Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Highsmith, MJ, Fantini, CM, Smith, DG
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Canadian Online Publication Group 2021
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
_version_ 1785093848768184320
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
work_keys_str_mv AT highsmithmj contemplatinghealtheconomicscodingandreimbursementinorthoticsprostheticsandpedorthics
AT fantinicm contemplatinghealtheconomicscodingandreimbursementinorthoticsprostheticsandpedorthics
AT smithdg contemplatinghealtheconomicscodingandreimbursementinorthoticsprostheticsandpedorthics