Doran Edwards

About Doran Edwards

Durable medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) coding, coverage, policy assistance, product design and clinical trial design.Assist the medical device industry in applying for HCPCS Level II coding, whether for existing or new codesParticipate in product design to qualify for coding at appropriate levelsDesign clinical trials to meet the requirements of CMS for evidence for new code applications Prepare policy reconsideration requestsDevelop presentations for insurers, CMS, policy makers and other interested parties.Assist third party payers in coding needs and training for DME itemsAudit reviews for quality assurance on claims billing or payment.Specialties: Power and manual mobility devices (wheelchairs), cushions, orthotics (braces) and prosthetics (artificial limbs), medical equipment and supplies, drugs, IV products, diabetic supplies, diabetic shoes and inserts, and enteral and parenteral nutrition, wound and ostomy care products and treatmentsHCPCS Level II National Coding SystemAdministrative Law Judge hearings

Experience

1. Medical Director

   Palmetto Gba

   Aug 2018 — Present · Columbia, SC, US

Education

• University of Tennessee-Health Science Center College of Medicine

  MD, Surgery

  1970 — 1974

Skills

• Hospitals
• Healthcare Information Technology
• Electronic Medical Record (Emr)
• Clinical Trials
• Hipaa
• Durable Medical Equipment
• Medical Coding
• Strategy
• Diabetes
• Physician Relations
• Orthopedic
• Policy
• Medicine
• Healthcare Industry
• Wound Care
• Orthopedics
• Health Insurance
• Managed Care
• Surgery
• Healthcare Consulting
• Healthcare Management
• Medical Devices
• Clinical Research
• Ehr
• Medicare
• Home Care
• Critical Care
• Healthcare
• Negotiation
• Medicaid
• Quality Assurance
• Health Policy
• Physicians