Tag Archives: orthotics

UPDATE: National DMEPOS RAC on hold after protest filed by Connelly competitor

Earlier this year, CMS released information about the new national recovery audit contractor (RAC) that will take the place of the four regional RAC’s currently auditing DMEPOS claims. Prior to this release, CMS announced it had selected Connelly LLC, currently the … Continue reading

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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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AOPA backed audit lawsuit dismissed by District Court

The United States District Court of the District of Columbia recently dismissed a case brought by the American Orthotic and Prosthetic Association (AOPA) against Former Secretary of the Department of Health and Human Services Kathleen Sebellius. The suit focused on the authority of … Continue reading

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CMS Informs Congress of intention to re-start portions of RAC program

From HealthDataManagement.com : The Centers for Medicare and Medicaid Services is restarting the controversial Recovery Audit Contractor Program—in a limited fashion—in August. CMS sent a communication on August 4 to congressional health staff members from Lauren Aronson, Director of the … 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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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

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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

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