2020 Coding Pro O&P’s comprehensive guide to Medicare codes, reimbursement, and medical policies.
Serving the O&P field for over 90 years
Highlights
CMS Expands its Prior Authorization Program and Adds New O&P Codes Subject to Face-to-Face Encounters and Written Orders Prior to Delivery
May 15, 2024 at 10:31 am
On May 13, 2024, the Centers for Medicare and Medicaid Services (CMS) announced that the following six O&P HCPCS codes will require Medicare Prior Authorization nationwide for claims with a date of service on or after August 12, 2024:
Medicare Orthotics and Prosthetics Patient-Centered Care Act Introduced in the Senate
March 19, 2024 at 5:03 pm
Contact: Joy Burwell jburwell@AOPAnet.org FOR IMMEDIATE RELEASE Medicare Orthotics and Prosthetics Patient-Centered Care Act Introduced in the Senate Washington, DC (March 19, 2024) – Today, Senators Mark Warner (D-VA) and Steve Daines (R-MT) introduced the bi-partisan Medicare Orthotics and Prosthetics Patient-Centered Care Act in the Senate. The legislation was introduced in the House in June […]
DME MACs/PDAC Releases Positive 3D Printing Guidance
February 2, 2024 at 9:36 am
On February 1, 2024 the Durable Medicare Equipment Medicare Administrative Contractors (DME MACs) and the Pricing Data Analysis & Coding (PDAC) contractor released long awaited guidance from the Centers for Medicare and Medicaid Services (CMS) on the use of 3D printing and digital scanning for custom fabricated orthoses. They state that 3D printing, or additive […]
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