Earlier this week, AOPA provided a summary on the first report of results of Target, Probe, and Educate (TPE) audits by Noridian Healthcare Solutions, the Jurisdiction D DME MAC contractor. Since AOPA’s initial report which was limited to TPE results for “walking boot” orthoses, Noridian has published additional results for knee orthoses, spinal orthoses, and […]
Noridian Healthcare Solutions, who serves as the Jurisdiction A and Jurisdiction D Durable Medical Equipment Medicare Administrative Contractor, has released results for its initial audits under the Target, Probe, and Educate (TPE) program in Jurisdiction D. The published results are only for four HCPCS codes selected for the TPE program: L4360, L4361, L4386, and L4387, […]
In 2015 AOPA awarded a grant to Michael Dillon, PhD of La Trobe University for his project “Evaluating outcomes of dysvascular partial foot and transtibial amputation: a systematic review for the development of shared decision making resources”. The project has now been completed and the research team accomplished the following: registered the systematic review protocol […]
Recently, AOPA announced an important Advocacy victory regarding the Medicare fee schedule amount for K0903, the newly created HCPCS code used to describe direct milled, custom fabricated diabetic inserts. When K0903 was first announced, CMS indicated that the Medicare fee schedule would be approximately $5.00 less than the current fee schedule for A5513 which describes […]
The 2018 AOPA Policy Forum held March 7-8 was another success that presented realistic opportunities for O&P stakeholders to meet with Congressional representatives to improve patient care and advance other legislative objectives. With a recent legislative win under our belts, AOPA members and O&P users traveled to DC to visit lawmakers to build on this […]
AOPA is very pleased to announce an advocacy win regarding the fee structure for K0903/A5513. AOPA has confirmed with the Centers for Medicare and Medicaid Services (CMS) that the Medicare fee schedule for K0903, a temporary HCPCS code, effective April 1, 2018, that describes custom fabricated, direct milled diabetic inserts has been set at the […]
What the new law says The statute, as enacted, is comprised of one sentence which states: *SEC. 50402. ORTHOTIST’S AND PROSTHETIST’S CLINICAL NOTES AS PART OF THE PATIENT’S MEDICAL RECORD. Section 1834(h) of the Social Security Act (42 U.S.C. 1395m(h)) is amended by adding at the end the following new paragraph. ”(5) DOCUMENTATION CREATED BY […]
The American Orthotic & Prosthetic Association is proud to announce 5 Requests for Proposals for separate research grants. As part of AOPA’s Orthotics 2020 initiative, we are committed to making a major leap forward in clinical research that can answer some of the most important and profound issues about Orthotics. AOPA, together with its many […]
It’s official! As a follow-up to yesterday’s announcement, with the overnight action of both Senate and House in enacting the Continuing Resolution and the spending bill, and with President Trump having signed that legislation, not only is the federal government open, but the following O&P provision is now officially signed into law: SEC. 50402. ORTHOTIST’S […]
The Continuing Resolution/Spending Bill that is moving through Congress to keep the government open has provided the means to accomplish one of the key components of the O&P Medicare Improvements Act, which AOPA, its lobbyists, its members, and MANY important friends in O&P have been fighting for several years! The legislation set to be enacted […]
