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Title
Provider Compliance Tips for Ordering Lower Limb Orthoses
Date
2018-05-03

The Medicare Fee-For-Service (FFS) improper payment rate for lower limb orthoses was 66.7 percent, representing a projected improper payment amount of $319.6 million. The 2017 reporting period indicates the following reasons for improper payments for lower limb orthoses:

  • Insufficient documentation errors - 92.2 percent
  • No documentation - 2.1 percent
  • Medical necessity - 1.5 percent

Prevent denials by reviewing the Provider Compliance Tips for Ordering Lower Limb Orthoses Fact Sheet, which details Medicare’s coverage and documentation requirements.

Additional Resources: