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AOPA in Advance
Breaking News for O&P Professionals
 
May 1, 2012
Volume 16, Number 9
Willow Wood May 2012

Click here for more information

In This Issue
O&P NEWS:
- AOPA'S 2012 Policy Forum: A Great Success for O&P Advocacy
- OTS Not Included in Competitive Bidding Program Round One Recompete
- CMS Announces First ACOs Under the Medicare Shared Savings Program
- Jurisdiction D DME MAC Releases Audit Results for Off the Shelf Diabetic Shoes
- Jurisdiction D DME Contact Center Phone Number Change Effective May 4
- O&P PAC Corner
- AOPA National Assembly: Donations Needed for Wine Tasting and Auction to Support Government Relations Outreach
- If You are Registered for the National Assembly, Register for the 5th Annual Wine Tasting & Auction
- Register for AOPA's May Audio Conference, "Contracting 101"
- Announcing the First Annual AOPA OPTA Technical Fabrication Contest
- 95th Annual AOPA National Assembly and Combined NE Chapter Meeting Historic Downtown Boston -- The Place to Be September 6-9
O&P RESOURCES FROM AOPA
- Online Membership Management Available
- Check Out the AOPA Job Board for New Opportunities in O&P
- AOPA's 2012 Coding Products are Available!
O&P INSIDER'S TRACK:
- People in the News
- Businesses in the News
- Send Us Your News!

Contact Us

AMERICAN ORTHOTIC & PROSTHETIC ASSOCIATION
 
330 John Carlyle St., Suite 200
Alexandria, VA 22314
 
Phone: (571) 431-0835
Fax: (571) 431-0899
 
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We invite your comments and questions. Please contact Steven Rybicki at srybicki@AOPAnet.org or (571) 431-0835.
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O&P NEWS

AOPA'S 2012 Policy Forum: A Great Success for O&P Advocacy

Thank you to all those who attended and those sponsors that made the 2012 AOPA Policy Forum a success, not only for AOPA members, but the O&P community as a whole.

 

The AOPA Policy Forum held on April 17-18, in Washington, DC serves to facilitate the political engagement of the O&P community. This year's Policy Forum netted the O&P community 330 appointments with Members of Congress or their staff.  These opportunities enabled AOPA members to bring the message of restoring lives and mobility directly to the decision makers.

 

Close to a hundred attendees gathered at the L'Enfant Plaza Hotel on Capitol Hill to make the case to legislators to support the Medicare Orthotic and Prosthetic Improvements Act (H.R. 1958 and S.2125), the Insurance Fairness for Amputees Act (S.773 and H.R.4175) and the Injured and Amputee Veterans Bill of Rights (H.R. 805).  Additionally, the Policy Forum attendees covered the importance of including O&P as an Essential Health Benefit, exempting O&P from the Medical Device Excise Tax, the need for research funds for outcomes-based research/evidence-based practice and the need for competitive grants for orthotic and prosthetic education.

 

Adding to the excitement four Congressional members provided remarks during the General Session, Rep. Dutch Ruppersberger (D-2nd MD), Rep. Glenn Thompson (R-5th PA),  Rep. Charles Dent (R-15th  PA) and Rep. Todd Rokita (R-4th IN).  Senator Wyden (D-OR) was also present for a reception fundraiser.  The presence of the Congressional members, many of whom who are sponsoring or co-sponsoring key O&P legislation, is a testament to the importance of the Policy Forum and developing relationships with legislators to gain further support of O&P initiatives.

 

An added bonus from the Forum came when Rep. Thompson spoke on behalf of H.R. 1958 on the House Floor. Click here to see his speech.

 

Click here to view photos of the event.

 

Questions? Contact Catherine Graf at cgraf@AOPAnet.org or (571) 431-0807.

 

  

OTS Not Included in Competitive Bidding Program Round One Recompete 

CMS announced the Round 1 Recompete of the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program.  The law requires CMS to recompete the DMEPOS contracts at least every three years.  While there are additional items being included in the Round 1 Recompete beyond those included in the Round 1 Rebid and Round 2, notably absent from the Round 1 Recompete is the inclusion of any Off-the-Shelf (OTS) orthotics.  This means OTS orthotics will not be subject to Competitive Bidding for the Round 1 Recompete.

