CMS Reverses Its Position on Replacement of a Prosthesis Without a New Prescription

On April 24, 2013, CMS announced that Medlearn Matters Article SE1213 had been revised to remove a statement that indicated that a prosthesis could be replaced without a new order...

PECOS Edits for Ordering/Referring Physicians is Delayed

CMS has announced that Phase 2 of the PECOS edits for ordering/referring physicians is now delayed and a new effective date has not been announced. Claims where there is no...

Jurisdiction D DME MAC Releases Pre-Payment Review Results

Noridian Administrative Services, LLC, the Jurisdiction D DME MAC has recently released results of two ongoing widespread pre-payment reviews; one for diabetic shoes described by A5500 and the other for...

Compassionate Care Access Offered to Boston Marathon Amputee Victims

ALEXANDRIA, VA, April 22, 2013 – The American Orthotic and Prosthetic Association (AOPA) is leading a coalition to provide access to care for uninsured/underinsured amputee victims of the Boston Marathon...

AOPA Continues Dialogue with OIG Regarding L0631 Spinal Orthoses

In an April 19, 2013 letter to Inspector General Daniel Levinson and Deputy Inspector General for Evaluation Stuart Wright, AOPA addressed several concerns regarding assertions that were made in the...

AOPA Letter to Tavenner and Sebelius Further Challenges “Dear Physician” Letter

AOPA’s counsel on CMS matters, Tom Mills of the law firm Winston and Strawn, has issued a second letter to HHS Secretary Sebelius and CMS Acting Administrator Tavenner again seeking...

AOPA Members Rally to Secure 35 Representatives to Sign-On to HHS Secretary Sebelius Letter

Those who attended the AOPA Policy Forum March 12-13 started the effort in their Congressional visits to persuade their Representatives to sign-on to a letter from Rep Duckworth (D-IL) and...

Reminder: PECOS Edits for Referring/Ordering Physicians Scheduled for Implementation on May 1, 2013

The Centers for Medicare and Medicaid Services (CMS) has announced that it will implement Phase 2 of the PECOS referring/ordering physician edits for claims submitted on or after May 1,...

AOPA Plans to Testify in Upcoming SBA Hearing on Regulatory Fairness

There is an upcoming Regional SBA Hearing being held in Seattle, WA on June 6th titled "Regulatory Fairness Hearing for Small Business.”  AOPA will be testifying on behalf of our...

Policy Forum Makes Big Impact on Raising Congressional Concerns over RAC Audits

AOPA Executive Director, Tom Fise, brought the Board of Directors up to date in a recent email on how AOPA members attending the Policy Forum took the lead in urging...