To ensure that stringent Medicare guidelines are followed PCMS confirms Patient interest and confirms proper protocols are followed by marketing entities.
By following comprehensive Patient surveys PCMS ensures that all pertinent information is gathered correctly and runs detailed eligibility testing to confirm that the Patient is qualified to receive desired braces and that shipment is eligible for billing reimbursement.
Physicians prescribing braces must be certified to do so and are licenced in Patient's state. Rx wording and appropriate chart notes are checked and medical necessity confirmed. In short - the brace prescription is confirmed to meet all necessary requirements for reimbursement.
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