News

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 […]

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 withdrawal of the “Dear Physician Letter” which unleashed the horrendous increase in RAC and other audits as well as burdensome prepayment reviews.  All of these […]

HHS Inspector General Takes Swipe at L0631

Writing in AARP The Bulletin, Daniel R. Levinson repeats a faulty assertion first made in the Office of Inspector General Report of December 2012 that Medicare paid an average of $919 for L0631 coded back braces that could be bought on the Internet for $191.  The Medicare reimbursement was supposed to include ongoing clinical care […]