Category Archives: Patient

CMS elects to wait on implementation of ‘minimal self-adjustment’ and ‘specialized training’

Last week CMS issued a final rule relating to Medicare’s competitive bidding program (CBP), the inclusion of off the shelf orthotics in the CBP and the definitions surrounding “minimal self-adjustment” and “specialized training” for providers that are eligible to provide certain … Continue reading

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CMS Announces New Phase of Controversial Competitive Bidding Program, OTS Orthotics Left Off

The Centers for Medicare and Medicaid Services (CMS) announced earlier this week that they will seek to hold a recompete of the bidding that set single payment amounts for Round 2 of Medicare’s Competitive Bidding program. Round 2 of the competitive … Continue reading

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Group Representing RAC’s Blasts ALJ Delays, Seeks Reform

Add the Medicare contractors lobby to the growing chorus of stakeholders calling for reforms to the current Medicare appeals process, specifically the recently announced delays to Administrative Law Judge (ALJ) level appeals. The American Coalition for Healthcare Claims Integrity (ACHCI), which represents Medicare contractors, … Continue reading

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Obamacare Update: State Health Exchanges, Medicaid See Enrollment Surge

As the calendar turns to 2014 and the Affordable Care Act (aka, Obamacare) continues moving its way through implementation, now is a good time to provide an update on the much-maligned state health exchange rollout and Medicaid expansion enrollment data to get … Continue reading

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PECOS Phase II Active for Claims Beginning January 6, 2014

Phase 2 of the controversial Internet-based Provider Enrollment, Chain, and Ownership System (PECOS) program becomes active for claims submitted to Medicare beginning Monday, creating more headaches for those filing orthotic and prosthetic claims for Medicare patients. After delaying Phase 2 … Continue reading

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Amputee Coalition Report Details Benefits of O&P Care to Medicare

The Amputee Coalition released a report earlier this week highlighting the benefits of orthotic and prosthetic care to the longevity of the Medicare trust fund. The Amputee Coalition commissioned Dobson DeVanzo & Associates to research the impact of orthotic and … 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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