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Orthotic & Prosthetic Billing Updates And Guidelines

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  What if your Orthotics and Prosthetics (O&P) practice was leaving  10-15 %  of potential reimbursements on the table simply due to outdated billing practices? In 2025, CMS has rolled out new policies that have partially reshaped the landscape of orthotic and prosthetic billing. For Orthotics and Prosthetic practitioners and medical practice owners, understanding these shifts is mission-critical. In this post, we’ll walk through the key CMS updates that happened in 2025, spotlight how they may affect your practice, and show why leveraging expert orthotic and prosthetic b illing services from CBS Medical Billing & Consulting can give you an edge in the competitive industry. 2025 CMS & DMEPOS Updates: 1. DMEPOS Fee Schedule Adjustments & New Codes Each January, CMS revises DMEPOS payments. In 2025, the fee schedule reflects a 2.4 % increase after adjustments, including inflation and practice expense factors. (Source:  ACC )  Additionally, new code...

3D Printing Impacts in Healthcare and Prosthetics

  3D printing is increasingly becoming more recognized as a transformative technology in healthcare. Applications can vary from creating patient specific prosthetics, surgical models, and even bioprinted tissues. The ability to rapidly produce customized medical solutions has revolutionized care by reducing wait times, enhancing patient comfort, and improving the precision of treatments. Driven by technological advancements and an increasing focus on patient centered care, the versatility of 3D printing in healthcare continues to evolve. 3D Printing in Hospitals 3D printing technology provides new ways to improve care and reduce operational costs within hospitals. One of the top applications is in creating patient specific models for pre surgical planning. These models are allowing surgeons to perform more precise and safe procedures. However, the financial scope of integrating 3D printing into hospitals remains challenging. Hospitals have to consider the upfront costs of equipment...

CPT Codes for Total Hip Arthroplasty: Key Considerations for Orthopedic Surgeons

  Orthopedic surgeons play a critical role in diagnosing and treating musculoskeletal conditions to help patients regain mobility and stability and improve their quality of life. To engage with patients and solve their problems, orthopedic surgeons and clinics need a billing system that oversees all collections. However, navigating the intricacies of medical billing, CPT coding, reimbursement, and revenue capture can be challenging. Medical coders must have a general understanding of the procedures they are coding and be able to associate medical jargon with the formal medical terminology used in code descriptions. CPT (Current Procedural Terminology) codes  function as the universal language for communication between healthcare providers, payers, and billing entities. This article explores the key considerations that empower orthopedic surgeons to decode and document Total Hip Arthroplasty (THA) effectively. Introduction to Hip Replacement and Revision Coding  Approximat...

A How to Guide for Navigating RAC Audits for Medical Practices

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What Your Practice Needs to Know about the Recovery Audit Process (RAC) Table of Contents: Purpose and Goal of the Recovery Audit Program History and Evolution of the National Recovery Audit Contractor (RAC) Program About the Medicare Fee-For-Service (FFS) program The Role & Responsibility of a Recovery Audit Contractor Types of Medicare Fee-for-Service Providers that Can be Audited Potential Causes of Improper Payments Identified by a RAC Audit The Medicare RAC Audit Process: Answers to Common Questions How to Prevent or Prepare for a Recovery Audit Why Choose a RAC Audit Consultant for Your New Hampshire Medical Practice …………………………………………………………… Today’s highly-regulated medical industry requires that healthcare providers must keep up with and conform to hundreds of federal and state regulations and policies. The Recovery Audit Program is just one of several government audit programs that Medicare Fee for Service providers are exposed to on a regular basis. Although an audit by a R...