On Thursday, July 16th, the four DME MACs, released their joint proposal for substantial modifications to the Local Coverage Determination and Policy Article applicable to Medicare reimbursement for lower extremity prosthetics. AOPA has now examined the proposed changes and has complied a comprehensive summary of the proposed LCD and Policy Article, accompanied by an Executive Summary […]
The four DME MACs have just released a Draft Local Coverage Determination (LCD) and Policy Article that, when finalized, will govern Medicare coverage of Lower Limb Prostheses. The draft policy contains significant revisions from the existing Lower Limb Prosthesis medical policy and AOPA is working diligently to review the draft policy and provide a detailed […]
With less than three months remaining until the nation switches from ICD-9 to ICD-10 coding for medical diagnoses and inpatient hospital procedures, the Centers for Medicare & Medicaid Services (CMS) and the American Medical Association (AMA) have announced efforts to help physicians get ready ahead of the October 1 deadline. This announcement indicates a shift […]
Insurance premium subsidies will continue to flow to Americans in all states under the Affordable Care Act, the U.S. Supreme Court decided 6-3 in King v. Burwell on June 25. The justices sided with the Obama administration in the historic decision, saying the healthcare law allows Americans in all states-not just those that established their […]
On June 3, the O&P Alliance, including AOPA’s President Charles Dankmeyer, and Executive Director Tom Fise, JD, met with the Deputy Administrator and Director of the Center for Program Integrity at CMS. The meeting included several topics: local coverage determination (LCD) recognition of O&P clinicians’ notes as part of the medical record; who can bill […]
Below is the text of an email AOPA Executive Director, Tom Fise, JD, sent to AOPA’s Board of Directors and allied organizations announcing the success of the sign-on letter that obtained the wide support of members of Congress responding to the full court press from AOPA members and the other O&P organizations. “I am pleased […]
AOPA recently brought the message to Congress that “Mobility Saves” with a special news briefing where participants could view the latest prosthetic technology, receive an overview of insurance challenges patients face, along with legislative, regulatory and research issues in Orthotics & Prosthetics, Medicare, VA, the Department of Defense and the private sector. Boston Marathon Bombing Survivor and […]
To listen to the audio, please open the article and click here.
AOPA Appeals Review Report 3 19 15 FINAL
AOPA: More than 100 Small Health Care Providers Already Shut Down Due to Delays and Many More at Risk; No End in Sight to Estimated Backlog of 1.5 Million Appeals Now Languishing. WASHINGTON, D.C.///March 19, 2015///With a massive backlog of Medicare reimbursement appeals by health care providers growing at the alarming rate of 15,000 a […]
