This introductory course covers essential documentation practices to improve billing efficiency, reduce claim rejections, and support compliance. Participants will learn the differences between SWOs and WOPDs, signature requirements, and common documentation issues affecting reimbursement.

Presenter: Stacy Fuller, COO CBS Medical Billing & Consulting LLS

This introductory live course helps O&P office and billing staff gain confidence in understanding key DMEPOS terminology including assigned vs. non-assigned claims, provider status distinctions, coverage determinations, and documentation types such as Orders, LMNs, and CMNs.

Presenter: Stacy Fuller, COO CBS Medical Billing & Consulting 

Welcome to Course 1 of the Admin Advantage Series. This introductory live course is ideal for both new and experienced O&P administrative staff. Participants will strengthen their understanding of Medicare fundamentals. The course is designed to equip learners with essential Medicare knowledge to support accurate management of compliance, reimbursement, and DMEPOS claims. Attendees will gain clarity on Medicare’s structure and purpose, followed by a comparison of Medicare Part A and Part C.

Presented by Stacy Fuller, COO of CBS Medical Billing & Consulting

New and updated codes take effect for upper-extremity prostheses, lymphedema products, and more

Expert panel short presentations describing different aspects of Medical Necessity in P&O with a case-study based breakdown at the end and audience Q&A. Medical Necessity reasoning for P&O devices and features is a public funding source (Medicare/Medicaid) requirement and often requested by commercial payers as well. However, many practitioners struggle with how to write medical necessity vs. functional needs or patient desires as reasoning for components or features. The definition of medical necessity is vague enough to require support in interpretation and application. Until passage of the 2018 law that our records are part of the medical record, we were not often required to make robust medical necessity arguments in our clinical notes as we are today. Therefore, more education and support in this area is needed. Likewise, the shift from fee for service to value-based care for custom devices especially, requires a shift from device delivery to provision of healthcare and being part of the healthcare team in all aspects not least of which is communication (records).

Learning Objective: 

The audience will recognize the difference between medical necessity and functional needs or desires

Participants will gain a basic understanding of what type of medical record information can inform medical necessity for an expected health outcome after provision of the prosthesis or orthosis

Participants will learn a method for processing medical information so it can be applied to medical necessity-based reasoning for prosthetic and orthotic care

Learning Objective: 2 Videos and 2 Course Assessment

Panel 1- Contract Panel: 

Panel 2- Regulatory Update: 

Are you prepared to harness the boundless power of AI for your organization? Join us as we delve into the realm of this transformative technology, unraveling its potential across various sectors. Witness live demonstrations of AI applications, and other cutting edge technologies providing you with an immersive glimpse into the realm of possibilities. This is a golden opportunity to stay at the forefront of AI advancements and acquire the insights necessary to fuel innovation and expansion within your organization. Don't miss out - seize this chance to propel your organization into the future!

Acute Versus Delayed Targeted Muscle Reinnervation for Upper Extremity Amputations – Why Wait?

Learning Objective: 

• Managing Major Peripheral Nerves in Forearm Level Amputations with TMR and RPNI—What’s the Best Recipe?
• Bridging Biology and Technology: The Starfish Procedure's Impact on Myoelectric Prostheses
• Responsiveness of PROMIS-9 UE Physical Function to Prosthesis Rehabilitation
• Rethinking the Shoulder Disarticulation Prosthesis: Let's Stop Thinking Outside the Box and Make the Box Bigger
• Prosthesis Receipt Is Associated with Improved Participation and Decreased Pain Following Upper Limb Amputation
• User-Centered Design of a Dashboard to Support Clinicians Treating Upper Limb Myoelectric Prosthesis Wearers

Course Learning Objective- 2 Videos & 2 Course Assessments

Panel 1: Pedorthic Modalities (P1)  Video (45 Min.)

Many OP&P graduates may not be as well versed in fabrication as perhaps in the past. Also, many Pedorthic facilities are neither equipped nor staffed for in-house fabrication. Through this session, we will compare the many orthotic approaches and discuss the pros and cons of each to help practitioners determine which route is best for them.

Panel 2:  Filling the Pedorthic Prescription: How to Decide What Orthosis to Use (P3)  Video (45 Min.)

Determining the most appropriate orthosis has many factors based on the patient’s condition. Now add in insurance and reimbursement, vague prescriptions, and possible findings that do not necessarily jibe with the referring physician and we have the perfect storm. We will discuss best practices and work through some of those challenges.

Learning Objective: Conservative management of the diabetic foot includes, of course, diabetic footwear and shoe modifications. Choosing and/or designing the foot orthosis for your diabetic patient is perhaps the easiest way to either help or hurt your patient. 

 In this session, we will examine several different designs, materials and orthosis modifications that may be effectively utilized to prevent or minimize diabetic foot complications - from the bare minimum of a heat-molded prefabricated orthosis to a multi-density custom total contact foot orthosis. We will also discuss the interaction and interface between the orthoses, footwear, and hosiery.