 

Click here for additional information on the product categories included and HCSPC codes.

 

Questions? Contact Catherine Graf at cgraf@AOPAnet.org or (571) 431-0807.

 

  

CMS Announces First ACOs Under the Medicare Shared Savings Program

CMS announced that 27 ACOs were chosen to participate in the Medicare Shared Savings Program (MSSP) beginning April 1.  The MSSP allows participating ACOs that meet certain quality measures and reduce the cost of care to share in the Medicare savings.

 

5 of the 27 chosen ACOs will also be participating in the Advance Payment Model ACO.  As you may recall a concern was raised regarding the large amount of start-up capital that creating an accountable care organization (ACO) would require and how this would limit the ability of some interested participants in becoming an ACO.  CMS stated that the Advance Payment Model was established to "encourage rural and physician-based ACOs to participate in the Shared Savings Program."  Under the Advance Payment Model certain eligible participants of the MSSP are provided prepayment of expected shared savings that will later be recouped from earned shared savings.

 

Additionally, CMS is in the process of reviewing 150 applicants seeking entry into the program for the July start date.

 

Click here for the list complete list of the 27 ACOs participating in the MSSP.

 

Questions? Contact Catherine Graf at cgraf@AOPAnet.org or (571) 431-0807.
 

  

Jurisdiction D DME MAC Releases Audi Results for Off the Shelf Diabetic Shoes

Noridian Administrative Services, LLC., the Medicare Jurisdiction D DME MAC, recently released the results of its complex review of claims for A550-For diabetics only, fitting (including follow up), custom preparation, and supply of off-the-shelf depth-inlay shoe manufactured to Accommodate multidensity insert(s), per shoe. 

 

The complex review covered the period from December 2011-March 2012, and reported that of the 455 claims for A5500 that were reviewed, 440 were denied for an overall error rate of 97%.  The DME MAC indicated that the majority of denials were the result of lack of documentation within the certifying physician's records as well as a lack of documentation in the prescribing physician's and/or supplier's records.

 

As a result of the high error rate, the Jurisdiction D DME MAC announced that complex reviews of A5500 will continue for the foreseeable future.

 

While AOPA continues to address its concern over the increased Medicare audit activity focusing on physician documentation, it is important that AOPA members continue to educate their referral sources regarding the documentation that is expected to be in their records.

 

Click here to view the announcement from the Jurisdiction D DME MAC.

 

Questions regarding this issue may be directed to Joe McTernan at jmcternan@AOPAnet.org or Devon Bernard at dbernard@AOPAnet.org.

 

  

Jurisdiction D DME Contact Center Phone Number Change Effective May 4

A reminder that, effective May 4, 2012, suppliers will use a single telephone number, (877) 320-0390, to access the Interactive Voice Response (IVR) system and be connected with NAS DME Jurisdiction D Customer Service Representatives (CSRs). Click here for more information regarding this change.

 

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O&P PAC Corner

The O&P PAC Corner provides updates on the activities of the O&P PAC, including the names of individuals who have made recent donations to the O&P PAC and the names of candidates the O&P PAC has supported. The O&P PAC recently received donations from the following AOPA members*:

  • Maynard Carkhuff
  • Ronald Cheney
  • Edward De LaTorre
  • Mark Devens, CPO
  • Jon Leimkuehler, CPO, FAAOP
  • William Leimkuehler, CPO
  • Steve McNamee, CP, BOCO, FAAOP
  • Marlon Moore, CO
  • Gordon Stevens, CPO
  • Ashlie White
  • Jeffery Yakovich, CO
  • James Young, Jr., CP, FAAOP

The purpose of the O&P PAC is to advocate for legislative or political interests at the federal level, which have an impact on the orthotic and prosthetic community.  The O&P PAC achieves this goal by working closely with members of the House, Senate and other officials running for office to educate them about the issues, and help elect those individuals who support the orthotic and prosthetic community.    

In order to participate in and receive information about the O&P PAC, federal law mandates that you must first sign an authorization form.            

 

Click here to view and sign an O&P PAC authorization form.    

 

*Due to publishing deadlines this list was created on 4/26/2012 and includes only donations received between 4/10/2012 and 4/26/2012.  Any donations received or made after 4/26/2012 will be published in the next issue of the AIA.

