July 25 2017 - AOPA Update (courtesy of the American Orthotic & Prosthetic Association)
Full U.S. House Approves Legislation, Including Text to Legitimatize the Orthotist's/Prosthetist's Notes as Part of the Medical Record in Medical Necessity Determination
This afternoon, the full House of Representatives acted by consent on suspension to adopt H.R. 3178, a bill to cut red tape and make some non-controversial changes to the Medicare program. Included in this bill was a single provision on O&P-- the long-awaited provision to recognize the orthotist-prosthetist's notes as part of the medical record in Medicare Medical Necessity Determinations. Here is the specific text as enacted by the House:
1 SEC. 103. ORTHOTIST'S AND PROSTHETIST'S CLINICAL NOTES AS PART OF THE PATIENT'S MEDICAL RECORD.
Section 1834(h) of the Social Security Act (42 U.S.C. 1395m(h)) is amended by adding at the end the following new paragraph:
''(5) DOCUMENTATION CREATED BY ORTHOTISTS AND PROSTHETISTS.- For purposes of determining the reasonableness and medical necessity of orthotics and prosthetics, documentation created by an orthotist or prosthetist shall be considered part of the individual's medical record to support documentation created by eligible professionals described in section 1848(k)(3)(B).''
AOPA wants to recognize and thank Reps. Mike Bishop (R-MI and a Ways & Means member), Glenn Thompson (R-PA) who advanced the similar provision as part of the broader Medicare O&P Improvement Act, H.R. 2599, and Mike Thompson (D-CA and a Ways & Means Committee Member), and both House Ways & Means Committee Chairman Kevin Brady (R-TX) and Richard Neal (D-MA and the Ranking Minority Member of the Ways & Means Committee), for their strong support which resulted in this important action. Now it is on to the Senate, where S. 1191, the Grassley-Warner bill, supported by Senators Cassidy (R-LA) and Duckworth (D-IL) will hopefully move forward similarly to favorable action.
March 24, 2014
DEADLINE FOR COMMENTS IS APRIL 4TH. PLEASE DON'T DELAY. SEND IN YOUR COMMENTS TODAY!
Here is a Waiver Comment Letter we would like all Alabama O&P practitioners and staff to send to [email protected]
When you email your letter please cc: [email protected] so the APOA can keep track of all the letters that have been sent.
Please personalize your letter with your license # and your name.
It would also be beneficial for you to reach out to your friends in the state legislature to let them know how bad this capitation process is.
Here is a Patient Comment Letter that practitioners should share with their patients.
DEADLINE FOR COMMENTS IS APRIL 4TH. PLEASE DON'T DELAY. SEND IN YOUR COMMENTS TODAY!
Here is a Waiver Comment Letter we would like all Alabama O&P practitioners and staff to send to [email protected]
When you email your letter please cc: [email protected] so the APOA can keep track of all the letters that have been sent.
Please personalize your letter with your license # and your name.
It would also be beneficial for you to reach out to your friends in the state legislature to let them know how bad this capitation process is.
Here is a Patient Comment Letter that practitioners should share with their patients.
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Questions?
[email protected] | ||||
