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...
Under Siege: CMS Audits Take Their Toll on O&P
By Judith Philipps Otto
Pendulums swing. Processes evolve. Perspectives and philosophieschange.
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.
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...
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...
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...
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...
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...
Losing Control and Finding What’s Really Important
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.
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...
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...
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...
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...
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...
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...
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...
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...
The California® Catalina™ 637 and 631 deliver effective compression to the painful region to localize the patient's therapy while maintaining comfort. The Catalina 637 also contains rigid side panels to provide additional lateral support.
The Catalina's unique two-pull closure system makes it easy to fit and simple for the patient to don and doff. It limits motion and provides effective compression for the relief of lower back pain, making it ideal throughout rehabilitation treatment.
Available in sizes XS through 4XL.
SPS is proud to carry the new Valor
compression liner sock from Swiftwick.
Made in the U.S.A., the VALOR is the most
advanced moisture-managing compression
liner sock ever created for amputees.
This revolutionary new solution-worn
under the liner and against the skin-is
made with Olefin, a Nobel Prize-winning,
environmentally friendly fiber.
The VALOR's sculptured compression
construction incorporates Swiftwick's patented
active antimicrobial technology, providing
superior moisture, bacteria, and volume
fluctuations control. Ask your rep about the
Swiftwick liner sock today!
TRS has just introduced the Ishi
archery terminal device designed
to fit modern compound bows and
traditional-style bows. An offset
flexible aperture captures the bow's
handle which allows the bow to
cradle comfortably for perfect arrow
alignment. A ratchet strap and buckle
lightly secure the bow in place. The
Ishi weighs only 6 ounces, bows up
to 45 pounds of draw weight, and
is made for archers five years old and above. The Ishi mounts
right or left handed and has a USA standard threaded mounting
Revolimb™ Powered by Boa.™
Revolimb® kits allow clinicians to make any socket or brace adjustable. With a simple click of the Boa® dial, patients have the ability to change the fit and feel of their device any time of day. Revolimb kits are available for various designs and configurations. With one hand, your patients can:
- Adjust fit for changing activities.
- Change compression to match volume changes.
- Release compression when needed.
Revolimb is bringing a whole new level of comfort
and control to your patients.
U.S. Patent No. 8443501.
The guide provides information about:
- Terms to know.
- Types of audits.
- Planning ahead.
- The RAC audit process.
- And more!
Ask your Endolite territory
manager about getting your
The Hosmer Raize is a unique microprocessor ankle/foot system
in a low-profile, lightweight design. Its plantarflexion/dorsiflexion
range reduces damaging forces on the residual limb and greatly
enhances stability on slopes and slippery surfaces.
By simply pushing a button the wearer can
control rollover resistance, lock or unlock
the ankle, and adjust the heel height as
needed. Go online or call PEL Supply
for complete information on this and
other innovative products from the
PEL Supply Company
Lightweight, low profile, and extremely
tough, the WalkOn® Reaction is a great
solution for patients with dorsiflexion
weakness. With an anteriorly placed
calf cuff and longer strut, the WalkOn
Reaction uses ground reaction forces
to help extend the user's knee. Like
other Ottobock WalkOns, the Reaction
is fabricated from a prepreg advanced
carbon composite and helps users walk
more naturally. Fitting is fast and easy,
as is donning and doffing. Your patient
gets great support, smooth rollover,
and comfort all in one.
A program designed to help optimize
your materials costs.
With the challenges facing O&P
care providers, it's becoming
more difficult to provide
high-quality patient care while
managing a business. The SPS
Rewards Program ensures
you are getting the best value for the products you need to run
your business. To learn more and register for the SPS Rewards
Program, contact your SPS sales manager or come by the SPS
booth #1219 at the AOPA World Congress.
Every client is different. For the exceptionally active client in need of transtibial suspension, Syncor's Durasleeve HD is constructed of the highest-quality, heavy-duty neoprene for exceptional durability. Limited dexterity creates its own challenges, and the Durasleeve EZ meets them with the security of a virtually fail-safe suction system, yet it is easy to don and doff.
All Durasleeve designs are constructed with uncompromising air-tight integrity. Outside, seams are reinforced with color-matched blind stitching. Inside, our exclusive, patented reinforcement panel minimizes wear. Custom orders are always welcome through your Syncor supplier.
Our Mt. Emey accommodative
footwear collection is specially
designed for the hard-to-fit foot
or one with greater orthotic
needs. The collection includes
a variety of closures for easy fit
adjustability to accommodate
Charcot foot, foot trauma,
hammer toes, bunions, diabetes, RA foot pain, or edema. The
Mt. Emey accommodative footwear collection offers the
perfect combination of support and relief-fulfill all of your
pedorthic needs under one roof. Call our friendly customer
service department for more information or free samples.
