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Compliance and reimbursement pearls | KRM Forum

Compliance and reimbursement pearls

Monthly column on billing and coding issues important to orthotic providers. These columns will provide you with a brief but thorough rationale on orthotic/prosthetic policies and billing practices.

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Neuro Exam
3/12/26, 8:14 AM • Paul Kesselman 3/12/26, 8:14 AM

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Paul Kesselman
3/12/26, 8:14 AM

In a previous edition of this column, we began an initial discussion of the documentati...
Moratorium on new supplier enrollment
3/5/26, 1:26 PM • Paul Kesselman 3/5/26, 1:26 PM

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Paul Kesselman
3/5/26, 1:26 PM

Some late breaking news from CMS requires a slight delay in Part 2 of the elements of d...
Medical Necessity and AFO Coding: A Drop Foot Case Example
2/18/26, 10:16 AM • Paul Kesselman 2/18/26, 10:16 AM

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Paul Kesselman
2/18/26, 10:16 AM

Recently, a new coding forum entitled codinghelpline.com was launched enabling col...
Protecting Your Practice from Consolidated Billing
2/11/26, 1:32 PM • Paul Kesselman 2/11/26, 1:32 PM

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Paul Kesselman
2/11/26, 1:32 PM

Recently, a client was asked by Noridian (DME MAC A) to repay a few hundred dollars for...
Your DME Claim Went to the Wrong DME MAC?
2/4/26, 12:25 PM • Paul Kesselman 2/4/26, 12:25 PM

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Paul Kesselman
2/4/26, 12:25 PM

Here’s a Five-Minute, Permanent Fix This is a very common issue. Take a deep bre...
Patient with unknown ID 1
1/28/26, 10:17 AM • Paul Kesselman 1/28/26, 10:17 AM

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Paul Kesselman
1/28/26, 10:17 AM

Changed Medicare Beneficiary Identifier (MBI) I and now your office is hit with a new d...
Deductible issues and HSA
1/14/26, 10:03 AM • Paul Kesselman 1/14/26, 10:03 AM

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Paul Kesselman
1/14/26, 10:03 AM

As you start the New Year, be aware that the annual deductibles for most plans reset and start Ja...
Prosthetics when
12/17/25, 2:12 PM • Paul Kesselman 12/17/25, 2:12 PM

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Paul Kesselman
12/17/25, 2:12 PM

Many patients, including those with diabetes, PAD, post trauma, etc. frequently present to the ...
Your Role in Preventing DMEPOS Fraud and Protecting Patient Data
12/10/25, 11:38 AM • Paul Kesselman 12/10/25, 11:38 AM

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Paul Kesselman
12/10/25, 11:38 AM

Recently the Office of Inspector General provided a video on fraud in the DMEPOS world. To say th...
Wear that AFO
11/26/25, 12:17 PM • Paul Kesselman 11/26/25, 12:17 PM

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Paul Kesselman
11/26/25, 12:17 PM

A recent article in Rosalind Franklin Medical School Fall/Winter 2025 edition, sparked ...
Hours at time of inspection
11/19/25, 1:06 PM • Paul Kesselman 11/19/25, 1:06 PM

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Paul Kesselman
11/19/25, 1:06 PM

The last installment of this column presented some issues with the inspection process d...
Quality standards
11/12/25, 9:32 AM • Paul Kesselman 11/12/25, 9:32 AM

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Paul Kesselman
11/12/25, 9:32 AM

A previous bulletin raised a new term for most reading this bulletin, “Quality Standards Ap...
3D Orthotics and Prosthetics
11/5/25, 10:36 AM • Paul Kesselman 11/5/25, 10:36 AM

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Paul Kesselman
11/5/25, 10:36 AM

Recently many providers have questioned whether 3-D manufactured orthotics and prosthetics can be...
Choosing the Right AFO for the Patient - Part 6
10/29/25, 1:12 PM • Paul Kesselman 10/29/25, 1:12 PM

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Paul Kesselman
10/29/25, 1:12 PM

The past five articles have attempted to provide a crash course on AFOs. This is a very...
Choosing the Right AFO for the Patient - Part 5
10/22/25, 9:00 AM • Paul Kesselman 10/22/25, 9:00 AM

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Paul Kesselman
10/22/25, 9:00 AM

In four short articles this series has covered a significant amount of material on the ...
Choosing the Right AFO for the Patient - Part 4
10/9/25, 1:34 PM • Paul Kesselman 10/9/25, 1:34 PM

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Paul Kesselman
10/9/25, 1:34 PM

In continuing the discussion of choosing the right AFO for the Patient. We have now assumed that ...
Choosing the Right AFO for the patient - Part 3
10/8/25, 7:47 AM • Paul Kesselman 10/8/25, 7:47 AM

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Paul Kesselman
10/8/25, 7:47 AM

In the two previous installments of Choosing the Right AFO for the patient, the issues of OTC and...
Choosing the Right AFO for the patient - Part 2
10/1/25, 2:16 PM • Paul Kesselman 10/1/25, 2:16 PM

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Paul Kesselman
10/1/25, 2:16 PM

Part 1 of this series presented some issues to address with regards to OTC and custom fitted orth...
Choosing the Right AFO for the patient - Part 1
9/19/25, 2:03 PM • Paul Kesselman 9/19/25, 2:03 PM

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Paul Kesselman
9/19/25, 2:03 PM

A recent phone call from a retired colleague concerning their family members’ AFO status is...
Medicare Advantage Coverage of Foot Orthotics
9/17/25, 8:47 AM • Paul Kesselman 9/17/25, 8:47 AM

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Paul Kesselman
9/17/25, 8:47 AM

A recent question to an online forum posed this question: Does Medicare Advantage provide covera...

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Neuro Exam

Paul Kesselman 3/12/26, 8:14 AM
Compliance and reimbursement pearls »
Stiffness Effects in Rocker-Soled Shoes: Biomechanical Implications

Richard Blake 3/10/26, 12:33 PM
Clinical pearls »
Moratorium on new supplier enrollment

Paul Kesselman 3/5/26, 1:26 PM
Compliance and reimbursement pearls »

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Neuro Exam

Stiffness Effects in Rocker-Soled Shoes: Biomechanical Implications

Moratorium on new supplier enrollment

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Neuro Exam

Stiffness Effects in Rocker-Soled Shoes: Biomechanical Implications

Moratorium on new supplier enrollment

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Debra Manheim

Jordan Agtarap

Maria Finol

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Robert Phillips

Eddie Davis

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tommen freed

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