Accounts Receivable: Money Chest or Money Pit? How to Win the Claims Game
By Miki Fairley
Perrone "Some of these insurance companies are absolute nightmares! Their constantly changing rules are a moving target. You send the additional information they ask for, and they come back and want more.
It’s Not (Just) About the Billing Office:
Reimbursement Resources for Your Entire Staff
By Morgan Stanfield
"It doesn't matter who the provider is, big or small, O&P businesses should always be looking for ways to improve their performance and efficiency and to maximize their reimbursement. Especially as insurance carriers keep cutting payments, you hav...
How O&P Professionals Can—and Why They Should—Be Involved in Legislation
By Morgan Stanfield
"Politics ought to be the part-time profession of every citizen who would protect the rights and privileges of free people and who would preserve what is good and fruitful in our national heritage." —Dwight Eisenhower No matter who you are—...
Important New Medicare Rules Impact O&P Field
By Peter W. Thomas, JD, and Johanna Kreisel, JD
The Centers for Medicare & Medicaid Services (CMS) has established several new rules of engagement that O&P practitioners and suppliers must follow to receive Medicare payments, and these rules go into effect immediately. Parts of the new rules al...
Forward, Into the Past
By Brian Gustin, CP
Healthcare reform, in whatever machination, is now a reality, and the question for O&P is what direction it will take us in or, more importantly, what path O&P will follow. Maintaining the status quo is not an option. It seems to me O&P has though...
Better Business Series
Six Steps to Managed Care Contracting
By Christine Duprey
Managed care contracts are the foundation of many practices' revenue streams. Poorly negotiated contracts can result in ineffective patient flow and cost providers thousands of dollars—or even their businesses—so it's essential to get them right t...
A New Approach to Sealing Thermoplastic Edges
By Christian Hick and Gunilla Ström, CPO
A technical challenge solved by identifying a thermal window. Sealing thermoplastic edges simply and smoothly in a way that adds to patient comfort has always been problematic. Although the nature of low-temperature thermoplastic makes it ideal fo...
Ridgway Continues Reign;
Ball Smashes Marathon Barrier
Ridgway Continues Reign as Limb-Loss Motocross Champ Chris "Ridge" Ridgway won his fourth consecutive gold medal during the fifth annual Extremity Games (eX5), held May 29 at the Baja Acres motocross facility in Millington, Michigan. In defending...
Solvents, and Thinners, and Germs! Oh, My!
By Stephanie LeGare
I write to you this month from the far reaches of maternity leave. After giving birth to a beautiful baby girl, I'd like to comment on hazards in the workplace during pregnancy. We're all likely to admit that there are times when we ought to use p...
Face to Face
Face to Face: Mandy Myers, CP, CFm
Mandy Myers has always kept an eye on the horizon, and by doing so has found her right road, to paraphrase Dag Hammarskjold. Myers' path began in high school, where she was involved with a club that provided her the opportunity to work with physic...
By Lisa Lake-Salmon
Running an O&P practice and keeping billing on track is complex and time-consuming. When you have a billing-related question, "Got FAQs?" has the answer. This month's column addresses your questions about Medicare requirements for therapeutic shoe...
Leipzig Brings O&P to the World Stage
"It's a conference on steroids." -John Miguelez, CP, FAAOP, president and senior clinical director, Advanced Arm Dynamics, Redondo Beach, California Dancers, performance artists, music, and multilevel product display booths complete with bars, caf...
‘We’re Not in Kansas Anymore…’
By Karen Henry
In the movie The Wizard of Oz, Dorothy expresses her trepidation about the possible obstacles that lie ahead as she, the Tin Man, and the Scarecrow follow the yellow brick road into a dark forest. I don't know if it was Stephanie LeGare's aptly ti...
Endolite and SPS Revise Sole Distribution Agreement
Endolite and SPS are pleased to announce they have modified their distribution agreement by designating SPS as Endolite's sole distributor within the United States. Effective July 1,2010, all Endolite products may be purchased through any of SPS'...
