The 2021 National Assembly is on…in-person…in Boston…September 9-11. We cannot wait to see you! In addition to the in-person Assembly, we will be offering all the education virtually. This content will be available a week after the Assembly, September 16-18.
Yesterday, the House introduced the Medicare O&P Patient-Centered Care Act (HR 1990). This bipartisan legislation would improve access to, and quality of, orthotic and prosthetic care while simultaneously combating fraud and abuse. The bill is identical to legislation introduced in the House and Senate last year. Thank you for your help getting this vital legislation […]
On March 11, 2021, the Durable Medical Equipment Medicare Administrative Contractors (DME MACs) and the Pricing, Data Analysis, and Coding Contractor (PDAC) published a joint correct coding bulletin regarding code descriptors that include the term “prefabricated, includes fitting and adjustment”.
After Feedback from AOPA, DME MACs No Longer Require Brand Name Product Selection for Medicare Prior Authorization
In December of 2020, the Durable Medical Equipment Medicare Administrative Contractors (DME MACs) implemented Medicare prior authorization as a condition of claim payment for six lower limb prosthesis HCPCS codes (L5856, L5857, L5858, L5973, L5980, and L5987.) In addition to requiring prior authorization, effective for claims with dates of service on or after January 1, […]
The American Orthotic and Prosthetic Association (AOPA) is pleased to announce our partnership with the Journal of Rehabilitation and Assistive Technologies Engineering (RATE). Published by SAGE Publishing, RATE is a peer-reviewed, open access, interdisciplinary journal, focusing on the engineering aspects and practical applications of rehabilitation and assistive technologies. It is a highly respected publication that […]
The American Orthotic and Prosthetic Association (AOPA), in conjunction with the Center for Orthotic and Prosthetic Learning and Outcomes/Evidence-Based Practice (COPL) and its Board of Directors, is pleased to announce its 2021 Request for Pilot Grant Proposals. Proposals are being accepted in 10 areas of orthotic and prosthetic research including an open topic. For 2021-2022, the association […]
As was noted in this communication from November 2020, AOPA successfully convinced the CDC to add orthotists and prosthetists to its list of frontline workers who should be first in line for the vaccine, however, the CDC guidelines only serve as suggestions for the states – each state develops their own guidelines. Some states’ guidelines […]
The Prosthetic and Rehabilitative Items and Services Final Rule was published in the Federal Register and goes into effect on January 27, 2021. The proposed rule was published in October 2017. AOPA provided comments at that time. The rule establishes and clarifies eligibility for prosthetic and rehabilitative items and services available to Veterans.