Under Siege: CMS Audits Take Their Toll - August 2013

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Feature

Anatomy of a RAC Audit
By Miki Fairley


Originally launched in accordance withprovisions of the Medicare ModernizationAct of 2003, Recovery Audit Contractors(RACs) are having an increasinglysignificant impact throughout the U.S.healthcare industry, including the O&Pprofession, amidst a...

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Feature

Under Siege: CMS Audits Take Their Toll on O&P
By Judith Philipps Otto


Pendulums swing. Processes evolve. Perspectives and philosophieschange.

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Feature

RAC Audits: Mounting a Defense
By Miki Fairley


You're walking along and suddenly someone pulls the rugout from under your feet. A curve ball you didn't seecoming slams you in the head. You've been playing bythe rules and suddenly the rules change.

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Feature

Fighting Back: Strategies to Address the RAC Audit Threat
By Judith Philipps Otto


In the search for silver linings in the current dark cloudsof Recovery Audit Contractor (RAC) audits, there is one:this is a situation everyone wants to resolve. Most OP&Ppractices either have been faced with or are dreading thepainful consequence...

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Better Business

So You Have a Product…Now What?
By Maria St. Louis-Sanchez


Like any good start-up entrepreneur, Brian Glaister began witha dream-and a business in his basement. "It only started there because I didn't have a garage," jokesGlaister, president and CEO, Cadence Biomedical, Seattle,Washington. The former acad...

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Society Spotlight

Poststroke Considerations in AFO Usage
By Kyle Sherk, MS, CPO


Just as physicians and pharmacists musttake into consideration the side effects ofa single medication and its potentialinteractions with other medicationswhen determining its appropriatenessfor a particular patient, so should thesame consideration...

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Extraordinary O&P

Craig Vogtsberger: Back in the Race
By Maria St. Louis-Sanchez


Craig Vogtsberger lives a life of travel, activity, and athletics. He saysit's the life he's always dreamed of but didn't dare imagine in thetroubled years of recovery after his body was crushed betweentwo vehicles in 2001. In those times, when he...

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Shop Talk

How Many Devices Can You Manufacture in a Day?
By Greg Mattson, CPA, CTPO


I have been presenting and educating aboutlean manufacturing principles in O&P formany years now. During the question andanswer discussions that usually follow mypresentations, I continue to come acrossquestions related to manufacturing that aresh...

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Perspective

Losing Control and Finding What’s Really Important
By Edgy


I lose track of things: scissors, pens, tape measures, and sometimes even time. But Ihave never lost track of a patient, that is, until the other day. It was a crazy day with lotsof distractions.

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Face to Face

Tony Gutierrez, MS, CP


Even though his first O&P job-shadowing experience was just in October 2010, TonyGutierrez brought a great deal of practical knowledge to his work from day one. Whilehe was an undergraduate studying math education in 2003, Gutierrez was also doing...

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O&Pedia

Medicare and Billing Terms


Navigating the landscape of healthcare policy and Medicare regulations and literature is difficultenough with the legalese that accompanies these types of documents. Add the alphabet soup ofacronyms that permeate this lingo, and you may find yours...

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Got FAQs?

Billing and Collections Q&A
By Lisa Lake-Salmon


Whether you are new to O&P billing or have years of experience, denials can befrustrating to handle and difficult to appeal. Count on "Got FAQs?" to provide youwith the information you need to save time and frustration. This month's columnaddresse...

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Industry Review - Sports

UCO Endeavor Games Features New Events


Athletes ages 7-21 are encouraged to use their Endeavor Games results to qualify for the National Junior Disability Championship (NJDC), the largest multi-sport, multi-disability event for juniors in the United States. More than 400 athletes trave...

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Industry Review - Conferences

Amputee Coalition National Conference: A World of PossABILITIES


"We come together, not to celebrate what we have lost or how we are different, but to celebrate what we have overcomeand what we have in common." -Jack Richmond, 2013 Amputee Coalition Education and Conference Committee Chair What color was your r...

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Industry Review - Conferences

PrimeFare East 2013: 15 Years in the Making


Almost 200 attendees from 23 states convened at the NashvilleConvention Center, Tennessee, for the 15th annual PrimeFare EastScientific Symposium, held June 21-22. It was an opportunity forO&P professionals to earn continuing education units in fi...

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Viewpoint

We Interrupt Our Regularly Scheduled Programming…
By Karen Henry


From time to time, I have added to or slightly modified the planned editorial focus of one or two feature articles in an issue of The O&P EDGE   based on breaking news, important developments, or other extenuating circumstances. Never, in my nearl...

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EDGE Direct

Endolite echelon Stands out in Independent Study


EDGE Direct Endolite is setting the standard for rehabilitation with our revolutionary line of hydraulic ankle/feet systems. Our hydraulic ankles help to decrease energy expenditure, encourages equal loading and reduces pain, socket pressure, and...

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