2012 REIMBURSEMENT
Please email with any questions.
Region A: National Heritage Insurance Company
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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 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 _____________________________________________ 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)
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Region B: National Government Services
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Region C: Cigna Government Services
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| 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 |
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For Additional Regional Information and links |
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.
