www.AOPAnet.org July 2015 Supreme Court Upholds ACA Subsidies in King v. Burwell What Does it Mean for O&P? Insurance premium subsidies will continue to flow to Americans in all states under the Affordable Care Act, the U.S. Supreme Court decided 63 in King v. Burwell on June 25. The justices sided with the Obama administration in the historic decision, saying the healthcare law allows Americans in all statesnot just those that established their own exchangesto receive the subsidies. Much will be written about the Supreme Court's King v. Burwell decision. Here is the essence of the decision and the most likely impact for you, as we see it today. Read the synopsis here . AOPA and O&P Alliance Meets with CMS Deputy Administrator Dr. Shantanu Agrawal Several Requests Made as We Seek Tangible Policy Changes On June 3, the O&P Alliance, including AOPA's President Charles Dankmeyer, and Executive Director Tom Fise, JD, met with the Deputy Administrator and Director of the Center for Program Integrity at CMS. The meeting included several topics: local coverage determination (LCD) recognition of O&P clinicians' notes as part of the medical record; who can bill Medicare for prefabricated and customfitted orthotics and the definition of "minimal selfadjustment"; and audit concerns about new proof of delivery requirements. Read more here . Recent Jurisdiction D Audit Results Tell a Story Denial Rates for 4 Codes Range from 66100% Noridian Healthcare Solutions, who serves as the Jurisdiction D DME MAC has recently released the results of its ongoing prepayment review for spinal orthoses described by L0648 and L0650 and knee orthoses described by L1832 and L1843. Keep reading here . 2015 AOPA National Assembly Hamontree and Thranhardt Award Contenders Announced Best Business and Clinical Lectures to be Presented The contenders for the Howard R. Thranhardt, CP Lecture Series for best clinical abstract are Elizabeth Russell Esposito, PhD; Megan Sions, PhD, DPT, PT, OCS; Megan Tang, MS; and Art Shea, CPO. See what they will be presenting here. The contenders for the Sam E. Hamontree, CP(E) Business Education Award are Christina Throndson of VGM Forbin; Thomas McGovern of Clinical Education Concepts; and Tyler Ritchey,
