In conjunction with our continuing efforts to advance the provisions of H.R. 2599/ S.1191, the Medicare Orthotics & Prosthetics Improvement Act, we are pleased to advise you that the provision which would assure that the prosthetist/orthotist patient notes are included as part of the official Medicare medical record for purposes of medical necessity determinations has […]
Listen to the audio of this news event. GROUPS: AMPUTEES HAVE MUCH TO LOSE IF HEALTH CARE REFORM UNDERCUTS KEY ASPECTS OF SAFETY NET WASHINGTON, D.C.///June 29, 2017///Many of the two million Americans who are amputees – including military veterans, accident victims, and older Americans – could lose care and the mobility and liberty that […]
Subscribe to the July-December half-year series and get 3 free webinars. This includes 2 bonus webinars added as part of Healthcare Compliance & Ethics Week, that are free to all AOPA members with no purchase required. Stay on top of all relevant reimbursement issues and earn 1.5 CE credits each month. One registration is all […]
The preliminary program is now available! See the amazing line-up of physicians, researchers, and top-notch practitioners presenting on the education you need in this changing health care environment: the triple aim, advanced technologies, integrated care, osseointegration, cybersecurity, diabetic foot care, documentation and reimbursement, 3-D printing and much, much more. Register and learn more.
On May 4, 2017, CGS Administrators, LLC, the Durable Medical Equipment Medicare Administrative Contractor (DME MAC) for Jurisdiction C, announced the initiation of a widespread pre-payment review for HCPCS code L5856-Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type. L5856 is used as an […]
This afternoon, the House voted to enact the American Health Care Act (AHCA). This is the initial legislative step in a process intended to eliminate major portions of the Affordable Care Act. Most folks recognize that this was the second attempt on this bill, after it came up short a few weeks before. There were […]
In the April 20, 2017 AOPA in Advance: SmartBrief newsletter, AOPA announced that Performant Recovery, the contractor who serves as the national recovery audit contractor (RAC) for all Medicare DMEPOS, Hospice and Home Health services, had announced that it would begin performing an automated review on claims involving HCPCS code L5845 billed in conjunction with specific […]
On April 27, AOPA met with several key members of the HHS Leadership team to discuss issues important to O&P. In attendance were HHS and CMS officials John Brooks, J.D., Counselor to HHS Secretary on Medicare, Policy Advisor Amanda Street and several AOPA key leaders, including AOPA President Michael Oros, CPO, FAAOP; AOPA Executive Director […]
In December 2016 the Academy, on behalf of the O&P Alliance, sought your assistance in responding to a request from the Agency for Healthcare Research and Quality (AHRQ) Call for Comments on key questions related to Lower Limb Prosthesis. The Academy, in conjunction with the O&P Alliance, submitted a detailed formal response to that request.* […]
On March 30, AOPA submitted comments on two recently announced Connecticut Medicaid policies. The proposed changes include the elimination of some L-Codes from the Connecticut Medicaid fee schedule due to lack of utilization, as well as a 10% reduction in the fee schedule for several custom fitted or custom fabricated orthosis HCPCS codes. One proposed […]
