The New Reality: Documenting O&P Medicare Claims - March 2013

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Feature

The New Reality: Documenting O&P Medicare Claims
By Peter W. Thomas, JD, and Christina A. Hughes, JD, MPH


The August 2011 "Dear Physician" letter sent to all physiciansparticipating in the Medicare program and theU.S. Department of Health & Human Services (HHS)Office of Inspector General (OIG) report that preceded it-"Questionable Billing by Suppliers...

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Feature

Medicare Audits, Overpayments, and Appeals
By Peter W. Thomas, JD, and Christina A. Hughes, JD, MPH


Over the past few months, there has been increased activitywithin the federal government surrounding Medicareaudits, overpayments, and appeals. This articlesummarizes two major developments that will impact all Medicareproviders, including O&P pro...

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Feature

Outcome Measures: Are We There Yet?
By Kate Hawthorne


How do you measure the quality of the prosthetic or orthotic devices you provide to your patients? Many practitioners say a successful outcome is a happy, comfortablepatient who returns to you when it's time for a new fitting. In today's reimburse...

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Feature

Walk This Way: Gait Assessment Technology Steps Forward
By Garrison Wells


The usual purpose of lower-limb orthoses and prosthesesis to enable or improve the wearer's gait. How well thedevice achieves this goal has historically been judged subjectivelyby the patient and clinician. "Nevertheless," says Joan E.

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Feature

The Dawn of Powered Lower-Limb Prostheses
By Phil Stevens, MEd, CPO, FAAOP


During the last decade, the O&P industry has enjoyed a technological renaissance. As technologies improve and become more reliable, their adoption becomes more widespread. For example, the microprocessor regulation of prosthetic knees, once a nove...

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Feature

Implementing EMR in P&O
By John Brinkmann, MA, CPO, LPO, FAAOP


The Digital Revolution The British computer scientist who is credited with inventingthe World Wide Web, Sir Timothy "Tim" Berners-Lee, made asurprise appearance at the end of a dance segment during theLondon 2012 Olympic Games opening ceremony. Th...

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Feature

Prosthetic Liners and Sleeves: Reaching New Levels of Comfort, Control, and Suspension
By Miki Fairley


Photograph courtesy of Ottobock. The issues that challenge prosthetic liner and sleeve manufacturersare age-old: durability, residual-limb volumefluctuations, temperature and moisture control, and skinhealth. The solutions that are in development,...

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Better Business

New Faces in O&P Leadership


A conversation with Kenneth Wilson. In the second installment of our interview series with two companychiefs who are relative newcomers to O&P, The O&P EDGE talksvision and goals with Kenneth Wilson, president and chief operatingofficer of SPS, he...

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Industry Leader

T. Walley Williams III
By Miki Fairley


Williams employs his carpentry skills making balusters for a friend. Photographs courtesy of T. Walley Williams III.

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Today’s Consumer

Stacey Pryor: New Leg Leads to New Career
By Linda M. Hellow


Pryor appreciates the ability to go from wearing work shoes to no shoes when she gets home from work. Photograph courtesy of Össur Media. Stacey Pryor of Denton, Texas, is the type of person who doesn'thesitate in new situations.

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Stepping Out

Pedorthics-Oriented Research (or the Lack Thereof)
By Dennis Janisse, CPed


There has been mounting pressure in recent years from third-partypayers-and consumers-for evidence that a device or procedureactually performs as claimed before considering paymentfor services. In fact, Section 6301 of the Patient Protection andAf...

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Shop Talk

Translating Skills: Using Past Experiences to Solve Challenges in the O&P Lab
By Robert Reeves, CTPO


While some technicians gravitate toward the O&P lab early in theirprofessional lives, others, like me, find themselves in the industryafter careers in a variety of other fields. I entered the O&Pprofession well into my adult life, and as I have pr...

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Face to Face

Doug Jack, CPO


After completing an automotive technology program, DougJack, CPO, says that while he appreciated the technology andmechanical skills he had learned, he realized a career as anauto mechanic was not for him. While seeking alternativecareer options,...

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Got FAQs?

Billing and Collections Q&A
By Lisa Lake-Salmon


Denials are difficult to identify and time-consuming to appeal. Count on "Got FAQs?" to help you sort through thecomplexities associated with O&P billing. This month's column addresses your questions about Medicare Change inProducts and Services,...

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Viewpoint

Many Stories, One Voice
By Karen Henry


If you've ever been to an American Orthotic &Prosthetic Association (AOPA) Policy Forum or anAmputee Coalition National Conference, you'veprobably learned how telling your story can helpto promote your advocacy efforts. Storytelling isa common rhe...

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EDGE Direct

Standardizing Technology across Rehabilitation: Endolite echelon Stands out in Independent Study


EDGE Direct Endolite is setting the standard for rehabilitation with our revolutionary line of hydraulic ankle/feet systems. Our hydraulic ankles help to decrease energy expenditure, encourages equal loading and reduces pain, socket pressure, and...

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EDGE Direct

Structured Light Scanner New to The OMEGA System


EDGE Direct Computer-assisted design (CAD) is here to stay in the orthotic and prosthetic (O&P) industry. The time savings, successful patient outcomes, and cost savings have allowed what was once a fledgling technology to gain a growing foothold...

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