As many of you are aware, yesterday, AOPA announced the creation of the Coalition to Walk and Run Again. If you missed the news event, you may listen to it here. Since yesterday’s announcement, the world has opened its eyes to the O&P field and the media has been busy covering our members and the […]
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 […]
Compete to fabricate a partial foot Prosthosis in the Second Annual AOPA OPTA Technical Fabrication contest and gain international recognition at the 2013 O&P World Congress. In addition you will have the opportunity to win a cash prize and students can generate special recognition for their school. Register today! For contest guidelines, judging criteria and […]
On April 24, 2013, CMS announced that Medlearn Matters Article SE1213 had been revised to remove a statement that indicated that a prosthesis could be replaced without a new order from a physician as long as there was no upgrade from the previously ordered prosthesis. This statement was originally added to Medlearn Matters Article SE1213 […]
CMS has announced that Phase 2 of the PECOS edits for ordering/referring physicians is now delayed and a new effective date has not been announced. Claims where there is no PECOS record for the referring/ordering physician were set to be denied on May 1, 2013. This means that your current Medicare claims will not be […]
Noridian Administrative Services, LLC, the Jurisdiction D DME MAC has recently released results of two ongoing widespread pre-payment reviews; one for diabetic shoes described by A5500 and the other for AFOs described by codes L4360, L1960, and L1970. All reported results involve claims that were reviewed between December, 2012 and March 2013. For diabetic shoes […]
ALEXANDRIA, VA, April 22, 2013 – The American Orthotic and Prosthetic Association (AOPA) is leading a coalition to provide access to care for uninsured/underinsured amputee victims of the Boston Marathon Bombing to assure that all victims “will walk and run again”. Leaders of manufacturer and patient care facility members of AOPA and coalition partners have […]
In an April 19, 2013 letter to Inspector General Daniel Levinson and Deputy Inspector General for Evaluation Stuart Wright, AOPA addressed several concerns regarding assertions that were made in the OIG response to AOPA’s comments on the December 2012 OIG report entitled Medicare Supplier Acquisition Costs for L0631 Back Orthoses. AOPA provided initial comments on […]
AOPA’s counsel on CMS matters, Tom Mills of the law firm Winston and Strawn, has issued a second letter to HHS Secretary Sebelius and CMS Acting Administrator Tavenner again seeking withdrawal of the “Dear Physician Letter” which unleashed the horrendous increase in RAC and other audits as well as burdensome prepayment reviews. All of these […]
Those who attended the AOPA Policy Forum March 12-13 started the effort in their Congressional visits to persuade their Representatives to sign-on to a letter from Rep Duckworth (D-IL) and Rep. Guthrie (R-KY) to HHS Secretary Sebelius expressing concerns about CMS audit procedures. A follow-up campaign, by directed at the entire AOPA membership, generated action […]
