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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...

American Orthotic & Prosthetic Assoc (AOPA), Michael Oros, Prosthetics, Tom Fise