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Contemplating Health Economics, Coding and Reimbursement in Orthotics, Prosthetics and Pedorthics
Reimbursement to U.S. healthcare service providers is largely transitioning from fee for service to fee for value for those clinicians who code using current procedural terminology and through their coding, describe their professional services. The Orthotic, Prosthetic and Pedorthic profession (O&am...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Canadian Online Publication Group
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10443486/ https://www.ncbi.nlm.nih.gov/pubmed/37614990 http://dx.doi.org/10.33137/cpoj.v4i2.36125 |
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author | Highsmith, MJ Fantini, CM Smith, DG |
author_facet | Highsmith, MJ Fantini, CM Smith, DG |
author_sort | Highsmith, MJ |
collection | PubMed |
description | Reimbursement to U.S. healthcare service providers is largely transitioning from fee for service to fee for value for those clinicians who code using current procedural terminology and through their coding, describe their professional services. The Orthotic, Prosthetic and Pedorthic profession (O&P), currently codes using a system that describes the devices they evaluate for, fabricate, fit and maintain and their professional services are incorporated into their codes. These O&P codes, in contrast to those for other healthcare disciplines, are predominantly product based rather than service based, focusing on product features and function more than clinical service. This editorial manuscript provides a brief overview of the system the US O&P profession uses currently, particularly in the context of other healthcare professions transitioning to value based coding and reimbursement and culminates in a call to action for the profession to academically consider the strengths and weaknesses of the current system relative to alternative systems. |
format | Online Article Text |
id | pubmed-10443486 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Canadian Online Publication Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-104434862023-08-23 Contemplating Health Economics, Coding and Reimbursement in Orthotics, Prosthetics and Pedorthics Highsmith, MJ Fantini, CM Smith, DG Can Prosthet Orthot J Stakeholder Perspectives Reimbursement to U.S. healthcare service providers is largely transitioning from fee for service to fee for value for those clinicians who code using current procedural terminology and through their coding, describe their professional services. The Orthotic, Prosthetic and Pedorthic profession (O&P), currently codes using a system that describes the devices they evaluate for, fabricate, fit and maintain and their professional services are incorporated into their codes. These O&P codes, in contrast to those for other healthcare disciplines, are predominantly product based rather than service based, focusing on product features and function more than clinical service. This editorial manuscript provides a brief overview of the system the US O&P profession uses currently, particularly in the context of other healthcare professions transitioning to value based coding and reimbursement and culminates in a call to action for the profession to academically consider the strengths and weaknesses of the current system relative to alternative systems. Canadian Online Publication Group 2021-09-21 /pmc/articles/PMC10443486/ /pubmed/37614990 http://dx.doi.org/10.33137/cpoj.v4i2.36125 Text en Copyright (c) 2021 Highsmith MJ, Fantini CM, Smith DG. https://creativecommons.org/licenses/by/4.0/This work is licensed under a Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Stakeholder Perspectives Highsmith, MJ Fantini, CM Smith, DG Contemplating Health Economics, Coding and Reimbursement in Orthotics, Prosthetics and Pedorthics |
title | Contemplating Health Economics, Coding and Reimbursement in Orthotics, Prosthetics and Pedorthics |
title_full | Contemplating Health Economics, Coding and Reimbursement in Orthotics, Prosthetics and Pedorthics |
title_fullStr | Contemplating Health Economics, Coding and Reimbursement in Orthotics, Prosthetics and Pedorthics |
title_full_unstemmed | Contemplating Health Economics, Coding and Reimbursement in Orthotics, Prosthetics and Pedorthics |
title_short | Contemplating Health Economics, Coding and Reimbursement in Orthotics, Prosthetics and Pedorthics |
title_sort | contemplating health economics, coding and reimbursement in orthotics, prosthetics and pedorthics |
topic | Stakeholder Perspectives |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10443486/ https://www.ncbi.nlm.nih.gov/pubmed/37614990 http://dx.doi.org/10.33137/cpoj.v4i2.36125 |
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