PFA responds to CMS proposed rule
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PFA responds to CMS proposed rule regarding qualified practitioners and qualified suppliers of prosthetics and custom fabricated orthotics

PFA has gone to bat representing you regarding a new rule proposed by CMS that will define which practitioners and suppliers will be qualified to bill Medicare for prosthetics and custom orthotic devices. While pedorthists will be considered qualified under the proposed rule, there are several areas of the rule that will negatively impact you and your business if they are allowed to go through as they are written. The most concerning issues that PFA pointed out to CMS are the inappropriate enforcement mechanism proposed which would allow CMS to revoke the billing privileges of a supplier and lack of distinction between central fabrication facilities and on site fabrication which would require pedorthic facilities to have multiple types of facility accreditation and only allow certified practitioners to fabricate. The full text of the CMS proposed rule can be found here:


Proposed Rule by the Centers for Medicare & Medicaid Services on 01/12/2017

[ CLICK HERE ] Medicare Program; Establishment of Special Payment Provisions and Requirements for Qualified Practitioners and Qualified Suppliers of Prosthetics and Custom-Fabricated Orthotics


PFA Letter of Response

Follow the link below to read PFAs response to the proposed rule:

[ CLICK HERE ] PFA Letter of Response

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