Is this legal? Part 2

[Anonymous]

When is the DOJ going to investigate the other companies? The playing ground needs to be level.

 

[Anonymous]

Audits of all dme companies (well most) happen constantly. Orthofix had a culture of this sort of issue, I think we can all own that fact, and reps were out there falsifying hundreds of orders and notes. When that is happening, someone is bound to get nabbed sooner or later. And then an investigation commences which really dives into that particular company, looking through hundreds of cms and commercial orders and comparing those notes to the real office notes, etc.

 

[Anonymous]

When is the DOJ going to investigate the other companies? The playing ground needs to be level.

Ha that is a good one. For many years this company made a practice of cheating the system, forging and doctoring notes, paying prescribers, billing hospitals and ORs for acute fractures and revisions ( that still takes place because the doctor gets paid on it), and now you complain about wanting a level playing field?

 

[Anonymous]

anyone else remember paper port? Those were the days when it was so easy

What is " paper port"?

 

[Anonymous]

Ha that is a good one. For many years this company made a practice of cheating the system, forging and doctoring notes, paying prescribers, billing hospitals and ORs for acute fractures and revisions ( that still takes place because the doctor gets paid on it), and now you complain about wanting a level playing field?

Well I guess it's just a matter of time before some of the reps at other companies are caught.

 

[Anonymous]

Yep.

 

[Anonymous]

Ha that is a good one. For many years this company made a practice of cheating the system, forging and doctoring notes, paying prescribers, billing hospitals and ORs for acute fractures and revisions ( that still takes place because the doctor gets paid on it), and now you complain about wanting a level playing field?

Drs do not get paid on hospital bone stim purchases. And what about the other bone stim companies who initiate hospital billing on acute or revised fractures?

 

[Anonymous]

Drs do not get paid on hospital bone stim purchases. And what about the other bone stim companies who initiate hospital billing on acute or revised fractures?

Oh yes they do, when applied in the OR. All of the 'old school' ofx reps certainly know this, which is why so many estims are still being used for acute fxs, bunionectomies, revisions, etc.

 

[Anonymous]

Doctors get paid for implanting direct current bone Stims. Not sure how they would be paid for a DME device being placed off label during/after a surgery.

 

[Anonymous]

Drs do not get paid on hospital bone stim purchases. And what about the other bone stim companies who initiate hospital billing on acute or revised fractures?

Many payer policies allow bone Stims as adjunct to revisions. It's up to the hospitals on how they bill.

 

[Anonymous]

Doctors get paid for implanting direct current bone Stims. Not sure how they would be paid for a DME device being placed off label during/after a surgery.

They do if its applied in the OR

 

[Anonymous]

they do if the rep slips some cash into their pocket.

 

[Anonymous]

Oh yes they do, when applied in the OR. All of the 'old school' ofx reps certainly know this, which is why so many estims are still being used for acute fxs, bunionectomies, revisions, etc.

What is the billing code for the doctor to charge for applying a bone stim in the OR?

 

[Anonymous]

What is the billing code for the doctor to charge for applying a bone stim in the OR?

It has t be the implantable Code.

 

[Anonymous]

they do if the rep slips some cash into their pocket.

No rep or MD is that stupid these days. This does not happen anymore. But companies still pay " consultants" - hired guns to promote their product to their peers and to over utilize.

 

[Anonymous]

It has t be the implantable Code.

Wrong. Not going to go into details, but doctors absolutely get compensated for applying external stims in the OR. hence the high usage for electric stims with acute fractures, bunionectomies, and revisions. Hospital pays for it, then insurance and the patient pay for it.

 

[Anonymous]

Wrong. Not going to go into details, but doctors absolutely get compensated for applying external stims in the OR. hence the high usage for electric stims with acute fractures, bunionectomies, and revisions. Hospital pays for it, then insurance and the patient pay for it.

Your comment that you won't go into details tells it all.

 

[Anonymous]

Wrong. Not going to go into details, but doctors absolutely get compensated for applying external stims in the OR. hence the high usage for electric stims with acute fractures, bunionectomies, and revisions. Hospital pays for it, then insurance and the patient pay for it.

HOW???