2020 Coding Pro O&P’s comprehensive guide to Medicare codes, reimbursement, and medical policies.
Serving the O&P field for over 90 years
Highlights
New OIG Report on Off-the-shelf Orthoses
May 30, 2024 at 9:05 am
Yesterday, the Centers for Medicare and Medicaid Services’ (CMS) Office of Inspector General (OIG) released a report entitled “Medicare Remains Vulnerable to Fraud, Waste, and Abuse Related to Off-the-Shelf Orthotic Braces, Which May Result in Improper Payments and Impact the Health of Enrollees”. (link to OIG announcement) This report continues to highlight fraud and abuse vulnerabilities […]
CMS Expands its Prior Authorization Program and Adds New O&P Codes Subject to Face-to-Face Encounters and Written Orders Prior to Delivery
May 15, 2024 at 10:31 am
On May 13, 2024, the Centers for Medicare and Medicaid Services (CMS) announced that the following six O&P HCPCS codes will require Medicare Prior Authorization nationwide for claims with a date of service on or after August 12, 2024:
Medicare Orthotics and Prosthetics Patient-Centered Care Act Introduced in the Senate
March 19, 2024 at 5:03 pm
Contact: Joy Burwell jburwell@AOPAnet.org FOR IMMEDIATE RELEASE Medicare Orthotics and Prosthetics Patient-Centered Care Act Introduced in the Senate Washington, DC (March 19, 2024) – Today, Senators Mark Warner (D-VA) and Steve Daines (R-MT) introduced the bi-partisan Medicare Orthotics and Prosthetics Patient-Centered Care Act in the Senate. The legislation was introduced in the House in June […]
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