 

Questions? Contact Devon Bernard at dbernard@AOPAnet.org  or (571) 431-0854, or Catherine Graf at cgraf@AOPAnet.org or (571) 431-0807.

         

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AOPA National Assembly: Donations Needed for Wine Tasting and Auction to Support Government Relations Outreach

During the 2012 National Assembly in Boston AOPA will once again be hosting a spirited event, which provides attendees with an unique opportunity to mingle, network, learn about and taste a variety of wines, but most importantly raise awareness of and funds for AOPA's Government Relations outreach.  For the fifth year in a row we look forward to the Wine Tasting & Auction being one of the most anticipated Assembly events, but we need your help.  So please join the fun, the "good cause" and add to the continued success of the Wine Tasting & Auction.

 

Donations for the Wine Tasting & Auction are now being accepted. Your donation may be one of the gems of your cellar, jewelry, artwork, wine glasses, a bottle of your favorite spirit, cigars, etc.  We also have a team of personal shoppers who can locate that perfect item for you.


If you would like to make a donation please 
click here to access the Wine Donation Form.

 

We would like to thank the following individuals for making a contribution to the 5th annual Wine Tasting and Auction:

 

·         Frank Bostock, CO

·         Thomas Costin

·         Anita Liberman-Lampear, MA

·         Tina Moran

·         Claudia Zacharias, MBA, CAE

 

Thank you in advance and we look forward to seeing you in Boston and hopefully at the 5th annual Wine Tasting & Auction.

  

Questions? Contact Devon Bernard at dbernard@AOPAnet.org or (571) 431-0811.

 

If You Are Registered for the National Assembly, Register for the 5th Annual Wine Tasting & Auction

Registration for the 2012 AOPA National Assembly in Boston, MA is now open!  When registering for the Assembly, don't forget to register for the 5th annual Wine Tasting & Auction. 

 

Don't miss out on this fun and exciting evening with your collogues, while raising money for AOPA's government relations programs.  As with year's past there are some outstanding wines available for tasting and up for auction. There is sure to be something that sparks your interest or whets your whistle, whether it is champagne, pinot noir or cabernet. Some highlights of this year's auction include: 

  • A Tiffany crystal serving tray
  • 1.5 Liter Prisoner and Saldo Zinfandel by Oren Swift
  • 1.5 Liter Vueve Cliquot Champagne
  • 2007 Caymus Vineyards Cabernet
  • And much more 

Still not sure you want to attend the wine auction, click here to view last year's lots, for a glimpse of what you can expect to find at this year's auction and tasting. Still not sure?  How about receiving a credit towards your winning bids? A portion of your registration fee will be credited towards your overall winning bid(s).

 

If you registered for the Assembly, but forgot to register for the wine tasting and auction, it is not too late! Click here to register for the wine tasting and auction.   

 

Questions? Contact Devon Bernard at dbernard@AOPAnet.org or (571) 431-0811.

 

Register for AOPA's May Audio Conference, "Contracting 101"

Negotiating favorable contracts can make a huge difference in the success of your business. Join AOPA on Wednesday, May 9, 2012 at 1:00 PM EST for an AOPAversity Mastering Medicare Audio Conference that will focus and cover the basics of negotiating contracts with insurance companies, hospitals, skilled nursing facilities, and other payers. Learn strategies and techniques. An AOPA expert will address the following highlighted topics on the audio conference: 

  • Understanding the impact of competitors in the market place
  • Emphasizing Quality over Quantity
  • Negotiating   from a position of power
  • Separating yourself from your competition
  • Addressing unfavorable contracting terms 

The audio conference begins at 1 PM (EDT). The cost of participating is $99 per line for AOPA members ($199 for non-menbers) and any number of employees may listen on a given line. Listeners can earn 1.5 continuing education credits by returning the provided quiz within 30 days and scoring at least 80 percent. Contact Devon Bernard at dbernard@AOPAnet.org or (571) 431-0854 with content questions.

 

Click here to register for the audio conference. 

 

Questions? Contact Stephen Custer at scuster@AOPAnet.org (571) 431-0876.

 

  

Announcing the First Annual AOPA OPTA Technical Fabrication Contest

Enter the First Annual AOPA OPTA Technical Fabrication Contest by competing to fabricate a swim prostheses--perhaps your device will be selected as one of the cash-prize winners at the 2012 AOPA National Assembly in Boston, MA.