Wish there was a way to make minor adjustments to a socket without it delaminating? Tired of all the itching when grinding a carbon socket? Then check out Comfort Products' two innovative tubular stockinettes: SpectraCarb Stockinette and SpectraCarb/Aralon™ Stockinette.
- Both can be modified using a heat gun without delaminating.
- No itching when grinding these stockinettes.
- Available in five- and 25-yd. rolls.
- Easy workability, wets out well, and fatigue resistant.
- Comes in 2-, 3-, 4-, 5-, 6-, and 8-in. widths.
- Superb strength with some flexibility.
The TSS Vaculink Vacuum Pump from MICA Corp. was created for elevated vacuum socket management, enhanced suspension, and moisture control. The Vaculink is a mechanical pump mounted to a tibial component and driven by stance phase or combined foot and ankle flexion. The pump design is simple and effective, ensuring extended life, efficiency, and zero maintenance.
Features and benefits include:
- Zero battery dependence.
- Enhances blood circulation.
- Stabilizes limb volume and prevents fluctuation.
- Firmly secures socket to limb.
- Increases user awareness of limb/prosthesis position.
- Easily adjustable vacuum.
Titanium pyramids are now standard with Dycor's new K2 DR2 (unassisted transfer/assisted ADL) and K3 DR3 (unassisted ADL) feet. The K2 version is 30 percent more flexible than the K3.
Dycor's DR feet are light-weight and resilient because they rely on deflection of the varying-thickness leaf springs imbedded in the upper keel member, rather than compression of rubber bumpers. The DR feet are ground compliant because they incorporate uni, bi-, or tri-axial ankle articulation with low- or medium-profile options.
Weight, including titanium pyramid and foot shell, is 312g (11 oz.).
Provel offers cost-effective, fast, easy-to-use, and reliable O&P automation. The D2 digitizer, C5 carver, and T6 thermoformer are appropriate for small clinics as well as large central fabs. All are AOP-file compatible and backed by a two-year warranty. The D2 digitizer allows automated shape capture of prosthetic casts with unmatched accuracy. The C5 carver is not only fast and precise, its self-contained dust-collection system is extremely quiet. The T6 thermoformer consistently produces high-quality thermoplastic sockets from industry-standard preforms.
The New Balance 927 walking shoe is perfect for those needing comfort and stability.
The 927 includes ROLLBAR®, a thermoplastic polyurethane posting system that minimizes rear-foot movement. The C-Cap® molded EVA midsole offers cushioning and flexibility, and ABZORB® SBS provides shock absorption in the heel. The removable ABZORB foam insole softens each step. The Walking Strike Path® rubber outsole guides the foot as the wearer walks.
Features a full-grain leather upper. Men's 927 shoes are available in black lace and Velcro styling and white lace. Women's 927 shoes are available in white lace and Velcro styling and black lace.
OPTEC consistently offers high-quality, cutting-edge products at a fair price. OPTEC also helps your practice to be successful by submitting braces to the Pricing, Data Analysis, and Coding (PDAC) Center.
PDAC recently reviewed many OPTEC products, with the following decisions: VertaMax L-0627; Stealth PRO L-0631; Stealth Rehab L-0627; Stealth X L-0637; Stealth LSO LP L-0637; Stealth CB L-0637; Stealth Xtreme L-0637; Stealth TLSO with DLK L-0462; and Stealth TLSO with ATE L-0464.
The Stealth LSO, Oasis LSO, and Oasis LSO LP continue to be L-0637.
Now through October 29, 2010, you can experience the new Summit™ 637 LSO and receive 15% off all Summit 637 purchases through SPS.
The Summit 637 delivers the same effective compression and motion restriction as the Summit 631, while providing extra coverage for patients in need. Rigid side panels provide additional lateral support while maximizing comfort.
Features of the Summit 637 include:
- 4:1 mechanical advantage.
- Effective compression and motion restriction.
