Anatomy
This is a short bone of the hand that gets venous blood supply, which can make it a high-risk site for nonunion.
scaphoid
This is the type of fracture that occurs from overuse.
Stress fracture
Exogen is not intended to treat diminished ________.
bone quality
This is a final character of an ICD-10 code that will never be covered by Medicare if on a note or Rx exclusively.
D, G, or P
Name two members of the EXOGEN Care Team?
EOS, TM, RS, PFS
This bone is a long bone that runs along the medial side of the lower leg.
Tibia
Non-displaced
Fill in the blank. The fresh fractures in which Exogen is indicated were managed by _________ reduction and __________ immobilization.
closed reduction and cast immobilization
What a patient will be responsible for if they do not have a supplement insurance on an approved Medicare order.
coinsurance (20%)
What is a key piece of information that is required for a Workman's Comp order?
Adjuster information and/or a Purchase Order.
The plane that describes the position of the structure further away from the point of attachment and/ or trunk.
Distal
These are the types of codes that support osteotomies and many bunionectomies.
Fracture
A nonunion is considered to be established when the fracture site shows no visibly ____________ signs of healing.
progressive
These are final characters of an ICD-10 code that are covered by Medicare along with a clear nonunion assessment. Name two.
A, K, S
This internal team completes benefits investigations as well as provides a review of an order then will send for prior-auth, if required.
Reimbursement Services
This type of bone is made up of spongy tissue.
Cancellous
The nonunion code that supports a failed arthrodesis/fusion.
M96.0
Name two: Safety and effectiveness of EXOGEN has not been established in individuals __________________.
lacking skeletal maturity, pregnant or nursing women; patients with cardiac pacemakers; on fractures due to bone cancer; or on patients with poor blood circulation or clotting problems
These two forms need to be sent to a patient for an OOG Medicare order
e-Pair and e-ABN
These types of orders are reviewed by RS as if they are Medicare Part B, but are managed by a health care organization that usually require prior authorizations.
Medicare Advantage/Replacement
This is the final stage of bone healing.
Remodeling
The abbreviation for this procedure is ORIF.
Open Reduction Internal Fixation
The two types of tibial diaphysis fractures that are included on the indication.
Closed and Grade 1 Open
Three reasons Medicare may not cover an order.
Not 90 days, skull or vertebae, SNF less than 100 days, fracture is healing, has a non-covered code, concurrent use of another device, has had a bone stim in last 5 years, fx caused by cancer
If an order does not require pre-auth, but the payer will complete a courtesy review, this is called a___________________.
pre-determination