Getting paid: CMS proposal could cut fees for orthotics supplied in your office

Why This Topic Matters

The topic matters because proposed Medicare policy changes and contractor review actions could alter how orthotics are classified and paid for in office settings. Practices that dispense DME need to understand the policy environment to anticipate documentation, staffing, and reimbursement impacts.

Article Sections

1. CMS proposal and practice impact

   Discusses the proposed Medicare policy change, the types of staff affected, and the operational concerns raised by orthopedic practices.

2. Local contractor policies and documentation review

   Summarizes related DME MAC coverage policies and the documentation concerns practices may face under contractor review.

3. HCPCS coding and prepayment review

   Describes the related HCPCS coding context and the contractor review activity affecting certain orthotic supplies.

4. Official resources

   Lists referenced source materials and notices related to the proposal and contractor guidance.