The Business of O&P - September 2016

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Feature

Maintaining Professionalism in a Competitive Climate
By Maria St. Louis-Sanchez


In the O&P world ofshrinking reimbursementsand an often uncertainfuture, practices are undermore pressure than everto attract new patients andgrow their businesses. Butthe pressure of survivingfinancially while still stickingto ethical principles...

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Feature

Mr. Houghton’s Opus: The Houghton Scale and Its Modern Applications in Prosthetic Care
By Phil Stevens, MEd, CPO, FAAOP


In the early 1990s, a team of British researchersset out to determine the rate of successfulrehabilitation among individuals with lower-limbamputations of vascular etiologies. Led by avascular surgeon named A.D. Houghton, MD, theeffort first requi...

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Feature

Educational In-services: Benefiting the Healthcare Team, Patients, and O&P Providers
By Miki Fairley


The O&P EDGE interviewed O&Pcompany owners and clinicianswho provide a representativeexample of courses andin-services that range fromoffering continuing educationunits (CEUs) to much simplerinstructional programs heldfor staff at a hospital ornur...

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Feature

Changes Proposed to Medicare Appeals Process
By Peter W. Thomas, JD, and Christina Hughes, JD, MPH


CMS Tries to Pull a Fast One on the ALJ 90-Day Decision Deadline Many O&P professionals and practices have experienced extensive Medicare contractor audits that required them to pursue the administrative appeals process, usually resulting in a h...

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Today’s Consumer

Jeff Schmidt’s Mission to Conquer the Kona Ironman
By Betta Ferrendelli


Schmidt is thumbs up and ready to go before the 2012 Ironman World Championship in Kona. Photographs courtesy of Jeff Schmidt. The first time Jeff Schmidt participated in the Ironman WorldChampionship in Kona, Hawaii, in October 2012, he completed...

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Better Business

Using Retail to Balance the Bottom Line
By Terry Reed, BOCPD


Many pedorthists have relied mainly oninsurance reimbursements to drive theirpractices. A physician writes a prescriptionfor whatever he or she deems medically necessaryto meet a patient's needs and sends the patient to thepedorthist to have the p...

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Stepping Out

The Effectiveness of Foot Orthotics, Part II
By Séamus Kennedy, BEng (Mech), CPed


Stefano Ember / Shutterstock.com The medical terrain continues to change rapidly, and additionaloverhauls are expected as the Affordable Care Act, accountablecare organizations, and other federal initiatives alter the landscapefurther. To survive...

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Shop Talk

Cast Saws Everywhere, and Not One That Cuts
By Travis Petersen, BOCP, COA


If the facility at which you work is like most others, it probably ownsmultiple cast saws and there are a few of them that don't work. I workat an O&P practice with three offices and ten cast saws. Each of thesesaws, which cost anywhere from $500...

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Residency Reflection

What They Didn’t Teach You in the Classroom
By John Pope, MS, MSPO, CSCS


You hit the ground running. School gave you the tools and theconcepts needed to begin your residency-and now you areapplying everything you learned. However, I am encountering situations and identifying skillsetsthat aren't covered in textbooks or...

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Perspective

Prosthetics Versus Orthotics: Considering Opportunity Costs to Challenge a Financial Paradigm
By Pete Seaman, CLP


Having been a prosthetist for about seven years, I have heard it said thatthe real money in O&P is generated by prosthetic deliveries. I've blindlyaccepted this premise until recently, when I gained hands-on experienceregularly fitting off-the-she...

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On Topic

Because That’s How We’ve Always Done It
By Erin Cammarata


When I am hired for a consulting job, I always ask my client why some tasks are done a certain way. More often than not the response is, "Because that's how we've always done it." These simple words can be the greatest roadblock in the path to you...

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Viewpoint

Returning to Fall’s Schedule With New Ideas
By Andrea Spridgen


We are in the last dog days of summer and the thermometerreads 90 degrees. Meanwhile, children across the countryare preparing for a return to school and the routine itbrings. While most of us do not get that months-longbreak and aren't facing a n...

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