July 2010 O&P Almanac by AOPA

Almanac OP The American Orthotic & Prosthetic Association

JULY 2010

WWW.AOPANET.ORG

THE MAGAZINE FOR THE ORTHOTICS & PROSTHETICS INDUSTRY

FOR LOVE OF THE GAME

Sports rehabilitation programs build determination, renew mental and physical fitness

Recession BRIGHT SPOTS National Assembly KEYNOTE SPEAKERS ANNOUNCED

The C-Leg® goes everywhere…

...including online. Otto Bock introduces online C-Leg® qualification. Worldwide, the C-Leg® microprocessor knee has transformed how people get around. Proven outcomes and extraordinary stability have made the C-Leg the standard of care for your transfemoral amputee patients. And now Otto Bock’s microprocessor-controlled knee qualification course can be taken entirely online. After successfully completing the course and exam, you will be qualified to purchase and fit the C-Leg. You’ll also get access to plenty of support from Otto Bock clinical specialists. Go to www.ottobockus.com to register today.

www.facebook.com/ottobockus www.ottobockus.com

New!

alpha select liner ®

Controlled pistoning with unlimited flexion alpha select liners combine many frequentlyrequested liner traits into one product. the liners are well-suited for amputees used to the durability of silicone but continually seeking greater comfort. • Controlled pistoning without a potentially irritating distal matrix • new hybrid gel combines durability and comfort • Broad range of knee flexion without sacrificing comfort…even during long periods of sitting or bending • easily dons and comfortably conforms to various limb shapes without undue pressure • extra distal cushioning yet thin behind the knee and proximally • flexible umbrella feels virtually unnoticeable • Retrofitable option available

R eal solutions foR R eal people

Fo r m o r e i n Fo r mati o n call 8 00.8 4 8.4 93 0 o r 74 0.8 6 9.3377 o r vi s it o u r W e b s ite WWW.oWWc o.c o m

O&P Almanac JULY 2010, VOLUME 59, NO. 7

CONTENTS

COLUMNS

COVER STORY

10 For Love of the Game By Jill Culora Sports and physical therapy can be a perfect match for amputees suffering from depression and inactivity. Hear from practitioners and therapists who incorporate adaptive sports programs into their patient-care playbooks.

[16]

DEPARTMENTS

AOPA Contact Page How to reach staff

In the News Updates and company announcements

AOPA Headlines News about AOPA initiatives, meetings, member benefits, and more

Marketplace Products and services for O&P

Jobs Opportunities for O&P professionals

Calendar Upcoming meetings and events

FEATURE STORY

24 Recession’s Silver Lining

By Deborah Conn With fewer patients, tighter credit, and delayed reimbursements, many facilities have taken steps to reduce costs and build business.

30 Keynote Speakers Pack a

One-Two Punch Two exciting and inspirational keynote speakers will kick off AOPA’s National Assembly in Orlando, Florida. Discover more about the industry’s premier event.

Reimbursement Page Proposed changes and interpretations to several Supplier Standards

AOPA Membership Applications

Ad Index

On the cover: Amputee cyclist Greg Lakompski. Photo courtesy of O&P Technologies Inc.

O&P Almanac (ISSN: 1061-4621) is published monthly by the American Orthotic & Prosthetic Association, 330 John Carlyle St., Ste. 200, Alexandria, VA 22314; 571/431-0876; fax 571/4310899; e-mail: almanac@AOPAnet.org. Yearly subscription rates: $59 domestic; $99 foreign. All foreign subscriptions must be prepaid in U.S. currency, and payment should come from a U.S. affiliate bank. A $35 processing fee must be added for non-affiliate bank checks. O&P Almanac does not issue refunds. Periodical postage paid at Alexandria, VA, and additional mailing offices. Postmaster: Send address changes to: O&P Almanac, 330 John Carlyle St., Ste. 200, Alexandria, VA 22314. For advertising information, contact Dean Mather, M.J. Mrvica Associates Inc. at 856/768-9360, e-mail: dmather@mrvica.com. JULY 2010 O&P ALMANAC

OP Almanac

AOPA CONTACT INFORMATION

AMERICAN ORTHOTIC & PROSTHETIC ASSOCIATION (AOPA) 330 John Carlyle St., Ste. 200, Alexandria, VA 22314 AOPA Main Number: 571/431-0876 AOPA Fax: 571/431-0899 www.AOPAnet.org EXECUTIVE OFFICES

MEMBERSHIP AND MEETINGS

Thomas F. Fise, JD, executive director, 571/431-0802, tfise@AOPAnet.org

Tina Moran, CMP, senior director of membership operations and meetings, 571/431-0808, tmoran@AOPAnet.org

Don DeBolt, chief operating officer, 571/431-0814, ddebolt@AOPAnet.org O&P ALMANAC Thomas F. Fise, JD, publisher, 571/431-0802, tfise@AOPAnet.org Josephine Rossi, editor, 703/914-9200 ext. 26, jrossi@strattonpublishing.com

Kelly O’Neill, manager of membership and meetings, 571/431-0852, koneill@AOPAnet.org Steven Rybicki, communications manager, 571/431-0835, srybicki@AOPAnet.org Michael Chapman, coordinator, membership operations and meetings, 571/431-0843, mchapman@AOPAnet.org

PUBLISHER Thomas F. Fise, JD EDITORIAL MANAGEMENT Stratton Publishing & Marketing Inc. ADVERTISING SALES M.J. Mrvica Associates Inc. DESIGN & PRODUCTION Marinoff Design, LLC PRINTING United Litho Inc.

BOARD OF DIRECTORS OFFICERS President James A. Kaiser, CP, Scheck & Siress, Chicago, IL President-Elect Thomas V. DiBello, CO, FAAOP, Dynamic O&P, LLC, Houston, TX

Catherine Marinoff, art director, 786/293-1577, catherine@marinoffdesign.com

Ann Davis, office, meetings administrator, and associate editor, AOPA in Advance, 571/431-0876, adavis@AOPAnet.org

Dean Mather, advertising sales representative, 856/768-9360, dmather@mrvica.com

AOPA Bookstore: 571/431-0865

Steven Rybicki, production manager, 571/431-0835, srybicki@AOPAnet.org

GOVERNMENT AFFAIRS

Immediate Past President Brian L. Gustin, CP, BridgePoint Medical Inc., Suamico, WI

Kathy Dodson, senior director of government affairs, 571/431-0810, kdodson@AOPAnet.org

Executive Director/Secretary Thomas F. Fise, JD, AOPA, Alexandria, VA

Ann Davis, staff writer, 571/431-0876, adavis@AOPAnet.org

Devon Bernard, reimbursement services coordinator, 571/431-0854, dbernard@AOPAnet.org Joe McTernan, director of reimbursement services, 571/431-0811, jmcternan@AOPAnet.org Reimbursement/Coding: 571/431-0833, www.LCodeSearch.com a

O&P Almanac Online Reading the O&P Almanac has never been easier! Access advertiser Web sites by simply clicking on the hotlinks

•

Access content with the click of a mouse or the touch of a smart phone

•

Easily e-mail your favorite articles to colleagues

AVAILABLE

•

Save articles as PDFs!

NOW!

For more information, contact Steven Rybicki at 571/431-0835 or srybicki@AOPAnet.org. For advertising information, contact Dean Mather at 856/768-9360 or dmather@mrvica.com.

O&P ALMANAC JULY 2010

Treasurer James Weber, MBA, Prosthetic & Orthotic Care, Inc., St. Louis, MO

DIRECTORS Kel M. Bergmann, CPO, SCOPe Orthotics and Prosthetics Inc., San Diego, CA Rick Fleetwood, MPA, Snell Prosthetic & Orthotic Laboratory, Little Rock, AR Russell J. Hornfisher, Becker Orthopedic Appliance Co., Troy, MI Alfred E. Kritter, Jr., CPO, FAAOP, Hanger Prosthetics & Orthotics Inc., Savannah, GA Anita Liberman-Lampear, MA, University of Michigan Orthotics and Prosthetics Center, Ann Arbor, MI Mahesh Mansukhani, MBA Ossur Americas, Aliso Viejo, CA John H. Reynolds, CPO, FAAOP, Reynolds Prosthetics & Orthotics Inc., Maryville, TN Lisa Schoonmaker, CPO, FAAOP, Tandem Orthotics & Prosthetics Inc., Sartell, MN Frank Vero, CPO, Mid-Florida Prosthetics & Orthotics, Ocala, FL

•

Go to www.AOPAnet.org, click on ‘O&P Almanac Online’ today!

Vice President Bert Harman, Otto Bock Health Care, Minneapolis, MN

Copyright 2010 American Orthotic and Prosthetic Association. All rights reserved. This publication may not be copied in part or in whole without written permission from the publisher. The opinions expressed by authors do not necessarily reflect the official views of AOPA, nor does the association necessarily endorse products shown in the Almanac. The Almanac is not responsible for returning any unsolicited materials. All letters, press releases, announcements, and articles submitted to the Almanac may be edited for space and content. The magazine is meant to provide accurate, authoritative information about the subject matter covered. It is provided and disseminated with the understanding that the publisher is not engaged in rendering legal or other professional services. If legal advice and/or expert assistance is required, a competent professional should be consulted.

and even more comfort for your patients.

CALL 1-800-992-3580 OR VISIT www.drcomfort.com Â®

STeaLTh X4 (frOnT)

STeaLTh X2 (frOnT)

STeaLTh X2 apprOved L0637

A d d i t i o n A l P d A C A P P r o v e d S t e A lt h P r o d u C t S

prO L0631

cB L0637

XTreme L0637

LSO L0637

rehaB L0627

Ph: 888-982-8181 • Fx: 877-288-4197 • sales@optecusa.com

Glide to warp speed recovery!!!

ThrOugh JuLy 31ST

15% Off

reguLar price On STeaLTh TLSO

TLSO w/ PPX apprOved L0464 • Available in two strap and four strap designs • Back Panel automatically contours to your patient’s lordosis • Durable closure system does not tangle or need to be reset • Closure system offers mechanical advantages that allow for precise compression and increased spinal support • Ergonomic Front & Back panels contour to patient’s size and shape

TLSO w/ dLK apprOved L0462

R e a d y W h e n Yo u A r e . . .

9 7 5 P r o g r e s s C i r c l e • L a w r e n c e v i l l e , G A 3 0 0 4 3 • w w w. o p t e c u s a . c o m

In the News PEOPLE IN THE NEWS

Custom Breast Prostheses Coverage Proposed Sen. Blanche Lincoln (D-Arkansas) has proposed the Custom Fabricated Breast Prosthetics Act of 2010 (S. 3255), which would expressly provide coverage under Medicare for custom breast prostheses. Currently, Medicare will only cover noncustom fabricated silicone or foam forms. Breast cancer is the most common cancer among women. Thirteen percent of women in the United States will be diagnosed with breast cancer in their lifetime. Custom breast prostheses offer these women an alternative to reconstructive surgery. “It is so important for breast cancer survivors to have access to affordable and viable options to ensure their best

recovery possible,” says Lincoln. The Women’s Health and Cancer Rights Act of 1998 mandated that group health plans and private insurers cover all types of medically necessary mastectomies and reconstruction. Medicare, however, does not fall under this mandate. Breasts are the only body part whose custom fabricated prosthetic replacement is not reimbursed by Medicare. For more information, please visit www.lincoln.senate.gov.

Donald Berwick, MD, has been tapped to head the Centers for Medicare and Medicaid Services (CMS). Berwick, a pediatrician, is a professor at Harvard Medical School and the Harvard School of Public Health as well as founder and president of the Institute for Healthcare Improvement (IHI) in Cambridge, Massachusetts. Toshiki Kobayashi, PhD, has joined Orthocare Innovations LLC as a research scientist. Kobayashi received his doctoral degree from the department of health technology and informatics at the Hong Kong Polytechnic University. His doctoral research focused on improving mobility through better lower limb orthosis design. Raghvendra Prajapati, BOCO, C.Ped, has joined the clinical practice staff of OrPro Prosthetics & Orthotics in Richmond, Indiana. Prajapati has clinical experience in India and the United States as well as an education in O&P and hospital management.

San Antonio Gets Poly-Trauma Center The U.S. Department of Veterans Affairs (VA) has approved funding for two projects in San Antonio, at an expected total cost of $41.5 million, of which $37 million will be used to build a three-story, 84,000-square-foot “polytrauma center.” It will include physical medicine, rehabilitation services, prosthetics services, and research. “Poly-trauma” refers to health care for veterans who have more

O&P ALMANAC JULY 2010

than one severe, life-threatening medical problem. Many of VA’s polytrauma patients are recent combat veterans injured by roadside bombs and other explosives in Iraq and Afghanistan. A second $4.3 million contract went to Strategic Perspectives Development of San Antonio. It provides for upgrades and expansion to ward 4-A at the Audie L. Murphy VA Medical

Suzie Williams, CP, has joined Orthocare Innovations LLC as clinical services manager. Williams joins Orthocare from Össur Americas where she served as regional clinical manager.

Center, including electrical work, utilities, fire alarm and fire protection systems, telephone and data systems, and asbestos abatement. Last year, the VA spent more than $7.8 billion in Texas on behalf of the state’s 1.7 million veterans. The VA operates 11 major medical centers in the state, more than 40 outpatient clinics, 14 veteran centers, and six national cemeteries.

TRANSITIONS

BUSINESSES IN THE NEWS

The Athletes with Disabilities Network (ADN) has been awarded a $25,000 grant by the Million Dollar Round Table Foundation. The grant was presented at Easter Seals-Michigan, which matched the grant. ADN, an affiliate of Easter Seals-Michigan, is a nonprofit organization that promotes a better quality of life for people with disabilities by creating opportunities for them. Its programs include the Athletes with Disabilities Hall of Fame, the Extremity Games, and the Adaptive Sports Coalition. It also provides mentoring and outreach programs in addition to college scholarships.

