CMS to implement O&P provisions

Friday, June 1, 2018

ALEXANDRIA, Va. – The American Orthotics & Prosthetics Association has received word that CMS has issued instructions to the DME MACs to immediately implement provisions that require the notes of orthotists and prosthetists to be recognized as part of the medical record. In early May, the MACs retired the “Dear Physician” letter for artificial limbs. The letter, originally published in 2011, dramatically changed the standards for approving a prosthetic claim, leading to higher denial rates. AOPA has been pressing CMS officials to implement the provisions, it said in a bulletin on its website.