Apis Footwear Co.
Go Anywhere. Do Anything.
Increasingly, many amputees desire a prosthetic foot
that can keep up with their busy lifestyle. Whether
they're at the office or the gym, they want the
convenience of using a single foot throughout the
day. By combining smooth rollover and dynamics
with vertical and rotational shock absorption, the
Vari-Flex® XC Rotate™ offers the flexibility that
these active individuals require to pursue a life
without limitations. Call or visit the Össur
website to learn more.
ABC certification exams—ready when you are!
- All written and written simulation exams offered every other month.
- Clinical patient management exams will be offered three times a year.
- Practitioner candidates have 30 days after the application deadline to complete their residency requirements.
Visit the ABC website for more information about exam dates and application deadlines.
American Board for Certification/ABC
Hersco has a new line of Tri Lam
custom foot orthotics with several
material choices. Tri Lam technology
layers materials of different
durometers, giving the practitioner
the ability to vary thickness and shock
absorption. Hersco Tri Lams include
Plastazote and PPT for accommodative
devices, or more durable Sky for
active patients. You can also choose the base layer of firmer cork
or softer EVA.
More information and pictures are available on our website.
Certified pedorthists are ready to answer any questions you may
have regarding our custom products.
Hersco Ortho Labs
The Genu Sleeve is a transtibial suspension sleeve that provides
the ultimate in comfort, suspension, and ease of use.
- Inner TPE gel surface provides optimal sealing and suspension.
- Longitudinal-knit cuff allows generous radial stretch for a secure and comfortable fit.
- Round-knit textile cover means no seams to unravel or irritate.
- Comfort zone knitting in patella and popliteal region for greater freedom of movement during knee flexion.
- Smooth outer textile slides easily against itself for simple donning.
- Includes free inner protector sleeve (also available separately).
- Can be used with the new medi Vacu-Valve with simple fabrication.
The FullStride™ Shadow from Becker Oregon is a lightweight KAFO that combines structural strength and cosmetic appeal with the FullStride mechanical stance-control orthotic knee joint. The inherent rigidity of the FullStride Shadow ensures that optimal joint alignment and function are maintained throughout the gait cycle.
Constructed of lightweight and rigid composite materials, the FullStride Shadow's sleek and open design offers patients an unparalleled blend of form and function.
The soft silicone ring creates an airtight seal, an alternative to suspension sleeves.
Evolution Industries Inc.
College Park Industries has increased its offerings to include a line of commonly used endoskeletal components. Utilizing knowledge from 25 years of material research and product design, these endo components are carefully engineered for structural integrity and noise abatement. Tested to the highest quality standards, the endo components perfectly complement the performance and outcomes that College Park prosthetic feet are known for.
College Park Industries
The avalon foot provides 12° of controlled ankle motion, allowing the user to safely negotiate stairs, ramps, and environmental obstacles with increased confidence and security.
- Dorsiflexes from midstance to toe off for a smooth rollover.
- Remains dorsiflexed through swing phase for improved toe clearance, to minimize the risk of falls.
- Provides a more natural gait; reduces the need to compensate by hip hiking, circumduction, or lifting the knee to clear the toe during swing phase.
- Biomimetic ankle motion encourages equal loading during ambulation, which leads to less stress and thereby preserves the sound side.
The medial Arch Suspender is
an innovation that provides an
adjustable lifting strap under the
talonavicular joint to resist collapse
of the medial arch and ankle and
hindfoot eversion. This modification
is indicated for severe PTTD and
severe pronation disorders of the hindfoot.
The lateral Arch Suspender resists ankle or hindfoot inversion.
Indications include peroneal tendinopathy and varus deformity of
the ankle and rearfoot.
Casting methods and tips are available on our website. Certified
pedorthists are available to answer questions regarding Richie
Hersco Ortho Labs
The PreStride4™ Model 9008 utilizes our
new Stride4 (Patent Pending) stance control knee joint that comprises a four-bar linkage mechanism and three modes of operation: stance control, free motion, and locked with stance phase flexion. An integral extension-assist spring housed within the midsection assists with knee extension, while an adjustable extension stop allows the clinician to adjust and fine-tune the point at which the joint enters its stable/locked state.
Give your patients the most advanced KAFO technology combined with the most advanced fabrication! Ottobock's line of KAFOs is now available in prepreg, creating KAFOs up to 40 percent lighter than laminated alternatives. Prepreg also creates more consistent fabrication outcomes that avoid unwanted buildups.
Ottobock Fabrication Services offers decades of expertise, exceptional customer service, and an unparalleled reputation for quality. Our expert services include water transfer, lamination, and prepreg carbon fiber. You can count on timely turnaround and delivering the results you want.