ORLANDO

Hanger Prosthetics and Orthotics Inc. is featured on the first episode of the second season of Bloomberg Television’s series Innovators. The episode begins with a look at the advances in technology relating

to sports, including a segment on high-tech prosthetic components and amputee athletes. The piece includes an interview with Hanger’s Vice President of Prosthetics Kevin Carroll and Hanger patient, Staff Sgt. Heath Calhoun. Ohio Willow Wood has donated various prosthetic products to Physicians for Peace to help with Haiti relief. These included adult and pediatric prosthetic feet, more than 800 Alpha® liners, prosthetic socks, suspension sleeves, and several suspension locks. Project Medishare, which is affiliated with the University of Miami, has sent 1,800 custom-made devices to help new amputees in Haiti. The custom fit is achieved by using computer scanning technology. The devices, manufactured or collected at a plant in Hialeah, Florida, are water resistant, and are designed to match the patients’

SAVE thE DAtE

skin tone. Thranhardt Award winner Robert Gailey, PT, PhD, is the organization’s rehabilitation coordinator. Streifeneder ortho.production Germany has won a 2010 “red dot award: product design” for its design of the new Kinegen Stream hydraulic knee. More than 11,000 entries from 61 countries submitted to the prestigious international competition, and the award will be presented to the company on July 5, in Essen, Germany. All award-winning products will then be displayed at the red dot design museum for public viewing. Touch Bionics has won the prestigious Queen’s Award for Enterprise for 2010 with an award in the Innovation category. These awards are the UK’s most prestigious for business performance.

Rosen Shingle Creek Resort

September 29 – OctOber 2, 2010

We look forward to seeing you at the AOPA 2010 National Assembly September 29–October 2, 2010, at the Rosen Shingle Creek Resort in Orlando, Florida! For more information, visit our Web site at www.AOPAnet.org.

JULY 2010 O&P ALMANAC

Reimbursement Page

By Devon Bernard, AOPA government affairs department

Supplier Standards Under Review As OIG and CMS crack down on enforcing updated supplier standards, revisit and ensure your compliance

lthough the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Supplier Standards may be top of mind only when you are opening a new facility or reenrolling it every three years, they should not be ignored the rest of the time. The Supplier Standards could become one more tool for Medicare to combat fraudulent facilities—and one more regulation you need to monitor closely. In 2007, the Office of the Inspector General (OIG) conducted a review of 905 DMEPOS suppliers that billed $245 million in claims. Focusing on only two of the supplier standards, the OIG found that 22 percent of the facilities failed to meet one or both of the standards selected for review.

standards. These proposed changes and new standards were open to public comment and were to go into effect in 2009, but they have not been officially published. However, they are being enforced. The implementation of the proposed changes is evident in the new CMS 855S application, the form used to enroll and reenroll in the Medicare program, and they also can be found in some documents from the National Supplier Clearinghouse (NSC), the entity in charge of enforcing the standards and issuing supplier numbers. We will not review all the standards in this article. To view a complete list see page 12. Instead, we will focus on a few of the standards, including the proposed changes and the NSC’s interpretations.

Another reason you should not ignore the Supplier Standards: They can change at any time. Because of these findings, the OIG in its annual report suggested that the Centers for Medicare and Medicaid Services (CMS) toughen up its enrollment process to ensure all suppliers are meeting the standards. Another reason you should not ignore the Supplier Standards: They can change at any time. In January 2008, CMS published a proposed rule to expand some of the current 26 standards, and introduced some new 10

O&P ALMANAC JULY 2010

Standard 1 ensures that a supplier is in compliance with all applicable federal and state licensure and regulatory requirements. Therefore, you must obtain all the proper local and state tax licenses and make sure you are licensed if you are in a state that requires licensure. This standard also requires you to be accredited, unless you are exempt from the accreditation requirement. Under the proposed changes to the

standards, CMS has clarified that this standard means that services cannot be provided by a 1099 contractor, but must be provided by a W-2 employee. The actual wording of the proposed clarification only refers to licensed suppliers; however, CMS is applying it to all suppliers, whether or not they must be licensed. In CMS’s eye, it is “enrolling DMEPOS suppliers, not third-party agents that subcontract their operations to suppliers that are not enrolled or cannot enroll in the Medicare program.” According to the NSC, in order to be compliant with Standards 1, 4, and 12, the work must be done by you or your W-2 employees, but not by 1099-contracted employees. This interpretation is enforced in the CMS 855S application. In Section 2B of the application, you must list what type of supplier you are enrolling as. In this section, it clearly states that orthotic and prosthetic personnel must be W-2 employees of entity filling out the application.

Reimbursement Page

MEDICARE DMEPOS SUPPLIER STANDARDS NOTE: This is an abbreviated version of the supplier standards every Medicare DMEPOS supplier must meet in order to obtain and retain their billing privileges. These standards, in their entirety, are listed in 42 C.F.R. 424.57(c). 1. A supplier must be in compliance with all applicable Federal and State licensure and regulatory requirements.

13. A supplier must answer questions and respond to complaints of beneficiaries, and maintain documentation of such contacts.

2. A supplier must provide complete and accurate information on the DMEPOS supplier application. Any changes to this information must be reported to the National Supplier Clearinghouse within 30 days.

14. A supplier must maintain and replace at no charge or repair directly, or through a service contract with another company, Medicare-covered items it has rented to beneficiaries.

3. An authorized individual (one whose signature is binding) must sign the application for billing privileges. 4. A supplier must fill orders from its own inventory, or must contract with other companies for the purchase of items necessary to fill the order. A supplier may not contract with any entity that is currently excluded from the Medicare program, any State health care programs, or from any other Federal procurement or non-procurement programs. 5. A supplier must advise beneficiaries that they may rent or purchase inexpensive or routinely purchased durable medical equipment, and of the purchase option for capped rental equipment. 6. A supplier must notify beneficiaries of warranty coverage and honor all warranties under applicable State law, and repair or replace free of charge Medicare covered items that are under warranty. 7. A supplier must maintain a physical facility on an appropriate site. 8. A supplier must permit CMS, or its agents to conduct on-site inspections to ascertain the supplier’s compliance with these standards. The supplier location must be accessible to beneficiaries during reasonable business hours, and must maintain a visible sign and posted hours of operation. 9. A supplier must maintain a primary business telephone listed under the name of the business in a local directory or a toll free number available through directory assistance. The exclusive use of a beeper, answering machine or cell phone is prohibited. 10. A supplier must have comprehensive liability insurance in the amount of at least $300,000 that covers both the supplier’s place of business and all customers and employees of the supplier. If the supplier manufactures its own items, this insurance must also cover product liability and completed operations. 11. A supplier must agree not to initiate telephone contact with beneficiaries, with a few exceptions allowed. This standard prohibits suppliers from calling beneficiaries in order to solicit new business. 12. A supplier is responsible for delivery and must instruct beneficiaries on use of Medicare covered items, and maintain proof of delivery.

15. A supplier must accept returns of substandard (less than full quality for the particular item) or unsuitable items (inappropriate for the beneficiary at the time it was fitted and rented or sold) from beneficiaries. 16. A supplier must disclose these supplier standards to each beneficiary to whom it supplies a Medicare-covered item. 17. A supplier must disclose to the government any person having ownership, financial, or control interest in the supplier. 18. A supplier must not convey or reassign a supplier number; i.e., the supplier may not sell or allow another entity to use its Medicare billing number. 19. A supplier must have a complaint resolution protocol established to address beneficiary complaints that relate to these standards. A record of these complaints must be maintained at the physical facility. 20. Complaint records must include: the name, address, telephone number and health insurance claim number of the beneficiary, a summary of the complaint, and any actions taken to resolve it. 21. A supplier must agree to furnish CMS any information required by the Medicare statute and implementing regulations. 22. All suppliers must be accredited by a CMS-approved accreditation organization in order to receive and retain a supplier billing number. The accreditation must indicate the specific products and services, for which the supplier is accredited in order for the supplier to receive payment of those specific products and services (except for certain exempt pharmaceuticals). Implementation Date - October 1, 2009 23. All suppliers must notify their accreditation organization when a new DMEPOS location is opened. 24. All supplier locations, whether owned or subcontracted, must meet the DMEPOS quality standards and be separately accredited in order to bill Medicare. 25. All suppliers must disclose upon enrollment all products and services, including the addition of new product lines for which they are seeking accreditation. 26. Must meet the surety bond requirements specified in 42 C.F.R. 424.57(c). Implementation date- May 4, 2009

Palmetto GBA • National Supplier Clearinghouse P.O. Box 100142 • Columbia, South Carolina • 29202-3142 • 866/238-9652 • A CMS Contracted Intermediary and Carrier

4/9/2009 O&P ALMANAC JULY 2010

Reimbursement Page

Standard 2 deals with your responsibility to provide the NSC with the most accurate and up-to-date information about your facility when filling out the supplier application, the CMS-855S form. This standard also requires you to notify the NSC of any changes in your business within 30 days. This standard seems easy to comply with: When filling out the 855S, provide all the appropriate information if you have a change in ownership or move to a new location, and notify the NSC within 30 days. However, with the expanded 855S form, you now have the ability to accurately list the services you provide and the type of personnel you have on staff. Therefore, if you decide to stop providing diabetic shoes, for example, or make some other change in your business, you must notify the NSC.

Standard 4 states that a supplier must fill orders from its own inventory or contract with other companies for the purchase of items necessary to fill the order, and requires that the company you contract with is currently not excluded from the Medicare program. No minimum amount of credit must be established with your contracts; you should have enough credit to reasonably cover the amount of services you bill. In other words, a credit limit of $100 with a manufacturer probably would not be sufficient to meet this standard. CMS and the NSC have the following guidelines on what items they would like to see in an acceptable contract or purchasing agreement: • established credit limit • credit terms 14

O&P ALMANAC JULY 2010

• both companies identified in the terms and the signature of both parties • length of the contract or agreement. To ensure that the company you have a contract with is not excluded from Medicare or any other federal program, check the OIG exclusion list at www.oig.hhs.gov/fraud/exclusions.asp. Standards 7 and 8 deal with the physical location of your facility, requiring that it be on an appropriate site and that business hours be posted. An appropriate site, according to the NSC, is one with a valid address that is recognized by the United States Postal Service (USPS), and the physical address may not be a P.O. Box. Your facility also must post its hours of operation, and these hours must be during reasonable hours accessible to your patients. It is acceptable to have your facility’s hours by appointment only, as long as this is posted and there is a contact number to set up an appointment. The new 855S form now has a section where you must list the hours of operation for each location. So, if you change your hours of operation you need to notify the NSC within 30 days. Note: These were the two standards that the OIG reviewed in 2007. Nine percent of the companies did not post their hours, and 13 percent of the facilities did not have valid addresses or were not open during the posted hours. As part of the proposed new standards, Supplier Standard 7 would be expanded to include some of the following requirements. The site must: • have a sign at the main entrance of the building • post business hours • be staffed during posted hours • be accessible during posted business hours for patients, CMS, and the NSC, even if patients do not routinely visit • maintain its records for seven years from the date of payment of the claim (already required by Medicare).

It also is important to point out that Supplier Standard 8 is the tool CMS will use to check your compliance with these standards. In order to be complaint with Standard 8, you must allow CMS, or any of its agents, access to your facility for site inspections.

Standard 9 states that a beeper or cell phone is not acceptable as a primary means to contact your facility. You must have a dedicated phone for your facility. The phone number must be listed under the name of the business in a local directory, or a toll-free number must be available through directory assistance. Therefore, if you set up an office by appointment only, the phone number you list for making appointments may not be a cell phone. The primary phone number also may not be an answering or call-forwarding service. Standard 11 states that you agree not to initiate telephone contact with beneficiaries, and prohibits you from calling beneficiaries to solicit new business. However, telephone contact is permitted in these scenarios: • The beneficiary has given written permission to the supplier to make contact by telephone. • The contact is regarding a covered item that the supplier already has furnished to the beneficiary. • The supplier has furnished at least one covered item to the beneficiary during the preceding 15 months. In March, the OIG released an Updated Special Fraud Alert regarding the prohibition of suppliers making unsolicited telephone contact with Medicare beneficiaries. In the alert, it

was clarified that suppliers may contact Medicare beneficiaries via telephone based on a physician’s preliminary written or verbal order as long as the physician notifies that patient that a supplier will be contacting them to arrange the provision of their DMEPOS item or service. In addition, the prohibition on telemarketing may, at some point in the future, be expanded to include e-mail, instant messaging, coercive response Internet advertising, or in-person contact. Remember, this standard only restricts telephone contact and does not prohibit marketing via other methods, such as mailings.

acknowledgement in the patient’s record, and there can never be any doubt that you complied with this standard. Standard 18 says that a supplier must not convey or reassign a supplier number; that is, the supplier may not sell or allow another entity to use its Medicare billing number. The NSC has interpreted Supplier Standards 18 and 7 to prohibit any DMEPOS supplier from sharing space with any other supplier. So, each supplier number must be attached to a physical location—an address that is recognized by the USPS—and the number attached to that location cannot be used by another entity. This official interpretation of the standards will be formalized when the new standards are finally issued. A new proposed 29th standard would prohibit a supplier from sharing a practice location with another Medicare supplier, including physicians who have a supplier number of their own.

6855

Standard 16 mandates that a supplier must disclose the supplier standards to each beneficiary to whom it supplies a Medicare-covered item. The easiest way to comply with this standard is to provide a copy of the standards to each new patient, and have them sign an acknowledgement of receipt. Keep a copy of the

Each location needs its own Provider Transaction Account Number. The NSC has officially stated that each location provides Medicare-covered items to beneficiaries must be enrolled separately. In essence, each location requires an individual supplier number. The only locations that don’t require separate supplier numbers are locations that you use solely as warehouses or fabrication sites, places where you are not seeing patients or delivering items. To find a copy of the Supplier Standards, or to see how the NSC has interpreted some of the other standards, visit the NSC Web site, http:// www.palmettogba.com/nsc. Proposed changes to the Supplier Standards can be accessed at http://edocket.access.gpo. gov/2008/E8-1346.htm. a Devon Bernard is reimbursement services coordinator for AOPA. Reach him at dbernard @AOPAnet.org.

Anatomical Concepts now offers a Multifunctional ambulatory Articulated AFO for your patients in the earliest stages of rehabilitation.

