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Monthly Archives: January 2013
CMS Announces Round II Rates for DME Competitive Bidding
CMS late yesterday announced new contract payment rates for Round II of their competitive bidding program for Durable Medical Equipment. On average, Round II reduced payment rates by 45%, and by as much as 72% reduction on mail order diabetic … Continue reading
OPGA Launches Speak4OandP, Calls for Independent Practitioner Action
Are you tired of being audited on seemingly all prosthetic claims for Medicare beneficiaries? Now is the time to stand up for independent orthotic and prosthetic practitioners and facilities. Orthotic and Prosthetic Group of America (OPGA) recently launched Speak4Oandp.com, a … Continue reading
Posted in Orthotics and Prosthetics, Patient, Prosthetist, re provider
Tagged audits, CERT, CMS, o&p, opga, orthotics and prosthetics, RAC, speak4oandp
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New Interest Rates for Over/Under Payment Recoupments Announced
The Department of the Treasury announced updated interest rates for overpayments and underpayments this week. Essentially, on overpayment payment plans, the rate that is in effect for the quarter in which the determination was made is the effective rate for … Continue reading
Posted in Orthotics and Prosthetics, Prosthetist, re provider
Tagged CMS, opga, orthotics and prosthetics, overpayments, point
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CERT Prepayment Review on High Cost Claims Shows 89% Denial Rate
NGS in Jurisdiction B recently completed an analysis of prepayment review claims focused on medical necessity in the third quarter of 2012. The claims selected were based on a selection of high dollar claims and targeted services from multiple suppliers. The review included claims for orthotics … Continue reading
Posted in Orthotics and Prosthetics, Prosthetist, re provider
Tagged audit, CERT, denial, medical necessity, opga, orthotics and prosthetics
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Fiscal Cliff Deal Passed: Impact on Orthotics and Prosthetics
The President, congressional Republicans and Democrats finally reached a bipartisan agreement earlier this week to avert the worst impacts of the dreaded “fiscal cliff” that has consumed Washington DC since the Presidential election. Many thought that after months long talks between the President … Continue reading
Posted in Orthotics and Prosthetics, Prosthetist, re provider
Tagged fiscal cliff, opga, orthotics and prosthetics, point
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