Ball | Orthotics Prosthetics Blogs

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</div> <script src="/web/20140305101432js_/http://www.healio.com/sitecore modules/web/web forms for marketers/scripts/jquery.js" type="text/javascript"></script> <script src="/web/20140305101432js_/http://www.healio.com/sitecore modules/web/web forms for marketers/scripts/jquery-ui.min.js" type="text/javascript"></script> <script src="/web/20140305101432js_/http://www.healio.com/sitecore modules/web/web forms for marketers/scripts/jquery-ui-i18n.js" type="text/javascript"></script> <script src="/web/20140305101432js_/http://www.healio.com/sitecore modules/web/web forms for marketers/scripts/json2.min.js" type="text/javascript"></script> <script src="/web/20140305101432js_/http://www.healio.com/sitecore modules/web/web forms for marketers/scripts/head.load.min.js" type="text/javascript"></script> <script src="/web/20140305101432js_/http://www.healio.com/sitecore modules/web/web forms for marketers/scripts/sc.webform.js?v=17072012" type="text/javascript"></script> <script 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class="leaderboard">  <div id="div-gpt-ad-1369169134306-4"></div> </div>  <p class="survey">  <a href="https://web.archive.org/web/20140305101432/http://healio.wufoo.com/forms/z7x3x5/" onclick="window.open(this.href, null, 'height=768, width=680, toolbar=0, location=0, status=1, scrollbars=1, resizable=1'); return false" rel="nofollow">Tell us</a> what you think about Healio</p> <ul id="ulTopNav" class="utility-nav"> <li class="nw"><a href="/web/20140305101432/http://www.healio.com/footer/account-information/my-account/newswires"> enewsletter Alerts</a></li> <li class="rss"><a href="/web/20140305101432/http://www.healio.com/rss">RSS Feeds</a></li> </ul>  <ul id="brand"> <li class="specialty-link-healio"> <h1 class="specialty-healio"><a href="/web/20140305101432/http://www.healio.com/">Healio</a></h1> <h1 class="specialty-sub"><a href="/web/20140305101432/http://www.healio.com/orthotics-prosthetics">Orthotics/Prosthetics</a></h1> </li> <li class="logo"> <a href="/web/20140305101432/http://www.healio.com/orthotics-prosthetics"> <img width="415" height="54" alt="O&P Business News" src="/web/20140305101432im_/http://www.healio.com/orthotics-prosthetics/blogs/~/media/C4E066D11DDF4D7BA88F4A88A6DD382E.ashx"/> </a> </li> </ul>  </div>   <div class="col2" id="greetingcontainer"> <div id="greetingContainer2_divPartialReg"> <style type="text/css"> .linkNav { background: #f0f0f0; border: 1px solid #bdbdbd; color: #527091; padding: 5px; padding-left: 20px; } .linkNav a { color: #527091; text-decoration: none; cursor: pointer; } .ctaTextArea { position: absolute; width: 220px; bottom: 8px; left: 0px; font-weight: bold; text-align: center; } .ctaRegLink { position: relative; } </style> <script type="text/javascript"> //JS here $j(document).ready(function () { var showCta = false; var currentCTA = ''; if(showCta){ $j(".ctaImageLinkWrapper").click(function (event) { _gaq.push(['_trackEvent', 'Registration Process', 'CTA Click', currentCTA]); }); 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href="/web/20140305101432/http://www.healio.com/orthotics-prosthetics"> Orthotics/Prosthetics</a> <span>›</span> <a href="/web/20140305101432/http://www.healio.com/orthotics-prosthetics/blogs"> Blogs</a> </p>   <div class="blog-content">  <div class="blog-tab-group"> <ul class="blog-tabs"> <li> <a class="current" href="/web/20140305101432/http://www.healio.com/orthotics-prosthetics/blogs/ball">Ball</a> </li> <li> <a href="/web/20140305101432/http://www.healio.com/orthotics-prosthetics/blogs/brown">Brown</a> </li> <li> <a href="/web/20140305101432/http://www.healio.com/orthotics-prosthetics/blogs/burton">Burton</a> </li> <li> <a href="/web/20140305101432/http://www.healio.com/orthotics-prosthetics/blogs/turner">Turner</a> </li> </ul>  <div class="blog-panes"> <div class="eviblog-header"> <a id="layout_0_maincontent_0_blogcontent_0_HyperlinkBlog" href="/web/20140305101432/http://www.healio.com/orthotics-prosthetics/blogs/ball">Ball</a> </div> <div>  <ul class="blog-bio"> <li class="img"> <img src="/web/20140305101432im_/http://www.healio.com/~/media/Images/Blog Authors/HealthProfessions/_DSF4381RBall.jpg" alt="Ryan Ball" width="70" height="90"/></li> <li> Ryan Ball, Orthotics and Prosthetics Group of America (OPGA) Government Relations, has been involved in all levels of government and politics for more than 10 years as a staff aide, campaign consultant and lobbyist.  