Richie Brace: Reimbursement

2012 REIMBURSEMENT


Please email with any questions.

Region A: National Heritage Insurance Company
866-590-6731
www.medicarenhic.com/dme/index.shtml
Connecticut, Delaware, District of Columbia, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, and Vermont

 

 

Insurance Compliance Documents

NEW Suggested L Codes for the Richie Family of Braces (pdf format)

All In One Medical Necessity(.doc) (pdf format)

Medical Necessity 1(.doc)

Medical Necessity 2(.doc) (pdf format)

AFO Receipt (Richie Brace)(.doc) (pdf format)

AFO Receipt (California)(.doc)

Complaint Log (Medicare Beneficiary)(.doc) (pdf format)

Complaint Resolution Policy(.doc) (pdf format)

Medicare 30 Abbreviated Standards(.doc) (pdf format) 9/2010

Medicare 30 Standards, full version(pdf format) 9/2010

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2011 Fee Schedule All Codes, Floors & Ceilings(.xls)

ICD9 Quick Code Reference List(.doc)

TREATMENT GUIDE RICHIE LINE OF BRACES (this explains what conditions each brace can be used for)

Prescription Form Richie Brace(.doc) (pdf format)

Prescription Form Richie Gauntlet (pdf format)

Prescription Form California (.doc)

Fitting Instructions Richie Brace with Photos (.doc)

Fitting Instructions California Brace with Photos (.doc)

 

Region B: National Government Services
866-590-6727
www.ngsmedicare.com
Illinois, Indiana, Kentucky, Michigan, Minnesota, Ohio, and Wisconsin

 

 

Region C: Cigna Government Services
Medicare DME / MAC
866-270-4909
Alabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, U.S. Virgin Islands, Virginia, and West Virginia
www.cignagovernmentservices.com

 

 

Region D: Noridian Administrative Services
Alaska, American Samoa, Arizona, California, Guam, Hawaii, Idaho, Iowa, Kansas, Missouri, Montana, Nebraska, Nevada, North Dakota, Northern Mariana Islands, Oregon, South Dakota, Utah, Washington, and Wyoming
866-243-7272
www.noridianmedicare.com
 

For Additional Regional Information and links
Click for : www.ezdme.com

 

ORDERING INFORMATION: For a doctor in your area who can fit you with a Richie Brace®, or, if you are a provider and would like information on casting, submitting casts, order forms etc, Check out our Lab Partners page for contact information.

Disclaimer: This document does not warrant, verify or guarantee the validity or appropriateness of any of the suggested billing codes. The provider is solely responsible for proper billing of durable medical goods and selection of appropriate codes for reimbursement.