Dobson DaVanzo Study: Medicare Scandal

STUDY: MEDICARE SCANDAL CONTINUES WITH SIGNIFICANT PERCENTAGE OF PAYMENTS FOR ORTHOTIC AND PROSTHETIC DEVICES GOING ILLEGALLY TO UNLICENSED PROVIDERS CMS Payments to Unlicensed Providers Violates 2000 and 2005 Laws; Regulatory...

AOPA to Testify Today during SBA Hearing on Regulatory Fairness

AOPA will be testifying during today’s Regional SBA Hearing being held in Seattle, WA titled "Regulatory Fairness Hearing for Small Business.”  AOPA will testify on behalf of our members on...

Next Medicare Open Door Forum to Discuss the CMS Proposed Physician Documentation Template Scheduled for June 13, 2013

The Centers for Medicare and Medicaid Services has announced that the second of several Open Door Forums to discuss the proposed physician documentation template for O&P services will be held...

Jurisdiction B Publishes Encouraging Results of O&P Pre-Payment Reviews

National Government Services (NGS), the Jurisdiction B DME MAC, recently reported results of their first quarter pre-payment audit activity on high error rate services, including orthotics and prosthetics. While the...

CMS Publishes Draft Clinical Template Designed to Assist Physicians to Properly Document Medical Need for Lower Limb Prostheses

The Centers for Medicare and Medicaid Services (CMS) has published a draft document on its website that, in its words, “will assist physicians with documenting the physician notes that substantiate...

Hospital Association RAC Audit Bill Reintroduced

Last year the American Hospital Association (AHA) whose members are also under siege from RAC audits secured introduction of legislation that would be generally helpful to the plight of hospitals...

Litigation Fund Draws Impressive Response

More than 125 companies and individuals have responded with their pocketbooks to help fund the huge lawsuit expense of the AOPA lawsuit  against CMS on behalf of members to stop...

Act Today To Preserve The Heritage of the O&P Profession

If you’ve had trouble getting through to AOPA staff it is because our phones have been ringing off the hook since we filed suit against Medicare. Members & Non-members have...

Changes to HIPAA Reminder

As a reminder the Department of Health & Human Services (HHS) has published new rules/ updates to the HIPAA Privacy, Security, and Enforcement Breach Notification Rules; that were originally published...

Jurisdiction D Reports Results of Widespread Pre-Payment Review for Spinal Orthoses

Noridian Healthcare Services, the Jurisdiction D DME MAC contractor has released the results from pre-payment reviews of claims for spinal; orthoses described by codes L0631 and L0637.  For claims reviewed...