News

AOPA to Testify Today during SBA Hearing on Regulatory Fairness

AOPA will be testifying during today’s Regional SBA Hearing being held in Seattle, WA titled “Regulatory Fairness Hearing for Small Business.”  AOPA will testify on behalf of our members on the RAC and Pre-payment audit practices jeopardizing the economic viability of our members. You may read AOPA’s submitted testimony online. Background This hearing is being […]

Jurisdiction B Publishes Encouraging Results of O&P Pre-Payment Reviews

National Government Services (NGS), the Jurisdiction B DME MAC, recently reported results of their first quarter pre-payment audit activity on high error rate services, including orthotics and prosthetics. While the overall error rate for all claims reviewed remains relatively high at 72%, NGS reported that the error  rate for O&P claims has been significantly reduced. […]

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 […]

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, […]