Thank you to all California members who sent suggestions for responding the Governor’s recommendation that O&P be placed alongside DME for competitive bidding purposes. Attached is COPA’s response to the proposal, aka HHS25.
The California Performance Review (CPR), the document that recommends the competitive bidding, relies on the DMEPOS San Antonio study. Some of our comments reference it. If you would like to see the entire report – it is significant, please go to:
http://www.cms.hhs.gov/researchers/demos/DMECB.asp and click on the tab at the bottom that says “full report.” It is 189 pages. Ignore the Florida data, there was no O&P in that project – reference the San Antonio data. Also look closely at the appendix at the end. It shows exactly what codes were used in the project and what the bid prices were compares to regular Medicare. For instance: L4360 $162.54, L3982 $222.63 and L3730 $613.20.
COPA is working behind the scenes with DHS and Legislative contacts to resolve this issue. As soon as there is more news I will post it here.
If you are unable to open the PDF, I can send a text document upon your request.
