Monthly Archives: July 2012

CBO Releases Updated Medicaid Enrollment Costs on Obamacare Post Supreme Court

The Congressional Budget Office (CBO) has released their updated “score” of the Affordable Care Act (ACA) after taking into account the modifications made by the Supreme Court late last month. The ACA would have required states to increase their enrollment … Continue reading

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Prepayment Review for O&P HCPCS Codes in Jurisdiction D

Following up on the Inspector General report from 2011, the following HCPCS codes were reviewed as part of a Comprehensive Error Rate Testing (CERT) analysis and have now been put on prepayment review for DME MAC Jurisdiction D.  L0631 – Lumbar-sacral … Continue reading

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Pennsylvania Passes O&P Licensure

Pennsylvania Governor Tom Corbett recently signed a bill into law that provides for the licensure of orthotists, prosthetists and pedorthists, making Pennsylvania the 16th state in the country to achieve statewide O&P licensure and the second state in 2012 to accomplish the important goal … Continue reading

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House Votes to Repeal Obamacare, Senate Action Unlikely

The House of Representatives has again voted to repeal President Obama’s health care reform law. The vote to repeal the Patient Protection Affordable Care Act, otherwise known as Obamacare, fell largely along party lines, 244-185, with five Democrats joining all Republicans … Continue reading

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House Repeal of Obamacare, States Question Medicaid Expansions & State Exchange Subsidies

House to vote on repeal of Obamacare this week — Immediately following the ruling by the United States Supreme Court upholding the majority of Obamacare, House Republicans detailed their plan to vote on repealing the controversial health law.  This week, the … Continue reading

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Oversight of Medicare Audit Contractors, Surety Bond Comments

Lost in the media attention surrounding the Supreme Court ruling on the Affordable Care Act was the fact that key members of both parties, including: Senators Hatch, Baucus, Coburn, Carper, Grassley and Congressmen Waxman, Stearns, Boustany, Lewis and DeGette, recently sent a letter … Continue reading

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