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Highlights

Capitol

$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 […]

hhs

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 […]

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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 […]

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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 […]

Capitol

Many AOPA Concerns Included in Ways and Means Committee Draft Bill Addressing Medicare Fraud, RACs, and ALJ Delays

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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February 11, 2015
AOPA Webinar
Find Success: Tips, Strategies and Understanding the Appeals Process
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