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 […]
News
The 2017 AOPA World Congress Preliminary Program is Available
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.
Jurisdiction C DME MAC Announces Pre-Payment Review of Microprocessor Knee Code
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 […]
House Passes American Health Care Act, Starting the Path for Repeal of Affordable Care Act of 2009
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 […]
Important Update Regarding RAC Announcement On Audit of L5845 – Issue Has Been Removed from the RAC Website
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 […]
AOPA Meets with HHS Leadership
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 […]
Action Alert: Your Comments Are Needed
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.* […]
AOPA Submits Comments on Connecticut Medicaid Policy Changes on Cranial Orthoses and other L Codes
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 […]
House Positioning on H.R. 1628, the ‘American Health Care Act’
As you are aware from the major news outlets, after a substantial ‘run-up’ and negotiations, the House leadership cancelled votes that had been slated for both Thursday and Friday on the House legislation to repeal and replace the Affordable Care Act (ACA), entitled H.R. 1628, the “American Health Care Act” (AHCA). What will this mean, […]
AOPA Submits Comments on CMS’ Qualified Provider Proposal
On March 13, AOPA submitted comments on the CMS proposal “Proposed Rule on Medicare Requirements for Qualified Practitioners and Qualified Suppliers of Prosthetics and Custom-Fabricated Orthotics”. This is the proposal that would enact the long awaited provisions of Section 1834(h) of the Social Security Act, which establishes requirements for qualified suppliers and qualified practitioners, and […]