His daily responsibilities include tracking health care legislation affecting orthotics and prosthetics, giving presentations to state associations stressing the importance of O&P professionals being involved in the legislative process and helping OPGA members with regulatory issues facing their practice. Ryan will focus on identifying key issues and pieces of health care legislation, deciphering their potential impact on the orthotic and prosthetic profession and providing tips to keep your practice ahead of the curve on regulatory and compliance issues.</li> </ul>  <div class="blog-post"> <p class="meta-info"> Friday, February 21, 2014 </p> <h2> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_lnkBlogPostTitle_0" class="postTitle" href="https://web.archive.org/web/20140305101432/http://www.healio.com/orthotics-prosthetics/blogs/ball/cms-to-temporarily-halt-racs-to-transition-to-new-contracts">CMS to Temporarily Halt RACs to Transition to New Contracts</a> </h2> <p class="meta-info"> Ryan Ball </p> <div class="blog-intro"> <p>After receiving pressure from more than 111 members of Congress about the over-aggressive nature of CMS’ RAC audit program, CMS announced earlier this week that they will temporarily halt new RAC audit requests to allow existing contracts with audit contractors to expire. In contrast to earlier guidance, CMS announced they planned to extend the current contracts through the implementation of the new contracts. This is quite a policy change in just a few weeks as pressure has been ratcheted...</p> </div> <div class="readmore"> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_BlogPostLink_0" href="https://web.archive.org/web/20140305101432/http://www.healio.com/orthotics-prosthetics/blogs/ball/cms-to-temporarily-halt-racs-to-transition-to-new-contracts">Read more...</a> </div> </div> <div class="blog-post"> <p class="meta-info"> Monday, January 20, 2014 </p> <h2> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_lnkBlogPostTitle_1" class="postTitle" href="https://web.archive.org/web/20140305101432/http://www.healio.com/orthotics-prosthetics/blogs/ball/chief-alj-details-460k-appeals-backlog-suspension-of-hearings">Chief ALJ Details 460k Appeals Backlog, Suspension of Hearings</a> </h2> <p class="meta-info"> Ryan Ball </p> <div class="blog-intro"> <p class="Bodytext">A recently obtained memorandum from the Office of Medicare Hearings and Appeals Chief administrative law judge Nancy Griswold to Medicare providers awaiting multiple administrative law judge appeal hearings details the exponential growth in appeals to Medicare audits. The letter provides the most up-to-date appeals data that has been released by CMS to date and includes some particularly damning statistics and statements about the appeals system.</p> <p class="Bodytext">Judge Griswold states that from 2010 to 2013, the Office of Medicare Hearings and Appeals (OMHA)’s claims workload grew by 184%. In just 2 years, the backlog of appealed claims has risen from 92,000 to 460,000, causing OMHA to suspend the assignment of hearing dates effective July 15, 2013. Citing a lack of additional resources allocated to handle the dramatic increase in appeals volume, Griswold states that in January 2012, their office averaged 1,250 appeals a week, while in December 2013, they averaged 15,000. Average wait time now exceeds 16 months and with the current backlog, OMHA does not expect to begin assigning new administrative law judge (ALJ) hearing dates for at least 24 months. As a point of reference, there are a total of 65 administrative law judges nationwide.</p> </div> <div class="readmore"> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_BlogPostLink_1" href="https://web.archive.org/web/20140305101432/http://www.healio.com/orthotics-prosthetics/blogs/ball/chief-alj-details-460k-appeals-backlog-suspension-of-hearings">Read more...