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Tag: Tom Fise


Specialty Providers

MedPAC report takes CMS to task on orthotics

June 29, 2018Theresa Flaherty, Managing Editor

WASHINGTON - Although industry stakeholders disagree with a recent MedPAC recommendation to include off-the-shelf orthotics in Medicare's competitive bidding program, a recent report by the commission is, overall, on point, they say.“It's obvious the bid program is still a threat,” Todd Eagen, president of the Orthotic Prosthetic Group of America. “But there is some good news in the report and some continued educational efforts that our community needs to continue to focus on.”MedPAC's...

AOPA, BOC, MedPac, off-the-shelf orthotics, OPGA, Tom Fise


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AOPA's Fise to step down

April 4, 2018HME News Staff

ALEXANDRIA, Va. - Tom Fise will step down from his role as executive director of the American Orthotic & Prosthetic Association when his contract expires at the end of 2018. “On behalf of AOPA, I would like to thank Tom for his dedication and commitment to the orthotic and prosthetic industry,” said Jim Weber, president of AOPA, in a press release. “His legislative and regulatory experience has been most valuable to AOPA as he has worked to champion our association's needs to Congress,...

American Orthotic & Prosthetic Association, Tom Fise


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Specialty Providers

Coding project reveals outdated guidelines

October 20, 2017Theresa Flaherty, Managing Editor

WASHINGTON - A coding redetermination project for custom diabetic inserts could be a sign of the times, where guidelines don't keep pace with technology.In August, the Pricing, Data Analysis, and Coding Contractor announced it would initiate the project for A5513 after the DME MACs issued a joint publication stating that, to meet the requirements of that particular code, the insert must be molded over an actual model of the patient's foot.Although many models are still made using older methods like...

AOPA, coding project, custom diabetic inserts, Joe Mcternan, Tom Fise


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Specialty Providers

Private payers 'exploit' O&P changes

April 22, 2016Theresa Flaherty, Managing Editor

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.“We predicted that the rule would, ultimately, be exploited by private health insurers,” said Michael Oros, president-elect of the American Orthotics and Prosthetics Association during a press call last week.The four DME MACs in July released draft local coverage determinations for lower...

American Orthotics and Prosthetics Association, Michael Oros, Prosthetics, Tom Fise


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Specialty Providers

President proposes bidding for O&P

March 21, 2016Theresa Flaherty, Managing Editor

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.“We just don't think that, overall, this is an environment in which we will see the government willing to mandate that amputees are going to receive their prosthetic devices from the UPS guy in a box to fit themselves,” said Tom Fise, executive director of the American Orthotics & Prosthetics...

AOPA, orthotics & prosthetics, president's budget 2017, Tom Fise


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Specialty Providers

Prosthetic community ups ante

August 28, 2015Theresa Flaherty, Managing Editor

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.“These changes are mean spirited,” said Charles Dankmeyer, president of the American Orthotics & Prosthetics Association, during a press call rallying stakeholders for the week's various events. “It is obviously designed to wear people down so they just plain...

American Orthotics and Prosthetics Association, Charles Dankmeyer, Prosthetics, Tom Fise


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Specialty Providers

Proposed changes to lower limb policy 'race to bottom'

July 24, 2015Theresa Flaherty, Managing Editor

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.“There are a fair number of leaps that are made that don't have any scientific backing,” said Tom Fise, executive director of the American Orthotics and Prosthetics Association. “We think a lot of people are going to be asking, 'Why would Medicare want to do this?'”The four DME MACs released the draft local...

American Association of Orthotics & Prosthetics, lower limb prosthetics, Tom Fise


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Specialty Providers

Lawmakers weigh in on O&P

May 29, 2015Theresa Flaherty, Managing Editor

WASHINGTON - Lawmakers recently sent a letter to CMS demanding the agency enforce long-established O&P licensure and certification requirements.The May 19 letter to Department of Health and Human Services Secretary Sylvia Burwell asks CMS to issue a proposed rule detailing its plans to allow only licensed and certified O&P providers to bill Medicare, as required by a law passed back in 2000.“It's been 15 years without anything being done,” said Tom Fise, executive director of the American...

AOPA, o&P, Orthotics, Prosthetics, Tom Fise


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Specialty Providers

O&P bill tackles accreditation, audit issues

March 27, 2015Theresa Flaherty, Managing Editor

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.About one-third of O&P providers aren't accredited, says Tom Fise, executive director of the American Orthotics and Prosthetics Association, which supports the bills.“Having bills introduced by members of both the House Ways and Means and the Senate Finance committees is a good marker, in my mind (of the strength...

AOPA, Orthotics and Prosthetics, Tom Fise


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