Optimus Prosthetics
News and Notes for MEDICAL PROFESSIONALSFebruary 2012
In This Issue
Optimus Featured on WDTN
Understanding the Prosthetic Exempt Rule
Military Amputees Inspire Through Softball
Optimus Academy Update
Our Calendar  


Completing the first course this month:

Forest View 

Wednesday, 2/8/2012



Grandview Hospital Wednesday, 2/15/2012 12:00


Dayview Care Center, Wednesday, 1/29/2012 12:00


Completing the second course this month:

Cedarview Health Center Friday, 2/3/2012



Arbors at Dayton 

Wednesday, 2/15/2012



Carriage Inn 

Wednesday, 2/22/2012 12:00


Oaks of West Kettering Friday, 2/24/2012


Completing the third course this month:

LifeCare Hospital 

Thursday, 2/9/2012



Greene Oaks

Friday, 2/10/2012



Hospitality Homes 

Monday, 2/13/2012



Covington Care Center 

Friday, 2/17/2012

8:00 am


Lebanon Country Manor Thursday, 2/23/2012


Completing the fourth course this month:

Pinnacle Point

Monday, 2/13/2012



Completing the sixth course this month:

Harborside of New Lebanon Friday, 2/3/2012

8:00 am


Koester Pavilion

Wednesday, 2/8/2012



Alternate Solutions Homecare

Tuesday, 2/14/2012

8:00 am


Cypress Pointe
Thursday, 2/16/2012


Completing the seventh course this month:


Wednesday, 2/22/2012 12:00


Would you like to schedule

a course?

Call the office at 937-454-1900

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Accredited by:
The American Board for Certification in Orthotics, Prosthetics & Pedorthics.

ABC is the national certifying and accrediting body for the orthotic and prosthetic professions. The public requires and deserves assurance that the persons providing orthotic, prosthetic, and pedorthic services and care are qualified to provide the appropriate services.



If you've got any suggestions, compliments or feedback - we'd love to hear it!  Call us at 937-454-1900 or click here to send us an email!


Optimus Prosthetics * 8517 N. Dixie Drive * Suite 300 * Dayton OH 45414   

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Optimus Prosthetics Featured on WDTN - Introducing the iWalk BiOM    


If you were watching Channel 2 News on Monday, January 23, you saw Optimus Prosthetics as we introduced the revolutionary new PowerWalk BiOM to the Dayton Market.

Watch here!  


Optimus Prosthetics is dedicated to bringing the latest prosthetic innovations to Dayton, and is proud to make the PowerFoot BiOM available to our patients.


The iWalk BiOM is the 1st prosthetic ankle/foot in the world that matches the plantar flexion moment of an anatomical ankle/foot with 1000ft-lbs. What this means is that this foot can actually propel a patient forward, up inclines, up steps, and can adjust to most terrains. Patients will be able to walk farther and longer with less stress on the rest of their body.  


"The PowerFoot BiOM is the first prosthetic foot we've seen that truly emulates the ability of a biological foot," said John Brandt CPO, Co-owner and Clinical Director, Optimus Prosthetics. "Bringing our patients the latest innovations in prosthetics technology is important to us and we're excited to see how this new system will help our patients achieve the maximum mobility, functionality and quality of life possible."


iWalk is based out of Boston and has partnered with 17 locations thus far - with Optimus Prosthetics being #17.  We are the 3rd facility in the state of Ohio to partner with iWalk, and will be the only Certified Bionics Center in the Dayton/Cincinnati area.


Understanding the Prosthetic Exempt Rule

by Tim Riedlinger, CPO, Clinical Manager, Optimus Prosthetics

Prosthetic Coverage by Medicare when you are admitted to a Skilled Nursing Facility (Nursing Home):


When a Skilled Nursing Facility (SNF) admits a Medicare patient, the patient is eligible for up to 100 days of Medicare Part A coverage, provided that certain preadmission and medical necessity criteria are met. During a Part A covered stay, the SNF is reimbursed a daily rate (per-diem), which is based on the patient's anticipated level of care and assignment to a Resource Utilization Group (RUG).