</a> </div> </div> <div class="blog-post"> <p class="meta-info"> Wednesday, January 15, 2014 </p> <h2> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_lnkBlogPostTitle_2" class="postTitle" href="https://web.archive.org/web/20140305101432/http://www.healio.com/orthotics-prosthetics/blogs/ball/aca-update-state-health-exchanges-medicaid-see-enrollment-surge-as-2013-ends">ACA Update: State Health Exchanges, Medicaid See Enrollment Surge as 2013 Ends</a> </h2> <p class="meta-info"> Ryan Ball </p> <div class="blog-intro"> <p>As the calendar turns to 2014 and the Affordable Care Act continues moving its way through implementation, now is a good time to provide an update on the much-maligned state health exchange rollout and Medicaid expansion enrollment data to get an idea of how many newly insured Americans could potentially enter the health care marketplace in 2014.</p> <p>Open enrollment for consumers to view and purchase a private insurance plan from a state health exchange or the federal exchange began on Oct.1, 2013. Although many of the individual state exchanges worked with little incident, the federal exchange, which operates in 36 states across the country, has received the bulk of the media attention for the severely botched rollout of the exchange web site. For weeks, millions of potential consumers were greeted with error messages when attempting to view and purchase a private health insurance plan in the first month of operation.</p> </div> <div class="readmore"> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_BlogPostLink_2" href="https://web.archive.org/web/20140305101432/http://www.healio.com/orthotics-prosthetics/blogs/ball/aca-update-state-health-exchanges-medicaid-see-enrollment-surge-as-2013-ends">Read more...</a> </div> </div> <div class="blog-post"> <p class="meta-info"> Tuesday, October 29, 2013 </p> <h2> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_lnkBlogPostTitle_3" class="postTitle" href="https://web.archive.org/web/20140305101432/http://www.healio.com/orthotics-prosthetics/blogs/ball/medicaid-expansion-or-not-expect-changes-in-your-state">Medicaid expansion or not, expect changes in your state</a> </h2> <p class="meta-info"> Ryan Ball </p> <div class="blog-intro"> <p class="BodyCxSpFirst">While politicians in Washington struggled to relitigate the Affordable Care Act through a government shutdown last month, many key provisions and initiatives associated with the expansion of health insurance included in the Act are continuing to march toward implementation. </p> <p class="BodyCxSpMiddle">A key component of the Affordable Care Act (ACA) is the expansion of Medicaid eligibility criteria to 133% of the Federal Poverty Level (FPL), currently $15,826 in 2013. Although the ACA initially mandated this increase to all states, the Supreme Court overturned that mandate and allowed states to choose whether they wanted to expand their Medicaid enrollment. States that have chosen to expand Medicaid are eligible for increased federal matching funds for the newly eligible Medicaid recipients from 100% to 133% of FPL. Increased federal funds will cover 100% of the costs associated with the new enrollees from 2014 to 2017, then will be reduced to 90%.</p> </div> <div class="readmore"> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_BlogPostLink_3" href="https://web.archive.org/web/20140305101432/http://www.healio.com/orthotics-prosthetics/blogs/ball/medicaid-expansion-or-not-expect-changes-in-your-state">Read more...</a> </div> </div> <div class="blog-post"> <p class="meta-info"> Monday, April 1, 2013 </p> <h2> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_lnkBlogPostTitle_4" class="postTitle" href="https://web.archive.org/web/20140305101432/http://www.healio.com/orthotics-prosthetics/blogs/ball/the-hits-keep-coming-cms-revives-pecos-requirements-for-ordering-physicians">The hits keep coming: CMS revives PECOS requirements for ordering physicians</a> </h2> <p class="meta-info"> Ryan Ball </p> <div class="blog-intro"> <p class="BodyCxSpFirst">As if dealing with documentation requirements and independent bounty hunters masquerading as auditors were not enough, CMS recently announced that they will move forward with Phase 2 of the Internet-based Provider Enrollment, Chain, and Ownership System (PECOS) program, creating more headaches for those filing orthotic and prosthetic