Current Pedorthics March-April 2016 | Vol.48, Issue 2 - Page 41

CEP Today’s reimbursement landscape is loaded with traps and landmines, all of which will cost the unwary practitioner money. Dean discusses some of the common pitfalls. Know when to zig! This article is available for Continuing Education Unit (CEU) credit. FUSTRATIONS AND PROBLEMS For those who accept reimbursement from third parties (insurance), practice management can be difficult to say the least. Therefore, it is important to “do your homework” to keep frustration and problems at the minimal level. This means taking time, often a significant amount, to ferret out the information that prevents your billing from processing the first time. HIPAA has had some positive effects on the health care business. The goal was to bring disparate communications and billing information into a single, cohesive whole. This has occurred for the most part. There was a time when each insurance entity used codes peculiar to them and you had to remember which codes were used for which diagnosis or procedure. Talk about frustrating! Now, there is a universal set of codes, and that certainly does simplify things. Every office has a notebook, a clipboard, or a rolodex with all the quirks pertaining to a specific carrier. Then comes ICD-10, with a new and entirely different method of defining diagnoses. Fortunately, our procedure codes remained the same. Be thankful for small miracles. With the implementation of the Affordable Care Act (ACA) comes more twists and turns. For better or worse, ACA is part of our universe. We must deal with it for as long as it is around. Read This Article, Take Survey to Earn Continuing Education Points The Pedorthic Footcare Association (PFA) offers Continuing Education Points (CEPs), approved by the American Board for Certification in Orthotics, Prosthetics & Pedorthics, Inc. (ABC) and the Board of Certification/Accreditation (BOC), via specially designated articles within Current Pedorthics magazine. To take advantage of the program, thoroughly read the adjacent CEU article and then visit: and click on the Continuing Education Opportunities tab to purchase the 10-question quiz associated with this article. CEP quizzes cost $15 for members and $25 for non-members. The quizzes are worth 1.0 Scientific or Business CEP, depending on the content. Successful completion of the quiz will result in 1.0 CEP reported directly to ABC and BOC at the end of each quarter. Look for additional CEP-eligible articles in future issues of the magazine; previous articles are available in the magazine archive at If you have any questions, contact PFA, at (229) 389-3440 or e-mail: One of the hallmarks of ACA is the significant increase in deductibles and co-payments. Once a high deductible plan Current Pedorthics March/April 2016 39