- Ergonomic, comfortable fit to accommodate diverse anatomies and diagnoses.
- Four sizes accommodate 26- to 60-in. waist circumferences.
- Great cost-to-reimbursement ratio.
The newest addition to HOPE Orthopedic's industry-leading line of orthotics is the HOPE Walker. This computer-designed, rocker-bottom walking boot offers a pneumatic bladder to create a custom fit for most patients. The low heel height mimics a normal shoe for a balanced gait and is designed to reduce pressure on the knee and back. The malleable aluminum arms accommodate swelling and large dressings. The HOPE Walker provides an advanced design and superior quality at an affordable price.
Take a step in the right direction!
Easy to fit for practitioners and even easier for patients to use, this integrated, low-profile joint provides the best in electronic stance control and helps your patients enjoy a more active lifestyle. With the help of simple onboard programming, the E-MAG Active calibrates itself to capture the user's unique gait pattern. This unique feature adds a new dimension of functionality for people who previously had limited bracing options. Help your patients get back into the swing of things with the E-MAG Active.
Otto Bock HealthCare
Plié 2.0 is the only MPC knee guaranteed to be water-resistant and protected from occasional contact with water.
The resistance of the newly re-designed Plié knee is controlled by pressure and position rather than speed. Swing-phase initiation is consistent across varied cadences and mimics biological norms. Plié 2.0 has a finely tuned control system that responds to ambulatory stimuli within 10 milliseconds-the fastest control-cycle time of any MPC knee.
Requiring only 9.25 in. of clearance and weighing just 2.7 lb., Plié 2.0 is the lowest-profile and lightest-feeling MPC knee.
Allard USA incorporates its versatile 3D-Lite low-temperature thermoplastic into a line of pre-cut TLSOs and LSOs, called Cut-4-Custom (C4C). Front and back sections have straps pre-attached. Both sections are ready to be heated and custom-molded to the patient. Four heights accommodate the prescription and patient anatomy. 3D-Lite becomes soft and is ready to mold to patient contours in less than ten minutes. This innovative material may be re-heated, flattened, and re-molded. It is aerated for breathability and is lightweight, non-toxic, and may be worn in the shower.
The Element Foot System's™ 3rd Element technology produces an incredibly smooth rollover. Adding the DuraShock increases the vertical shock absorption and adds to the multiaxial rotation. The elastomers and carbon components work together to absorb, store, and return energy in vertical and horizontal planes. The result is a foot system that provides a high level of function and requires only 6.5 in. of clearance. The Element DS Foot System is rated for patients up to 275 lb. and has been tested to the highest standard-ISO 22675.
New design, new materials, and new construction of the ALPHA Select Liner yields improved patient outcomes.
Key benefits of Ohio Willow Wood's Select Liner include:
- Progressive gel measures 9mm distally and 6mm over the tibial crest, thinning to 2.5mm behind the knee and proximally.
- New accordion umbrella permits conformance to the wearer's own contours.
- Hybrid gel protects the limb from impact and resists excessive elongation.
- Abrasion-resistant select fabric panel easily flexes without pulling or tightening at the knee.
- One-way stretch fabric effectively controls pistoning without a distal matrix.
Lower Extremity Fracture Bracing System
For more than 20 years, Orthomerica® Products has been offering effective, non-operative and post-operative treatment solutions for lower-extremity fractures and range-of-motion restriction.
Today, Orthomerica introduces the Orlando® KAFO/HKAFO Lower Extremity Fracture Bracing System. The Orlando is modular, lightweight, and can be ordered and stocked as components-making it immediately available or custom assembled to your measurements. Orthotists can choose from a wide selection of femoral and tibial components, hip joints, knee joints (free motion, drop lock, and adjustable range-of-motion), and shoe inserts to meet an individual patient's needs.
New Prosthetic Foot for Geriatric Amputees
Gery®, another patented product from PROTEOR, is specially designed for K1 patients with limited indoor walking requirements and low-level activity.