 

Entrants will be provided a digital positive or a cast negative, along with a specification sheet. There is a $25 entry fee and online registration is required. First, second and third place winners will be selected in both the profes­sional and student categories. The first place prize is $500; second place $300; and third place $150.

 

Entries should be delivered by August 10, 2012 to AOPA's offices in Alexandria:

 

AOPA/OPTA Fabrication Contest

330 John Carlyle Street

Suite 200

Alexandria, VA 22314

 

This contest is made possible by the following sponsors:

 

OPTA

Ottobock

Cascade USA

AOPA

 

Click here to register or for information contact Steve Custer at scuster@AOPAnet.org.

 

  

95th Annual AOPA National Assembly and Combined NE Chapter Meeting Historic Downtown Boston -- The Place to Be September 6-9

Registration is now open and you can get an online, sneak preview of the preliminary program.

 

Boston is the place to be as we build on our historic heritage and learn to prepare for the rapidly changing healthcare environment.  The clinical committee has been working hard to ensure the sessions will provide cutting edge science with clinical correlation to help expand our skills and improve patient care.  The meeting will kick off on Thursday, September 6 at 8:00 AM with two tiers of workshops or the option to partake in the Annual Fall Thranhardt Golf Classic.  All will meet back at the Hynes for the opening reception in the exhibit hall on Thursday evening.

 

The National Assembly is the country's oldest and largest show for O&P and the New England Chapter Meeting is considered one of the very best state meetings in the profession.  The combined efforts are sure to be of historical proportions.

 

Who Should Attend? O&P Practitioners, pedorthists, physicians, technicians, fitters, students, educational instructors, facility owners, marketing personnel, physical therapists, residents, office managers, billing specialists, researchers, engineers, manufacturers, distributors and suppliers of O&P products and services should come to Boston to stay on the cutting edge of their profession and to mix and mingle with other top professionals from across the country and around the world. Earn over 30 CE credits while learning at a fun, historical event. 

 

The 2012 combined meeting will be held at the Hynes Convention Center and adjoining Sheraton in historic downtown Boston.  The Hynes and connecting Sheraton hotel are located in the Back Bay neighborhood, which is considered affluent Boston at its best, boasting landmarks like Copley Square, the Prudential Center, and Fenway Park. Peruse boutiques on Newbury Street, stroll down Commonwealth Ave., or spend your evening out at one of the local lively bars or restaurants.

 

Boston-The Place to Be! Click here for more information.

 

Questions? Contact Stephen Custer at scuster@AOPAnet.org (571) 431-0876.

 

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O&P RESOURCES FROM AOPA

Online Membership Management Available

Are you taking full advantage of your AOPA membership benefits?  Are your employees receiving their own copy of the AOPA In Advance Newsletter; does your staff know about the free online learning videos; white papers and monographs on various topics are also available. Make sure you and your staff are in the know by updating your membership record today.  We can add your company logo to the online membership directory just for the asking. Visit www.AOPAnetonline.org/profile to update your membership account.  If you do not know your username and password contact email us at info@AOPAnet.org.

 

Check Out the AOPA Job Board for New Opportunities in O&P   

If you need a position filled at your business or are interested in looking at other job possibilities within the O&P field, check out the AOPA Online Job Board. The online job board sports a freshly updated look and an easy-to-navigate profile creation system. Job seekers can: 

  • Search Jobs -- Access the newest and freshest jobs available to professionals seeking employment.
  • Post a Resume -- Post your resume online today! Whether you're actively or passively seeking work, your online resume is your ticket to great job offers!
  • Personal Job Alert -- Create Job Alerts and never let a matching job opportunity pass you by! New jobs that match your search criteria will be emailed directly to you.
  • Access Your Job Seeker Account -- Login to your account to begin managing your job search. Create and manage job alerts and view job offers from employers. 

Managers and recruiters can:

  • Post a Job -- Reach the most qualified candidates by posting your job opening on our online Career Center
  • View Resumes --Check out our resumes and only pay for the ones that interest you!
  • Products and Pricing -- Regardless of your staffing needs or budget, we have a recruitment product that's right for your business.
  • Access Your Recruiter Account -- Login to begin managing your online recruiting account. Post jobs to our site and browse candidates interested in your positions.

