Monthly Archives: December 2011

Ankle Foot Orthoses Coding Updates

Durable Medical Equipment Medicare Administrative Contractors (DME MAC’s) and the Pricing Data Analysis & Coding (PDAC) contractors recently answered submitted questions on certain ankle foot orthoses to help clarify definitions for common coding issues.  The following were the answers submitted by Noridian Administrative Services: L2340 ADDITION TO … Continue reading

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Revised ABN Form Deadline Information Effective Jan. 1, 2012

The following is taken directly from the CMS announcement of a revised ABN form change deadline from September 2011 to January 1, 2012.  O&P providers should transition to the revised ABN form as soon as possible to remain in compliance … Continue reading

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Important Update on OP Business News Alert, Medicare Fee Schedule Increase, HCPCS Code Update

Important Update on O&P Business News Alert — A recent news alert sent on Monday, December 26th, directed O&P providers to hold 2012 Medicare claims for the first 10 business days of January to avoid the 27.4% cut to physician … Continue reading

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In The News: Doc Fix, Essential Benefits Package, Supreme Court to hear ACA Challenge in March

Quite an interesting weekend preceeding the holidays with new information released concerning the Essential Health Benefits Package, the Supreme Court agreeing to hear oral arguments on challenges to the Affordable Care Act in March 2012, oh, and that whole “doc … Continue reading

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House, Senate Reach Deal Funding Government – No ‘doc fix’

Negotiators from the House and Senate reached an agreement just hours before the government was set to shut down to continue funding the federal government for the next fiscal year. The agreement includes $1.043 trillion in spending, but does not include changes … Continue reading

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In the News: Medicaid Managed Care Expansion Tied to Performance in Texas, Legislative Maneuvering on ‘Doc Fix’ Continues

CMS Ties Medicaid Managed Care Expansion to Performance — The increasing trend of states moving toward managed care programs to trim costs associated with their Medicaid budgets received a big shot in the arm yesterday as the Obama Administration approved a Texas plan to … Continue reading

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Doc Fix Deal Elusive with Time Running Out

“Doc Fix” Deal Proves Elusive in Year-end Legislation — Democrats and Republicans in congress are predictably having trouble making a deal to change the sustainable growth rate (aka SGR or doc fix) halting a 27% reimbursement cut to physicians serving Medicare … Continue reading

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