Orthotic

Medicare Expands Prior Authorization: Five Codes Added

The Centers for Medicare and Medicaid Services (CMS) has announced. that the following five O&P HCPCS codes will require Medicare Prior Authorization nationwide for claims with a date of service...

2026 Medicare DMEPOS Fee Schedule Update

Last night, the Centers for Medicare and Medicaid and Services (CMS) released the 2026 Medicare DMEPOS Fee Schedule. In 2026, the CPI-U of 2.7% will be reduced by the Productivity...

DME MACs Issue Revised LCD to Expand Coverage of Knee Braces Used to Treat Osteoarthritis

AOPA is excited to share an important development in Medicare policy. After nearly two years of persistent engagement following our initial formal LCD reconsideration request in 2023, the DME MACs...

Additional Analysis on the CMS Final Rule Regarding Supplier Enrollment, Accreditation Requirements, DMEPOS Competitive Bidding, and Medicare Prior Authorization

On Friday, November 28th, the Centers for Medicare and Medicaid Services (CMS) published Final Rule CMS-1828-F which included provisions that outlined updates to Medicare DMEPOS competitive bidding programs, Medicare DMEPOS...