FBI Releases Report on
Health Care Fraud
Last year, more than $2 billion in health care fraud reimbursements was
recovered by the FBI and returned to government and private insurers,
according to the recent Financial Crimes Report to the Public.
Durable medical equipment (DME) fraud was one of the areas investigated
by the FBI, since it has been associated with organized criminal
activity in the past. Prosthetic and orthotic devices, while falling
under a different benefit category, are often included with DME when
investigating health care fraud.
“Health care fraud is expected to continue to rise as people
live
longer,” according to the report, which identified Medicare
and
Medicaid programs as being the “most visible” when
it comes
to the subject of fraud.
During the 12-month investigation, the FBI investigated 2,423 health
care fraud cases that resulted in 588 indictments and 534 convictions.
Many cases are still pending plea agreements and trials, according to
the report.
For more information or to view the report, visit
www.fbi.gov/publications/financial/fcs_report2006/publicrpt06.pdf.
AOPA Assembly
Registration Now Open
Registration is now open for the 2007 AOPA National Assembly, Sept.
17-20, The Venetian Resort, Hotel and Casino at www.AOPAnet.org.
Register before the early-bird deadline, Aug. 13, to receive
significant savings.
O&P professionals nationwide will return to Las Vegas, a
successful
Assembly location in 2005, for luxurious accommodations at the Venetian
Resort, Hotel and Casino, and will have the opportunity to earn over 34
CE credits, network with industry experts, get training on the latest
technology and preview new O&P products.
To receive a free copy of the Assembly preliminary program, which
outlines events and educational sessions, e-mail your name and mailing
address to
assembly@AOPAnet.org.
The preliminary program will also be published in
the July issue of the
O&P Almanac and be available online.
For registration questions, contact Sheila Pasquini at (571) 431-0876,
ext. 234.
Wounded Warrior Project
Heeds Call at Walter Reed
The Wounded Warrior Project (WWP)—a nonprofit group that
provides
programs and services to severely injured active service members and
their families—recently responded to the allegations of
decrepit
conditions at Walter Reed Army Medical Center first reported by
The
Washington Post.
In March, John Melia, executive director of WWP, met with command
personnel at Walter Reed, the secretary of veterans affairs and members
of Congress to discuss improving the condition of care at Walter Reed
and other military hospitals around the country.
“We remain resolute and committed to work with government
officials to streamline the recovery process and improve access to care
and benefits for the wounded,” said Melia in a statement
released
by WWP.
For more information, visit
www.woundedwarriorproject.org.
Soldiers with Segways
Segs4Vets, a program started by the Disability Rights Advocates for
Technology (DRAFT) organization of Washington, D.C., has been donating
Segway® personal transporters to amputee soldiers since 2005.
The
program is based upon the principle that every amputee soldier who
could benefit from a Segway should receive one.
The two-wheeled, self-balancing transportation device allows the user
to lean forward to move the device forward, lean back to move it
backward, and lean left or right to turn. They run on rechargeable
batteries.
Amputees and others with limited mobility have found Segways to be an
easy and fun way to get around, says the company.
For more information, visit
www.segs4vets.org.
AOPA Yearbook: Connect
With Old and New Friends
The 2007 AOPA Yearbook will be mailed soon, and finding old and new
friends within O&P has never been easier. The directory
includes
four types of listings (geographic, supplier, product and alphabetical)
to quickly locate O&P businesses, products and
services—each
with detailed contact information.
As one of the many benefits of membership, each AOPA member location
receives a free copy of the Yearbook—the “Yellow
Pages” of the O&P industry. Non-members can purchase
the
Yearbook for $150.
To order additional copies of the
Yearbook,
contact the AOPA Bookstore at (571) 431-0865 or
www.AOPAnet.org/catalog.
O&P Exhibit Opens
in Chicago
“Beyond Broken Bones,” a new exhibit documenting
the
history of orthopedic and prosthetic care, will open May 5 at the
International Museum of Surgical Science (IMSS) in Chicago. It will be
on view for at least three years, according to the museum.
“We would like visitors to come away from the exhibit with a
greater understanding of the historical arc of [O&P], and to be
more informed about treatments for orthopedic conditions [and] how
they’ve developed,” said Leonard M. Kliwinski,
curator at
IMSS.
Archival documents and artifacts such as ancient bone-cutting tools,
Civil War-era amputation instruments and early 20th century artificial
limbs will be on display. Jeffrey M. Brandt, CPO, of Ability
Prosthetics and Orthotics has loaned a prosthetic leg that once
belonged to his grandfather.
For more information, visit
www.imss.org.
Three
O&P-Specific Seminars on Medicare Claims
AOPA will host the third Coding & Billing seminar of the year
June
6–7 at the Newark Marriott in Newark, N.J. This popular
program
is immediately followed by a Documentation seminar on June 8. Attendees
can earn 21 continuing education (CE) credits for attending both
seminars.
Also, on June 21, AOPA will be discussing “The New CMS-1500 Form: Get it right the first time” in
a
Medicare telephone seminar. For $99 (AOPA members; $199 non-members),
an unlimited number of participants per telephone line can earn 1.5 CE
credits during the seminar.
To view the dates and topics of future Medicare telephone seminars, to
learn more information on coding and billing seminars, or to register,
visit
www.AOPAnet.org.
Read About, Participate
in the Future of O&P
By 2012, O&P will be focusing on disease management and not on
devices themselves. That’s just one of the predictions made
by
the participants of AOPA’s November 2006 O&P
leadership
conference, “Developing a Shared
Vision”—a summary of
which is now available online.
Participants identified the top concerns for O&P and
recommended actions for achieving their goals.
