AOPA Appeals Review Report 3 19 15 FINAL
News
STUDY: MEDICARE AUDIT “MESS” SURGING AT RATE OF 15,000 NEW APPEALS PER WEEK, AGENCY COULD AVOID RAPIDLY MOUNTING INTEREST PAYMENTS
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 […]
Prosthetics 2020: An Invitation to AOPA Members
Our profession has endured a veritable sea change in the past five years, impacting what prostheses and orthoses are available to our patients, as well as how and at what rate our services are paid for by payers. What do the next five years hold in store—what will prosthetics be like five years from now, […]
AOPA Statement on 3-D Printing in Prosthetics and Frequent Errant Estimates of the Average Cost of Upper and Lower Limb Custom-Fabricated Prosthetic Devices
America’s prosthetic and orthotic health professionals deliver patient – centered care each day to persons of all ages whose mobility has been compromised by limb loss and chronic limb impairment. This includes the commitment for trained, licensed and accredited health professionals delivering cost efficient care that also meets all patient protections established via federal and […]
O&P Industry Leaders Attend the Inaugural AOPA Leadership Conference
On January 9-11th more than 150 O&P industry leaders participated in the inaugural AOPA Leadership Conference held at the Eau Palm Resort & Spa in Palm Beach, Florida. While the stunning views and great weather outside of the meeting room proved to be quite a temptation, the group remained focused on the task at hand: discussing the […]
Editorial Published on Dobson DaVanzo Research Proving O&P Saves Lives and Money
AOPA immediate past-president Anita Liberman-Lampear of University of Michigan Orthotics and Prosthetics Center has published an editorial in the Roanoke Times on the Dobson-DaVanzo research, funded by AOPA and commissioned by the Amputee Coalition, that used Medicare’s own data to prove that providing orthotics and prosthetics is cost-effective. The study was the basis for Mobility Saves, the public […]
$10 Million for O&P Outcomes Research Included in the Cromnibus Bill, and RAC Concerns Addressed
Great news for O&P outcomes research! The $1.1 trillion combined continuing resolution and omnibus appropriations bill (the “cromnibus” bill) enacted December 13 to keep the government running includes a Department of Defense (DoD) section with an additional $10 million for O&P outcomes research funding. This was also included in last year’s budget and we are […]
AOPA Submits Comments on OMHA’s ALJ Backlog and Increased Requests for Hearings
Following the October 29 Medicare Appellant Forum hosted by the Office of Medicare Hearings and Appeals (OMHA), the Department of Health and Human Services (HHS) opened a comment period to solicit suggestions for addressing the growth in the number of requests for Administrative Law Judge (ALJ) hearings, and to help to clear the backlog of […]
2015 Medicare DMEPOS Fee Schedule Released
The Centers for Medicare and Medicaid Services (CMS) has released the 2015 Medicare DMEPOS fee schedule, effective for claims with a date of service on or after January 1, 2015. The net Medicare fee increase for O&P services for 2015 is 1.5%. This is based on a 2.1% increase in the consumer pricing index for […]
19% of Patients with a Medicare-Reimbursed Off the Shelf Device Later Receive a Custom Device
New analysis from Dobson DaVanzo: 19% of patients with a Medicare-reimbursed Off the Shelf device later receive a custom-fitted or custom-fabricated orthotic device Medicare’s own data shows that frequently patients who receive a Medicare-reimbursed OTS device subsequently also receive a Medicare-reimbursed custom-fitted or custom-fabricated orthotic device. Clearly, some modest portion of these data reflect instances in […]