Are Medicare SNFs denying prescribed orthotic services?
Walter Gorski
Description
Collection
Title:
Are Medicare SNFs denying prescribed orthotic services?
Creator:
Walter Gorski
Date:
9/21/2001
Text:
To O&P List Serve Members:
On behalf of the American Orthotic & Prosthetic Association (AOPA), I would
like to thank all list serve members who have responded to me highlighting
your problems with providing prescribed orthotic services to Medicare
beneficiaries in skilled nursing facilities (SNFs).
However, because of a technical problem with my e-mail from Sept 17-21, I
may not have received your e-mail message. If you responded to my first
message and have not received a reply, please try again. If you have not
responded, please consider doing so. We would like to collect as many
examples as possible. You can respond to me directly at
<Email Address Redacted> My original message is pasted below.
Thank you,
Walter Gorski, Manager of Legislative Affairs
American Orthotic & Prosthetic Association (AOPA)
ph: (703) 836-7116 ext. 209
_______________
A key legislative priority of AOPA is the removal of orthotic care from the
Medicare Skilled Nursing Facility (SNF) Prospective Payment System (PPS).
This change would allow O&P practitioners to bill Medicare Part B directly
for orthotic services rather than look to the SNF for reimbursement.
AOPA is seeking your specific examples where SNFs are denying prescribed
orthotic treatment to Medicare beneficiaries because the SNFs do not want
to pay for these services out of their relative utilization group (RUG)
payment. Congressional lawmakers and staff have asked us to provide
concrete examples that illustrate these common incidents.
Several years ago, a similar effort was initiated by AOPA to remove
prosthetic care from the Medicare SNF PPS. This effort was successful
because we were able to show that Medicare beneficiaries were being denied
these necessary services.
On behalf of the American Orthotic & Prosthetic Association (AOPA), I would
like to thank all list serve members who have responded to me highlighting
your problems with providing prescribed orthotic services to Medicare
beneficiaries in skilled nursing facilities (SNFs).
However, because of a technical problem with my e-mail from Sept 17-21, I
may not have received your e-mail message. If you responded to my first
message and have not received a reply, please try again. If you have not
responded, please consider doing so. We would like to collect as many
examples as possible. You can respond to me directly at
<Email Address Redacted> My original message is pasted below.
Thank you,
Walter Gorski, Manager of Legislative Affairs
American Orthotic & Prosthetic Association (AOPA)
ph: (703) 836-7116 ext. 209
_______________
A key legislative priority of AOPA is the removal of orthotic care from the
Medicare Skilled Nursing Facility (SNF) Prospective Payment System (PPS).
This change would allow O&P practitioners to bill Medicare Part B directly
for orthotic services rather than look to the SNF for reimbursement.
AOPA is seeking your specific examples where SNFs are denying prescribed
orthotic treatment to Medicare beneficiaries because the SNFs do not want
to pay for these services out of their relative utilization group (RUG)
payment. Congressional lawmakers and staff have asked us to provide
concrete examples that illustrate these common incidents.
Several years ago, a similar effort was initiated by AOPA to remove
prosthetic care from the Medicare SNF PPS. This effort was successful
because we were able to show that Medicare beneficiaries were being denied
these necessary services.
Citation
Walter Gorski, “Are Medicare SNFs denying prescribed orthotic services?,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/217234.
