AOPA Supports the Alliance’s Open Letter to the O&P Community

The Orthotic and Prosthetic Alliance has recently drafted and distributed an open letter to the O&P community regarding sexual misconduct, harassment, and discrimination in the workplace. AOPA is proud to...

Department of Veterans Affairs Releases Supplemental Proposed Rule on Veterans Choice of Provider

On November 28, 2018, the Department of Veterans Affairs (VA) released a Supplemental Notice of Proposed Rulemaking (SNPRM) regarding the provisions of the October 2017 proposed rule that addressed the...

Submit Comments on OTS Competitive Bidding & Ensure Proper Care for Your Patients

The Centers for Medicare and Medicaid Services (CMS) is soliciting comments on its proposed inclusion of off-the-shelf (OTS) spinal orthoses and OTS knee orthoses as product categories in the next...

DME MACs Publish Revised “Dear Physician” Letter Regarding Documentation of Orthotic and Prosthetic Services

On November 13, 2018, the DME MACs published a revised Dear Physician letter that addresses the Medicare requirements for documentation within the referring physician’s medical records that support the medical...

CMS Proposes OTS Spinal Orthoses and OTS Knee Orthoses as Product Categories for Next Round of Competitive Bidding

On November 1, 2018, the Centers for Medicare and Medicaid Services (CMS) announced that it is soliciting comments on its proposed inclusion of off-the-shelf spinal orthoses and off-the-shelf knee orthoses...

HCPCS Code Changes for 2019

The Centers for Medicare and Medicaid Services (CMS) has released the new Healthcare Common Procedure Coding System (HCPCS) codes for 2019, and there were a few minor changes. Below is...

CMS Releases Final Rule on DMEPOS Competitive Bidding and Potential Changes to Gap Filling Methodology

On November 1, 2018 the Centers for Medicare and Medicaid Services (CMS) published a final rule that addressed changes to the DMEPOS Competitive Bidding program and potential changes to the...

DME MACs Announce a Minor Revision to the LCD for Lower Limb Prostheses

On November 1, 2018, the four Durable Medical Equipment Medicare Administrative Contractors (DME MACs) released an updated Local Coverage Determination (LCD) for lower limb prostheses.  Since the changes to the...

Qualified Independent Contractor (QIC) Formal Telephone Discussion Demonstration Has Been Expanded to Jurisdictions A & B

On January 01, 2016, CMS launched the QIC Telephone Discussion Demonstration project to determine if engagement between suppliers and the QIC could improve the understanding of the cause of appeal denials,...

CMS to Host Special Open-Door Forum to Introduce New Documentation Look Up Tool

The Centers for Medicare and Medicaid Services has announced that it will hold a special Open-Door Forum conference call to educate the public about a new initiative tasked with developing...