On May 4, 2017, CGS Administrators, LLC, the Durable Medical Equipment Medicare Administrative Contractor (DME MAC) for Jurisdiction C, announced the initiation of a widespread pre-payment review for HCPCS code L5856-Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type.  L5856 is used as an […]

This afternoon, the House voted to enact the American Health Care Act (AHCA). This is the initial legislative step in a process intended to eliminate major portions of the Affordable Care Act. Most folks recognize that this was the second attempt on this bill, after it came up short a few weeks before. There were […]

On April 27, AOPA met with several key members of the HHS Leadership team to discuss issues important to O&P. In attendance were HHS and CMS officials John Brooks, J.D., Counselor to HHS Secretary on Medicare, Policy Advisor Amanda Street and several AOPA key leaders, including AOPA President Michael Oros, CPO, FAAOP; AOPA Executive Director […]

In December 2016 the Academy, on behalf of the O&P Alliance, sought your assistance in responding to a request from the Agency for Healthcare Research and Quality (AHRQ) Call for Comments on key questions related to Lower Limb Prosthesis. The Academy, in conjunction with the O&P Alliance, submitted a detailed formal response to that request.* […]

AOPA is celebrating its 100th Anniversary in 2017 and we are pulling out all stops during the September 6-9 World Congress, where we will showcase significant milestones of the Association and Profession through our “Walk Through Time” historical display as well as awards to honor those who have made a significant contribution to patient care […]

On March 30, AOPA submitted comments on two recently announced Connecticut Medicaid policies.  The proposed changes include the elimination of some L-Codes from the Connecticut Medicaid fee schedule due to lack of utilization, as well as a 10% reduction in the fee schedule for several custom fitted or custom fabricated orthosis HCPCS codes. One proposed […]

As you are aware from the major news outlets, after a substantial ‘run-up’ and negotiations, the House leadership cancelled votes that had been slated for both Thursday and Friday on the House legislation to repeal and replace the Affordable Care Act (ACA), entitled H.R. 1628, the “American Health Care Act” (AHCA). What will this mean, […]