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Home Feature

Final Rule Establishes Prior Authorization for Orthotics and Prosthetics

by Peter Thomas and Steve Postal
March 1, 2016
in Feature
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Introduction

This issue of The O&P EDGE  focuses on O&P education and outcomes. Good education will lead to high-quality care, and being able to measure outcomes will help demonstrate the evidence base for O&P clinical practice. Both will have a major impact on the viability of the profession, including the ability to be fairly compensated for the care provided. O&P professionals know that to keep their doors open, they must also be able to navigate the claims processing system and not have their reimbursements recouped. In this context, the Centers for Medicare & Medicaid Services’ (CMS’) recent action on prior authorization is an important new regulatory scheme that is likely to have ramifications in O&P for years to come.

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Related posts:

  1. Evidence-based Practice: Do the Rules Apply to Us?
  2. The Role of Expertise in Clinical Decision-making: Is Experience Evidence?
  3. Turning Knowledge Into Action: Using Research to Improve Patient Care
  4. Outcome Measures: Are We There Yet?
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