The innovative rigid core and Keasy®-like foam provide an easy gait. This results in reducing pressure forces to the socket, thus reducing pain to the residual limb. Less physically capable wearers are able to take symmetrically longer steps.
The pyramidal connector and malleolar clip are included.
- Lightweight-30% lighter than the S.A.C.H. foot.
- Easy step completion.
PROTEOR Handicap Technologie
With a fully integrated air pump and release valve, the Rebound™ Air Walker provides easy, tool-free inflation and deflation for fine-tuned, consistent compression. Its Flex Edge™ over-molding adapts and conforms to each patient's unique anatomy to help limit the formation of pressure points.
Equipped with a rocker bottom engineered to promote a natural, stable gait, Ossur's Rebound Walker also boasts a trimmable, semi-soft toe bumper for protection against re-injury. Ventilated panels make it more breathable and improve patient comfort by wicking away moisture and helping to prevent microbial buildup.
OPTEC's Stealth TLSO provides motion restriction for the thoracic vertebral and lumbar regions, with the ease of use and precise compression of our unique closure system. The Stealth TLSO is available in 3-panel and 4-panel versions, which include a dorsal lumbar kit (DLK) or a DLK with your choice of anterior thoracic attachment (ATE).
PDAC recently determined that L-0462 and L-0464 are the appropriate HCPCS codes for the Stealth TLSO with DLK and the Stealth TLSO with ATE, respectively. Order the Stealth TLSO now through July 31, 2010, to receive 15% OFF the regular price.
Orthofeet is introducing low-heel diabetic shoes that offer the "Slip-On" look with the comfort of adjustable-strap shoes. These unique Slip-On shoes feature a wide opening for easy on/off, along with a two-way strap system that enables fastening on either side of the shoe and easy adjustment of the strap length to perfectly fit swollen feet or feet with a high instep. Additional comfort features include a soft, protective lining with seamless design, and a lightweight cushioning sole with Ergonomic-Stride™ construction.
Model 1013 is a posterior-offset adjustable knee joint that allows the orthotist to fine tune the A-P alignment of the knee; these features enhance knee stability and help broaden the clinical application. The A-P alignment and the extension/flexion angle can be changed by simply removing two screws; this allows easy adjustability without the need to physically alter the angle of the uprights.
Model 1013 comes equipped with an optional bail-lock that can be engaged when the patient reaches full extension.
The Alpha® AK Locking Liner with symmetrical gel style features hybrid gel which has a higher durometer that combines durability with comfort. The liner features 9mm distal gel thickness and 2.5mm anterior/posterior gel thickness. The symmetrical design of the gel allows the liner to be rotated for extended wear.
The liner utilizes one-way stretch fabric for controlled pistoning without a rigid distal matrix and provides tissue compression without uncomfortable pressure on the limb. A flexible accordion umbrella blends with a patient's anatomyfor an almost unnoticeable feeling.
Ohio Willow Wood
As prosthetists, our designers know the importance of a good fit. We also know that different clients have different needs and that there are times when an off-the-shelf TES Belt or Durasleeve will not meet those needs. For those special clients, Syncor Ltd. offers custom-designed TES Belts and Durasleeves.
Our complete line can be adapted to meet the needs of clients with transfemoral amputations. We can also custom make the Durasleeve for transtibial suspension, including the Durasleeve HD for exceptionally active clients and the Durasleeve EZ for clients with limited dexterity. For special orders, contact your Syncor supplier.
New: Ultraflex Universal Joint - Comparably Smaller, Lighter, and Stronger
The Ultraflex Universal Joint uses a tried-and-true clevis design for maximum M-L strength, yet is extremely lightweight and low profile. The Ultraflex Universal Joint is comparatively smaller, lighter, and stronger. It can be used on ankles, elbows, or wrists, as well as for both adult and pediatric applications.Recommended as a companion joint to Ultraflex ADR™. Molding dummy included. Dimensions: Length: 17/16 in., width: 7/16 in., height: 19/64 in., weight: 0.5 oz.
