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Certain L codes up for prior authorization


ATLANTA – CMS plans to update the Federal Register today to add certain L codes to the prior authorization list for DMEPOS, according to the van Halem Group.

AOPA digs in on bill

H.R. 5262 seeks to clarify definition of ‘off the shelf’

WASHINGTON – O&P stakeholders are eyeing a pair of possible legislative vehicles as they seek to pass a bill that would improve patient care and reduce fraud.

John Kenney seeks to improve perception of O&P


Every day in the orthotics and prosthetics field brings something new, with fresh challenges and different patients, but one challenge remains constant—raising the profile of the profession, says John Kenney, MURP, BOCO, and the 2019 recipient of the Jim

BOC names award recipient


OWINGS MILLS, Md. – BOC has named John Kenney, MURP, BOCO, as the 2019 recipient of the Jim Newberry Award for Extraordinary Service.

OIG to CMS: Adjust payments for orthotic devices


WASHINGTON – Medicare allowable amounts for certain orthotic devices are not comparable with payments made by select non-Medicare payers, according to the Office of Inspector General.

Invest in credentials, retail for O&P success


Effectively serving the orthotics and prosthetics market requires more than just casual attention to the product and service lines of the category.

Guilty plea entered for $424M fraud scheme


WASHINGTON – The owner and CEO of a telemedicine company has pleaded guilty to a $424 million conspiracy to defraud Medicare and receive illegal kickbacks in exchange for DME orders, the Department of Justice has announced.

O&P stakeholders take next steps to preserve access


WASHINGTON – O&P stakeholders plan to use a recent massive fraud takedown involving medically unnecessary knee and back braces to advance upcoming legislation.

Industry knew feds would bust ‘obvious’ fraud

‘It’s a clear kickback, black and white’

WASHINGTON – HME industry stakeholders aren’t surprised by a $1.2 billion fraud scheme involving medically unnecessary braces and they’re glad to see “bad actors” punished.