Coverage Clues
Tool Kit
Bone Healing 101
Patient Perspective
Exogen
100

Insurance coverage for members of the military who are treated at an MTF

Tricare

100

The app that outlines payer guidelines

Power Apps/EXOGEN Guidelines app

100

Type of bone where the length exceeds the width and where the two ends are typically wider than the shaft

Long bone

100

The group who will make contact with the patient regarding their insurance benefits

Patient Financial Services

100

The two indicated acute fracture sites

Distal radius and tibial diaphysis

200

This type of facility treats patients who do not have Tricare but did serve in our military

Veterans Affairs Medical Center

200

The reports you receive to your email daily with order and territory information for that period

Cup of Joe reports

200

The first stage of fracture healing

Inflammation

200

The form a Medicare patient must sign prior to shipping an in-guidelines device

PAIR

200

The listed contraindications for Exogen

None

300

This type of coverage is for patients who are 65+ but pay a premium for a private insurance plan to manage medical claims

Medicare Part C/Medicare Advantage

300

The name of the app where you can find your pay stubs and submit for time off.

Workday

300

The type of nonunion that demonstrates the ability to heal but doesn't actually bridge the fracture gap

Hypertrophic

300

The time in which a commercial patient can get unlimited treatments on their device

2 years

300

These bones are excluded in the indication for EXOGEN

Skull and vertebrae 

400

This document should signed by an attorney and will serve as a promise of payment following a settlement from a motor vehicle accident or personal injury case.

Letter of Protection

400

The website/app used to send documents and obtain patient SIGNATURES on PAIR and ABN forms

DocuSign

400

Proper name for heel bone.

Calcaneus

400

This is a document that a patient can provide that will assist RS in processing an order with a closed Auto claim

An exhaustion letter

400

The approximate depth and width of Exogen's U/S wave that travels through the skin to the fracture site.

10 in deep/2 in wide

500

After an adjuster approves a Worker's Comp order, the order will typically go to this type of vendor that offers employers volume discounts on medical products. 

Cost Containment Company

500

A Sharepoint site with updated resources, videos and guides for EXOGEN Sales teams

RT EXOGEN Connection

500

The term for "false joint" or nonunion of fusion/arthrodesis.

Pseudoarthrosis
500

A patient's financial responsibilty if an order is approved that had originally been closed at-risk

Deductible and coinsurance (or estimated OOP)

500

The percent of time that patients must use the device to qualify for the EXOGEN Rewards program

95%

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