ORTHOVISC Reimbursement Brochure

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2013-02-24

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ORTHOVISC Line
®

Web-Based and Hotline Reimbursement Services
For additional reimbursement support,
please contact ORTHOVISC®Line
Monday – Friday
9:00 a.m. to 8:00 p.m. ET
Phone: 1.866.633.VISC (8472)
Fax: 1.877.248.1182

For information on reimbursement for DePuy
Mitek medical device products contact:
Monday – Friday
9:00 a.m. to 8:00 p.m. ET
Phone: 1.877.744.5617
Fax: 1.800.305.5299

ORDERING INFORMATION
Physicians may order ORTHOVISC®
for Medicare or Private Pay injections
by contacting:
DePuy Mitek Customer Service: 1.800.382.4682
Monday – Friday
8:30 a.m. to 6:30 p.m. ET
Orders must be received prior to 6:00 p.m. ET
to guarantee same day shipping.

HCPCS Code J7324
The reimbursement material in this document is provided for information purposes only
and represents no statement, promise or guarantee by DePuy Mitek, Inc. concerning
levels of reimbursement, payment or charge. It is not intended to increase or maximize
reimbursement by any payer. Providers are advised to consult their local payer
organization with regard to local reimbursement policies.
J Code Source: Federal Register/Vol. 72, No. 227, pp 66774/Tuesday, November 27, 2007.

ORTHOVISC® is manufactured by
and is a registered trademark of
Anika Therapeutics, Inc.
Bedford, MA 01730

DePuy Mitek, Inc., 325 Paramount Drive, Raynham, MA 02767
© DePuy Mitek, Inc. 2009. All Rights Reserved.
Printed in the U.S.A. P/N 901050 Rev.A 04/09

ORTHOVISC Line
Reimbursement Services
®

Healthcare providers and office personnel have access to a knowledgeable
reimbursement professional through the ORTHOVISCLine toll-free hotline or
the ORTHOVISCLine Web Portal for assistance with general coding and
reimbursement questions related to the administration of ORTHOVISC ®
High Molecular Weight Hyaluronan.

www.orthoviscline.com
ORTHOVISC ® Line Web Portal and National Reimbursement Map

www.orthoviscline.com features the new ORTHOVISCLine
Web Portal for online patient insurance coverage verification
and the National Reimbursement Map for the most updated
reimbursement information by state. www.orthoviscline.com
offers easy online navigation providing 24/7 localized
ORTHOVISC® reimbursement information.
The ORTHOVISCLine Web Portal is a secure website that
offers healthcare professionals and office personnel the ability
to submit insurance benefits verification requests on-line.
This user-friendly web portal is accessible 24/7 and may help
you to streamline your ORTHOVISC reimbursement process.

ORTHOVISCLine services will:
• Investigate patient insurance coverage and prior
authorization requirements

Provides immediate access to:
• Submit benefits verification online

• Provide assistance with general coding and billing questions

• Receive automated alerts on status of submissions

• Assist with payor-specific claim submission requirements

• Track patient referrals by prescribing physician

• Evaluate claim denials and provide assistance with
appeals process

• View basic reports on claims submitted and processed

• Offer Patient Assistance Program to patients without
insurance coverage (financial qualifications required)

• Patient Assistance Program website

• Download frequently used forms, templates and patient brochures

• Quick links to helpful industry websites

ORTHOVISC Reimbursement facts:
• ORTHOVISC is covered by Medicare in all 50 states
• ORTHOVISC is covered by most managed care plans

The National Reimbursement Map for ORTHOVISC

• DePuy Mitek offers established reimbursement programs to
assist your office with information about billing and coding

has made getting the most updated reimbursement information faster

• HCPCS code J7324

and easy access to ORTHOVISC reimbursement coverage information

and more efficient. This interactive reimbursement map provides quick
for Medicare, Medicaid and Private Payers in each state.
• Direct links to third party payers for information on their
reimbursement policies

ORTHOVISCLine
Hotline:
Monday – Friday
9:00 a.m. to 8:00 p.m. ET
Phone: 1.866.633.VISC (8472)
Fax: 1.877.248.1182

• Instant state-specific access to Payer Medical Policies,
HCPCS Codes and Specialty Pharmacy information
• State-by-state breakdown of reimbursement coverage for:
- Medicare/Medicaid
- Private Payers
- Specialty Pharmacy

ORTHOVISC Line
®

Web-Based and Hotline Reimbursement Services
For additional reimbursement support,
please contact ORTHOVISC®Line
Monday – Friday
9:00 a.m. to 8:00 p.m. ET
Phone: 1.866.633.VISC (8472)
Fax: 1.877.248.1182

For information on reimbursement for DePuy
Mitek medical device products contact:
Monday – Friday
9:00 a.m. to 8:00 p.m. ET
Phone: 1.877.744.5617
Fax: 1.800.305.5299

ORDERING INFORMATION
Physicians may order ORTHOVISC®
for Medicare or Private Pay injections
by contacting:
DePuy Mitek Customer Service: 1.800.382.4682
Monday – Friday
8:30 a.m. to 6:30 p.m. ET
Orders must be received prior to 6:00 p.m. ET
to guarantee same day shipping.

HCPCS Code J7324
The reimbursement material in this document is provided for information purposes only and represents
no statement, promise or guarantee by DePuy Mitek, Inc. concerning levels of reimbursement, payment
or charge. It is not intended to increase or maximize reimbursement by any payer. Providers are advised
to consult their local payer organization with regard to local reimbursement policies.
J Code Source: Federal Register/Vol. 72, No. 227, pp 66774/Tuesday, November 27, 2007.

ORTHOVISC® is manufactured by and is a registered trademark of Anika Therapeutics, Inc.
Bedford, MA 01730

DePuy Mitek, Inc., 325 Paramount Drive, Raynham, MA 02767
© DePuy Mitek, Inc. 2009. All Rights Reserved.
Printed in the U.S.A. P/N 901050 Rev.A 04/09



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