Tag: Off-the-shelf orthotics
Noridian responds to orthotics inquiries
September 23, 2024HME News Staff
WASHINGTON – Noridian Healthcare Solutions has published an update for billing custom-fitted orthotics when no custom fitting is completed with no off-the-shelf equivalent available. “Due to recent inquiries from suppliers, it has come to our attention that some miscellaneous codes used for billing off-the-shelf orthotics, when a custom fit orthotic is provided but no custom fitting is performed, may require specific policy and laterality modifiers,” it states. These claims must...
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...
Orthotic codes list 'off base'
September 24, 2013Theresa Flaherty, Managing Editor
BALTIMORE - It's been more than a year in the making, but industry stakeholders are still puzzled by CMS's finalized list of off-the-shelf (OTS) orthotics.“We think the list is way, way off-base,” said Tom Fise, executive director of the American Orthotics and Prosthetics Association. “This is extremely inconsistent with the statutory definition of what is OTS.”The list is meant to clarify what constitutes OTS orthotics. Providers aren't required to have special certification...