News

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CMS Publishes Draft Clinical Template Designed to Assist Physicians to Properly Document Medical Need for Lower Limb Prostheses

The Centers for Medicare and Medicaid Services (CMS) has published a draft document on its website that, in its words, “will assist physicians with documenting the physician notes that substantiate the need for a Lower Limb Prostheses.”  AOPA believes that the draft template, in its proposed form, actually represents imposition by CMS of a serious […]

Complete the 2013 Operating Performance & Compensation/BenefitsReports Today!

You should have received by now the 2013 Operating Performance Compensation and Benefits Report survey questionnaire. By completing the questionnaire you automatically reserve your FREE copy of the survey, your customized Company Report and you obtain an opportunity for a one-to-one consultation with one of AOPA’s consulting at experts, Industry Insights. Industry Insights has conducted […]

Hospital Association RAC Audit Bill Reintroduced

Last year the American Hospital Association (AHA) whose members are also under siege from RAC audits secured introduction of legislation that would be generally helpful to the plight of hospitals whose audit problems are Part A claims applying to hospitals only but are not unlike the RAC audit issues faced by O&P. But the AHA […]

Litigation Fund Draws Impressive Response

More than 125 companies and individuals have responded with their pocketbooks to help fund the huge lawsuit expense of the AOPA lawsuit  against CMS on behalf of members to stop the craziness that’s disrupting patient care and driving long time O&P providers out of business. $33,200, with contributions ranging in size from $100 to $3,000, […]

Act Today To Preserve The Heritage of the O&P Profession

If you’ve had trouble getting through to AOPA staff it is because our phones have been ringing off the hook since we filed suit against Medicare. Members & Non-members have been asking, “How can I help?” Here’s how: Make donation to the AOPA Litigation and Research Fund Filing suit against the Medicare program is expensive; […]

Changes to HIPAA Reminder

As a reminder the Department of Health & Human Services (HHS) has published new rules/ updates to the HIPAA Privacy, Security, and Enforcement Breach Notification Rules; that were originally published as part of the Health Information Technology for Economic and Clinical Health Act or HITECH Act.   Some of these updates include: Expanding the definition and […]

Jurisdiction D Reports Results of Widespread Pre-Payment Review for Spinal Orthoses

Noridian Healthcare Services, the Jurisdiction D DME MAC contractor has released the results from pre-payment reviews of claims for spinal; orthoses described by codes L0631 and L0637.  For claims reviewed during the first quarter of 3013, the error rate for L0631 was 83% and the error rate for L0637 was 82%.  In both cases, approximately […]

Changes to HIPAA Reminder

As a reminder the Department of Health & Human Services (HHS) has published new rules/ updates to the HIPAA Privacy, Security, and Enforcement Breach Notification Rules; that were originally published as part of the Health Information Technology for Economic and Clinical Health Act or HITECH Act.   Some of these updates include: Expanding the definition and […]

Reminder Regarding RAC ADR Limits for O&P Services

AOPA would like to remind its members that revised limits for Additional Documentation Requests (ADRs) for RAC audits involving O&P claims were implemented as of April 3, 2013. While the ADR calculation remains unchanged at 10% of claims submitted during the previous year, divided by 8, for each 45 day period, CMS has limited the […]

AOPA Files Lawsuit Against CMS

American Orthotic & Prosthetic Association Files Lawsuit Against Medicare Arising from Unfair Medicare RAC/Pre-payment Audits, Where No Fraud Exists, and Challenges Unlawful Changes to Medicare Standard for Care of Medicare Amputees Today, the American Orthotic and Prosthetic Association (AOPA) filed suit against HHS/Medicare in the Federal District Court for the District of Columbia, seeking relief […]

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