claims for Medicare patients. Beginning May 1, 2013, CMS will deny durable medical equipment, orthotic and prosthetic supplies (DMEPOS), Part B, and Part A home health agency claims if the referring physician is not enrolled in the PECOS system. </p> <p class="BodyCxSpMiddle">Phase 1 of the PECOS system began in October 2009. At that time, CMS started warning DMEPOS providers who were submitting claims ordered by clinicians who were not yet enrolled in PECOS. Due to the high number of warnings, or rather, the high number of referring physicians and providers that had not signed up on PECOS, CMS was forced to delay the implementation. This gave physicians and providers additional time to register on PECOS and delayed the direct denial of claims due to a lack of physicians signing up. CMS has since attempted to implement Phase 2, only to delay it on multiple occasions because of a lack of physician involvement. </p> </div> <div class="readmore"> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_BlogPostLink_4" href="https://web.archive.org/web/20140305101432/http://www.healio.com/orthotics-prosthetics/blogs/ball/the-hits-keep-coming-cms-revives-pecos-requirements-for-ordering-physicians">Read more...</a> </div> </div> <div class="blog-post"> <p class="meta-info"> Friday, December 7, 2012 </p> <h2> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_lnkBlogPostTitle_5" class="postTitle" href="https://web.archive.org/web/20140305101432/http://www.healio.com/orthotics-prosthetics/blogs/ball/slowly-moving-toward-the-fiscal-cliff">Slowly moving toward the fiscal cliff</a> </h2> <p class="meta-info"> Ryan Ball </p> <div class="blog-intro"> <p class="Bodytext1">Now that the election is over and the lame duck Congress has been convened, you would expect a flurry of activity since Congress had basically checked out in August to be home campaigning, right? Well, several weeks into the lame duck session and we really have had no substantial legislation taken up by either the House or Senate. Instead, the President, congressional Republicans and Democrats have been negotiating in public for the extension of the Bush tax cuts and avoiding the “fiscal cliff,” a $1.2 trillion budget cut created as part of the deal cut last year to raise the debt ceiling.  </p> <p class="Bodytext">The President released his plan to avoid the fiscal cliff, calling for $1.6 trillion in new tax revenue, reached primarily by allowing the Bush tax cuts to expire for the top two tax brackets; a permanent extension of the nation’s debt ceiling and an additional $600 billion in spending cuts that were not specifically identified. Congressional Republicans called the proposal “laughable” and claimed the President was over-interpreting his mandate after winning reelection.  </p> </div> <div class="readmore"> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_BlogPostLink_5" href="https://web.archive.org/web/20140305101432/http://www.healio.com/orthotics-prosthetics/blogs/ball/slowly-moving-toward-the-fiscal-cliff">Read more...</a> </div> </div> <div class="blog-post"> <p class="meta-info"> Tuesday, September 25, 2012 </p> <h2> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_lnkBlogPostTitle_6" class="postTitle" href="https://web.archive.org/web/20140305101432/http://www.healio.com/orthotics-prosthetics/blogs/ball/parsing-partisanship-the-romneyryan-budget-vs-the-ppaca-for-medicare-and-medicaid-providers">Parsing partisanship: The Romney/Ryan budget vs. the PPACA for medicare and medicaid providers</a> </h2> <p class="meta-info"> Ryan Ball </p> <div class="blog-intro"> <p class="Body">The 2012 presidential election has shifted into high gear with the naming of Congressman Paul Ryan as the Republican vice presidential nominee and both national party conventions officially selecting their presidential candidates. Congressman Ryan, a Republican from Wisconsin and currently Chairman of the House Budget Committee, is seen as one of the leaders of the Republican Party on budget issues. He has seen his budget plan, which includes large scale entitlement reform, pass the House of Representatives each of the past 2 years. Congressman Ryan’s selection as vice president virtually ensures that Medicare and Medicaid, and entitlement reform in general, will have a prominent role in the election this fall. </p> </div> <div class="readmore"> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_BlogPostLink_6" href="https://web.archive.org/web/20140305101432/http://www.healio.com/orthotics-prosthetics/blogs/ball/parsing-partisanship-the-romneyryan-budget-vs-the-ppaca-for-medicare-and-medicaid-providers">Read more...