Under this reimbursement system, a SNF is obligated to provide all necessary services and supplies to each Medicare inpatient, with the exception of certain services. When SNF reimbursement rates are set by Medicare, a small portion of each payment is set aside to compensate for orthotics (braces), prosthetic "soft goods", Durable Medical Equipment (DME) and supplies, whether or not the patient actually receives these services. Although the SNF cannot bill a separate line item or L-code for these services, it has, in effect, been paid for them as part of its RUG payment.


Most Prosthetic Codes Are Reimbursed by Part B:


Medicare recognizes that the cost of prostheses often exceed the nursing home's daily rate or RUG payment. Therefore, most definitive prosthetic base codes and components are exempt from this RUG, or lump sum, SNF payment, and may be directly billed to Medicare by the prosthetic company (Optimus). These prosthetic codes represent most definitive prosthetic devices. However, the list of codes does not include items such as immediate post-surgical prostheses or prosthetic socks or shrinkers.


So, in summary, a friend or loved one does not have to wait 100 days until his/her prosthetic care can start in order to be covered by Medicare. This is sometimes confused by a Skilled Nursing Facility and they will not call a prosthetist until after the 100 days of a patient's Medicare Part A coverage is up, and the patient is then on Medicare Part B coverage. The SNF erroneously thinks that they would have to pay for the prosthesis within the first 100 days. This is not the case, and Optimus Prosthetics can bill Medicare directly for most definitive prostheses and not have to bill the Skilled Nursing Facility. So, let's get that prosthetic rehab going!


More information about consolidated billing can be found on the Centers for Medicare and Medicaid Services website. 

Military Amputees Inspire Through Softball

By MITCH STACY Associated Press   


PLANT CITY, Fla. (AP) - When a roadside bomb in Afghanistan shredded Marine Lance Cpl. Josh Wege's legs in 2009, the former high school baseball star wondered if he would even survive - let alone walk, run or play ball again. 


But on a recent Saturday afternoon, a crowd at a Tampa-area stadium watched him drill a pitch from former U.S. Olympic softballer Jennie Finch over an outfielder's head and use his high-tech prosthetic legs to run out a triple - finishing with a belly-flop slide into third base. His Wounded Warrior Amputee Softball Team crushed an all-star squad that included former pro and college players 23-8.


Wege, 22, plays first base for the barnstorming bunch of Army and Marine combat veterans, most of whom rely on prosthetic limbs. Corporate sponsorships have allowed the team to travel around the country playing local teams for charity, amassing a 14-13 record going into a game Sunday against a team of first responders in Orange County, Calif. And their schedule is growing, with 75 games already booked for 2012.


All of the infielders are missing at least one of their legs. Two of the outfielders use those special carbon-fiber running legs, the ones that look like upside-down question marks, for speed. One outfielder is missing a hand, and the right-fielder plays without his entire left arm and shoulder.


His name is Greg Reynolds, and after most Wounded Warrior losses he challenges the toughest dude on the other team to a push-ups contest. He lets opponents use both arms, but the 27-year-old Massachusetts native has only lost once. Seventy is his record.


Read more about the Wounded Warrior Amputee Softball Team here.

Optimus Academy 'Prosthetics for Therapists' Update
by Scott Schall  


Have you had some staff turnover since beginning your series of courses? Most courses have been updated and have received new approval numbers. If you'd prefer, we can start again with the first course, and bring your entire staff up to date. Call to schedule a course today!


Optimus Academy would like to welcome Dayview Care Center to the "Prosthetics for Therapists" Series!


Quarterly Course Listing

  1. Prosthetic Overview
  2. Transtibial Prosthetics
  3. Transfemoral Prosthetics
  4. Lower Extremity Prosthetic Functional Level Prediction & Outcomes Measurement
  5. Upper Extremity Prosthetics
  6. Revolutionary Prosthetic Advances
  7. Lower Extremity Prosthetic Gait Training
  8. Lower Extremity Prosthetic Gait Deviations
  9. Partial Foot / Symes / Knee Disarticulation / Hip Disarticulation
  10. Microprocessor Controlled Knees

Call the office at 937-454-1900

At Optimus, we're here for you!

Click here to email us or call the office at 937-454-1900