We received a question from Marilynne this week asking about billing for C-Leg repairs. We haven't had any experience with this yet and Michele wasn't able to locate any information on it so we're asking for help for Marilynne. Here's her question -
I have a question in regards to C-Leg repairs …..payment from Medicare…..how are other DME providers submitting there claims and getting paid….I hope you have some insite on this matter. Happy Thanksgiving..Thank you Marilynne
If you can help, please respond to this post and we'll let Marilynne know.
Thanks,
Alice
January 23, 2008
Be sure to check out the comment on C-Leg repairs - Thanks Jane
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We billed Medicare for repairs for one of our patients that has a C-Leg. We billed about $8000 for the repairs and Medicare only allowed around $600. We appealed the claim all the way to an ALJ Hearing level. At the hearing level the decision was favorable, but we are still waiting for payment and the repairs were done over a year ago. We have found that if the C-Leg is out of warranty it is easier to get Medicare to pay to replace it then to pay to repair it.
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