Presidential Academy Think Tank Roundtable - Real World Reimbursement in O&P (PresAcadRT-2025-S4)
OPKC
Presidential Academy Think Tank Roundtable - Real World Reimbursement in O&P (PresAcadRT-2025-S4)
(1.25 Business Credits) Join Academy President Gerald Stark, PhD, MSEM, CPOL, FAAOP(D) for an insightful on-demand roundtable exploring critical reimbursement issues in orthotics and prosthetics. This session examines the meaning of defensible documentation, including how to meet medical necessity, align with coverage policies, and anticipate potential denials both before and after payment.
Learners will review current denial trends, the role of Recovery Audit Contractors (RAC), and the increasing influence of Medicare Advantage Programs (MAP). The course also highlights how outcomes data supports reimbursement strategy, particularly in validating NOC coding for emerging technologies.
By the end of the session, you will better understand how to develop documentation and claims that withstand payer scrutiny and support sustainable reimbursement in today’s evolving landscape.