Streamlining your office protocol for orthotic patients is paramount in achieving clinical success and optimum financial reimbursement for your expert services.
First, a critical component of your office efficiency is the determination of the patient’s insurance benefits for orthotics, to help guide the right course of treatment in the patient’s given circumstance. Ideally, this should be done when the patient makes the appointment, or at least before the time of the appointment. There are as many policies on orthotic coverage as there are carriers and negotiated plans.
Patients appreciate knowing what their likely financial responsibility is before the rendering of the medical service, including orthotics. Have a staff member assigned to the task of predetermining a patient's insurance coverage for orthotics, if any. Are they only for certain diagnoses? Is prior authorization needed? Is there coverage for multiple pairs? How frequent are they covered? Create a checklist or script for the staff member to follow and update the information periodically.
Having this knowledge upfront demonstrates the efficiency of your practice, saves time and misunderstanding during patient encounters and allows your practice to enhance your revenue stream. KevinRoot Medical is here to help you, please reach out and let us know what you think!
