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Noridian Prepayment Review Results

Noridian, the Jurisdiction D Durable Medical Equipment Medicare Administrative Contractor (DME MAC), recently released their quarterly results of its review for claims involving the HCPCS codes L1832, L1843, L0648, L0650 and L4361. Between April 2016 and July 2016 Noridian reviewed 161 claims involving the L1832 and 152 claims were denied; resulting in a 99% error/denial […]

AHRQ Announces Systematic Review of Clinical Literature on Lower Limb Prostheses

The Agency for Healthcare Research and Quality (AHRQ), the “government agency tasked with producing evidence to improve the quality of healthcare while working with partners to ensure that the evidence is understood and used” recently announced that it will be initiating a systematic review for lower limb prostheses.  The systematic review will be performed through […]

O&P and Other Subject to RAC Audits Greatly Interested by U.S. District Court Decision to Reject an HHS Request for Delay of Court Action in Hospital Suit Challenging ALJ Delays in Excess of Statutory 90 Day

In 2014, the American Hospital Association filed suit in the federal District Court seeking relief because HHS and the Office of Medicare Hearings and Appeals (OMHA) have for many years egregiously exceeded the statutory provision which assures a provider who must return money to Medicare as a result of an audit a final ALJ decision […]

White House Design For All Showcase

White House Fashion Show celebrates inclusive design, assistive technology, and prostheses. #DesignForAll See a video of the fashion show, provided by the White House, as well as a recording of the closing remarks by Alison Cernich, Director of NICHD National Center for Medical Rehabilitation Research, below. Alison Cernich discusses an ambitious research plan mapped by […]

The 99th Annual National Assembly – Another Success!

AOPA has cruised through another successful National Assembly – the 99th! – with more than 2200 attendees from O&P and related disciplines joining us in Boston, September 8-11. The drum and fife band welcomed the crowd to Boston and helped us open the 100,000 sq. ft. Exhibit Hall of over 160 exhibitors. The Assembly featured […]

AOPA Submits Comments to the FDA on 3D Printing

AOPA has submitted comments on the publication entitled Technical Considerations for Additive Manufactured Devices: Draft Guidance for Industry and Food and Drug Administration Staff which was published in the Federal Register on May 10, 2016. AOPA submitted comments pertaining to additive manufacturing in the design and fabrication of external prosthetic components and orthotic devices, specifically through the use […]

Congress Being Urged by Some in “Big Medicine” and CMS, to Downgrade or Eliminate Stark Laws/Rules That Preclude Self-Referral

Earlier this year, Medicare implemented a new policy on Comprehensive Care of Joint Replacement.  While positioned as a pilot test, all hospitals were forced to be involved.  Under this new program, hospitals are given financial incentives to reduce the total cost for hip and knee replacements.  If hospitals succeed in driving down the total costs, […]

DME MACs Release New Coding Guidelines for O&P Suppliers

The four Durable Medical Equipment Medicare Administrative Contractors (DME MAC), recently released a joint correct coding bulletin reminding DMEPOS suppliers that it is each supplier’s responsibility to select the proper HCPCS codes for billing. To aid suppliers in their selection of the proper HCPCS code(s) the DME MACs provided the following tips: Check the PDAC […]

RAC Audits Placed on Hiatus Again

The Centers for Medicare and Medicaid Services have notified the four existing RAC contractors that as a result of the upcoming award of new RAC contracts, current RAC audit activity will be placed on hiatus to allow the RACs to complete their open audits prior to the completion of their contracts.  CMS has provided the […]

AOPA Announces Thomas Watson, CP as 2016 Lifetime Achievement Award Winner

The American Orthotic & Prosthetic Association (AOPA) will honor Thomas Watson, CP with the Lifetime Achievement Award at the 2016 AOPA National Assembly in Boston, MA.  This award is bestowed on individuals who have made exceptional contributions to the orthotics and prosthetics profession. James Campbell, PhD, CO, FAAOP, AOPA’s President explained: “The Lifetime Achievement Award […]

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