Medicare will now require prior authorization for Orthosis braces for codes L0648, L0650, L1832, L1833 and L1851. 

• Starting April 13, 2022 States Affected: CA, FL, IL, and NY
• Starting July 12, 2022 States Affected: AZ, GA, KY, MD, MI, MO, NC, NJ, OH, PA, TX and WA
• Starting October 10, 2022 All remaining States

All claims for affected orthoses must be prior approved.

A lack of a provisionally affirmed prior authorization request

will result in a claim denial.  

 Top 7 Presentation Sales Tips

1. Listen to an energizing song before you make calls so you sound upbeat and engaged, not tired or checked-out.

2. Only present solutions that are relevant to the prospect (even if that means leaving a really popular feature out of your presentation).

3. Buyers don’t care about your product’s bells and whistles -- instead, highlight how those bells and whistles translate into real business value.

4. Don’t be afraid to ditch your presentation agenda if the prospect is focusing on a different topic or area.

5. If you’re using a presentation deck, make sure it doesn’t take attention away from you, says SinglePlatform CEO and co-founder Wiley Cerili: “Successful salespeople are trained to capture and manage customers’ attention; you don’t want to give authority away to the deck that’s behind you.”

6. The longer your presentation lasts, the less impact you have.

7. To show you’re truly paying attention, write down the prospect's objections. 

We are now In-Network with the following:

We are in network with 3 of the BCBS of Arizona Plans:

National PPO/EPO, Indemnity, and Alliance EPO/PPO. 

Introducing the New Formfit® OA Ease

The Formfit® OA Ease knee brace with patented 3-Point Leverage System provides easy-to-wear relief from mild-to-moderate unicompartmental knee osteoarthritis. HCPCS Code: L1851

The New Trend L0639/L0651

Hello Everybody:

Beginning April 1, 2022, all patient signed delivery tickets MUST BE IMS EXPERTS DELIVERY TICKETS.   No other DT's will be accepted.  

There are a number of reasons for this most important of which is our contract and contract integrity.  We send a DT with every approved order and we are happy to also provide you a blank IMS DT that can be utilized anytime you need something quick.

Secondarily, anything prefit, and signed for by a patient BEFORE we get an auth will have to be re-signed and dated.   We are getting DT's signed a month before the auth was approved, and those wont pay, is not how an order should be processed, and we will not take time to retro auth or spend time "fixing" these moving forward.

Your attention to details is paramount in the process of every claim, so please understand and help us manage the expectations we must adhere to when it comes to patient signed delivery tickets.   There will be no exceptions to these changes moving forward.     

Thank you in advance for understanding and following the process as it relates to only using IMS EXPERTS DELIVERY TICKETS.  Below is a copy of the IMS Experts Fillable Delivery Ticket. 

Regards, 

Craig Welch, Sr Managing Partner/President Sales/Marketing

G E T  I N  T O U C H

Email: imsexpertsintake@att.net 

Phone: (817)453-9767