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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 […]

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 […]

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 […]

New HCPCS Codes for 2015

The Centers for Medicare and Medicaid Services (CMS) has released the new HCPCS codes for 2015. There were several changes to the codes that describe orthotics and prosthetics for 2015. Below is a breakdown of the new codes, code descriptor changes and code deletions. All changes are effective for claims with a date of service […]

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