The Centers for Medicare and Medicaid Services (CMS) has released the 2020 Medicare DMEPOS fee schedule which will be effective for Medicare claims with a date of service on or after January 1, 2020. As anticipated, the 2020 Medicare fee schedule for orthotic and prosthetic services will be increased by 0.9% over 2019 rates. The […]
Friday, November 22, the House of Representatives introduced the Medicare O&P Patient-Centered Care Act (H.R. 5262). This bipartisan legislation would improve access to, and quality of orthotic and prosthetic care received by Medicare beneficiaries while simultaneously combatting fraud and abuse. Specifically, this bill would: Restore congressional intent by revising the overly expansive regulatory interpretation of […]
The Centers for Medicare and Medicaid Services (CMS) has released the new Healthcare Common Procedure Coding System (HCPCS) codes for 2020, and there were a few minor changes. Below is a complete breakdown of the code changes which will be effective for claims with a date of service on or after January 1, 2020.
HHS Office of Inspector General Releases a Report Comparing Medicare Payment for Orthoses with Payments by Other Insurers On October 30, 2019, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) released a report that compared Medicare payments for orthoses to payments made by non-Medicare payers from 2012-2015. The OIG cited […]
On October 31, 2019, the Centers for Medicare and Medicaid Services (CMS) released its annual final rule regarding changes to the 2020 Medicare payment rules for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS). CMS issued a proposed rule in late July of this year and allowed any interested member of the public to provide […]
Next month, AOPA and our members are celebrating Corporate Compliance & Ethics Week with daily activities. AOPA encourages its members to make the right choices all year long, and celebrate Corporate Compliance & Ethics Week with AOPA! AOPA’s first HCEW was November 5-11, 2017. This year’s celebration will take place November 3-9. Every day AOPA […]
If you intend to submit a bid for the Round 2021 Competitive Bidding Program, you must register with the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Bidding System, DBidS, by this Friday, August 16. If you have not already done so, all registrations must be completed by 8:59:59 p.m. ET. If you have not registered by then you will not be able to […]
The Centers for Medicare and Medicaid Services (CMS) recently released a proposed rule to update the End Stage Renal Disease (ESRD) Prospective Payment System (PPS), and included in the proposed rule were major changes to the gap-filling methodology. Gap-filling is the current procedure for how new introduced products and HCPCS codes receive a fee schedule […]
Last week, Ohio State Senator Rob McColley (R-Napoleon) and Ohio Lt. Governor Jon Husted announced a legislative initiative called The Common Sense Initiative (CSI). The CSI includes language that will give flexibility to the Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers (OTPTAT) Board to give permission to those who research and develop prosthetics using […]
O&P never stops evolving and neither does the National Assembly. At the 2019 National Assembly, September 25-28 in San Diego, the waves of change will come to a crest. The Assembly has visionaries, including Capt. Lanny Boswell, USN (Ret), PhD, PT, OCS, the Commanding Officer for the Military Hospital Ship USNS Comfort’s medical treatment facility […]
