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Medicare O&P Patient-Centered Care Act Introduced in House, Urge Your Representative to Support

Yesterday, the House introduced the Medicare O&P Patient-Centered Care Act (HR 1990). This bipartisan legislation would improve access to, and quality of, orthotic and prosthetic care while simultaneously combating fraud and abuse. The bill is identical to legislation introduced in the House and Senate last year. Thank you for your help getting this vital legislation re-introduced.

Joint DME/PDAC Coding Bulletin Provides Clarification on Proper Billing of Prefabricated Orthoses

On March 11, 2021, the Durable Medical Equipment Medicare Administrative Contractors (DME MACs) and the Pricing, Data Analysis, and Coding Contractor (PDAC) published a joint correct coding bulletin regarding code descriptors that include the term “prefabricated, includes fitting and adjustment”.