Monthly Archives: June 2012

Impact of Supreme Court Ruling Upholding ACA on Orthotics and Prosthetics

In the most closely watched Supreme Court decision since Bush v. Gore, the Patient Protection Affordable Care Act (PPACA, Obamacare, ACA) was found to be constitutional today by a vote of 5-4.  Chief Justice John Roberts, an appointee of President George W. Bush, joined the … Continue reading

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BREAKING NEWS UPDATE: Supreme Court Upholds Obamacare

UPDATE: Final decision on the individual mandate ruling was 5-4, Chief Justice John Roberts wrote the majority opinion, and was joined by Justices Elena Kagan, Ruth Bader Ginsburg, Stephen Breyer and Sonia Sotomayor.  Justice Kennedy, thought by many to be … Continue reading

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New Prepayment Probe to Focus on High-Dollar DMEPOS

The Supreme Court met and released several more decisions this morning, but did not release the health care decision.  The court also announced Thursday would likely be the final day of the session, so the health care bill decision will … Continue reading

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For Those of You Living Under a Rock — Supreme Court Update

For those of you that have been living under a rock for the past year, the United States Supreme Court is set to rule on the constitutionality of the Patient Protection Affordable Care Act (PPACA), President Obama’s signature, yet highly controversial health care overhaul … Continue reading

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Attention Utah Area Members — ACTION NEEDED

I’ve previously written about the importance of orthotics and prosthetics being included in the essential health benefits package in all fifty states.  I wanted to highlight to OPGA members that the state of Utah is holding public hearings this week (the first … Continue reading

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Medicaid Audits Cost 5x’s Estimated Return According to GAO

A new report issued by the Government Accounting Office has found that contracted auditors serving Medicaid programs across the country have not had the desired impact as initially thought when the audit programs began several years ago.  The findings suggest … Continue reading

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Report Details Growth of Accountable Care Organizations

A new report issued by Leavitt Partners suggests “accountable care organizations” are growing in size and scope, and will likely continue to pop up around the country whether the Supreme Court strikes down the Affordable Care Act later this month, … Continue reading

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CMS Again Delays RAC Prepayment Audits

The Centers for Medicare and Medicaid Services recently announced that it will again delay a program designed to decrease fraud and abuse by verifying claims prior to approval, rather than chasing payment after approval, a program known as the RAC … Continue reading

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House Votes to Repeal Medical Device Excise Tax, Prosthetic Coverage Restored in Hawaii Medicaid

House Passes Medical Device Excise Tax Repeal — The United States House of Representatives voted last week to repeal the Medical Device Excise Tax by a 270-146 margin, with 37 Democrats joining all house Republicans in supporting repeal. A key component … Continue reading

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Busy Week in Washington Last Week…

Health care was a hot topic in Washington DC last week, and not just both sides impatiently awaiting the Supreme Court ruling on the constitutionality of the Affordable Care Act. The Department of Health and Human Services released a proposed … Continue reading

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