At Opry Medical Group, we understand that ordering supplies for your organization and your patients as quickly and accurately as possible is a priority for health care professionals. We have provided some frequently asked questions and answers so you can find the information you need. Please do not hesitate to contact us directly via e-mail or at (866) 996-8199, if you have additional questions.
Opry Medical Group is asking more specific questions about the condition(s) for which you’re ordering your patient’s supplies so we can serve the patient more effectively. We know this seems like a lot. The more details we are able to gather up front, the greater the likelihood that health insurance billing claims and order processing will go smoothly, without us needing to call you back for more information. This helps us get your patient’s order to them more quickly and easily.
Please note, in most cases, you’ll only have to answer these questions one time for each condition. When you re-order supplies, we’ll already have the information on file and, most likely, we won’t need to ask you again.
ICD-10 is the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD), a medical classification list by the World Health Organization (WHO). In short, it is a system that is used to assign numeric codes to diagnoses of illness or injury, commonly used for billing purposes.
This version of the classification and coding system was first introduced in 1994; countries around the world have gradually adopted it in the years since. Originally, all organizations in the United States dealing in health information and diagnosis were required to complete conversion to the 10th revision of this system by October 1, 2011. This deadline has been delayed a number of times, and is currently set on October 1, 2015.
What this means to health care professionals is the necessity of understanding a new, more specific medical coding system. Where ICD-9 contained approximately 17,000 diagnostic codes, the U.S. ICD-10 Clinical Modification (ICD-10-CM), for instance, includes some 68,000 codes. The U.S. also has the ICD-10 Procedure Coding System (ICD-10 PCS), a coding system that covers 76,000 codes not used by other countries.
While the Federal mandate for transition allows for “cross-walks,” or conversion of the ICD-9 code to ICD-10 codes via electronic mapping or other methods, it is important to understand the process by which a diagnosis is reached, and how the codes are applied, in order to accurately submit billing claims to health insurance providers on behalf of patients, to bill patients directly, and to correctly document patient data in charts, EHR systems and other medical files.
The basic structure of the ICD-10 code is as follows: Characters 1-3 (the category of disease); 4 (etiology of disease); 5 (body part affected), 6 (severity of illness) and 7 (placeholder for extension of the code to increase specificity.)
Don’t worry – With Opry Medical Group you are in safe hands, we’ll examine the information that you’ve provided and contact you if anything requires clarification. We’re here to help. And remember – it’s as important to us as it is to you and your patients, to make sure the information we have is accurate and complete.
- Place orders 24/7 from your computer
- Check order statuses for your organization or patients under your care
- Place an order via a quick call
- Quick Fax Order
For your patient’s first order with Opry Medical Group, we’ll need to verify the diagnosis with the prescribing doctor and validate the patient’s health insurance coverage. To do this, we will need the doctor’s phone number, the patient’s diagnosis and the contact information for the patient’s health insurance provider’s. You can provide this information by via fax or submit online, or by calling in the order.
Once Opry Medical Group receives this information, we will contact the doctor to verify the prescription, along with contacting the patient’s health insurance provider to verify policy information. Before completing the order, we will contact you either via e-mail or by phone to review the coverage and pricing details.
After the patient’s initial order is placed, additional orders usually take less time.
Patients may receive any number of notifications related to the verification process to their orders. For each notification, there is an explanation detailing what actions may be needed. An e-mail will be sent to the patient’s e-mail address for each notification.
For example, In Progress, Shipped, Partially Shipped, Cancelled, Returned and Backordered are all notifications patient may receive to let them know the status of their order.
Patients may also receive notifications about a balance due, product recalls or other important information not directly related to an order.
Please note: If action is required on the part of a patient and the patient does not resolve the issue, Opry Medical Group will contact the patient either via e-mail or by phone to assist him or her. In some cases, the health care professional ordering on the patient’s behalf may be able to address the issue at hand.
The cost per item for patients is based on their primary and secondary health insurance coverage, but other factors may be involved. the final pricing per item is based on his or her specific health insurance. You will also be able to notify on what items may not be covered by health insurance, meaning if the patient would have to pay for these items out of pocket. Finally, you will be able to range copays required and the patient’s current status.
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