Adjustable Dorsi and Plantar flexion

• Multifunctional ambulatory Articulated AFO • Replicates biomechanical effects of semi solid or PLS AFO* • Immediate fit in Acute or Sub acute rehab • Adjustable Dorsi and Plantar flexion • Adjustable Inversion and Eversion

• Heat moldable foot orthosis – fits left or right • Stable base of support • Adjustable foot length and calf height • Optimal Varus/Valgus Adaptation (VCA) for improved ankle stability • Secondary maintenance of soft tissue length and offloading

The ideal cost effective Articulated AFO intervention for the transitioning patient. L 1971 – suggested HCPCS code for your ambulatory patients meeting the medical necessity requirements.

Shown with VCA option Patents 5,088,479 6,350,246 5,486,157 6,377,178 5,593,383 6,464,659 5,545,127 6,793,638 5,908,398 7,112,118 5,944,679 7,122,016 6,302,858 7,662,119 Patent Pending European Patent: EP 0 931 525 B1

Adjustable Inversion and Eversion

* DeToro W. Plantarflexion Resistance of Selected Ankle-Foot Orthoses: A Pilot Study of Commonly Prescribed Prefabricated and Custom-Molded Alternatives. J Prosthet Orthot. 2001;13:2:39-44.

1399 E. Western Reserve Road • Poland, Ohio 44514 Web: www.AnatomicalConceptsInc.com • Email: info@AnatomicalConceptsInc.com Toll Free: 1-800-837-3888 • Phone: (330) 757-3569 • Fax: 1-800-65PRAFO JULY 2010 O&P ALMANAC

LOVE

FOR OF THE GAME SPORTS THERAPY PROGRAMS HELP AMPUTEES TAP THE HEALING POWERS OF COMPETITION AND CAMARADERIE

O&P ALMANAC JULY 2010

mong the challenges Susan Lazarchick battles following an above‑the‑knee amputation she had in late 2006, two are most paramount: feeling that she is different from other people and being physically able to return to the activity she loves most–– Labrador dog training. “I was initially afraid to even walk my dogs, I felt so unsteady and afraid that they would pull me over,” says Lazarchick, 54, of southern New Jersey. But leaving a week-long specialty dog show recently, she stood in the parking

BY JILL CULORA lot after packing up her car with exercise pens and dogs, and she felt proud to be able to take care of herself and her dogs and proved that her amputation hasn’t stopped her from doing the things she loves. Lazarchick has come a long way in three and a half years, and much of that she attributes to taking part in sports clinics as therapy. “The [sports clinics] have helped me to either push more physically or supported me emotionally,” she says. “I often come home with a renewed sense of motivation.”

JULY 2010 O&P ALMANAC

Through participation in sports therapy programs, Susan Lazarchick gained the confidence and motivation needed to return to her favorite pastime—Labrador dog training.

Building Confidence Sports as therapy is a growing field and a prescription that helps rehabilitate the bodies and minds of both able-bodied and amputee populations. “Sports is physical, but it’s also so therapeutic emotionally—and not just for someone with an amputation,” says Aaron Foreman, MSPT, CPO, and president of O&P Technologies Inc. of Texas. “If you can incorporate sports into physical therapy, it gives patients a drive.” And for those who have lost limbs, sports as therapy has added appeal. Physical fitness is a mainstay to 18

O&P ALMANAC JULY 2010

functioning with a prosthesis, which can require twice as much energy to move about, and an active lifestyle also helps delay or prevent further amputation. “Not only does it build ability for a person to be more functional in everyday life, but it also raises expectations in rehab so that we work at more power, speed, and agility type activities with a prosthesis … all of a sudden simple things like walking and climbing stairs become easy when compared to sprinting, playing basketball, and participating in other types of activities,” says

Robert Gailey, PhD, PT, and associate professor at the University of Miami Miller School of Medicine Department of Physical Therapy. “The concept is, walking is just another means to reach running. The ability to step side to side is just another means to do lateral movement.” Taking part in adaptive sports also expands social networks and boosts confidence. A large part of patients’ success comes from the self discovery that they can do more physically than they thought possible, which builds self-assurance and motivates them to keep pursing the possibilities. “We have learned through past mistakes,” says Harvey Naranjo, COTA at the Walter Reed Army Medical Center in Washington, DC. “In prior wars, post-injurers where given a prosthetic and sent home. And what happens at home is they weren’t using their prosthetic, or they were inactive and that was leading to secondary medical issues such as obesity, depression—they were not maximizing life. Alcohol and drug abuse also occurred,” he notes. Now, practitioners engage patients in activities very early on, Naranjo explains. “We give them the confidence to go out there and let people see them with their prosthetic, let them see that they can ski and snowboard with their peers. They are not the only guy, they are with a group of people all facing the same challenges, and they are motivated by each other.” Many patients tend to be hesitant or reluctant to try physical activities at first because they are in a guarded mode and don’t want to cause further injury or fail. “The activity allows them to gain confidence and ability to try something new, which usually creates a foundation for building on more challenging and more aggressive activities, which in turn will help them out physically,” Naranjo says. But not all sporting activities need to be aggressive: “It could be something as simple as sitting on a bank of a river and fishing,” he says. “There’s always something that you can find that will interest them and get them out and moving.”

everyday TM

SureFit’s Custom Diabetic Inserts are simply without equal. Bi-Laminate or Tri-Laminate inserts are manufactured for better shock absorbency and improved biomechanical performance. Made specifically to fit the last of each shoe, SureFit’s precision craftsmanship and broad line ensures optimal results. Call SPS Customer Service today to learn more about all SureFit can do for you, your patients and your practice!

A Division of Southern Prosthetic Supply

Experience Our Commitment

T: 800.767.7776 x3 • F: 800.869.7776 www.spsco.com • estore.spsco.com

Patient motivation goes a long way toward success with a sports therapy program, so it becomes imperative for practitioners and physical therapists to find out what inspires people to do their best in rehab. “I tell patients: ‘You have this window of time when you may or may not learn to walk with your prosthesis independently,’” says Gailey. “’But give it 110 percent for the next three months so that when you are 50 and you look back, no matter what anybody tells you, you know in your heart that you did your best and you made a conscious decision that you’re not going to continue or are going to continue because it’s your choice and not because you didn’t try hard enough when you had the opportunity.’ That’s when it usually clicks.” Gailey also motivates people by helping them achieve a series of successes. “I found that if we fail and fail, we tend not to want to continue. But if we succeed, and succeed more, then we come away knowing that we did a little more, and we actually feel quite good about ourselves. “Lay out a path. The trick is to have the appropriate expectations, and when people can meet those, then they will be fine,” says Gailey. Another consideration is getting the timing right. Every individual is different, and will progress through the five stage of grief––denial, anger, bargaining, depression, and acceptance––differently. Often new amputees immerse themselves in sport while they are in the denial stage. “From the day they get out of surgery, their whole goal is to black out everything in their lives— school, work, relationships—and focus on proving to the world that they can still run, they can do triathlons, and it’s really a form of denial,” says Gailey. “You have to be aware that this guy is going to hit a wall, and he will emotionally have to take a few steps back and process the fact that he has a life-altering disability and how is he going to deal with it. But now he’s physically fit, so he should be in better shape to deal with those things.” 20

O&P ALMANAC JULY 2010

PHOTO: OTTOBOCK HEALTHCARE

Encouragement and Support

Double-amputee Don Davis has been participating in adaptive sports programs since 2005.

Others may try to set goals to walk or play sports but then find they have other issues to deal with first. “They are thinking about what their bodies would be like if they didn’t have the amputation, or how their wife or husband perceives them, what their kids think about them, if they are going to have a job, if the neighbors are concerned,” he says. “We don’t always put our physical fitness as a priority. There are other things—family, faith, jobs—and when people can square away those things, then they can look at how to make themselves more physically fit or more capable.”

Everyone’s an Athlete Although a high percentage of people respond well to sports therapy, not everyone does, particularly those who are not competitive. But if care is taken when bringing together a group for sports activities, the less athletic people can be incorporated into the team as managers, or in other ways that benefits them most. “We encourage people to be competitive with themselves, and I discourage competition between amputees. If people are shunned for not performing well, then they won’t respond well to sports rehab,” says Gailey.

”

YpsilonTM helps me in my daily life!”

”

”ToeOFF took me back to Marathons!” ®

www.allardusa.com

PHOTO: O&P TECHNOLOGIES INC.

ir Ludwig Guttmann is credited for introducing sports as therapy for amputees at the end of World War II. Guttmann, a German Jewish neurologist had conducted extensive research on physical activity in spinal cord injury patients. He fled to England in 1939 and was hired in 1944 to run a spinal injuries center at the Stoke Mandeville Hospital in Buckinghamshire. Guttmann introduced activities such as darts, table tennis, netball, snooker, archery, and fencing. His programs were so successful they led to the organization of a hospital “games” events in 1948, which then grew each year and eventually evolved into the Paralympics in 1960.

Greg Lakompski is an amputee road cyclist who is sponsored by O&P Technologies Inc. 22

O&P ALMANAC JULY 2010

“If I ever did one good thing in my medical career, it was to introduce sports in the treatment and rehabilitation of spinal cord sufferers and others severely disabled,” Guttmann is quoted posthumously in a 1998 edition of Palaestra magazine. “To train the body and to prevent boredom of hospital life; but restoring activity of mind and body, by instilling self-respect, self-discipline, a competitive spirit, and comradeship, sports develops mental attitudes that are essential for social reintegration.” Guttmann described his games as “a demonstration to the public that competitive sport was not the prerogative of the non-disabled, but that even those with severe disability could become sportsmen and sportswomen in their own right,” Palaestra reported. Her Majesty Queen Elizabeth II knighted Guttmann in 1962. He died in 1980 at the age of 80.

One organization, the Orthotic & Prosthetic Assistance Fund Inc. (OPAF) has started an adaptive sports program solely for less competitive amputees and people with other physical challenges. “We are aimed more at regular Joes who find themselves with either an amputation or traumatic brain injury, stroke survivors, kids with CP, or adults with MS—anyone with a physical challenge who needs to get off the couch, take the remote control out of their hands, and get active and reintegrated,” says Robin Burton, OPAF’s executive director. The program started with an involvement in First Swing, a golf clinic hosted by OPAF through the National Amputee Golf Association. In 2005, OPAF launched its own “First” clinic with First Volley and has since added First Swim, First Dive (scuba), and McKeever’s First Ride (horseback). This year, OPAF introduced First Paddle, an adaptive kayaking clinic. “When people are introduced to these adaptive sports, they realize they can do things that they didn’t think were possible,” says Burton. “We have discovered that the activity is equally as important as the socialization aspect

of the First Clinics because [participants] find other people who are like them, facing a challenge and doing something and getting on with their life rather than sitting in the dark doing the ‘poor me’ thing. “Any of the sports that we have selected to pursue with First Clinics is something that you can continue to do own your own or with one other person—a spouse, grandchild, or a friend,” she says. Don Davis, 63, is among those believers. His First Clinic experience in 2005 helped motivate him to become an amputee role model and advocate for insurance parity. “At that time I was bored. I was anxious, and I wanted to get involved in something. The First Clinic was timely because it took away a lot of frustration and gave me an opportunity to express myself. “The tennis game was an opportunity to show others that just because you lost your leg, your world doesn’t come to an end,” Davis continues. “I’ve lost two legs, and I’m still out here trying.” a Jill Culora is a contributing writer to O&P Almanac. Reach her at jillculora@ gmail.com.

PHOTO: WWW.ACTA-ORTHO.GR

>> ORIGINS OF SPORTS THERAPY

For over 50 years, PEL has offered practitioners outstanding

VALUE

on the most popular products available from the O&P industry’s most respected manufacturers. Phone, fax or email a knowledgeable PEL CSR, like Summer, for information on the most dependable products available – SummerDawn Taylor Customer Service Representative representing outstanding values.

• First joined PEL in 2006 • Attended Cuyahoga Community College and Academy of Court Reporting • Likes writing poetry • Enjoys going to church and helping people • Loves her job. “It feels good to know that what I do can make a difference in somebody’s life.”

Fillauer

Hosmer Entegra SV • Independently adjustable hydraulic knee • Rugged thru-bolt design • Lightweight aluminum alloy frame • 135° range of motion • Integrated kneeling pad • ISO tested and rated for 220 lb (100 kg) • Maintenance-free Oilite® sleeve bearings

Ibex Foot System • Innovative micro-slice pylon • Multi-axis heel/toe for terrain conformance • Energy optimized pylon/heel plate design • Designed for patients up to 330 lbs. • Only 16.2 oz. (459g)/ Build Height 6.75’’ (17cm) • Durable; passed new ISO-22675 standard

Orthomerica CALIFORNIA® Soft Spinal Original • Modular system of rigid components inside a soft, comfortable interface • Strapping arrangement provides easy-to-adjust compression, even for geriatric patients • Hypo-allergenic, breathable foam wicks away moisture from patient’s skin for increased comfort • Pre-formed ABS (plastic) neutral or pendulous anterior insert panel, neutral (15°) or 0° posterior insert panels • All components pre-drilled for retrofitting and interchangeability ®

Experience the Power of One.

Over 50 years of one stop shopping for all your O&P needs.

Phone: 800-321-1264 Fax: 800-222-6176 E-mail: customerservice@pelsupply.com Web: www.pelsupply.com

Recessionâ&#x20AC;&#x2122;s

Silver Lining

The economy forced facilities to rethink staffing, fabrication, and other business processes, but itâ&#x20AC;&#x2122;s not all bad news

O&P ALMANAC JULY 2010

By Deborah Conn

t first glance, preliminary findings from AOPA’s annual 2010 Operating Performance Report (OPR) suggest that the 2008 recession had little, if any, impact on the O&P field. The survey, which reflects results only from participating facilities, shows that 2008 revenue increased by 4.2 percent from 2007, and 2009 revenue was 4.9 percent ahead of 2008. (See page 36 for a detailed summary of the OPR.) But, one also needs to consider overall fee increases, which amounted to 4.1 percent in 2008 and 5 percent in 2009, says Brian Gustin, CP, immediate past president of AOPA. “When these are taken into account, the industry is flat, at best, in revenues and had a steady decline in profitability in terms of margin,” he says. Despite these unprecedented economic conditions, however, the O&P field continues to adapt to the ever-changing business climate. Surprising as it may sound, there are some bright spots.

