News

Member Research Initiative Highlight: Hanger

The American Journal of Physical Medicine and Rehabilitation recently published a study suggesting that early delivery of a prosthesis following amputation is associated with up to a 25 percent reduction in overall direct healthcare costs.  In a recent webinar, a panel of experts reviewed the study’s findings while assessing their impact on patients’ day-to-day lives, and several questions arose […]

CGS Post Payment Review for L0650 Announcement

In July, we informed you that the Centers for Medicare and Medicaid Services (CMS) announced the resumption of certain audit activity beginning on August 3, 2020. CMS clarified that they will not be restarting all audits on August 3, but instead due to the continued Public Health Emergency (PHE) will be implementing a phased approach […]

Take Action: Support O&P and its Patients

On August 6, the Senate introduced the Medicare O&P Patient-Centered Care Act (S. 4503). This bipartisan legislation would improve access to, and quality of, orthotic and prosthetic care while simultaneously combatting fraud and abuse. The Senate bill is identical to the one introduced in the House late last year (H.R. 5262). The American Orthotic and […]

Medicare Orthotics and Prosthetics Patient-Centered Care Act Introduced in the Senate

Contact: Joy Burwell jburwell@AOPAnet.org 757-646-4999 FOR IMMEDIATE RELEASE Medicare Orthotics and Prosthetics Patient-Centered Care Act Introduced in the Senate Washington, DC (August 7, 2020) – Yesterday, Senators Mark R. Warner (D-VA), Steve Daines (R-MT), Tammy Duckworth (D-IL), John Cornyn (R-TX), and Bill Cassidy (R-LA) introduced the Medicare Orthotics and Prosthetics Patient-Centered Care Act (S. 4503) […]

Update on CMS Resumption of Medicare Audits

On July 10, we informed you that the Centers for Medicare and Medicaid Services (CMS) announced the resumption of certain audit activity beginning on August 3, 2020. AOPA, through its involvement on the DME MAC Advisory Councils has since learned that CMS has clarified the scope of the audits that will resume on August 3. […]

CMS Announces the Resumption of Medicare Audits and New Implementation Date for Medicare Prior Authorization

The Centers for Medicare and Medicaid Services (CMS) recently updated its COVID-19 Reduction of Provider Burden Frequently Asked Questions (FAQ) document to provide updates on the resumption of Medicare audit activity and revised implementation dates for Medicare prior authorization of six lower limb prosthesis codes. Resumption of Medicare Audits The FAQ was updated to indicate […]

Action Needed: Ask Your Senators to to Support Funding for O&P Education

This week the Senate will start debate on the National Defense Authorization Act (NDAA), which lays out the 2021 budget and expenditures of the U.S. Department of Defense (DoD) and creates new programs within the DoD. Senators Richard Durbin (D-IL), Tammy Duckworth (D-IL), and David Purdue (R-GA) have introduced an amendment to the bill which […]

DME MACs and PDAC Release Joint Publication Announcing Coding Verification Requirement for Six Lower Limb Prosthetic Codes that Will Require Medicare Prior Authorization

On June 26, 2020, the Durable Medical Equipment Medicare Administrative Contractors (DME MACs) and Pricing, Data Analysis, and Coding Contractor (PDAC) released a joint announcement for a new coding verification requirement for the six lower limb prostheses that were previously announced as  subject to Medicare prior authorization. While implementation of Medicare prior authorization has been […]

Registration for the 2020 Virtual National Assembly is Open

Even though we won’t be face-to-face, the 2020 Virtual National Assembly will have it all… The best in business education and advanced clinical programming offered in general sessions, poster presentations, and engaging concurrent breakouts.  A robust exhibit hall. Roundtable discussions with the most influential people in the profession. Fun events such as coffee breaks and […]

COVID-19 Update: Paycheck Protection Program Changes

This week Congress finalized legislation to ensure that businesses that received a forgivable loan through the Paycheck Protection Program (PPP) can have more leeway on how to spend those funds. Under the newly-passed Paycheck Protection Program Flexibility Act of 2020 small businesses would have to spend just 60 percent of the loan money on payroll […]