Issues

Qualified Provider Access to L Codes

Position

The O&P Alliance supports the proposed use of quality standards and mandatory accreditation for the provision of all Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) items and services. These requirements were mandated by the Congress as part of the competitive bidding section of the Medicare Modernization Act of 2003 (MMA). It is through effective quality standards and accreditation that we believe CMS will improve the quality of O&P services provided to Medicare beneficiaries while vastly reducing opportunities for fraud and abuse.

Click here for position paper

News

  • Sugar Land man pleads guilty in Medicare fraud case
    Aug 25, 2010 — Houston Chronicle
    A Sugar Land man faces up to 10 years in federal prison after he admitted this week to bilking the federal health-care programs of nearly $10 million. Aghaegbuna "Ike" Odelugo, 38, pleaded guilty Monday to conspiracy to commit health care fraud, heath care fraud and money laundering, according to federal authorities. According to federal authorities, Odelugo agreed with 14 durable medical equipment company owners in several states, including Texas, to fraudulently bill Medicare...
  • Feds
    Aug 24, 2010 — Houston Chronicle
    The health-care fraud conviction carries a maximum of 10 years in prison and a $250,000 fine.
  • East Tennessee Technology Access Center moves to South Knox location
    Aug 10, 2010 — The Knoxville News-Sentinel
    The equipment flew off ETTAC's shelves, but the space to store it during cleaning and repair was limited at the 6,000-square-foot Broadway office ETTAC had rented for the past 12 years. A board member began storing overflow in his garage. So ETTAC began looking for more spacious digs about a year ago, Symington said. More shelving; more stock. "My dream is of a 10,000-square-foot warehouse, full of equipment," Symington said.
  • EDITORIAL
    Jul 20, 2010 — The Kansas City Star
    That's an obvious area to find savings. But two years ago Congress buckled under pressure from suppliers and halted an effort to open the process to competitive bidding. For a Congress worried about deficits, caving in on Medicare fees would be outrageous. Competitive bidding may cause some small businesses to reduce staffs and possibly close.
  • Study
    Mar 30, 2010 — High Point Enterprise
    ...supply member service organization based in Waterloo, Iowa, conducted a study, titled "Durable Medical Equipment Competitive Bidding," revealing that 24 medical supply equipment companies in the Greensboro/High Point metropolitan area could be forced to close after the bidding process comes to the area next year. Federal bidding rules under Medicare Improvements for Patients and Providers Act (MIPPA) were passed on Oct. 21 and will require all medical supply companies to submit bids for...
  • Fugitive caught in Cancun
    Jan 19, 2010 — The Miami Herald
    They said Perez, 34, was brought to Miami late Friday.
  • Feds catch Medicare-fraud fugitive in Mexico
    Jan 18, 2010 — The Miami Herald
    They said Perez, 34, was brought to Miami late Friday.
  • Suspect in Medicare scam arrested in Mexico, returned to Miami
    Jan 18, 2010 — The Miami Herald
    They said Perez, 34, was brought to Miami late Friday.
  • Providers keeping close watch on Medicaid, Medicare reforms
    Jan 9, 2010 — The Monitor
    Giving out the contracts for government aid programs to big chains that can provide service in bulk would save money.
  • Room for further reform in Senate's health bill
    Dec 9, 2009 — Washington Post
    AS THE SENATE weighed whether to proceed to debate on health-care reform, we hoped lawmakers would take up an imperfect measure and improve it. The best news so far is a package of changes assembled by Virginia Democrat Mark Warner and 10 other freshmen senators. For example, the underlying bill would have Medicare pay some providers based on the quality of their performance; the Warner package would expand that to include hospices, ambulatory-care centers, psychiatric hospitals and others.
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