Recession Realities A number of O&P practitioners have experienced everything from fewer patients to tighter credit and delayed reimbursements. “Even when business is still good, we have seen that it’s more difficult to get things covered, paid for, or paid for in a timely fashion,” says Gustin. “You hear things in the news, and then you see it walk in your front door.” Patients who have lost their jobs and their health insurance come in only for dire emergencies. Many cannot afford to continue their benefits

through COBRA, or have reached the end of the time allowed for coverage. “People have less discretionary money, and a lot of O&P patients are choosing to either hang on to old devices or go without if they can,” says Keith Cornell, CP, FAAOP, president of Cornell Orthotics & Prosthetics in Beverly, Massachusetts.

Brian Gustin, CP

“Short-term measures may see O&P through a recession, but Gustin believes that nothing less than redefining the role of the practitioner will truly make a difference.”

The slump in sales is often accompanied by cash-flow problems. At the end of 2008, Ability Prosthetics & Orthotics Inc. in Gettysburg, Pennsylvania, faced the call-in of three lines of credit, a freeze on another credit line, and an immediate repayment demand on two credit cards. Scheck & Siress, in Chicago, found its bank had

reduced the facility’s line of credit, and San Diego-based SCOPe Orthotics & Prosthetics Inc., was switched to a new financial institution when the federal government took over its long-time bank. Facilities may have to wait longer for reimbursement as well, particularly when it comes from the state. “We have a huge cash flow problem in Illinois,” explains James Kaiser, CP, CEO, and clinical and administrative director of Scheck & Siress. “Our state is about $6 billion in debt to providers, including O&P, and every lab and practice has been affected. We’ve had to extend receivables to 150 days and beyond, and the state has pretty much eliminated expedited payments. Our receivables from hospitals are up to 90 to 120 days, compared to 45 to 60 days a few years ago.” Delayed receivables are perhaps preferable to the situation in California, where the budget crunch may mean the state will eliminate O&P entirely as a service covered by Medi-Cal (California’s version of Medicare), according to Kel Bergmann, CPO, president of SCOPe O&P. Practitioners who try to balance patients’ needs with their ability to pay experience yet another financial drain. “All of us in O&P have had to make more concessions to the patient’s financial responsibility,” says Kaiser. “We have extended credit to patients and provided more charity care, writing off or discounting their portion, based on their financial position.”

JULY 2010 O&P ALMANAC

Smart Processes One reason for the relative health of the O&P industry in the face of the recession may be that practitioners have taken steps to reduce costs and build business. Trying to be more efficient and cost-effective is hardly a new concept in O&P. “We’ve been tightening up over the last 10 years,” says Cornell. “We are always trying to be more competitive in the face of inflation, lower reimbursements, and higher costs. It seems like a neverending battle. But the last two years have had a greater sense of urgency.” Like many business owners, Cornell has implemented a wide range of cost-cutting measures, from freezing salaries and postponing new hires to reducing overhead. Although he is committed to long-term leases on office facilities, Cornell has considered subletting space to a practitioner in a related field, such as massage therapy. Gustin suggests reducing overhead expenses by increasing the use of central fabrication. “Outsourcing some production allows facilities to pay as they need it, rather than investing in physical space and staff,” he says. Facilities that decide to cut back on in-house fabrication might be able to renegotiate their leases and reduce square footage. The recession can make it easier to work with landlords, who are likely experiencing their own difficulties in finding tenants and collecting rents. In an effort to improve cash flow, Jeffrey Brandt, CPO, CEO of Ability P&O, asks each of his manufacturers for a longer payment due date. “Many O&P manufacturers have not changed the way they do business in the last 15 to 20 years, yet the payment landscape has changed drastically,”

O&P ALMANAC JULY 2010

he says. “Among other items, they want to be paid in 30 days. But with it taking about 45 days for even efficient providers to collect payment, paying the manufacturer in 30 days just doesn’t work.” Brandt has tried to negotiate a 60-day payment period with manufacturers, with some success.

“In these down times, you have to be a leader. You can’t be a run-of-the-mill practice, or you’ll get lost in the shuffle.” —Jeffrey Brandt, CPO

Brandt also tries to collect more money up front. He asks patients who are responsible for a certain percentage of the cost to pay on delivery, rather than waiting until after the insurance company processes the claims. “You don’t have to wait for the insurance company to pay,” he says. “Providers can be reluctant to talk to patients about payment, but you have to have conversations about money up front.” Ability P&O’s administrative staff can often obtain authorizations and prepare service estimates while patients wait. “Patients have a lot of anxiety, so the more we can control the experience and environment and communicate openly about different options and costs, the more comfortable they feel,” says Brandt. Scheck & Siress also is paying considerable attention to patients’ coverage. “Unemployment is a big issue, and we scrutinize eligibility

much more closely than we ever have,” Kaiser says. “We’ve found we have to be very careful with COBRA issues to make sure patients are covered at the time we actually deliver the care. It doesn’t do any good to have coverage at the first appointment; the patient also has to be covered at delivery.” Ensuring coverage is key, agrees Gustin, who recommends practitioners extend no services until they have secured authorization. This may delay treatment, but referrers are likely to be in the same position and will understand the delay. ”The key is to be open and honest with your referral sources about the restraints of insurance policies,” he says. Cornell has turned to alternate revenue sources as a way to strengthen his balance sheet. His company is offering therapeutic shoes and will be adding retail sales of items such as socks and lotions that complement P&O services. “We used to tell patients to go to the local drugstore for these items, but now we are setting up small retail corners in our facilities to capture this business,” he says. Some facilities may agree to increased discounts as a way to retain contracts, but Gustin advises against the practice. “Understand the fallacy of volume,” he cautions. “You cannot make up for financial losses by accepting contracts at ridiculously low prices. The idea is to be busy and profitable, not to be busy and breaking even, or worse, operating at a loss.” Bergmann agrees and has told his HMO partners that SCOPe will no longer be able to accept discounts on such low-dollar product lines as orthotic shoes and diabetic inserts. He has declined to reduce contract prices for one of his major HMO partners, knowing that he might lose their business entirely.

IDENTIFY | INNOVATE | INDIVIDUALIZE

CPIdeal is our pursuit of the ideal form, fit and function for each individual. We begin by identifying the critical needs of our customers, then create innovative designs to provide an ideal performance. Finally, each foot is custom built and shipped the same day to provide individualized solutions from thousands of possibilities.

The Accent® – a simple push of the button provides 2” heel height adjustment. Finally, a superior cosmetic finishing option in a service-free design to address individual footwear preferences. You can trust College Park to create your patient’s CPIdeal.

individualized solutions. thousands of possibilities.

800.728.7950

www.college-park.com

Opportunity Knocks While the reaction of many facility owners to the recession has been to cut costs across the board, some practitioners have taken the opposite approach. Ability P&O positioned itself as an early adopter of new technology, investing heavily into the iLimb hand, Orthocare’s Smart Pyramid tool, and Otto Bock’s E-MAG stance-phase controlled knee joint. The facility spent significantly on marketing and advertising, but Brandt used the recession to his advantage and negotiated longer ad runs in the local media. The practice also relied on press releases and videos to generate free publicity and increase business. Although he postponed expanding for about six months, Brandt eventually took advantage of the real-estate slump to open a fifth office earlier this year, negotiating concessions from the landlord to design the space to Ability’s specifications. “We also formed a product development company, Kinetic Revolutions, to continue to diversify our sources of revenues,” he says. “We tend to do the opposite of the herd,” Brandt explains. “Maybe our

risk tolerance is greater, but we looked the recession right in the face. In these down times, you have to be a leader. You can’t be a run-of-the-mill practice, or you’ll get lost in the shuffle. And I think we fared pretty well.” Bergmann, too, used the recession as an opportunity to strengthen his company. An internal assessment revealed cranial molding and functional electrical stimulation as two of the facility’s strongest services, so he invested in additional equipment and increased his advertising and marketing staff. Those efforts seem to have paid off. “All things considered, we’re better off this year than in 2008 or 2009,” he says. Short-term measures may see O&P through a recession, but Gustin believes that nothing less than redefining the role of the practitioner will truly make a difference. He urges practitioners to remove themselves from the fabrication process and focus instead on taking care of patients and building relationships with payers. “Patients are our clients, but our real customers are the payers,” he says. “We need to make sales calls on payers’ contracting officers, just as

we do with referring physicians. So many pay sources think we provide cookie-cutter Durable Medical Equipment services. We need to talk about the technical nature of our work and how it helps payers reduce long-term costs. We can get all the business in the world from referrers, but we have to get payers to pay for it. And we can’t educate payers if we spend all our time modifying casts and doing fabrication.” Few business owners would choose to experience a recession, but it can make for a leaner, more competitive business model. “What harm could be done by trying to become as efficient as possible?” asks Gustin. Forced to examine a facility’s staffing, fabrication, purchasing, shipping, and every other internal process can lead to long-lasting efficiencies that will continue into the good times. a Deborah Conn is a contributing writer for O&P Almanac. Reach her at debconn@cox.net.

JULY 2010 O&P ALMANAC

NATIONAL ASSEMBLY

Keynote Speakers Pack

a ONE-TWO PUNCH AOPA snags two world-renowned experts to headline its 93rd National Assembly in Orlando

Warren McDonald

ou have two big reasons not to miss AOPA’s National Assembly at the spectacular Rosen Shingle Creek Resort in Orlando, Florida, from Sept. 29 to Oct. 2, 2010. Two exciting and inspirational keynote speakers will kick off the Thursday, September 30, and Friday, October 1, opening General Sessions at 7:30 am. You’ll find out once again why AOPA’s National Assembly is “The Place to Be.” Warren McDonald, best-selling author, film-maker, and television personality featured on Larry King Live, The Oprah Winfrey Show, and the Discovery Channel series I Shouldn’t Be Alive, kicks off Thursday morning’s program with his inspiring life story about the special challenges of limb

O&P ALMANAC JULY 2010

loss and the transforming events that followed. Just 10 months after a tragic mountain climbing accident, McDonald climbed Tasmania’s Cradle Mountain. Six years later, he became the first double, above-knee amputee to reach the summit of Mt. Kilamanjaro, the tallest peak in Africa. McDonald’s first book, A Test of Will, is an Australian best seller. His film, The Second Step, documents his epic four-week journey to Federation Peak, Australia’s most challenging mountain summit, and has received critical acclaim, including eight international film awards and the grand prize at the prestigious Banff Mountain Film Festival. In addition to his frequent appearances on news and current

anybody who hears your story

photo: Lisa Saad

photo: Doug Berry

~ Oprah Winfrey

You’re tired.

Warren McDonald

affairs television programs, he also has written articles for CNN World Edition, Australian Geographic, Speaking of Impact, and Professional Speaker. During his speech, McDonald will translate his story of personal survival into a message for AOPA members about the obstacles and challenges of managing an O&P business in a world of change, repeated disasters, and uncontrollable events. Attendees will learn how to: • recognize and break through common mental barriers to change • turn change and challenge into catalysts for personal and business growth • shift thinking by putting challenges into perspective • develop theBestselling mindset Author of seeking of solutions and “A opportunities. Test of Will

– one man’s

At Friday’s extraordinary early-morning session, best-selling author of Not Gets” story ofEveryone survival a Trophy: How to Manage Generation Y, Bruce Tulgan brings another WOW moment to the National Assembly with his singular understanding of how to master the generation gap and help the O&P community grasp the enormous challenge of recruiting, retaining, and educating the next generation of O&P providers. Tulgan’s message addresses how business owners can respond to and close the generation gap in order to build a more secure future and attract high-quality young people to the O&P community. He will demonstrate why his clients and audiences—ranging from global firms like Aetna and Wal-Mart to the U.S. Army and the YMCA—have tagged him the “new Tom Peters” and why he was awarded

the Golden Gavel by Toastmasters International in 2009. In previous Registration is years, this honor has been presented to ou’re being asked to do more, to give more. communications and leadership heavynow open—visit weights such as Zig Ziglar, Stephen It’s incredible really that you’ve coped up until now; and I’m sure there have been www.AOPAnet.org Covey, Deepak Chopra, Tony Robbins, times when you’ve felt like giving up. But you can’t because your patients and clients Ken Blanchard, Tom Peters, Dr. Joyce for updates more need you, and you need them. You need them because what you do and matters. You Brothers, and Walter Cronkite. make a difference to peoples lives. You are, literally, in a position to change their information. Tulgan’s journey from practicing whichStreet makesfirm it allofthe more important as to how you view yours. law world, at the Wall Carter, Ledyard & Milburn to writing five best-selling books and an online column for the New York Daily News When you change the way you see the world, will provide fascinating insight into you his accumulated expertise. As achange the world. contributor to the Harvard Business Review, Business Week, HR Magazine, This might sound a little wishy-washy until you consider who it’s coming from… and many national newspapers, including the New York Times and Los One catastrophic moment redefined Warren Macdonald’s life in April 1997 with a freak rock Angeles Times, Tulgan has earned a fall on a remote Australian island that left him pinned under a one-ton boulder. For two place at the forefront of management days he lay trapped and alone, surviving the ordeal only to lose both legs at mid thigh. experts who are guiding the business community in understanding how Doctors told him he’d never walk again. Warren’s response: “I don’t recall them saying anyto harness the talents of the next thing about cycling, kayaking, or climbing mountains…” Just ten months later he scaled generation. Cradle Mountain, and in February 2003 Warren became the first double above-knee (AK) Don’t miss these two amputee keynote to reach the summit of Africa’s tallest peak, Mt Kilimanjaro. Warren has recreated star-quality the reality at of AOPA’s what it means to be a double AK amputee. He can teach you to recreate what personalities means to Assembly work in healthcare now, and in the future. 93rditNational from Sept. 29 to Oct. 2, 2010, One of life’s certainties is that nothing stays the same; you know that better than most. at the luxurious Rosen Equipping and those around you with a mindset that seeks solutions, that looks Shingle Creekyourself Resort in for opportunities Orlando, Florida. rather than obstacles, and above all inspires your belief in the human

You feel powerless.

spirit, may well be the best investment you will ever make.

www.warren-macdonald.net

Bruce Tulgan

JULY 2010 O&P ALMANAC

A CALL FOR PAPERS!

ace The Pl ! To Be

Sam E. Hamontree, CP,

Business Education Award

The inaugural presentation of the Sam E. Hamontree, CP, Business Education Award will be one of the many highlights at the 2010 AOPA National Assembly. The purpose of this education award is to promote the highest quality business education to the orthotics, prosthetics, and pedorthics profession, and to highlight business expertise during the AOPA National Assembly. Business education topics eligible for this prize include, but are not limited to: • finance and administration • general management • human resources • marketing • technology solutions. Don’t miss this important opportunity to share your expertise, promote your career, and improve patient care. To compete for the prestigious 2010 Sam E. Hamontree, CP, Business Education Award, contact Tina Moran at tmoran@ AOPAnet.org or 571/431-0808, or apply online at https://aopa.wufoo.com/forms/ sam-e-hamontree-cp-business-educationaward/.

