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- UPDATE: National DMEPOS RAC on hold after protest filed by Connelly competitor
- New year brings new national RAC for DMEPOS
- CMS elects to wait on implementation of ‘minimal self-adjustment’ and ‘specialized training’
- AOPA backed audit lawsuit dismissed by District Court
- CMS Informs Congress of intention to re-start portions of RAC program
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- RT @VGMAssociates: Yesterday, we shared big news from CMS. Check out this FAQ from Ronda Buhrmester about what you need to know about the D… 2 days ago
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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 CMS, fiscal cliff, lame duck, opga, orthotics and prosthetics
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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 alj, audit, hhs, OIG, opga, orthotics and prosthetics, qic, RAC
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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
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
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 audits, hhs, OIG, opga, orthotics and prosthetics, qualified practitioner
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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
Posted in Manufacturer, Orthotics and Prosthetics, Patient, Prosthetist
Tagged obamacare, opga, orthotics and prosthetics, repeal
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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 obamacare, opga, orthotics and prosthetics, PPACA, supreme court
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BREAKING NEWS UPDATE: Supreme Court Upholds Obamacare
UPDATE: Final decision on the individual mandate ruling was 5-4, Chief Justice John Roberts wrote the majority opinion, and was joined by Justices Elena Kagan, Ruth Bader Ginsburg, Stephen Breyer and Sonia Sotomayor. Justice Kennedy, thought by many to be … Continue reading
Posted in Manufacturer, Orthotics and Prosthetics, Patient, Prosthetist
Tagged aca, obamcare, opga, orthotics and prosthetics
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For Those of You Living Under a Rock — Supreme Court Update
For those of you that have been living under a rock for the past year, the United States Supreme Court is set to rule on the constitutionality of the Patient Protection Affordable Care Act (PPACA), President Obama’s signature, yet highly controversial health care overhaul … Continue reading
Posted in Manufacturer, Orthotics and Prosthetics, Prosthetist, re provider
Tagged obamacare, opga, orthotics and prosthetics, PPACA, supreme court
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Attention Utah Area Members — ACTION NEEDED
I’ve previously written about the importance of orthotics and prosthetics being included in the essential health benefits package in all fifty states. I wanted to highlight to OPGA members that the state of Utah is holding public hearings this week (the first … Continue reading
