Author Archives: ryanball1

Medicare Contractors looking for O&P supplier violations on posted business hours and physical facility standards

BE ON THE LOOK OUT FOR SITE VISITS BY MEDICARE CONTRACTORS! Wanted to pass along this article to OPGA membership; recently OPGA was contacted by several members who have had site visits from CMS contractors looking to verify that the … Continue reading

Posted in Orthotics and Prosthetics, Prosthetist, re provider, Regulatory | Tagged , , , , , | 1 Comment

House Subcommittee Focuses on RAC’s in hearing, Duckworth stands up for small providers

Two major subcommittee meetings were held in the House of Representatives today on Medicare waste, fraud and abuse. One of the issues hightlighted in both hearings was the conduct of RAC auditors and the impact they are having on providers … Continue reading

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Region D Custom AFO’s Audit Results

From time to time I like to present additional resources for OPGA members to review. The following post is from Ossur’s R&R blog and authored by Linda Collins, one of the leading audit experts in the O&P profession. The full post … Continue reading

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Michigan BCBS adds certification requirement to bill O&P

Blue Cross Blue Shield of Michigan recently announced their plan to reject DMEPOS claims submitted for orthotics and prosthetics if the submitting provider has not provided certifying documentation proving they are certified to provide orthotics and prosthetics. Providers will be required to … Continue reading

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House Subcommittee to hold hearing on Medicare fraud policies, RAC audits key topic

House Ways and Means Health Subcommittee Chairman Kevin Brady (R-TX) announced yesterday that the Subcommittee on Health will hold a hearing on Medicare waste, fraud, and abuse, with a focus on the policies that address these problems.  Chairman Brady recently … Continue reading

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CMS begins rollout of fingerprint analysis for new DMEPOS providers

CMS recently released guidance on the rollout of their new fingerprint background check requirement for certain DMEPOS providers. It has been more than three years since CMS released their final rule on developing a fingerprint background check process for new DMEPOS and home health … Continue reading

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OTS Orthotics Defined… AGAIN!

When CMS released the 2014 HCPCS update codes late last year, they also provided guidance on how they would define “off the shelf” orthotics, for the purpose of identifying what type of provider could provide certain noncustomized devices to beneficiaries. After debate, CMS recalled … Continue reading

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