7/6/2015 In Case You Missed It: AOPA Recaps June's Top News
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www.AOPAnet.org July 2015
Supreme Court Upholds ACA Subsidies in King v. BurwellWhat Does it Mean for O&P? Insurance premium subsidies will continue to flow to Americans in all statesunder the Affordable Care Act, the U.S. Supreme Court decided 63 in King v.Burwell on June 25. The justices sided with the Obama administration in thehistoric decision, saying the healthcare law allows Americans in all statesnotjust those that established their own exchangesto receive the subsidies. Much will be written about the Supreme Court's King v. Burwell decision. Here is the essence ofthe decision and the most likely impact for you, as we see it today. Read the synopsis here.
AOPA and O&P Alliance Meets with CMS Deputy AdministratorDr. Shantanu AgrawalSeveral Requests Made as We Seek Tangible Policy Changes
On June 3, the O&P Alliance, including AOPA's President Charles Dankmeyer, and ExecutiveDirector Tom Fise, JD, met with the Deputy Administrator and Director of the Center for ProgramIntegrity at CMS. The meeting included several topics: local coverage determination (LCD)recognition of O&P clinicians' notes as part of the medical record; who can bill Medicare forprefabricated and customfitted orthotics and the definition of "minimal selfadjustment"; and auditconcerns about new proof of delivery requirements. Read more here.
Recent Jurisdiction D Audit Results Tell a StoryDenial Rates for 4 Codes Range from 66100%
Noridian Healthcare Solutions, who serves as the Jurisdiction D DME MAC has recently releasedthe results of its ongoing prepayment review for spinal orthoses described by L0648 and L0650and knee orthoses described by L1832 and L1843. Keep reading here.
2015 AOPA National Assembly Hamontree andThranhardt Award Contenders AnnouncedBest Business and Clinical Lectures to be Presented
The contenders for the Howard R. Thranhardt, CP Lecture Series for best clinical abstract areElizabeth Russell Esposito, PhD; Megan Sions, PhD, DPT, PT, OCS; Megan Tang, MS; and ArtShea, CPO. See what they will be presenting here.
The contenders for the Sam E. Hamontree, CP(E) Business Education Award are ChristinaThrondson of VGM Forbin; Thomas McGovern of Clinical Education Concepts; and Tyler Ritchey,
7/6/2015 In Case You Missed It: AOPA Recaps June's Top News
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MBC, CP, ACM of Hanger Clinic. See what they will be presenting here.
Superior education, 35+ CEs, fun events and more...Learn More and Register for the AssemblyNow!
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