AUGUST 20

and

SAVE!

www.AOPAnet.org

How to Register Review the registration category descriptions below and complete one registration form for each attendee. For your convenience, there are three easy ways to register. 1. Register Online: To register online, visit www.AOPAnet.org and click on the 2010 Assembly logo. Payment must be made by Visa, MasterCard, American Express, or Discover when registering online. 2. Register by Fax: To register by fax, complete the registration form and fax it to 401/765-6677. To avoid duplicate charges, please do not mail your form after faxing it. 3. Register by Mail: To register by mail, complete the registration form and mail it with payment to AOPA 2010, c/o ExpoTrac Registration Services, P.O. Box 1280, Woonsocket, RI 02895. E-mails confirming registration will be sent to each registrant. Read your e-mail carefully. If corrections or changes are needed, please follow the instructions on your confirmation prior to August 20. After August 20 all registration changes will be handled on site in Orlando. Badges and event tickets will be distributed on-site. On-site registration

O&P ALMANAC JULY 2010

will open in Orlando on Tuesday, September 28, at 10:00 AM. Each attendee needs to check in at on-site registration. No badges can be picked up for others attending the show. There will be a $50 fee for lost badges.

Hotel Reservations Please make your hotel reservations directly with the Rosen Shingle Creek by calling 866/996-6338. Mention the AOPA National Assembly to receive the group rate. The hotel rate at the Rosen Shingle Creek for AOPA Assembly attendees is $199 per night. RESERVE EARLY; THE HOTEL WILL LIKELY SELL OUT OVER THE DATES OF THE AOPA ASSEMBLY. Please be sure your reservation request reaches the Rosen Shingle Creek prior to August 20, 2010, when any remaining rooms will be released. There is NO GUARANTEE that rooms will be available at the Assembly rate. Rates quoted here are on a space-available basis only. Once the AOPA Assembly block of rooms is sold out, which may be earlier than August 20, 2010, there is no guarantee that rooms will be available or that they will be available at the AOPA Assembly rate. a Rosen Shingle Creek 9939 Universal Boulevard Orlando, FL 32819 Toll Free: 866/996-6338 Local: 407/996-9939

Registration Form AOPA 2010 NAtiONAl Assembly September 29-October 2, 2010 • Rosen Shingle Creek Resort, Orlando, FL Visit www.AOPAnet.org for complete registration details and instructions.

bAdge iNfOrmAtiON Please type or print legibly and use one registration form per registrant. Provide information as you would like it to appear on your badge. Registrant’s Name: Nickname:_______________________ First Name: _____________________________________Last Name:______________________________________Credential(s): __________________ Company:______________________________________________________________ Job Title: ______________________________________________________________________________ Address:_________________________________________________________________________City:_________________________________State:________ZIP Code: ___________________ (Must provide e-mail to receive registration confirmation)

Telephone:________________________________ Fax:__________________________________ E-mail: ________________________________________________________________________

c c c c –– c c c c

Very imPOrtANt – For Continuing Education Credit Tracking.

ABC CErT TyPE

cccccc

ABC ID NumBEr

BOC CErT NumBEr

registrAtiON CAtegOries ANd fees See registration instructions for category descriptions. registrAtiON CAtegOries

early bird registration on or before Aug. 20 Member Non-Member

Full Conference Registration

$565

Exhibitor Full Conference Registration

Associate Full Conference Registration

FmP

$935

$345

FEmP

$345

FAP

registration after Aug. 20 Member

Non-Member

FNP

$665

$995

$495

FENP

$445

FEm

$595

FEN

$345

FAP

$445

$295 per day Om_P

$500 per day ON_P

$395 per day Om_

$600 per day ON_

$100 per day Em_P

$150 per day EN_P

$125 per day Em_

$175 per day EN_

$ 50 per day EmSP

$ 75 per day ENSP

$ 75 per day EmS

$100 per day ENS

$100

One Day Conference Registration c Wed 9/29

c Thur 9/30

c Fri 10/1

c Sat 10/2

Exhibit Only One-Day Registration Includes access to Exhibit Hall only.

c Thur 9/30

c Fri 10/1

c Sat 10/2

Full Conference Children Ages 11-17

Group discounts are available for four or more Full Conference registrants. Call 571/431-0876 for more information. PArtiCiPANt iNfOrmAtiON How often do you attend this meeting? c Every year 11 c Every other year

c When close by c First time 14

What are the primary reasons you attend The Assembly? Please check all that apply:

c c c c c c c c c

CE Credits 21 Exhibit Hall 26 Networking 22 Education 27 Location 23 Speakers 28 Industry Trends 24 New Products 29 Professional Development

How many years have you been in your profession? c 0-5 31

c 6-10 32

c 11-20 33

c 21+ 34

Special Accommodations Required: c yes c No Job Function Please check all that apply: c c c c c c c c c c c c c c

Orthotist 41 Prosthetist 42 Pedorthist 43 Technician 44 Fitter 45 Owner 46 General manager 47 Physical Therapist/Occ. Therapist 48 Student 49 resident 50 research & Development 51 Sales/marketing 52 Billing 53 Accounting 54

meetiNg lOCAtiON ANd HOtel reserVAtiONs The 2010 National Assembly will be held at the rosen Shingle Creek resort, 9939 universal Boulevard, Orlando, FL 32819. Attendees are responsible for making their own hotel reservations. AOPA has reserved a block of rooms for Assembly attendees at the rosen Shingle Creek resort. Hotel rates are $199 per night. Call the hotel directly at 866/996-6338. Please note that this block of rooms is being held exclusively for Assembly attendees, those booking rooms are required to register for the Assembly by August 20 or they will not be eligible for the group rate and may be subject to cancellation. The hotel will likely sell out over the dates of the Assembly. Please be sure your reservation request reaches the hotel prior to August 20, 2010, when any remaining rooms will be released. There is NO GuArANTEE that rooms will be available at the Assembly rate. rates quoted here are on a space-available basis only. Once the AOPA Assembly block of rooms is sold out, which may be earlier than August 20, 2010, there is no guarantee that rooms will be available nor that they will be available at the AOPA Assembly rate.

mANufACturers’ WOrksHOPs Do you plan to attend a manufacturers’ Workshop? Please indicate below the workshop(s) you plan to attend: (advance registration is not required) Wednesday 8:00 Am – Noon Workshop # ________________________ Wednesday 1:00 Pm – 5:00 Pm Workshop # ________________________ Saturday 1:00 Pm – 5:00 Pm Workshop # ________________________ sPeCiAl eVeNts Thranhardt Golf Classic – Individual Thranhardt Golf Classic – Foursome Welcome to Orlando reception* Guest Ticket Fun run/Walk Thursday (Max. 3) Fun run/Walk Friday (Max. 3) O&P PAC Wine Tasting & Auction Guest Tour/Adult – Kennedy Space Center Guest Tour/Child – Kennedy Space Center universal Orlando CityWalk Bus Ticket (Max. 3)

PRiCe

$195 $750 $45 N/C N/C $125 $79 $59 N/C

QTY.

TOTAL

X____=___________ X____=___________ X____=___________ X____=___________ X____=___________ X____=___________ X____=___________ X____=___________ X____=___________

*One ticket comp. Bring a guest for $45.

PAymeNt

Special Events Total $____________________

Registration Total $____________________

TOTAl AMOuNT DuE $____________________

Fax only if paying by credit card. Checks should be made payable to AOPA 2010. c Check c Visa c masterCard c Amex c Discover Card #_________________________________________________ Exp. Date ____________ Print Name __________________________________________________________________ Signature ____________________________________________________________________

Mail or fax completed form to: AOPA c/o ExpoTrac, P.O. Box 1280, Woonsocket, RI, 02895 Fax 401/765-6677. Customer Service: AOPA@expotrac.com, 401/766-4142.

Registration forms must be received by Aug. 20, 2010 to qualify for early-bird discounts and Assembly hotel rates. Please visit www.AOPAnet.org for cancellation information.

JULY 2010 O&P ALMANAC

Diabetic Shoe Package Medicare Approved Medicare Code: A5500+A5512

1 pair of diabetic shoes +3 pairs of diabetic inserts

$52.50/set

Features:

Three widths Available Added depth Extended lateral counter provide support & stability Standard American Last(FIA), easy to fit

Apis Footwear Company 888-937-2747

Affordable - Professional - Innovative - Satisfaction

Bunion

Edema

Charcot

Accommodative Expandable Foam Collar Now available off-the-shelf Reflex the leather counter to reduce archilles pressure Medial & Lateral Flex Area Accommodate Huge Ankle

Charcot

502-C

NEW

728-E: for Men 628-E : for Women

Bunion Foot Edema Foot

Size Run: 5-13 for ladies, Full & half sizes 5-17 for men, Full & half sizes Widths: Ladies': B, D, 3E, 5E, 7E, 10E, 14E Men's: D, 2E, 4E, 6E, 9E, 10E, 14E 502-X

2239 Tyler Ave. South El Monte, CA 91733 Tel: 1-888-937-2747 Fax: 1-888-990-2245

Footwear Co.

AOPA Headlines AOPA WORKING FOR YOU

Introducing the Sam E. Hamontree, CP, Business Education Award AOPA is pleased to announce the establishment of a new industry honor, the Sam E. Hamontree, CP, Sam E. Hamontree Business Education Award, which will recognize the best business education paper submitted for presentation at the AOPA National Assembly each year. The purpose of this education award is to promote the highest quality business education to the orthotics, prosthetics and pedorthics profession, and to highlight business expertise during the AOPA National Assembly. Funding for the award is in honor of Sam Hamontree, CP, and his many contributions to the field of O&P and is made possible by Hamontree family—Marlene Hamontree, Lynne and Steve Hamontree, CPO, and Joelle and Michael Hamontree. The award is envisioned as a counterpart to the annual Thranhardt Award, which is given for the best clinical paper. Topics eligible for consideration for the Hamontree Award include, but are not limited to, finance and administration, general management, human resources, marketing, and technology solutions. To compete for the prestigious 2010 Sam E. Hamontree, CP, Business Education Award, contact Tina Moran at tmoran@AOPAnet.org or 571/4310808, or apply online at https://aopa. wufoo.com/forms/sam-e-hamontree-cpbusiness-education-award/.

O&P ALMANAC JULY 2010

O&P Recession Experience Encouraging The 2010 Operating Performance Report reveals that the industry avoided serious pain after one of the worst economic crises in U.S. history

he annual AOPA Operating Performance Report (OPR) is one of the finest tools available to anyone charged with managing an O&P patient-care center. While par is the benchmark for golfers, knowing what’s par in the operation of an O&P patient-care facility is critical in determining how your practice stacks up to the competition and helps determine which areas require attention and which areas are functioning effectively.

“Bigger is better” is not always true, according to the initial survey report. AOPA’s OPR consultant, Industry Insights, is in the final stages of compiling results for this year’s OPR. Preliminary findings indicate that the companies responding to this year’s survey avoided serious financial damage in 2009. In fact, more than 60 percent report revenue increases—with the median increase at 4.9 percent— about the same as the Medicare fee update number in 2009. Net income topped the 8.4 percent of 2008 with the median for all respondents at 10.3 percent. The upper quartile registered an 18.5 percent median increase.

“Bigger is better” is not always true, according to the initial survey report. The up-to-$1-million-revenue facilities reported median net profit as 13.3 percent of sales compared with those generating more than $5 million in revenue at 8.8 percent of sales. Similarly, the trend continued geographically; small-city or rural companies reported a 13.5 percent median net profit, and major metropolitan companies reported a median of 10.4 percent net profit. Moderate size cities were at 8.9 percent. The return on net worth—or the net profit before taxes expressed as a percent of net worth—is a good indicator of overall profitability and performance. Overall respondents’ median return on net worth was 29.4 percent. But again, the largest O&P facilities knocked the ball out of the park with a 43.5 percent return on net worth. The up-to-$1-million companies had a 30 percent return; $1 to $2 million, 19.6 percent; $2 to $5 million, 24.1 percent, and companies with more than $5 million in revenues earned a 44.6 percent return. While only 10 percent of the total custom-fabricated work (defined as any item custom-made for a patient) was outsourced to a central fabrication facility, 81.2 percent report using outside central fabrication. That compares with 84.2 percent in 2008 and 81.1 percent in 2006. There’s still reluctance to outsource billing procedures with only 6.6 percent indicating they outsource billing.

IDENTIFY | INNOVATE | INDIVIDUALIZE CPIdeal is our pursuit of the ideal form, fit and function for each individual. We begin by identifying the critical needs of our customers, then create innovative designs to provide

The Venture® – features our patented three

an ideal performance. Finally, each foot is custom built and

plane, multiaxial design and full-length toe lever

shipped the same day to provide individualized solutions

to deliver exceptional performance. Utilizing our

from thousands of possibilities.

innovative Stride Control™ enables effortless fine-tuning for the ideal function.

You can trust College Park to create your patient’s CPIdeal.

individualized solutions. thousands of possibilities.

