Category Archives: Manufacturer

Lame Duck Session and Fiscal Cliff Update

The President, congressional Republicans and Democrats have been negotiating in public for the past several weeks.  The President released his plan to avoid the fiscal cliff, calling for $1.6 trillion in new tax revenue (primarily from letting Bush tax cuts expire … Continue reading

Posted in Manufacturer, Orthotics and Prosthetics, Prosthetist, re provider | Tagged , , , , | Leave a comment

OIG: ALJ’s Overturn 56% of Provider Generated Appeals to QIC Audits

The HHS Office of Inspector General earlier this month released a report which studied the shockingly high overturn rate of provider generated appeals to private contract auditors employed by CMS to the Administrative Law Judge level.  The OIG found that 56% … Continue reading

Posted in Manufacturer, Orthotics and Prosthetics, Prosthetist, re provider, Regulatory | Tagged , , , , , , , | Leave a comment

Obamacare Regulations Begin to Trickle Out After Election

With the Presidential election now over, many are expecting a heavy dose of proposed rules, regulations, delays and negotiations between HHS/CMS and individual state governments as they struggle to comply with many looming mandates of the controversial health care reform bill … Continue reading

Posted in Manufacturer, Orthotics and Prosthetics, Prosthetist, re provider | Tagged , , , , | Leave a comment

Pre-Thanksgiving News Round Up

Good afternoon!  OPGA Government Relations presented at the Mississippi/Alabama O&P Owners and Managers meeting last week. It was great meeting independent O&P owners that understand the changing regulatory landscape and are passionate about standing up for our profession. I wanted to post some of … Continue reading

Posted in Manufacturer, Orthotics and Prosthetics, Prosthetist, re provider | Tagged , , , , , , | Leave a comment

OIG Report: CMS Still Has Not Defined “Qualified” OP Practitioner

The Department of Health and Human Services Office of Inspector General released a report on October 10th, 2012 detailing the lack of CMS action on defining and limiting reimbursement for prosthetics and custom orthotics to “qualified” orthotic and prosthetic practioners as … Continue reading

Posted in Manufacturer, Orthotics and Prosthetics, Patient, Prosthetist, re provider, Regulatory | Tagged , , , , , | Leave a comment

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

Posted in Manufacturer, Orthotics and Prosthetics, Patient, Prosthetist | Tagged , , , | Leave a comment

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

Posted in Manufacturer, Orthotics and Prosthetics, Patient, Prosthetist, re provider | Tagged , , , , | 6 Comments