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 during the first quarter of 3013, the error rate for L0631 was 83% and the error rate for L0637 was 82%. In both cases, approximately […]
News
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 as part of the Health Information Technology for Economic and Clinical Health Act or HITECH Act. Some of these updates include: Expanding the definition and […]
Reminder Regarding RAC ADR Limits for O&P Services
AOPA would like to remind its members that revised limits for Additional Documentation Requests (ADRs) for RAC audits involving O&P claims were implemented as of April 3, 2013. While the ADR calculation remains unchanged at 10% of claims submitted during the previous year, divided by 8, for each 45 day period, CMS has limited the […]
AOPA Files Lawsuit Against CMS
American Orthotic & Prosthetic Association Files Lawsuit Against Medicare Arising from Unfair Medicare RAC/Pre-payment Audits, Where No Fraud Exists, and Challenges Unlawful Changes to Medicare Standard for Care of Medicare Amputees Today, the American Orthotic and Prosthetic Association (AOPA) filed suit against HHS/Medicare in the Federal District Court for the District of Columbia, seeking relief […]
World Congress Registration is Now Open
Don’t miss this opportunity to attend an international congress without leaving the United States. The 2013 World Congress presents A Whole New World of collaboration and opportunities for practitioners in the Western Hemisphere and around the world to participate in a world congress forum similar to opportunities available to practitioners in Europe. Watch your mail […]
American Orthotic & Prosthetic Association Files Lawsuit Against Medicare Arising from Unfair Medicare RAC/Pre-payment Audits, Where No Fraud Exists, and Challenges Unlawful Changes to Medicare Standard for Care of Medicare Amputees
Alexandria, VA – May 13, 2014 Today, the American Orthotic and Prosthetic Association (AOPA) filed suit against HHS/Medicare in the Federal District Court for the District of Columbia, seeking relief from the unfair and unauthorized actions of the Center for Medicare and Medicaid Services, primarily via actions of its RAC auditors and DME MACs relating […]
Reminder Regarding RAC ADR Limits for O&P Services
AOPA would like to remind its members that revised limits for Additional Documentation Requests (ADRs) for RAC audits involving O&P claims were implemented as of April 3, 2013. While the ADR calculation remains unchanged at 10% of claims submitted during the previous year, divided by 8, for each 45 day period, CMS has limited the […]
Donations Needed for Wine Tasting and Auction to Support Government Relations Outreach
During the 2013 World Congress AOPA will be hosting the 6th Annual Wine Tasting & Auction. On Thursday, September 19th from 6:30-8:00 PM. This exciting event provides attendees with a unique opportunity to mingle, network, learn about and taste a variety of wines, but most importantly raise awareness of and funds for AOPA’s Government Relations […]
Free HIPAA Webinars Available
HHS and the Workgroup for Electronic Data Interchange (WEDI) are co-sponsoring a series of webinars designed for small business providers on the recent Omnibus HIPAA Rulemaking. These webinars are geared towards practical strategies for implementing the HIPAA Rule changes within a small clinical practice. The sessions are scheduled for June 14, June 28, July 17, […]
Coalition to Run & Walk Again
As many of you are aware, yesterday, AOPA announced the creation of the Coalition to Walk and Run Again. If you missed the news event, you may listen to it here. Since yesterday’s announcement, the world has opened its eyes to the O&P field and the media has been busy covering our members and the […]