News

RAND CORPORATION STUDY: “TECH GAP” PUTS U.S. AMPUTEES AT GREATER RISK OF INJURY, DEATH AS MEDICARE, PRIVATE PAYERS DENY ACCESS TO NEWER ARTIFICIAL LIMBS

Denial of Access to New Microprocessor-Controlled Knees Seen As Resulting in Preventable Falls, Deaths; Forcing Amputees to Use Riskier 1970s Technology Seen As Saving Little Money Over Lifetime. WASHINGTON, D.C. – October 19, 2017 – U.S. amputees are facing a “tech gap” in which Medicare and private health insurers deny access to new microprocessor-controlled knees […]

VA Proposed Rule Includes Troubling Provision Restricting Veterans’ Ability to Receive Care from Their Chosen Provider

The October 16, 2017 Federal Register will include a proposed rule published by the Department of Veterans Affairs (VA) that intends to “reorganize and update the current regulations related to prosthetic and rehabilitative items, primarily to clarify eligibility for prosthetic and other rehabilitative items and services, and to define the types of items and services […]

Short-Term Health Insurance, End of Subsidies Paid to Health Insurers—What Does It Mean to You and Your Patients?

On October 12, President Trump undertook a non-legislative overhaul of the country’s healthcare insurance program, and some significant administrative ‘repeal’ of the Affordable Care Act. Two major executive actions comprise this effort: (1) clearing the path for sale of “short-term” insurance plans that do not have full ACA essential health benefits and other rules, at […]

AOPA and APMA Send Letter to CMS Administrator Regarding A5513 Coding

On Friday, September 29, 2017 AOPA and the American Podiatric Medical Association (APMA) sent a joint letter to CMS Administrator Seema Verma expressing their concern about the recent DME MAC coding clarification for HCPCS code A5513. The coding clarification essentially states that in order to bill Medicare for a custom fabricated diabetic insert using HCPCS […]

CMS Withdraws BIPA 427 Proposed Rule

On October 3, 2017, the Centers for Medicare and Medicaid Services announced that it has withdrawn the proposed rule that represented the first step in creating regulations that would implement the qualified provider provisions for prostheses and custom fabricated orthoses legislated in section 427 of the Benefits Improvement and Protection Act of 2000 (BIPA).  The […]