Jurisdiction B & C Orthotics & Prosthetics (O&P) POE Advisory Group Meeting Minutes – August 22, 2024Meeting Date and Time: August 22, 2024, 12:00 p.m. ET Facilitator: Judie Roan, JC POE Senior Analyst Advisory Group Members: Curt Bertram, Kimberly Hanson, Aaron Sorensen, Rachel Hatty, Terry Bentley, Joyce Ardrey, Tom Martin, and Danielle Sparks Agenda
Roll Call & Purpose Judie welcomed the group, then reviewed the purpose of the advisory group:
Judie reminded the group of the importance of completing the surveys. Updates and Changes Judie reviewed information about the changes to the lower limb LCD including the modifiers KX, GA, GY, and GZ; expanded coverage for functional level 2 for microprocessor-controlled prosthetic knees and the compatible feet. The addition and removal of codes from the required prior authorization, written order prior to delivery (WOPD) and face-to-face encounter lists, and retroactive Medicare coverage for prior authorization. Suggestions from the last meeting:
Educational Feedback & Online Tools Judie asked if anyone attended webinars, workshops, association meetings, councils, or viewed online education. A member said they have a new CFO that went to the Nashville workshop, and it was very educational. Another member attended the CMS National Provider Compliance conference and Judie was great and very informational, and the conference was very good. Another member said they use myCGS regularly and it is the best. The members also said they used many of our tools, and they are awesome. Online Tool Spotlight Judie reviewed the WOPD Lookup Tool JB: Written Order Prior to Delivery (WOPD) Lookup JC: Written Order Prior to Delivery (WOPD) Lookup Upcoming Events & Educational Planning Judie presented the list of upcoming webinar topics, workshop locations, and association meetings. She then asked for suggestions and feedback for the educational plan for 2024. Feedback & Suggestions When will CGS add the lymphedema compression items to the Advance Modifier Engine (AME)? Can anything be done to address same/similar for example: cam walkers and custom ankle foot orthoses (AFOs) and upper limb orthoses? Open Discussion When will the information about prior authorization non-affirmations be available for AFOs? The meeting adjourned. |