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Reimbursement for TheraTogs
TheraTogs™ systems have been authorized for reimbursement by a growing roster of third-party payors and state reimbursement agencies:
Alaska STAR
California CCS
Colorado Medicaid
Florida Medicaid
Illinois Early Intervention
Michigan Medicaid
Montana Medicaid |
New York Medicaid
North Carolina Medicaid
Pennsylvania Aetna
Texas Medicaid
South Dakota Medicaid
Washington Medicaid |
In most cases, these reimbursement claims have been processed by a participating Provider - such as a regional O&P clinic or DME facility - using an appropriate miscellaneous HCPCS code.
We have not to date received US federal authorization for the use of HCPCS reimbursement codes on a national basis, but our application efforts are ongoing.
To help you obtain reimbursement...
We have prepared Reimbursement Guidelines for each of the main TheraTogs product systems:
Each of these Guidelines contains a sample Letter of Medical Necessity (LMN) and potential HCPCS codes for use in preparing your reimbursement application.
For those new to seeking reimbursement, we've also prepared a more general Guide to Reimbursement that describes the process and the players, and provides sample pre-authorization and appeal letters.
Also, check out the Reimbursement FAQ to answer common reimbursement questions. If you have any additional questions to suggest for the FAQ, please send them to reimbursement@theratogs.com.
Our Reimbursement Tracker document reports reimbursement results from the field, voluntarily provided by our customers. This information is aggregate in nature and does not identify the clinician, customer or patient - but does report the state, payor, and specifics of both successful and unsuccessful reimbursement claims. The information provided on the Reimbursement Tracker document is governed by our Privacy Policy.
For reimbursement status outside the U.S., contact the appropriate Global Distribution Partner.
Note: By reporting reimbursement results that have been voluntarily provided by our customers, we are not recommending any specific codes or providing reimbursement application advice. Your use of this information is at your own discretion and risk, and is your own responsibility. TheraTogs, Inc. makes no express or implied warranties or promises that any of the information provided herein will result in full or partial reimbursement by any agency or third-party payor, and TheraTogs, Inc. shall not be liable or responsible for any consequences or damages of any kind arising from your use of the information.
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©
2007-2008 TheraTogs, Inc. All Rights Reserved Telluride, Colorado USA
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