Monthly Archives: July 2013

Update: CMS Says Letter Outlining O&P Audit Limits Incorrect

Last week, OPGA heard from several members detailing a letter they had received which rescinded documentation requests on certain orthotic and prosthetic claims prior to 2011. Details were scant, but we wanted to get the information in the hands of … Continue reading

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UPDATED: Report: CMS Rescinds RAC Audits on Claims Prior to 2011

UPDATE: CMS says auditors improperly sent letters out on orthotic and prosthetic claims. Only audits on power mobility devices have been limited to a twelve month look back period. This was necessitated by the prior authorization project for PMD’s which began … Continue reading

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State of Iowa Begins O&P Licensure Administrative Rules Process

After successfully lobbying and passing licensure for orthotists, prosthetists and pedorthists in 2012, 2013 was spent lobbying for specific implementation changes to ensure currently practicing, certified orthotists and prosthetists are able to obtain a license in Iowa under the new regulations. Earlier this … Continue reading

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CMS Now Looking at Claims for Incarcerated Beneficiaries

CMS has teamed with the Social Security Administration (SSA) to identify overpayments on DMEPOS claims that the date of service indicates the patient was incarcerated at the time the product or service was provided. CMS has identified previously paid claims … Continue reading

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CMS Announces 1 Year Delay of ACA Employer Mandate

From The Hill’s Health Watch Blog: The ObamaCare employer mandate requiring businesses to provide their workers with health insurance will be delayed by a year, the administration said Tuesday in a stunning announcement. Delaying the requirement until 2015 is an … Continue reading

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