With the Accent® foot, a simple push of the button provides 2-in. heel-height adjustment.
Finally, a superior cosmetic finishing option in a service-free design to address individual footwear preferences.
Key features include:
- 2-in. (51mm) user-adjustable heel height.
- Dynamic pylon and integrated pyramid options.
- Ankle fairing for superior finishing.
- Sandal-toe foot shell with narrow- and wide-width options.
- Three firmness choices.
- Two-year warranty.
- Same-day custom-built and shipped to order.
Accurate measurements giving you the slip?
Try our new, double-column, digital height-dial gauge. It's good for set-ups and great for recording measurements after dynamic alignment.
Just look at what you get:
- Range in inches: 24.
- Digital dual-height counter that can be zero-set anywhere within range.
- Digital counter has two displays for upward and downward movement.
- Quick coarse readings with .100-in. graduations.
- Large, fine-adjusting feed wheel and lock.
- Isn't it time your practice measured up?
The Ortho Remedy
You've been asking for it. Friddle's now offers custom On the Spot sublimation transfers with low minimum-order requirements. Call and ask about getting your company logo or custom On the Spot transfers. These transfers can be used on nylon or Dacron straps, or plastic.
Friddle's Orthopedic Appliances
New: Ultraflex Toe Pads-Ideal for Neurologically Involved Patients
Ultraflex toe pads are available for purchase individually or with Ultraflex customfabricated orthoses made in the Ultraflex Lab. Ultraflex toe pads are an ideal addition for neurologically involved patients. They come in extra small ( ∆ ≾ 2 3/8 in.), small(2 3/8 in. ≾∆ ≾ 2 5/8 in.), medium (2 5/8 in.≾ ∆ ≾ 2 15/16 in.), and large (2 15/16 in.≾∆ ≾ 3 1/8 in.). Ultraflex toe pads are recom-mended for use with Ultraflex Adjustable Dynamic Response™ UltraSafeGait™ for managing gait deviations.
The archXpress provides the most efficient, quickest pulls of any vacuum press.
The genuine DuPont Corian™ deck is flatter and stiffer than other presses, which keeps your molds from breaking, saving you money. It's also more durable and cleans easily, saving you time.
Oh, did we mention that it costs 20% LESS than other vacuum presses? Priced at $699, you won't find a better deal on an orthotic vacuum press.
Go to www.archXpress.com and order yours today!
In celebration of 20 years as an O&P component manufacturer, Tamarack invites users of our Tamarack Flexure Joint® product line to register for a FREE Tamarack Hex Driver.
This offer is available on the Tamarack website at: www.tamarackhti.com/tools/hand_tools.asp
- 2.0mm or 2.5mm sizes available.
- Offer limited to one tool per facility, while supplies last.
Tamarack Habilitation Technologies
The ALPS Extreme Sleeve Fabric Reinforced (SFK) has superior comfort provided by ALPS GripGel™-which is more tactile than EZGel-to gently but firmly support the residual limb and sensitive tissues while preventing the sleeve from rolling down the patient's limb. The SFK has limited vertical stretch, but the elasticity of the fabric allows the user excellent freedom of knee flexion.
Built-in features include:
- Limited vertical stretch to reduce movement of redundant tissue.
- Seals to skin without reducing circulation.
- Durable performance.
- 6mm and 3mm uniform thicknesses available.
- 90-day warranty.
PEL Supply Company
The GXL-Knee (GX-Locking Knee) incorporates the best of both worlds from our Key Lock™ (1015) and GX-Knee (9000) knee joints. Integrating the extension-assist feature of the GX-Knee with the locking mechanism of the Key Lock gives you and your patient a whole new level of confidence and convenience.
Model 9015 is a free-motion knee joint that is designed to provide extension assist, not prevent knee flexion. In addition, the GXL-Knee has the option of locking at full extension for use as a locked knee joint.