News

Proof of Delivery Requirements: AOPA’s Efforts Pay Dividends

As you may recall, last year the four Durable Medical Equipment Medicare Administrative Contractors (DME MACs) released a clarification on the type of information which must be included on a valid Proof of Delivery (POD).  The DME MACs stated that the inclusion of the official L-code descriptor, which had been the accepted norm for years, […]

AOPA and the O&P Alliance Meet with CMS Officials about Prosthetic LCD Workgroup

On February 26, AOPA Executive Director Thomas Fise joined other representatives of the O&P Alliance for a meeting with CMS Deputy Administrator/Chief Medical Officer, Patrick Conway, M.D., Kate Goodrich, M.D., the Director of the Center for Clinical Standards & Quality, Susan Miller, M.D. who has responsibility for the planned Prosthetic LCD-related Interagency Committee comprised of […]

What has Happened with Medicare Amputee Services Since 2010?

What has happened to Medicare’s Spending on Prosthetics since 2010? AOPA has analyzed the data, and the picture is clear. Medicare spent 15% less in 2014 than in 2010 on prosthetics. Medicare spending on advanced prosthetics has trended down 41%, while spending on older technologies has trended up almost 50%. Overall spending has decreased by […]

Where is CMS Going on Prior Authorization?

AOPA has presented free webinars for members on Prior Authorization on two dates – February 18 and February 25.  AOPA is committing substantial resources to additional education related to Medicare Prior Authorization.  Details of these resources are listed below: 1.       Introductory Webinar: February 18th and 25th 2016-2 separate dates (Available as a recording) 2.       February 2016 […]

Update on DME MAC Contractor Transition

Following up on a previous Smart Brief announcement, regarding upcoming changes in the contractors who will serve as the Durable Medical Equipment Medicare Administrative Contractors (DME MACs), AOPA has learned about additional details regarding the transition of DME MAC Jurisdiction A and Jurisdiction B responsibilities. The denial of the NGS protest of the Jurisdiction B […]

CGS to be the New DME MAC for Jurisdiction B

As AOPA reported earlier, CGS, the current Jurisdiction C DME MAC contractor, was awarded the Jurisdiction B contract on September 3, 2015. However, National Government Services (NGS), the current Jurisdiction B DME MAC, filed a formal protest causing CMS to halt the transition pending a review of the contract award by the Government Accountability office […]

Jurisdiction A DME MAC Contract Awarded to Noridian Health Solutions, LLC

On December 16, 2015, the Centers for Medicare and Medicaid Service (CMS) announced that Noridian HealthCare Solutions, LLC. was awarded a contract to serve as the Jurisdiction A Durable Medical Equipment Medicare Administrative Contractor (DME MAC).  Noridian currently holds contracts to serve as the Jurisdiction D DME MAC as well as the Pricing, Data Analysis, […]

Congress Close to a Deal on Funding of the Federal Government; Modest Potential Impact on O&P and Suspension of Medical Device Excise Tax for Non-O&P in Play

On Wednesday, December 16th, President Obama signed a short term spending measure that will allow the Federal government to continue to operate until December 22, allowing Congress to finalize its long anticipated Omnibus appropriations and tax break extender legislation that will fund the Federal government for the remainder of the 2016 fiscal year.  Two important […]