800.728.7950

www.college-park.com

AOPA Headlines AOPA WORKING FOR YOU

Source of payment remains pretty steady, with Medicare providing 31 percent, compared with 32 percent in 2008; contracted private insurance, 30 percent, (28 percent in 2008); Medicaid, 13 percent, (12 percent in 2008); hospitals/nursing homes, 5 percent; non-contracted private insurance, 5 percent; VA, 4 percent; workers compensation, 5 percent; self-pay, 4 percent; vocational rehabilitation, 1 percent; and “other,” 2 percent each. Labor costs were 37.9 percent of net sales with fringe benefits adding another 3.7 percent. Profit leaders, those in the upper 25 percent range of performance, registered 32.2 percent with fringes adding another 2.6 percent. The revenue per nonowner practitioner keeps rising from a low of $415,000 in 2003 to $446,657 in 2009. Revenue per employee also rose from $136,000 in 2003 to $166,010 in 2009. The median revenue for all respondents was $1.6 million with 28 percent under $1 million; 28.8 percent in the $1 to $2 million range; 28.8 percent in the $2 to $5 million range,

and 14.4 percent reporting more than $5 million in revenue. These highlights from the 2010 AOPA Operating and Performance Report underscore the importance of measuring and comparing your own performance with companies of similar size and location.

These highlights underscore the importance of measuring and comparing your own performance. All survey participants receive a confidential Company Performance Report (CPR) that details and compares their performance norms to that of all respondents, companies of similar size, and in communities of like size. The CPR also contains a computer-

generated qualitative assessment of the company’s situation, which can be an invaluable tool for management decisions. Participating members also receive the full 2010 AOPA Operating Performance Report (with more in-depth detail on all of the items reported here) as well as 12 months of free access to the Business Optimization Analysis Tool (BOAT). BOAT is one of the most advanced business support tools available for the O&P industry. This program was specifically tailored by industry members to help O&P business owners better identify and understand their businesses. By using this tool, participants in the survey can examine the financial fitness of their business and better identify and understand their competition, market conditions, referral sources, and internal effectiveness. If you did not participate in the survey, you can obtain a copy through the online AOPA Bookstore (member price $185/nonmember price $325) at www.AOPAnet.org.

Don’t Miss the O&P Wine Tasting and Auction Don’t miss the thirdannual AOPA Wine Tasting and Auction on September 30 during AOPA’s National Assembly in Orlando, Florida. Spend a fun-filled evening learning about and tasting different wines. Board member Anita Liberman-Lampear and her husband, Alan Lampear, wine aficionados extraordinaire, will be on hand to lead you through the tasting and will serve as auctioneers for the live wine auction. (There will be a silent auction as well.) The wine auction has become a very important fundraiser for Capitol Connection and our government relations activities. The first wine auction, held

O&P ALMANAC JULY 2010

in 2008, raised more than $11,000. The 2009 auction raised more than $20,000, and for 2010, our goal is $25,000 or more. We hope you’ll join us and bid up a storm—you’ll have a great time doing so. But whether you attend or not, you can still support this important event. We are seeking donations of wine to auction off. If you don’t feel confident in selecting a wine yourself, you also can make a cash donation, and Anita and Alan will do the shopping for you. Registration is required, and may be done when you register for the Assembly. (If you’ve already registered for the Assembly and wish to attend the wine auction, please contact Devon Bernard at dbernard@AOPAnet.org or 571/431-0854.)

Make a donation–– We’ll do the shopping for you.

Extreme Cushion

Liner & Sleeve

Providing more of what you want and need! Extreme Advantage-Indicated for Transfemoral OR ACTIVE Transtibial amputees; Reduce on-hand inventory cost and space requirements through application on either TT or TF amputees.

Extreme Contact-- 80% Less Vertical Stretch As compared to other Alps gel liners, resulting in demonstratively increased contact while stabilizing movement of redundant tissue.

Extreme Suspension-New GripGEL™ is more tactile than EZGel to gently but ﬁrmly support the residual limb and sensitive tissues.

Extreme Versatility-Alps New Extreme Cushion Liner has limited vertical stretch to reduce movement of redundant tissue. Use appropriate for TT or TF applications.

Cushion liner available in 3 mm or 6mm Uniform proﬁle to ﬁt circumferences ranging from 1653 cm. Sleeve available in 3mm or 6mm in sizes 20 - 70 cm. Alps New Extreme Sleeve seals against the skin without restricting circulation or causing shear forces. ALPS GripGel helps prevent the sleeve from rolling down the patient’s limb.

800.574.5426 www.easyliner.com info@easyliner.com

Experience Our Commitment

AOPA Headlines

July 14 Audio Conference: Medicare Appeals Strategies Frustrated by Medicare denials? Join AOPA’s experts on July 14, 2010, to learn strategies for successful appeals. Topics to be discussed include: • key words and phrases that will help your appeal success rate • the advantage of combining appeals • the different levels of Medicare appeals and what to expect at each one • how to present your case to an Administrative Law Judge • making a business decision not to pursue further appeals on a claim. The AOPAVersity “Medicare Appeals Strategies” audio conference is a can’t-miss opportunity to learn how to operate your business more effectively. The fee for this course is just $99 per line for members ($199 for nonmembers). Any number of participants may listen on a given line. Set up a speaker phone and educate your whole office on this important topic. Those seeking CE credit should take and return the provided quiz within 30 days, and must score at least 80 percent. You may register at www.AOPAnet.org. Contact Ann Davis at adavis@AOPAnet.org or 571/431-0876 with questions.

Final Coding and Billing Seminar to Be Held October 14-15 The final “Mastering Medicare: Advanced Coding & Billing Techniques” seminar of 2010 will be held at the Mandalay Bay Hotel and Casino in Las Vegas. If you haven’t yet taken advantage of this opportunity to discuss your toughest coding challenges with AOPA’s experts and your colleagues, there’s no time like the present. You will learn about Medicare policy, administrative documentation, and compliance. Plus, the afternoon of the first day is dedicated to separate breakout sessions for practitioners and administrators, where each group can discuss its coding and billing challenges. Seminar attendees stay at the Mandalay Bay for just $179/ night (single/double occupancy). For more information and to register, visit www.AOPAnet.org.

On the Ground in Haiti: A Report from Al Ingersoll Al Ingersoll, CP, of Healing Hands for Haiti, has been on the ground in the earthquake-ravaged country for months. He recently reported in an e-mail to AOPA board member Russ Hornfisher that “living conditions continue to be tough for most Haitians, definitely more tents and more rain…getting to work assessing how to rebuild Healing Hands for Haiti’s P&O workshop and therapy center… For now, I am trying to get updated on the country’s P&O situation, so not quite sure what to ask for yet. Don’t worry, I will ask!” Thank you to all who have submitted information and offers of assistance via AOPA’s Web site. Once we know what is needed, we will be contacting you. As Ingersoll says, it will take a while for things to get organized and for those working with the Haitians to know what is needed. Rest assured, we will be in touch. a

O&P ALMANAC JULY 2010

Patent Pending

• 1.800.251.6398

design

> > > > > >

Innovative Micro-slice pylon Multi-axis heel/toe for terrain conformance Energy optimized pylon/heel plate design Designed for patients up to 330lbs. Only 16.2 oz. (459g)/Build height 6.75”(17cm) Durable; passed new ISO-22675 standard

• +46 8 505 332 00

• 1.800.827.0070 AD291/03-10/04-01-10

Ready When you aRe...

Anterior opening (bAck)

SAlo lSo bivAlve

SAlo lSo Anterior opening

If only I could have: - tech support round-the-clock. - quality products at a fair price. - the brace when my patient needs it. - my orders taken anytime. R e a d y W h e n Yo u A r e . . .

- a brace the way I want it.

SAlo lSo bivAlve (bAck)

24 • 7 • 365

tlSo (bAck)

tlSo

Dlk

tlSo w/ PPX

Only OPTEC fits that mold!!! For nearly 15 years, OPTEC has been a leader in custom spinal orthotic manufacturing.

P h : 888-982-8181 • Fx: 877-288-4197 • sales@optecusa.com 9 7 5 P r o gress Circle • Lawrenceville, GA 30043 • www.optecusa.c o m

Marketplace

CUT-4-CUSTOM: CUSTOM TLSO IN LESS THAN AN HOUR

ARIZONA AFO “THINK PINK” 2010 CAMPAIGN

Allard USA incorporates their versatile 3D-Lite low-temperature thermoplastic into a line of precut TLSO’s and LSO’s, called Cut-4-Custom (C4C). Front and back sections have straps pre-attached. Both sections are ready to be heated and custom molded to patient. Four heights to accommodate prescription and patient anatomy. 3D-Lite becomes soft and is ready to mold to patient contours in less than 10 minutes. This innovative material may be reheated, flattened, and remolded. It is aerated for breathability, lightweight, nontoxic and may be worn in the shower. For more information, call 888/6786548, e-mail info@allardusa.com, or visit www.allardusa.com.

For the third consecutive year Arizona AFO, Inc is proud to partner with Susan G. Komen for the Cure for breast cancer awareness. With every AFO that is ordered in our pink leather, Arizona AFO, Inc will donate $50 to Susan G. Komen for the Cure. Over the past two years, more than $29,000.00 has been donated through this special program! Give your patients the option to “Think Pink” and show their support for this worthy cause. Thank you for your continued support! For additional information, visit www.ArizonaAfo.com.

APIS FOOTWEAR COMPANY

The Venture® combines College Park’s trademark multi-axial design with a higher frequency dynamic response for more active users. The highly functional, custom Gait Matched design includes CPI’s exclusive Stride Control™ feature, providing quick and easy gait adjustment without disassembly. In addition, increasing the toe lever to match the length of the anatomical foot allows for natural energy distribution. Key features include: • True multi-axial function with transverse rotation • Extended toe lever facilitates immediate power and increased response with each stride • Adjustable Stride Control™ helps fine-tune gait

Apis is devoted to offering our customers high quality, genuine leather Diabetic/ Therapeutic footwear off the shelf or custom-made, comfortable accommodative orthotics custom made for your patient using top-quality materials. Value-added services include guaranteed fit for custom-made shoes, shoe modification services, free foam boxes, free samples and no-hassle return policy, large inventory, and quick turnaround. Together with your support and our continuous efforts, Apis Footwear Company is striving to become the one-stop shop for all your therapeutic footwear needs. Please call our friendly customer service at 888/937-2747 or visit www. bignwideshoes.com.

O&P ALMANAC JULY 2010

• Scaled design allows for more natural proportions • Weight limit up to 275 lbs (125 kg) • Three-year warranty • Same-day, custom built to order. For more information, call 800/7287950 or visit www.college-park.com.

NEW HYPEREXTENSION BRACES FROM EURO INTERNATIONAL

THE VENTURE® FOOT FROM COLLEGE PARK

Euro International has released five new hyperextension braces produced by Streifeneder ortho.production, Germany. The high-quality braces are all constructed from lightweight aluminum and feature foam pads with hook and loop fastening. The side closure system is easy to use and can be opened or closed with one hand. All exposed screws on the braces are smooth and flush to prevent them from catching the shirt. For more information, please contact your account manager at 800/378-2480 and visit us on the web at www.eurointl.com.

THE ENTEGRA SV Hosmer is proud to introduce a smaller version of the Entegra Knee, the Entegra SV. The Entegra SV has hydraulic swing phase control and is constructed with durable, lightweight aluminum alloy. Its compact design is perfect for smaller patients and cases where clearance and weight are a concern. • Aluminum Alloy Frame • 7 inches (18cm) tall • 135° Range of Motion • Integrated Kneeling Pad • Rugged Thru-Bolt Design • Maintenance-free Oilite® Sleeve Bearings • Four Proximal Attachments • Integrated Distal Pyramid • ISO tested and rated for 220 lb (100kg). For more information, contact Hosmer at 800/827-0070 or visit us at www.hosmer.com.

FINALLY! O&P BOARD STUDY FINALLY!! O&P Board Study Resources RESOURCES We can help you PASS your BOARDS

The ONLY Comprehensive Study Guides

We Specifically for Orthotics and Prosthetics can help you pass your boards. (Many of our products are available in DVD Format also!) The only comprehensive study JUST ADDED: guides specifically for orthotics and The MASTECTOMY FITTER’s Review and Study Guide prosthetics. Many of our products are We also have Board Study Value Packages available in DVD format also! Just in Orthotics and Prosthetics added: the Mastectomy Fitter’s Review Our BEST SELLING products to save you money! and Study Guide. We also have board www.oandpstudyguide.com study value packages in orthotics and prosthetics. Our bestselling products save you money! For more information, visit www. oandpstudyguide.com.

OPTEC––READY WHEN YOU ARE ... OPTEC’s slogan is “Ready When You Are” because OPTEC is available 24 hours a day all year round, including weekends and holidays, to fabricate your custom or stock spinal and lower limb orders. We also offer same-day fabrication and delivery Monday through Sunday. Further, OPTEC provides the high‑quality products and services you need from your central fabricator. With OPTEC you can count on us seven days a week, 24 hours a day, 365 days a year. OPTEC—Ready When You Are! For more information, contact OPTEC at 888/982-8181 or e-mail sales@optecusa.com.

DYCOR

TAKING THE NEXT STEP...

KISS TRAINERS––DYNAMIC FLEXIBLE KEEL STUBBIE FEET

Introducing Dycor's Single and Double Ended Advanced Composite DRP Pylon System

KISS Trainers combine phenomenal balance and ease-of-use. Patients feel stable while confidence training using these flexible keel “stubbie” feet. Constructed of highly durable, flexible material that dynamically stores energy, these feet are professional quality and ready to use. Bilateral above-knee amputees especially save time and energy while training; and all patients can use KISS Trainers for in-home ambulation. KISS Trainers: Part #: CMP27/A. For more information, call 410/663KISS (5477) or visit www.kiss-suspension. com.