</a> </div> </div> <div class="blog-post"> <p class="meta-info"> Wednesday, August 15, 2012 </p> <h2> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_lnkBlogPostTitle_7" class="postTitle" href="https://web.archive.org/web/20140305101432/http://www.healio.com/orthotics-prosthetics/blogs/ball/batten-down-the-hatches-it-is-going-to-be-a-bumpy-ride">Batten down the hatches; it is going to be a bumpy ride</a> </h2> <p class="meta-info"> Ryan Ball </p> <div class="blog-intro"> <p>With less than 100 days until the presidential election, the Obama and Romney campaigns have been busy pummeling each other for the past several months. There is no end in sight. Both sides see an advantage in tearing down the opposing candidate. The Obama camp seeks to disqualify Romney’s business experience, and the Romney camp wants to keep the campaign focused on a referendum of the President’s economic record during the past four years.  </p> </div> <div class="readmore"> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_BlogPostLink_7" href="https://web.archive.org/web/20140305101432/http://www.healio.com/orthotics-prosthetics/blogs/ball/batten-down-the-hatches-it-is-going-to-be-a-bumpy-ride">Read more...</a> </div> </div>   <div class="eviblog-footer"> Powered by EviBlog</div> </div> </div> </div> </div> </div>    <div id="sidebar">  <div class="sidebar-box meta-box"> <ul class="archives"> <li class="header"> <h6> Archives</h6> </li> <li><a onclick="ToggleVisibility("month-2014")" class="year">2014</a></li><ul id="month-2014" class="month"><li><a onclick="ToggleVisibility("entries-20141")" class="month">January (2)</a><ul id="entries-20141" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140305101432/http://www.healio.com/orthotics-prosthetics/blogs/ball/chief-alj-details-460k-appeals-backlog-suspension-of-hearings">Chief ALJ Details 460k Appeals Backlog, Suspension of Hearings</a></li><li><a href="https://web.archive.org/web/20140305101432/http://www.healio.com/orthotics-prosthetics/blogs/ball/aca-update-state-health-exchanges-medicaid-see-enrollment-surge-as-2013-ends">ACA Update: State Health Exchanges, Medicaid See Enrollment Surge as 2013 Ends</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20142")" class="month">February (1)</a><ul id="entries-20142" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140305101432/http://www.healio.com/orthotics-prosthetics/blogs/ball/cms-to-temporarily-halt-racs-to-transition-to-new-contracts">CMS to Temporarily Halt RACs to Transition to New Contracts</a></li></ul></li></ul><li><a onclick="ToggleVisibility("month-2013")" class="year">2013</a></li><ul id="month-2013" class="month"><li><a onclick="ToggleVisibility("entries-20134")" class="month">April (1)</a><ul id="entries-20134" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140305101432/http://www.healio.com/orthotics-prosthetics/blogs/ball/the-hits-keep-coming-cms-revives-pecos-requirements-for-ordering-physicians">The hits keep coming: CMS revives PECOS requirements for ordering physicians</a></li></ul></li><li><a onclick="ToggleVisibility("entries-201310")" class="month">October (1)</a><ul id="entries-201310" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140305101432/http://www.healio.com/orthotics-prosthetics/blogs/ball/medicaid-expansion-or-not-expect-changes-in-your-state">Medicaid expansion or not, expect changes in your state</a></li></ul></li></ul><li><a onclick="ToggleVisibility("month-2012")" class="year">2012</a></li><ul id="month-2012" class="month"><li><a onclick="ToggleVisibility("entries-20128")" class="month">August (1)</a><ul id="entries-20128" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20140305101432/http://www.healio.com/orthotics-prosthetics/blogs/ball/batten-down-the-hatches-it-is-going-to-be-a-bumpy-ride">Batten down the hatches; 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