Is orthotics the same as orthopedics? - PowerPoint PPT Presentation

About This Presentation

Is orthotics the same as orthopedics?


If you are looking for an answer then you are at the right place. Let’s understand some basics of orthopedics billing and orthotics billing. – PowerPoint PPT presentation

Number of Views:26
Slides: 6
Provided by: Username withheld or not provided


Transcript and Presenter's Notes

Title: Is orthotics the same as orthopedics?

(No Transcript)
Is orthotics the same as orthopedics?
Is orthotics the same as orthopedics? If you
are looking for an answer then you are at the
right place. An orthotic is a device that
supports and stabilizes a joint or
weakened/injured body part, creating proper
alignment, pressure relief, and management of
pain while orthopedics is a branch of medicine
that focuses on the care of the skeletal system
and its interconnecting parts like bones, joints,
tendons. When you talk about orthopedic doctors,
the term orthopedic surgeon is used by default
as orthopedic surgeries are one of the more
common medical procedures that people encounter.
However, while all orthopedic surgeons are
orthopedic specialists, all orthopedic
specialists are orthopedic surgeons.   When you
talk about Orthotics, it is a medical provider
who has a Masters Degree in prosthetics and
orthotics. There are two types of orthotics like
mass-produced Orthotics and Custom-made
orthotics. Mass-produced Orthotics are
relatively inexpensive, no need for prescription
to purchase, and doesnt require an office visit
to an orthotist while custom made orthotics can
be expensive and some items may not be covered by
insurance and need to have a prescription from a
Physician, PA or Doctor of Physical Therapy.
Is orthotics the same as orthopedics?
  • Lets understand some basics of orthopedics
    billing and orthotics billing
  • Orthopedics Billing
  • It is observed that orthopedic practice mostly
    faces claim denials due to two factors such as
    duplicate claims or services and charge exceeds
    the fee schedule. But you can avoid both with
    simple preventive measures includes
  • Making sure that patient information is correct
    when its collected
  • Being diligent about insurance verification
  • Working with an automated billing service
  • Recently changes in ICD-10 coding affect every
    medical specialty including orthopedic practice.
    In the following brief, you will understand
    various ways changes affect coding for your
    orthopedic practice.
  • Laterality
  • ICD-10 code sets as well as newer CPT codes
    require physicians document right, left, or
    bilateral for many different conditions,
    including fractures and joint disorders.

Is orthotics the same as orthopedics?
Site Specificity You need to document the
specific area of the body based on many different
diagnoses of your orthopedic practice. For
example, if a diagnosis of spinal stenosis or
spondylosis is made then you should indicate the
specific spinal region or the claim will be
denied. Place of Occurrence Your office needs to
provide documentation of where injuries occurred
to payers. Type of Encounter Orthopedic
physicians need to make specific documentation
with a level of specificity which helps coders to
understand the patient encounter like an initial
one, subsequent encounter, or a sequela
encounter. Orthotics Billing The entire workflow
for orthotics billing involves Rx order entry,
patient demographics as well as insurance entry,
product code /Rx/Dx entry, checking the
eligibility and verification process, collections
of the complete Rx, document collection for
approval of authorization, claims
submission, denial management, constant following
up on payment processing as well as A/R.
Is orthotics the same as orthopedics?
Now you might have a clear idea about your
question but both practices require in-depth
knowledge of reimbursement guidelines of
Medicare, Medicaid, and Commercial Plans. If you
are looking to outsource your medical billing, we
are keeping an eye on every small development in
the healthcare of the US and our HIPAA compliant
billing experts will help you in your medical
billing and coding so that you can get paid
timely with no errors.  
Write a Comment
User Comments (0)