And remember: if you advertise on the Online Job Board and decide to also advertise in the O&P Almanac, then you'll receive a 5 percent discount on the cost of advertising in the Almanac and on the Job Board.

 

Questions? Contact Steven Rybicki at srybicki@AOPAnet.org or (571) 431-0835.

 

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AOPA's 2012 Coding Products Are Available! 

If you have not already done so, be sure to visit the AOPA Bookstore and order your copies of AOPA's 2012 coding products including:

 

The QuickCoder, which provides a speedy reference to the HCPCS codes for O&P, and includes a quick reference modifier page. The Quick Coder laminated cards are durable, long lasting and convenient to store.   

 

The Illustrated Guide is an easy-to-use and indispensable reference tool for your office, providing illustrations and descriptions of all the HCPCS codes for O&P. The Illustrated Guide features separate sections for orthotic and prosthetic devices and a handy glossary.

   

The CodingPro allows you to save time and improve the accuracy of your claims. CodingPro combines all the information of the Illustrated Guide with the functionality of a database, including an interactive glossary, medical necessity notes and fourteen individual fee schedule fields.

 

Purchase all three, the Coding Suite, and save!

 

Questions? Contact Michael Chapman at mchapman@AOPAnet.org or (571) 431-0843.

 

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O&P INSIDER'S TRACK
The Only Up-to-the Minute O&P Newsline
  
People in the News

The Board of Certification/Accreditation, International (BOC) has two new Directors on its Board:

  • Rod Borkowski, General Manager, Health Essentials
  • Brad Watson, BOCPO, Clarksville Limb and Brace and Rehab, Inc. 

Loretta Muilenburg, co-founder of Muilenburg Prosthetics Inc., Houston, was honored at a celebration of her 90th birthday. The late Al Muilenburg, CPO, and Loretta, an occupational therapist, began the company in 1948.

 

OPAF, the Orthotic & Prosthetic Activities Foundation elected James O Young, Jr., LP, CP, FAAOP to the OPAF Board of Directors.

 

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Businesses in the News

The American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc. (ABC) announced that effective January 1, 2013, all candidates for the Certified Orthotic/Prosthetic Assistant designation will need to meet the education and experience eligibility requirements of the current Pathway 2, as well as pass a discipline-specific, multiple choice examination.

 

Board of Certification/Accreditation, International (BOC) hosted a group of subject matter experts, including college professors and BOC-accredited facility representatives, to author new questions for clinical simulation examinations in orthotics and prosthetics and multiple-choice examinations in orthotics, prosthetics, orthotic fitting, and mastectomy fitting for the BOC.

 

OPAF, the Orthotic & Prosthetic Activities Foundation announced that the OPAF Dale Yasukawa Scholarship Fund is now accepting applications from Northwestern University students currently enrolled in the O & P program.  The $1,000.00 scholarship is intended to assist NUPOC students attend their local chapter or society meeting of the Academy. Click here for more information about the program. Scholarship applications are due by May 30. It also announced that the First Dive Intro to Scuba Clinics and First Paddle Kayaking Clinics returned to the facilities of Eastern Michigan University on April 15.

 

Orthotic and Prosthetic Group of America (OPGA) and the Iowa Prosthetic, Orthotic and Pedorthic Association (IPOPA) announced that Iowa governor Terry Branstad signed SF364, Iowa State Licensure for Orthotists, Prosthetists and Pedorthists on April 27.Iowa is now the 15th state to pass an O&P State Licensure bill.

 

Snell Prosthetic & Orthotic Laboratory was highlighted by Today's THV about its work on an elephant at the Little Rock Zoo.   
Send Us Your News!
The next AOPA in Advance will arrive in your inbox on May 15. So if you have a new employee or a new office, tell us! Share your news with the over 15,000 readers of the O&P Almanac and AOPA In Advance newsletter. Contact Steven Rybicki at srybicki@AOPAnet.org Back to Top

AMERICAN ORTHOTIC & PROSTHETIC ASSOCIATION (AOPA)

330 John Carlyle St., Suite 200, Alexandria, VA 22314
Tel: (571) 431-0876, Fax: (571) 431-0899
www.AOPAnet.org