People are already framing the future of O&P. To have a stake
in it, read the report online at
www.AOPAnet.org/sharedvision.
Second Annual O&P
Extremity Games
Registration is now open for the O&P Extremity Games, an
amateur
extreme sports competition designed for people living with limb loss or
limb difference. The event, presented by College Park Industries, will
be held July 19–21 at the Orlando Watersports Complex in
Orlando.
Eligible competitors ages 13 and up can sign up to compete and win cash
prizes in BMX biking, in-line skating, kayaking, rock climbing,
skateboarding, skydiving, surfing and wakeboarding events. For
spectators, all events are free and open to the public.
For more information, visit
www.extremitygames.com.
PEOPLE IN THE NEWS
Mark Geil, Ph.D., presented one of the two Thranhardt
lectures at the 2007 annual meeting of the
American Academy of Orthotists
and Prosthetists. Geil’s lecture was
Comparison of Measurements of
Residual Limb Shape Using CAD versus Conventional Devices
by Mark Geil, Ph.D.
Michelle Hall, CPO, FAAOP, presented the other.
Hall’s lecture was
Dermatological
Problems with Prosthetic Roll-On Liners.
Launched by a gift from J.E. Hanger, the prestigious Thranhardt
lecturers consist of the top two clinical abstracts chosen from an open
application pool. Two more Thranhardt lectures will be given at
AOPA’s National Assembly.
Steven
Mirones, president of the Brooklyn, N.Y.-based prosthetics
firm
Arimed,
was honored in March by New Direction Services for his contributions to
the community. New Direction Services is a nonprofit organization that
serves residents of Staten Island, N.Y.
Mirones and his firm have donated C-Legs
and other
prosthetic devices to victims of violence, accident and war since 1999.
Thomas
V. DiBello, CO, FAAOP, of
Dynamic Orthotics and Prosthetics
was awarded the Distinguished Practitioner Award at this
year’s
AAOP meeting. The award was given for an outstanding career as a leader
in the profession and a provider of quality care to individuals with
disabilities.
Megan
Eilbeck has been promoted to marketing manager for
Freedom Innovations,
based in Irvine, Calif. She previously served as marketing coordinator.
Michael
Burton has stepped down from
Comfort Prosthetics
of Croydon, Penn. to serve as director of sales and marketing at
Florida Brace Corporation. He will work out of a new home-based office
in Langhorne, Penn. Burton is continuing in his role as OPAF president.
William
W. Schumann, CPO, of
Northeast
Orthotics & Prosthetics Inc.,
was awarded the Titus Ferguson Award at this year’s AAOP
meeting.
The award was given for an outstanding career as a leader in the
profession and a provider of quality care to individuals with
disabilities.
Oscar
Pistorius is set to become the first amputee runner to
cross over from Paralympic to
Olympic
events. The 20-year-old from South Africa competed in Athens at the
2004 Paralympics, but is now running the 200 and 400-meter sprints fast
enough to earn a spot on the official Olympic team, according to a
recent article in Wired.
Jeff
Simon is the new director of finance for
PEL Supply Company,
based in Cleveland. He is responsible for preparing all financial
reports and the company’s annual profit plan. He is also
managing
the accounts receivable and accounts payable departments.
David
Krupa, CP, of the
Range
of Motion Project (ROMP),
was given the Mohamed Amin Award for Humanitarian Service. The award
was given for his work on ROMP, including opening a full-time office in
Guatemala.
Rachel
Voss,
a 17-year-old from Collinsville, Ill., is excelling as an athlete,
despite being diagnosed with arterial venous malformation in her spine
five years ago that paralyzed her from the waist down. She was fitted
with KAFOs provided by Hanger that allow her to stand and strengthen
her bones, but she actively competes in wheelchair athletics. Rachel
recently competed with
TEAM
USA
in track, field and swimming events in Johannesburg, South Africa at
the Wheelchair & Amputee Sports Federation World Junior Games.
BUSINESS IN THE NEWS
The
California Orthotics
& Prosthetics Association (COPA) has added
a section to its Web site for patients in California. It includes tips
on choosing a practitioner and a list of practitioners in California,
and is located at
www.oandp.com/resources/organizations/copa/patient_info.asp
Limbs of Love, a new organization established by the
Amputee and
Prosthetic Center in Houston, has donated $250,000 worth of prosthetic
limbs to patients unable to purchase them on their own. Sign up for
more information about the organization at
http://www.limbsoflove.org/
The
National Association
for the Advancement of Orthotics and
Prosthetics (NAAOP) has moved to a new location. The new
address is:
1501 M Street NW, Seventh Floor, Washington, DC, 20005-1700.
Ohio Willow Wood of Mt. Sterling, Ohio, recently donated a
full version
of OMEGA Tracer® software, tracing hardware, a T-Ring®
II, an
OMEGA scanner and an OMEGA carver to the Fallen Heroes Fund to be used
at the Center for the Intrepid, the San Antonio-based military facility
for U.S. soldiers recovering from amputation.
Otto Bock HealthCare, based in Minneapolis, recently
contributed
$10,000 to become the first gold level sponsor of the Orthotic
&
Prosthetic Assistance Fund (OPAF).
PSL Fabrication of Fulton, Mo., has started a blog that
focuses on
fabrication, prosthetic components, outsourcing, opinions on the
industry and more. Check it out at
www.prostheticfabrication.typepad.com.
UnitedHealth Group Inc. of Minneapolis has agreed to
acquire Sierra
Health Services Inc. for more than $2.4 billion. Sierra is a Las
Vegas-based health benefits provider to 310,000 members in Nevada and
320,000 people in senior and government programs throughout the United
States.