AOPA has been anticipating that the House Ways & Means Committee will be putting forward a bill to address Medicare fraud, hospitals, RACs and the long delays for ALJ hearings. Our strategy has involved working closely with two representatives who have been working on their own bills to address RAC problems, Reps. Renee Ellmers (R-NC), […]
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AOPA to Testify Today during SBA Hearing on Regulatory Fairness
AOPA will be testifying during today’s Regional SBA Hearing being held in Seattle, WA titled “Regulatory Fairness Hearing for Small Business.” AOPA will testify on behalf of our members on the RAC and Pre-payment audit practices jeopardizing the economic viability of our members. You may read AOPA’s submitted testimony online. Background This hearing is being […]
Next Medicare Open Door Forum to Discuss the CMS Proposed Physician Documentation Template Scheduled for June 13, 2013
The Centers for Medicare and Medicaid Services has announced that the second of several Open Door Forums to discuss the proposed physician documentation template for O&P services will be held on Thursday, June 13, 2013 from 4pm-5pm EDT. AOPA encourages all of its members to participate on this call and provide feedback to CMS regarding […]
Hospital Association RAC Audit Bill Reintroduced
Last year the American Hospital Association (AHA) whose members are also under siege from RAC audits secured introduction of legislation that would be generally helpful to the plight of hospitals whose audit problems are Part A claims applying to hospitals only but are not unlike the RAC audit issues faced by O&P. But the AHA […]
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 […]
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 […]
Policy Forum Makes Big Impact on Raising Congressional Concerns over RAC Audits
AOPA Executive Director, Tom Fise, brought the Board of Directors up to date in a recent email on how AOPA members attending the Policy Forum took the lead in urging their legislators in the House of Representatives to sign-on to the letter Rep. Tammy Duckworth and Rep Brett Guthrie will send to HHS Secretary Sebelius. […]