Tuesday, April 16, 2024

Medicare policies/K codes//NOMA

Randy McFarland

Hi List members-
Does anyone know if Medicare is in contact with our profession when it makes policy decisions that effect us? For instance does anyone know anyone who if anyone was consulted regarding the fees associated with the Lumbo Sacral Orthoses K codes? If anyone knows the “behind the scenes” facts of how that came about, we should all be made aware, because it is bound to continue for other procedure codes unless we get a heads up BEFORE such decisions are made.
I heard that Medicare factored in the “Online” cost of cheap “look alike” devices. If so, this is totally inappropriate because purchasing such devices online would NOT be covered by Medicare. It is my understanding that their benefits include not only the device itself but also the labor of a professional to assure proper fit and function.
By the way, I understand that Royal Medical in addition to DeRoyal has discontinued it’s affiliation with NOMA. (a manufacturers’ lobbying group that counters licensure and AOPA’s efforts to increase qualifications standards ). Has anyone heard of others who have decided to leave NOMA?
How would one go about learning who are members of NOMA? Freedom of Information Act?

Randy McFarland, CPO
Fullerton, CA

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