Dycor's dynamic response pylon systems are available in 5 different wall dimensions to match strength and flexibility with weight and "K" level when used with Dycor's ADL AFP flexible keel, DR dynamic response and K SERIES feet. The single ended variant is used only with Dycor's AFP flexible keel feet and is available with integrated uni- and multi-axial ankles aligned in neutral. Custom single ended pylon systems are available to accommodate angular adjustments at the ankle during dynamic alignment with a loaner AFP foot. Simply call Dycor's Technical Assistance Dept. toll free number at 1-800-794-6099 with your specifications, and Dycor will provide the appropriate pylon system with pre-aligned foot and ankle components. Allow 4 working days for processing. Wt. limit is 286 lbs. and total installation weight of the single ended, single axis pylon system including foot and socket adaptor is 1.5 lbs. Custom single ended pylon systems are available at no extra charge with free ground shipping. For more information please contact our Technical Support Dept. or visit our website at www.dycormfg.com

. JULY 2010 O&P ALMANAC

Marketplace

NEW TRANSFEMORAL LINER BY OHIO WILLOW WOOD The Alpha® AK Locking Liner with symmetrical gel style features hybrid gel which has a higher durometer that combines durability with comfort. The liner features 9 mm distal gel thickness and 2.5 mm anterior/posterior gel thickness. The symmetrical design of the gel allows the liner to be rotated for extended wear. The liner utilizes one-way stretch fabric for controlled pistoning without a rigid distal matrix and provides tissue compression without uncomfortable pressure on the limb. A flexible accordion umbrella blends with a patient’s anatomy for almost unnoticeable feeling. For more information, contact Ohio Willow Wood at 800/848-4930 or www. owwco.com.

STEALTH X––PDAC APPROVED L0637

Continuing in the tradition of excellence, OPTEC is pleased to introduce the Stealth X. The Stealth X, our newest and most revolutionary streamlined design, provides unmatched saggitalcoronal support. The closure system glides like butter and provides smooth compression which can be regulated by your patients. Our unique, durable, flexible, closure system with polymer straps provides additional reinforcement and support to the posterior

O&P ALMANAC JULY 2010

for complete rehabilitation. Stealth X combines the benefits of a post-op and rehab brace, all in one lightweight, innovative design. PDAC recently determined that L0637 is the appropriate HCPCS code for the Stealth X. Order yours today! For more information, contact OPTEC at 888/982-8181 or e-mail sales@optecusa.com.

THE STEALTH TLSO––15% OFF IN JULY OPTEC’s Stealth TLSO provides motion restriction for the thoracic and lumbar regions. The Stealth TLSO is available in 3 Panel and 4 Panel versions, which include a Dorsal Lumbar Kit (DLK) or a DLK with your choice of Anterior Thoracic Attachment (ATE). The Stealth TLSO allows you to restrict the thoracic vertebra with the ease of use and precise compression of our unique closure system. PDAC recently determined that L0462 and L0464 are the appropriate HCPCS codes for the Stealth TLSO with DLK and the Stealth TLSO with ATE, respectively. Order the Stealth TLSO now through July 31, 2010, to receive 15 percent OFF the regular price. For more information, contact OPTEC at 888/982-8181 or e-mail sales@optecusa.com.

OPTEC PRODUCTS WITH PDAC APPROVED CODES

OPTEC consistently offers cutting‑edge products of the highest quality. Beyond offering innovative orthoses at a fair price, OPTEC works to help your practice be successful by submitting braces to the Pricing, Data Analysis, and Coding (PDAC) Center. PDAC recently reviewed many OPTEC products with the following decisions: VertaMax - L0627, Stealth PRO - L0631, Stealth Rehab - L0627, Stealth X L0637, Stealth LSO LP - L0637, Stealth CB - L0637, Stealth Xtreme - L0637, Stealth TLSO with DLK - L0462, Stealth TLSO with ATE - L0464. Additionally, the Stealth LSO, Oasis LSO and Oasis LSO LP continue to be L0637. Find out more about these and other products online at www.optecusa.com or call us today!

ÖSSUR INTRODUCES THE NEW FLEX-FOOT® BALANCE™

*Please note: product shown without its accompanying foot cover.

For the optimum balance of light weight and stability, choose the new Flex-Foot Balance by Össur. Designed especially for household or low-impact users, the Balance is the lightest foot in its class. The Balance features an integrated multi-axial ankle, which flexes side-to-side for extra stability, and also comes with a removable, sandal toe foot cover. The Flex-Foot Balance is comfortable and smooth for unilateral users, and provides stability and confidence for bilateral users. For more information, call 800/2336263 or visit www.ossur.com.

Marketplace

THE ONLY LINERS WITH SKINGUARD®. SKIN-FRIENDLY. ANTI-BACTERIAL. ODOR-NEUTRAL. SkinGuard® Technology silicone liners 6Y75 and 6Y85 from Otto Bock are made with an innovative antibacterial additive that protects against a wide range of microorganisms. The hightech material helps increase comfort and durability, improves hygiene, and reduces odor. Best of all, the benefits of SkinGuard are now available for your transtibial and transfemoral patients who use shuttle-lock systems—and at no extra cost! To learn more, contact your sales representative at 800/3284058 or visit www.ottobockus.com

SOME THINGS JUST ‘CLICK’ UNIQUE THREADLESS VALVES CLICK INTO PLACE

Give your patients a new, easier way to ensure a secure fit with their socket! Otto Bock’s PushValve and MagValve simply click into place. These breakthrough valves avoid cross threading that occurs with traditional valves. And the audible click alerts your patients when the seal is locked into place. You’ll like it, too—the two-part base is easy to fabricate. Give your patients something that just “clicks” by calling 800/328-4058 or going online to www.ottobockus.com.

O&P ALMANAC JULY 2010

TRANSCONNECTOR™ AVAILABLE FROM PEL SUPPLY

The new TRANSCONNECTOR™ from Anatomical Concepts is now available for immediate shipment from PEL Supply. According to the manufacturer, it offers a cost effective alternative to custom-made KAFO orthoses. It provides one interchangeable system by combining the versatility and simplicity of the KMO® with the versatility and functionality of the PRAFO®. This new innovation enables you to quickly connect and to disconnect any one of the numerous variations of the PRAFO orthosis to one of the variations of the KMO in a matter of seconds. Thus, it transforms them into a functional KAFO that can be used for an indefinite amount of time while you determine exactly what definitive orthotic care the patient will ultimately need. Offering a generous discount program, PEL Supply stocks more than 45,000 products, components, tools, and accessories, with most available for next-day delivery. For information on the full line of Anatomical Concepts’ products, contact any helpful PEL customer service specialist at 800/321-1264, by fax 800/222-6176, or e-mail customerservice@pelsupply.com. Order online at www.pelsupply.com.

NEW OPTIONS SPORTS BRACES AVAILABLE FROM PEL SUPPLY PEL Supply now offers the full line of New Options Sports products, including the new K64 Knee Mate™ Wrap-around Knee with LD hinges. The wrap-around hinged knee design offers stainless steel lightweight hyperextension lock hinges on both sides of the knee and provides excellent medial/lateral support. Its open back eliminates bunching behind the knee, and adjustable straps provide support, proper fit, and comfort. The K64 brace is recommended for ACL/PCL sprains, patella pain, and medial/lateral instability, as well as any joint instability related to sprains or strains associated with athletic or sporting activity. Also available in pediatric sizes (PK64––shown here in red), the braces have adjustable loop-and-lock straps with easy-open pull tabs and special cordura stress covers over center, proximal, and distal hinges for reinforcement. For more information on the K64, or any New Options Sports orthopedic braces and supports for adults or children, contact any helpful PEL customer service specialist at 800/3211264, by fax 800/222-6176, or e-mail customerservice@pelsupply.com.

PROVEL

consistently produces high quality thermoplastic sockets from industry standard preforms. For more information, call 509/8572009 or visit www.provel.us.

NEW BALANCE 927 IN STOCK AT SPS

Provel offers cost effective, fast, easy to use, and reliable O&P automation. The D2 digitizer, C5 carver, and T6 thermoformer are appropriate for small clinics as well as large central fab’s. AOP file compatible and backed by a two year warranty. The D2 digitizer allows automated shape capture of prosthetic casts with unmatched accuracy. The C5 carver is not only fast and precise, its self-contained dust collection system is extremely quiet. The T6 thermoformer

In stock and on our shelves, the New Balance 927 walking shoe is a perfect choice for those needing superior comfort and maximum stability. The 927 features the ROLLBAR® for enhanced motion control, a thermo-

plastic polyurethane posting system that minimizes rear foot movement. The C-Cap® molded EVA midsole offers cushioning and flexibility. Optimal shock absorption is provided by ABZORB® SBS in the heel. The removable ABZORB foam insole softens each step. The Walking Strike Path® rubber outsole guides the foot as the wearer walks. The full-grain leather upper feels smooth and supple while lacing easily. Velcro options are also available. 3M® reflective material aids in visibility during low-light hours for safety. Antimicrobial Lightning Dry® sock liner manages moisture to keep feet dry and healthy. Men’s 927 shoes are available in black lace and Velcro styling and white lace. Women’s 927 shoes are available in white lace and Velcro styling and black lace. Please call SPS Customer Service at 800/767-7776 extension 3. a

Expert Coding Advice 24/7 at www.LCodeSearch.com

> > >

The O&P coding expertise you’ve come to rely on is now available whenver you need it. Match products to L codes and manufacturers— anywhere you connect to the Internet. This exclusive service is available only for AOPA members. Not an AOPA member?

GET CONNECTED Contact Michael Chapman at 571/431-0843 or mchapman@AOPAnet.org.

Log onto LCodeSearch.com and get started today.

Manufacturers: Get your products in front of AOPA members! Contact Joe McTernan at 571/431-0811 or jmcternan@AOPAnet.org.

VISIT AOPA AT WWW.AOPANET.ORG JULY 2010 O&P ALMANAC

Jobs Pacific

INCREASE EXPOSURE AND SAVE!

Place your classified ad in the O&P Almanac and online on the O&P Job Board at jobs.AOPAnet.org and save 5 percent on your order. BONUS! Online listings highlighted in yellow in the O&P Almanac.

O&P Technician Honolulu Immediate opening for an O&P tech with a minimum of three years experience. Applicant must be self-motivated and complete projects on time. We are a privately owned, well-established O&P practice with more than 65 years in the business. Salary will be commensurate with experience. Fax or e-mail resume to:

Fax: 808/791-1025 E-mail: rae@crnewton.com

- Northeast - Mid-Atlantic - Southeast - North Central - Inter-Mountain - Pacific Use our map to find which region you fit into!

CLASSIFIED RATES Classified advertising rates are calculated by counting complete words. (Telephone and fax numbers, e-mail and Web addresses are counted as single words.) AOPA member companies receive the member rate. Member Non-member Words Rate Rate 50 or fewer words $140 $280 51-75 words $190 $380 76-120 words $260 $520 121 words or more $2.25 per word $5.00 per word Specials: 1/4 page, color 1/2 page, color

$482 $634

$678 $830

Advertisements and payments need to be received approximately one month prior to publication date in order to be printed in the magazine. Ads can be posted and updated at any point on the O&P Job Board online at jobs.AOPAnet.org. No orders or cancellations are taken by phone. Ads may be faxed to 571/431-0899 or e-mailed to srybicki@ AOPAnet.org., along with a VISA or MasterCard number, the name on the card and the expiration date. Typed advertisements and checks in U.S. currency made out to AOPA can be mailed to P.O. Box 34711, Alexandria, VA 22334-0711. Responses to O&P box numbers are forwarded free of charge. Company logos are placed free of charge. JOB BOARD RATES Visit the only online job board in the industry at jobs.AOPAnet.org!

Member Rate $80

Non-member Rate $140

Save 5 percent on O&P Almanac classified rates by placing your ad in both the O&P Almanac and on the O&P Job Board, online at jobs.AOPAnet.org.

O&P ALMANAC JULY 2010

CO, CPO California Leading orthotics & prosthetics company is looking for energetic and motivated individuals to provide comprehensive assessment, treatment, and follow-up for patients. Duties include assisting in day-to-day office activities such as but not limited to: • See in-office patients and perform comprehensive assessments to obtain an understanding of their orthotic/ prosthetic needs. • Formulate and implement treatment plans by performing a diagnosis-specific functional clinical examination that includes manual muscle testing, gait analysis, cognitive ability, range of motion, etc. • Perform the necessary procedures to deliver the appropriate orthotic/prosthetic services, including fabrication. • Abide by the Canons of Ethical Conduct instilled by ABC. • Physical requirements such as casting patients, assisting with lifting patients, walking/providing stability for patients, etc. • Excellent communication a must. SCOPe offers competitive salaries as well as an excellent benefits package for full-time employees. Salary is commensurate with experience. All communications will be held in the strictest confidence. Interested parties can send resumes via e-mail to:

Fax: 858/292-5496 E-mail: jobs@scop.net www.scop.net

CO/CPO

Northeast

CPO, CO, Board-Eligible Orthotist or Prosthetist, BOCO or BOCPO, C.Ped Maine • Are you looking for something more? • Do you want to be more than a number? • Do you want a great life and a great job? • We are a terrific practice looking for some nice people. Is this you? We are a well-established, patient-oriented, ABC-accredited facility seeking to strengthen our staff. Competitive salary offered, with bonuses commensurate with productivity, and renumeration for required educational credits. Offices located in picturesque Maine, just a short distance from our coast and mountain regions. Learn more about joining our team of dedicated specialists by contacting:

Vermont Yankee Medical is looking for a CO or CPO who wants to participate in Vermont’s way of life. Vermont is a small state with a small population and all the benefits of more populous areas such as theater, orchestra, and the rest of the arts, but without traffic jams and high crime rates. Also, if you are someone who wants access to skiing, hiking, hunting, snowmobiling, sailing, diving, and all of the other activities that make us a year-round destination, then Yankee Medical is the place you want to be. Contact:

John Ficociello, CPO Yankee Medical Phone: 800/649-4591 E-mail: jnf@yankeemedical.com

O&P Ad 25356 O&P Almanac 330 John Carlyle St., Ste. 200 Alexandria, VA 22314 Fax: 571/431-0899

Why do I work at Hanger?

