Posts

Access resources, information, and discussions about O&P issues.

Joy Burwell in Legislative and Regulatory Discussion -

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Medicare O&P Patient-Centered Care Act Introduced in House, Urge Your Representative to Support

On March 17, the House introduced the Medicare O&P Patient-Centered Care Act (HR 1990). This bipartisan legislation would improve access to, and quality of, orthotic and prosthetic care while simultaneously combating fraud and abuse. The bill ...More

Devon Bernard in Coding, Billing and Insurance Discussion -

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DME MACs Instructed to Temporarily Hold Claims

Extension of the 2% Sequester Reduction Suspension

CMS has told the DME MACs to hold all claims with dates of service on or after April 1, 2021, for a short period without affecting providers’ and/or suppliers' cash flow. Read the full CMS release. ...More

Ashlie White in Research & Quality Improvement Discussion -

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COPL Pilot Grant Deadline April 30

The American Orthotic and Prosthetic Association (AOPA), in conjunction with the Center for Orthotic and Prosthetic Learning and Outcomes/Evidence-Based Practice (COPL) and its Board of Directors, is pleased to announce its 2021 Request for ...More

Ashlie White in State by State Discussion -

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A Call to Action from AOPA Members in New York!

As you know, New York State Assemblywoman Aileen Gunther of District 100 has penned a sign-on letter in support of a Medicaid Fee Schedule increase for O&P. Through your advocacy efforts, we were able to secure ten signatures to that letter – t ...More

Devon Bernard in Coding, Billing and Insurance Article -

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Coding Reminder for L0622 and L0624

Please be reminded that HCPCS codes L0622 and L0624 are two of the few LSOs/TLSOs which don't require PDAC coding verification per the LSO/TLSO policy.

Devon Bernard in Prosthetics Discussion -

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New Coding Guidelines for L5968 and L5986

The LLP now includes the following coding guidelines for L5968 (Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature) and L5986 (All lower extremity prostheses, multi-axial rotation unit ('mcp' or equa ...More

Joy Burwell in Diversity and Inclusion Article -

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March O&P Almanac

Read about O&P stakeholders' diversity, equity, and inclusion initiatives. You'll also learn about healthcare disparities that impact O&P patients in this month's issue. ...More

Devon Bernard in Coding, Billing and Insurance Discussion -

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"Prefabricated, Includes Fitting and Adjustment", and Custom Fitted Orthoses

On March 11, 2021, the Durable Medical Equipment Medicare Administrative Contractors (DME MACs) and the Pricing, Data Analysis, and Coding Contractor (PDAC) published a joint correct coding bulletin regarding code descriptors that include the term � ...More

Joy Burwell in Hot Topics Video -

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From the Desk of Eve Lee. AOPA's Executive Director

This month Eve talks about what AOPA has been up to in regards to our Research and Quality Improvement work.

Devon Bernard in Hot Topics Discussion -

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After Feedback from AOPA, DME MACs No Longer Require Brand Name Product Selection for Medicare Prior Authorization

As a result of AOPA’s outreach, the DME MACs have indicated that they will be removing the requirement for inclusion of product selection information with your prior authorization requests. AOPA is pleased by this development that wi ...More