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Tom Fise

Private payers ‘exploit’ O&P changes


WASHINGTON – It’s no surprise to O&P stakeholders that private payers are picking up on a widely criticized proposed rule by Medicare to deny coverage for prosthetic devices that were previously covered.

President proposes bidding for O&P

Plan for fiscal year 2017 also includes urologicals, ostomy and inhalation drugs

WASHINGTON – Stakeholders say they’ll stay vigilant, but the president’s proposed plan to include all orthotics and prosthetics as part of Medicare’s competitive bidding program shouldn’t cause panic.

Prosthetic community ups ante

‘Get your hands off my legs’

LINTHICUM, Md. – O&P stakeholders commented at a public hearing, staged a protest and participated in a high-stakes meeting with CMS, all in one day, in their bid to reverse proposed coverage changes for lower limb prostheses.

Proposed changes to lower limb policy ‘race to bottom’


BALTIMORE – Proposed changes to coverage requirements for prostheses could severely limit the number of patients who could gain the greatest mobility, say O&P stakeholders.

Lawmakers weigh in on O&P

‘Get this done,’ agrees AOPA

WASHINGTON – Lawmakers recently sent a letter to CMS demanding the agency enforce long-established O&P licensure and certification requirements.

O&P bill tackles accreditation, audit issues


WASHINGTON – Lawmakers in the House of Representatives and Senate introduced bills last week that seek to apply accreditation and licensure requirements to O&P providers who bill Medicare.