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O&P Insight This page is no longer active. Follow us on LinkedIn! Questions? Contact: oandpinsight.com/contact

Thank you for being part of our O&P Insight community here on Facebook! 💙 As we evolve how we share updates, this page w...
07/07/2026

Thank you for being part of our O&P Insight community here on Facebook! 💙 As we evolve how we share updates, this page will no longer remain active.

To stay connected with the latest from O&P Insight, please follow us on LinkedIn: linkedin.com/company/o-p-insight.

We appreciate your support and look forward to seeing you there!

For questions or concerns, contact: oandpinsight.com/contact.

Quarterly HCPCS updates from CMS mean your coding knowledge needs regular maintenance, not just a yearly refresh. Build ...
06/03/2026

Quarterly HCPCS updates from CMS mean your coding knowledge needs regular maintenance, not just a yearly refresh.

Build a habit of reviewing each update so your documentation stays accurate and your practice stays protected.

In honor of those who served and sacrificed, O&P Insight will be closed Monday, May 25. We'll be back on Tuesday, May 26...
05/22/2026

In honor of those who served and sacrificed, O&P Insight will be closed Monday, May 25. We'll be back on Tuesday, May 26. We hope you have a safe and restful Memorial Day weekend!

Claim rejections are on the rise for HCPCS codes requiring narratives. Is your documentation up to par? 📋Make sure your ...
05/14/2026

Claim rejections are on the rise for HCPCS codes requiring narratives. Is your documentation up to par? 📋

Make sure your narrative includes:
- Base code & date of service
- Item/service description
- Supplier List Price (SLP)

Get it right the first time and keep your claims moving.

Is your O&P clinic dealing with growing A/R, persistent payer denials, or unpredictable cash flow?  Join us on Thursday,...
05/05/2026

Is your O&P clinic dealing with growing A/R, persistent payer denials, or unpredictable cash flow?

Join us on Thursday, May 14, at 11:30 AM ET for Healthy AR, Stronger Cash Flow: Practical RCM Improvements. This one-hour webinar will explore the most common revenue cycle challenges and proven solutions that improve collections and reduce revenue loss.

Register here: https://bit.ly/3OWGqXS

Modifier errors are one of the most common reasons   claims go unprocessable, and one of the most preventable.Both CGS a...
05/04/2026

Modifier errors are one of the most common reasons claims go unprocessable, and one of the most preventable.

Both CGS and Noridian provide online modifier tools to help you submit clean claims. And if your team needs deeper support, O&P Insight provides O&P-specific modifier training to reduce rejections before they hit your bottom line.

Don't let a missing modifier slow down your reimbursements.💡

Learn more about our solutions: https://www.oandpinsight.com/solutions

New code alert🚨As of April 1, 2026, L5992 is the designated HCPCS code for replacement foot shells when billing for pros...
04/30/2026

New code alert🚨

As of April 1, 2026, L5992 is the designated HCPCS code for replacement foot shells when billing for prosthetic foot repairs.

If your patient needs a replacement foot shell as part of a repair, make sure L5992 is what's on the claim, not a workaround code.

Stay sharp, stay compliant. 💡

Have a coding question? Drop it in the comments.

🚨 Myth: If a patient has a power wheelchair, they can't qualify for a prosthesis.✅ Reality: Not true — and this misconce...
04/28/2026

🚨 Myth: If a patient has a power wheelchair, they can't qualify for a prosthesis.

✅ Reality: Not true — and this misconception could be limiting your patients' care.

Medicare does not have specific language prohibiting reimbursement for both a power wheelchair and a prosthesis simultaneously. As with any device, the patient's medical records simply need to support the coverage criteria for both — and when they do, both can be appropriately reimbursed.

The key? Documentation. Always review the Local Coverage Determinations (LCDs) for Lower Limb Prostheses and Power Wheelchairs on the CMS website to ensure your patients receive everything they're entitled to.

💡 Don't let myths stand between your patients and the care they deserve.

📢 Industry UpdateBeginning in April, DME MACs will notify suppliers who qualify for the new Prior Authorization Exemptio...
04/09/2026

📢 Industry Update

Beginning in April, DME MACs will notify suppliers who qualify for the new Prior Authorization Exemption.

Qualified suppliers will no longer be required to submit prior authorizations within the jurisdiction listed in their letter starting June 1, 2026.

Join us this Wednesday, April 8, at 8 a.m. PST for our Q1 Topics to Thrive webinar.Discover how recent HCPCS coding chan...
04/06/2026

Join us this Wednesday, April 8, at 8 a.m. PST for our Q1 Topics to Thrive webinar.

Discover how recent HCPCS coding changes, a new Medicare modifier, evolving prior authorization requirements, and knee orthosis medical policy revisions affect your practice. Michelle Wullstein, CPCO, will share actionable insights to help you navigate these updates more effectively.

Register here: https://www.oandpinsight.com/events

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