Important Update Regarding RAC Announcement On Audit of L5845 – Issue Has Been Removed from the RAC Website

In the April 20, 2017 AOPA in Advance: SmartBrief newsletter, AOPA announced that Performant Recovery, the contractor who serves as the national recovery audit contractor (RAC) for all Medicare DMEPOS, Hospice and Home Health services, had announced that it would begin performing an automated review on claims involving HCPCS code L5845 billed in conjunction with specific […]

Renewed Hope for Relief from Recent O&P Challenges – Medicare O&P Improvement Act

Seldom does a single piece of legislation do so much for a vital segment of patients and healthcare providers as does the new version of the Medicare O&P Improvement Act of 2015 introduced by Sen. Grassley (R-IA) and Sen. Warner (D-VA) in the Senate (S. 829).  The House bill (H.R. 1530 was introduced by Rep. […]


 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 […]

AOPA Statement on Combating Fraud, Waste, and Abuse in the Medicare Program

April 30th, 2014 — The American Orthotic and Prosthetic Association (AOPA) is pleased to provide this statement, which was delivered to the House Ways & Means Subcommittee today, concerning Medicare fraud and the delivery of care to Medicare beneficiaries who have suffered a loss of a limb or impaired use of a limb or the spine. […]

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 […]

AOPA Members Rally to Secure 35 Representatives to Sign-On to HHS Secretary Sebelius Letter

Those who attended the AOPA Policy Forum March 12-13 started the effort in their Congressional visits to persuade their Representatives to sign-on to a letter from Rep Duckworth (D-IL) and Rep. Guthrie (R-KY) to HHS Secretary Sebelius expressing concerns about CMS audit procedures.  A follow-up campaign, by directed at the entire AOPA membership, generated action […]

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.  […]

AOPA’s Concerns Prompts CMS to Modify Limits for RAC Audits

AOPA’s continuing conversation and efforts to convince CMS of the cash flow killing harm to patient care and member patient care facilities imposed by the pervasive and aggressive RAC audits together with aggressive AOPA member advocacy with their legislators flowing from the Policy Forum appears to have borne some fruit. The Centers for Medicare and […]