Educational Resources

Billing and Reimbursements

For the Acute XAB Brace, a provider MUST DOCUMENT suggested code L-1971 for custom fitting by bending, molding, or trimming. I.E. Because every patient’s anatomy is unique, examples could be: “I bent the uprights to fit the patient’s calf.” OR “I molded the footplate to accommodate fitting the 5th metatarsal exostosis.”

AFO Documentation and Denials (Videos)

AFO Documentation and Denials Summary

Documentation Overview of Same or Similar

Medicare Fee for Service and S&S Workflow

Clinical Pearls and Examples for S&S Appeals

Medicare Advantage Workflow, Less Than 5 Years

Medicare Advantage Workflow, More Than 5 Years

Commercial, Medicaid, ERISA, and Tricare Workflow