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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CMS Issues Final Rule on OTS Orthotics
CMS Reverses Fields, Scuttles Current Process for Redefining Orthotics, and for Limiting Scope of Practice for Certified Orthotic Fitters Late on Friday afternoon, October 31, CMS released the massive final rule covering end stage renal disease payments and a host of other topics, including its proposal to further amend the regulatory definition of “minimal self-adjustment,” […]
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 […]
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 […]
AOPA Continues Dialogue with OIG Regarding L0631 Spinal Orthoses
In an April 19, 2013 letter to Inspector General Daniel Levinson and Deputy Inspector General for Evaluation Stuart Wright, AOPA addressed several concerns regarding assertions that were made in the OIG response to AOPA’s comments on the December 2012 OIG report entitled Medicare Supplier Acquisition Costs for L0631 Back Orthoses. AOPA provided initial comments on […]
HHS Inspector General Takes Swipe at L0631
Writing in AARP The Bulletin, Daniel R. Levinson repeats a faulty assertion first made in the Office of Inspector General Report of December 2012 that Medicare paid an average of $919 for L0631 coded back braces that could be bought on the Internet for $191. The Medicare reimbursement was supposed to include ongoing clinical care […]