feature of the specific type of foot, knee &/or ankle compensatory
Reason why a new prosthesis or replacement socket was provided
documentation as to the exact time spent & parts/supplies used when billing adjustments and repairs

Question 12

True/False: On unassigned claim, you may not collect (up-front) more than 20% of the Medicare fee schedule amount & the Medicare deductible.

Answer 12

False

Question 13

True/False: All prosthetic services are billed directly yo Medicare for patients residing in acute care or rehab hospitals or during a Part A covered stay in a SNF.

Answer 13

False

Question 14

When shipping items to a patient what is the date of service?

Answer 14

The date the item is shipped out of your office

Question 15

When providing a custom orthotic device documentation of the medical need for custom vs prefabricated must be included within the patient clinical record

Answer 15

True

Question 16

When providing a static dynamic AFO/PRAFO for treatment of lower extremity ulcer or pressure reduction the device must be coded s A9283.

Answer 16

True