Tag Archives: audits

Region D Scrutinizing K3 Feet

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 David McGill, one of the leading audit experts in the O&P profession. The full post … Continue reading

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

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

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

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

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

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

CMS to Temporarily Halt RAC Audits to Transition to New Contracts

After receiving pressure from more than 111 individual members of congress about the over aggressive nature of CMS’ RAC audit program, CMS announced earlier this week that they will temporarily halt new RAC audit requests to allow existing contracts with … Continue reading

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

OPGA to Attend Medicare Audits Hearings & Appeals Forum, Seeks Stories

The recent memorandum sent to Medicare appellant from Chief Administrative Law Judge Nancy Griswold detailing the incredible appeals backlog, and subsequent decision to suspend assigning dates for new ALJ hearings for the next 24 months, has created a fervor of … Continue reading

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

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

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