Medicare Skilled Nursing Facilities and Orthotic Services
Walter Gorski
Description
Collection
Title:
Medicare Skilled Nursing Facilities and Orthotic Services
Creator:
Walter Gorski
Date:
9/14/2001
Text:
O&P list serve members:
A key legislative priority of the American Orthotic & Prosthetic Association
(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.
If you have specific examples you would like to share, please respond to
this e-mail directly to me at <Email Address Redacted>
<mailto:<Email Address Redacted>>
Thank you,
Walter Gorski
Manager of Legislative Affairs
American Orthotic & Prosthetic Association (AOPA)
330 John Carlyle Street, Suite 200 Alexandria, Virginia 22314
Email: <Email Address Redacted> www.aopanet.org
A key legislative priority of the American Orthotic & Prosthetic Association
(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.
If you have specific examples you would like to share, please respond to
this e-mail directly to me at <Email Address Redacted>
<mailto:<Email Address Redacted>>
Thank you,
Walter Gorski
Manager of Legislative Affairs
American Orthotic & Prosthetic Association (AOPA)
330 John Carlyle Street, Suite 200 Alexandria, Virginia 22314
Email: <Email Address Redacted> www.aopanet.org
Citation
Walter Gorski, “Medicare Skilled Nursing Facilities and Orthotic Services,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 15, 2024, https://library.drfop.org/items/show/217340.