Amfit is the world leader in equipment and software for manufacturing custom foot orthotics quickly, accurately, and at a low cost. Choose either of our 3-D scanners—the Contact Digitizer™ or the Impress Scanner—and combine it with the Amfit CAD/CAM Mill to fabricate superior custom foot orthotics in your own facility. Our Correct & Confirm™ software is highly accurate and easy to use. Amfit combines cutting-edge technology and more than 25 years of global experience—making us the best choice for any foot care professional.
Texas Assistive Devices (TAD) has
introduced the N-Abler® III WHO
Soft Brace with Quick Disconnect
Palmer Unit to allow patients with
partial-hand amputation or hand
dysfunction to independently perform
activities such as eating, meal
preparation, grooming, hobby or mechanical work, carpentry,
and sports. The N-Abler system uses patented couplers for flexion
and positional rotation to attach the tools and utensils, with
componentry available for bilateral patients, too. The WHO Soft
Brace comes in four sizes and for right or left use.
Demonstration kits are available.
Contact us for more information, including L-Code
Texas Assistive Devices
Breathable and lightweight, yet rigid and custom moldable! Boost patient compliance with a comfortable back support that delivers the stability your patient needs. The 3D-LITE™ LSO XTRA is designed to accommodate the healing process by applying adjustable compression and incorporating removable polyethylene anterior inserts and a 3D-LITE™ custom-moldable back panel that may be reheated and remolded.
Patient can easily slip hands into the hand loops sewn onto both anterior panels for simplified donning and doffing. Five sizes fit from 23½" to 55" waists. PDAC letter available for L-0631. Contact us to learn more!
medi USA is proud to introduce
the SLEEQ® series of spinal bracing
solutions. The SLEEQ Spinal Therapy
System's InvisAdjust™ technology
enables a universal fit for nearly all
patients while dramatically reducing
the hassle and cost of unwanted
inventory. SLEEQ's state-of-the-art
TruGlide™ tightening makes it easy
to achieve optimal compression for the most effective pain
relief. The advanced eco-friendly Q-Lex™ OrthoSport Material
promotes air flow to keep patients cool and dry. The low-profile
ventilated AeroFlex™ support system automatically conforms
to the patient's anatomy for a custom fit, providing optimum
comfort and pain management or operative treatment support.
The integrated design of the
DuraWalk foot's toe pad,
urethane heel, and low-cut
foot shell provides multiaxial
function for the user. The
flexible toe spring allows for a
smooth gait cycle while the foot's
multiaxial function delivers
stability on uneven terrain. Unique to the foot is a detachable
heel that clinicians may change the density of in order to
The DuraWalk's construction and performance make it
suitable for use in both transtibial and transfemoral applications.
The foot has a maximum weight limit of 350 lb.
New Pneumatic Swing Phase Control Four-Axis Knee.
Matik, the latest release from PROTEOR, is designed to provide an affordable yet efficient and maintenance-free polycentric knee.
- Pneumatic knee with extension spring to provide full extension during stamping and slow walking.
- Secure four-axis geometry for high stability during stance phase.
- One inch of toe clearance during swing.
- Compact and lightweight: 26.21 oz.
- Rated up to 275 lb.; adapted for K2 users.
- Proximal connection, pyramidal or M36 threaded.
- Separated flexion-resistance and extension-dampering adjustments.
The new Stride4 stance control
knee joint from Becker Orthopedic,
featuring a four-bar linkage
mechanism, allows for better
rotation and closer mimicking of
anatomical knee motion. It offers
three specific modes of operation:
stance control, free motion, and
locked with stance phase flexion,
allowing the practitioner to make easy adjustments in
The Stride4 allows the patient to easily switch between
locked and stance control modes, which provide the
joint with approximately 3 degrees of flexion and shock
absorption when the lock option is engaged.
PEL Supply Company
Accepting Applications Now!
Begin your P&O career at NUPOC! Learn from leaders in the P&O profession! The NUPOC MPO is a 21-month graduate curriculum that prepares you to enter an accredited residency, sit for certification examinations, and become a P&O practitioner.
The online portion of the program includes live and streamed lectures, videoconference discussions, group projects, and case-study sessions that help you learn, apply, and review knowledge.
The on-campus practicum offers supervised opportunities to practice technical and clinical skills with patient models who have neuromusculoskeletal impairments.
Northwestern University Prosthetics-Orthotics Center
Feinberg School of Medicine
Tired of throwing away too
many nylon seconds? Try our
MasterCraft hosiery! Essential
to your O&P applications, from
laminations to pulling plastic,
these nylons will help make
fabrication easier. Made with first-quality
nylon, our open-toe nylons
reduce your throwaways! Available
in a 1-lb. box of approximately
80 nylons, or a 5-lb. box of
approximately 400 nylons.
Call for e-mail for more