Chad Simpson, BOCP, LP, Practice Manager

In a word, access. At Hanger, I have access to the very latest technologies and that keeps me on the leading edge in my clinical practice. I also have access to the depth of knowledge that comes with being part of a national network of skilled practitioners. In today’s uncertain economy, I have job security. I benefit from the strength of an established company, and at the same time, enjoy the freedom I find in my work as a local practice manager.

AVAILABLE POSITIONS Orthotist

Phoenix, AZ Rancho Mirage, CA Stockton, CA Denver, CO Jacksonville Area, FL Tampa, FL Chicago, IL Springﬁeld, IL Evansville, IN Michigan City, IN

Methuen, MA Jackson, MS Las Cruces, NM Toledo, OH Philadelphia Area, PA Richland, WA Milwaukee, WI Manitowoc, WI Morgantown, WV Wheeler, WV

Orthotist/Prosthetist

Frisco, CO Hollywood, FL Thomasville, GA

For more information visit www.hanger.com/careers Denver, CO Orange Park, FL Hattiesburg, MS

Jackson, MS El Paso, TX

Prosthetist

Meridian, MS Enid, OK Morgantown, WV

Prosthetist/Orthotist

Cameron Park, CA Merced, CA Denver, CO Grand Junction, CO Lonetree, CO Marietta, GA Louisville, KY Baltimore, MD

Contact, in confidence:

Sharon King, Director, Recruitment 5400 Laurel Springs Pkwy., Suite 901 Suwanee, GA 30024 Tel: 678-455-8865, Fax: 678-455-8885 sking@hanger.com www.hanger.com Hanger Orthopedic Group, Inc. is committed to providing equal employment to all qualified individuals. All conditions of employment are administered without discrimination due to race, color, religion, national origin, sex, age, disability, veteran status, citizenship, or any

Salem, MA Farmingdale, NJ Fort Worth, TX Bremerton, WA Olympia, WA Port Angeles, WA Lakewood, WA

Certiﬁed Pedorthist

other basis prohibited by federal, state or local law. Residency Program or Certificate Primary Education Program Info, contact: Robert S. Lin, CPO/Dir. of Academic Programs. Hanger P&O / Newington O&P Systems, Ph. 860.667.5304 • Fax 860.667.1719

Mesa, AZ Tacoma, WA

Vancouver, WA Wheeling, WV

JULY 2010 O&P ALMANAC

Jobs Inter Mountain

Northeast

CPOs, COs

Albany, New York Well-established, innovative patient-oriented facility celebrating our 90th year in private practice seeking an experienced orthotist. Supported by a skilled, talented technical and office staff, we offer the right person a competitive salary, health benefits, CEUs, matching IRA contributions, and more. Located in the Albany/Capital Region of upstate New York. Send your resume and call to discuss your opportunity to join us. All inquiries kept strictly confidential.

San Antonio Do you want to work for an established, growing company in an environment that values autonomy, clinical excellence, and work/life balance? Do you want to live in an area where hill country, brush country, historic homes, and exciting metropolitan living are all within minutes of each other? If so, MK Prosthetic and Orthotic Services in San Antonio, Texas, is the place for you. We are seeking experienced, self-motivated practitioners to join our dynamic private practice. Our ideal candidates will have at least three years of experience; pediatric experience is a major plus. Practitioners must be eligible for Texas licensure and be ABC certified. Come and build a rewarding, successful career with us. With multiple locations in San Antonio, we’re sure to have a facility that will suit your lifestyle. We offer a competitive salary, full benefits, and an excellent bonus structure. All inquiries will be kept in confidence.

Timothy Lacy, CP La Torre Orthopedic Laboratory 960 Troy-Schenectady Road Latham, NY 12110 518/786-8655 E-mail: latorrelab@aol.com

CPO Boston Immediate career opportunity in Boston as O&P practitioner. Individual would be expected to have knowledge of both lower and upper extremity prostheses, as well as orthotics. Professional demeanor & appearance, attentiveness to detail, pride in work, all a must. Benefits include health insurance, 401(k), paid vacation and holidays, disability. Forward qualifications to:

United Prosthetics 295 Columbia Rd. Boston, MA 02121 E-mail: chris@unitedprosthetics.com www.unitedprosthetics.com

North Central

CPO Chicago Excellent opportunity in Chicagoland area for an experienced ABC Certified CPO. Self-motivation, project load maintenance, and business minded a key to success in our quality, patient caring environment. Clinician needs to have patient care and fabrication experience and ability to travel within the surrounding area. Ability to market self and facility a plus. Salary and benefit package negotiable. Please forward resume to:

E-mail: oandpopportunity@gmail.com

O&P ALMANAC JULY 2010

Fax: 210/614-9333 E-mail: hr@mkprosthetics.com

CO or CPO Missoula, Montana Growing western states O&P business seeking a certified CO or CPO for an excellent opportunity in Missoula, Montana. Unlimited business opportunities available in an expanding local market. Competitive salary, benefits, and profit sharing as the business grows. Interested parties should e-mail inquiries/resume to:

Fax: 888/853-0002 E-mail: jwiley@pacmedical.com

Southeast

CO and/or CPO Jackson, Mississippi The crossroads of the South: A college town … always something to do! Parks, museums, cultural events, historic sites, sports and major downtown project improvements. If you want more than a job and are ready to make a move, we would love to discuss your goals. We offer a very competitive salary and benefit-package accompanied by relocation assistance and sign-on bonus potential … plus much more! If interested, please contact, in confidence:

Sharon King Hanger Prosthetics & Orthotics, Inc. Phone: 512/777-3814 Fax: 512/777-3772 E-mail: Sking@hanger.com www.hanger.com/careers

CPO Rome, Georgia Walker O&P is a privately owned practice in Rome, Georgia, one hour northwest of Atlanta. We have an immediate opening for a CPO in our expanding facility. We are seeking a hard-working and self-motivated practitioner with good clinical and interpersonal skills. A minimum of three years of clinical experience is preferred. We offer a competitive salary based on experience and benefits, including health insurance, vacation and personal time, and 401(k). Forward your resume, in confidence, to:

Walker Orthotics and Prosthetics 205 Redmond Rd. Rome, GA 30165 Phone: 706/232-4383 Fax: 706/232-4667 E-mail: lancwa@comcast.net

Prosthetic Technician Massachusetts Join our growing and independently owned and

operated company located on the beautiful coast of

Cape Cod and the Islands. Lower Limb, LLC. has an

immediate opening for a skilled and experienced

prosthetic technician with a minimum of three (3) years experience. We offer an excellent benefits

package which includes fully paid medical insurance and great 401(k) plan with company match.

Mail or fax resume to:

Certified Orthotist Immediate opening for hospital-based orthotic practice serving adult and pediatric inpatient and outpatients at Geisinger Medical Center in Danville, PA. Geisinger is a 485-bed, Level 1 tertiary/quaternary care center which includes the Janet Weis Children’s Hospital and new Hospital for Advanced Medicine.The Danville area offers excellent schools, affordable homes and a wealth of cultural and recreational activities; within afternoon drive of New York City and Philadelphia. Interested applicants must be certified by the American Board for Certification in Orthotics, Prosthetics and Pedorthics or the Board of Certification International and have at least two years of post-certification experience. Excellent benefit package; no travel required. Salary is competitive and commensurate with experience.

For a full description, go to www.geisinger.org/careers or send resume to: Mark Seibel, Geisinger Medical Center Orthotics Department, 100 North Academy Avenue, Danville, PA 17822 or email: mjseibel@geisinger.edu. Geisinger is an equal opportunity employer that values diversity. Bilingual applicants encouraged to apply. Geisinger conducts drug testing as part of its commitment to a drug-free workplace.

Karen Davis, Human Resources 191 Mid Tech Drive West Yarmouth, MA 02763 Fax: 508‐775‐2760 JULY 2010 O&P ALMANAC

Jobs Southeast

CPO (licensed or eligible) Atlanta More than just home of the Big Chicken, Marietta is close enough to enjoy the city of Atlanta but far enough away to give you the best of both cities! The area has it all: professional sports; Centennial Olympic Park; Atlanta Symphony Orchestra, Opera, Ballet; the Fox Theatre; the Tabernacle; the High Museum of Art; the world’s largest indoor aquarium; the World of Coca Cola, and much, much more! We have an opening for a well-rounded prosthetist/ orthotist who possesses great organizational and communication skills, along with excellent patient care experience. We offer a very attractive salary and benefit package, which includes relocation assistance and a sign-on bonus potential. Ready to make a change? Join the Hanger Team! If interested, please contact, in confidence:

Sharon King Director, Recruitment Hanger Prosthetics & Orthotics, Inc. Phone: 512/777-3814 Fax: 512/777-3772 E-mail: Sking@hanger.com www.hanger.com/careers

Manager Clinical & Technical Services Alpharetta, Georgia Immediate opening for CP or CPO with minimum six years clinical experience to serve as technical liaison with customers and suppliers. Ideal candidate will have been a technician for period of three to five years before furthering education as CP or CPO. Position provides education to SPS customers, customer service, sales team, purchasing and operations. Position serves as primary contact point for clinical questions regarding product use/ applications for all products SPS distributes. Responsibilities include development/presentation of educational programs on product technologies, materials, application, contra-indications, product evaluations, and sales/marketing support. Position works intimately with sales force to support customer needs for in-service, hands-on product demonstrations and patient fittings. Ideal candidate will be very well-organized multitasker who is enthusiastic and a highly motivated individual with a positive attitude. Must be strong team player. Hands-on fabrication experience in O&P field is highly desired. Position requires 65 to 70 percent travel and is located at SPS headquarters in Alpharetta, Georgia. Please send resume and references to:

Vickie Quinn Southern Prosthetic Supply P.O. Box 406 Alpharetta, GA 30009 Phone: 678/455-8880 x 183 Fax: 800/288-5607 E-mail: vquinn@spsco.com

OP Almanac Online &

Reading the O&P Almanac has never been easier! • • • •

Access advertiser Web sites by simply clicking on the hotlinks Access content with the click of a mouse or the touch of a smart phone Easily e-mail your favorite articles to colleagues Save articles as PDFs!

Go to www.AOPAnet.org, click on ‘O&P Almanac Online’ today! For more information, contact Steven Rybicki at 571/431-0835 or srybicki@AOPAnet.org. For advertising information, contact Dean Mather at 856/768-9360 or dmather@mrvica.com.

O&P ALMANAC JULY 2010

AVAILABLE

NOW!

Mid-Atlantic

Southeast

CPO

CO, CPO, BOCO, or BOCPO

Birmingham, Alabama We have an immediate opening for a certified orthotist/ prosthetist to join our well-established practice in Birmingham, Alabama. The ideal candidate must have or be eligible for Alabama State licensure. The ideal candidate should also possess at least three years of broad experience in orthotics/prosthetics. Fabrication skills are desired. We offer a competitive salary based on experience, and benefits including health insurance, vacation, personal time, and 401(k). Forward your resume, in confidence, to:

Pittsburgh (Area) Immediate opening for a hardworking, motivated practitioner with strong clinical skills in a well-established, accredited practice with multiple locations in the Southwestern Pennsylvania area. We offer a generous compensation package, paid continuing education, and recertification fees. We have well-equipped, modern facilities located in a region renowned for its rich history, recreational and cultural activities, great schools, and low cost of living. Submit resume in confidence to:

Eric S. Eisenberg, MS, CPO BioTech Limb & Brace, LLC 2421 4th Avenue South Birmingham, AL 35233 Phone: 205/324-7897 Fax: 205/324-7899 E-mail: eseisenberg@msn.com

Michael P. Serenari, CO Enduracare Orthotic & Prosthetic Services, LLC Fax: 724/941-8831 E-mail: michaelserenari@gmail.com

Increase Earnings 10% to 20% in 3 Months Proven Turnkey Billing Services Make Your Practice More Profitable “Get Started Today, We Make it Easy ” “All Payment Checks Come Directly to You”

Call (866) 925-0674 for your “Billing Consultation” today Our customers have seen these results, You can too!

Stop chasing claims collect 10 % to 30 % more today

• 10% to 30% Increase in collections • 50% increase in office productivity • 90% less hours managing claims •100% of your billing needs handled • 30 + years guidance in O & P Industry

“30 years of O & P experience and 10 years as a billing agency has taught me how to get results and save you hours and hours of unnecessary management. Call me directly, toll free (866) 925-0674, so I can show you how easy it is to have us do your billing today.”. ...John Dolza, President CPO Services We make it easy for you to transition your billing to us with complete Satisfaction.

Complete Professional Office Services p. (810) 629-6424 - f. (810) 629-6463

www.oandpoffice.com

JULY 2010 O&P ALMANAC

Calendar

2010 JULY 8-10: Florida Association of O&P. Bonita Springs, FL. Hyatt Regency Coconut Point. For information visit www.faop.org. ■■

■■

PROMOTE EVENTS IN THE O&P ALMANAC

CALENDAR RATES Telephone and fax numbers, e-mail addresses and Web sites are counted as single words. Refer to www.AOPAnet.org for content deadlines. Words

Member Non-member Rate Rate

25 or less 26-50 51+

$40 $50 $2.25 per word

$50 $60 $3.00 per word

Color Ad Special: 1/4 page Ad $482 1/2 page Ad $634

$678 $830

BONUS! Listings will be placed free of charge on the Attend O&P Events section of www.AOPAnet.org. Send announcement and payment to: O&P Almanac, Calendar, P.O. Box 34711, Alexandria, VA 22334-0711, fax 571/431-0899, or e-mail srybicki@AOPAnet.org along with VISA or MasterCard number, the name on the card, and expiration date. Make checks payable in U.S. currency to AOPA. For information on continuing education credits, contact the sponsor. Questions? E-mail srybicki@AOPAnet.org.

JULY 13: Ultraflex: Adult UltraSafeStep™ Continuing Education Course via WebEx, Noon – 1:00 pm ET. Focuses on normalizing adult pathological gait with the utilization of Adjustable Dynamic Response™ (AD™) knee and ankle technology. Register by calling 800/220-6670 or at www.ultraflexsystems.com, ■■

JULY 13: Ohio Willow Wood: Discover LimbLogic® VS via WebEx, 1:30 pm ET. Critical components and operation discussed. Covers interpreting feedback from fob and basic fabrication processes for system. