Anatomy
Fractures and Procedures
Indications
Medicare
Order Process
100

This is a short bone of the hand that gets venous blood supply, which can make it a high-risk site for nonunion.

scaphoid

100

This is the type of fracture that occurs from overuse.

Stress fracture

100

Exogen is not intended to treat diminished ________.

bone quality

100

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

100

Name two members of the EXOGEN Care Team? 

EOS, TM, RS, PFS

200

This bone is a long bone that runs along the medial side of the lower leg.

Tibia

200
A fracture where the two ends of the bone are not separated.

Non-displaced

200

Fill in the blank. The fresh fractures in which Exogen is indicated were managed by _________ reduction and __________ immobilization.

closed reduction and cast immobilization

200

What a patient will be responsible for if they do not have a supplement insurance on an approved Medicare order.

coinsurance (20%) 

200

What is a key piece of information that is required for a Workman's Comp order?

Adjuster information and/or a Purchase Order.

300

The plane that describes the position of the structure further away from the point of attachment and/ or trunk.

Distal

300

These are the types of codes that support osteotomies and many bunionectomies.

Fracture

300

A nonunion is considered to be established when the fracture site shows no visibly ____________ signs of healing.

progressive

300

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

300

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

400

This type of bone is made up of spongy tissue.

Cancellous

400

The nonunion code that supports a failed arthrodesis/fusion.

M96.0

400

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

400

These two forms need to be sent to a patient for an OOG Medicare order

e-Pair and e-ABN

400

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 

500

This is the final stage of bone healing.

Remodeling

500

The abbreviation for this procedure is ORIF.

Open Reduction Internal Fixation

500

The two types of tibial diaphysis fractures that are included on the indication. 

Closed and Grade 1 Open

500

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


500

If an order does not require pre-auth, but the payer will complete a courtesy review, this is called a___________________.

pre-determination

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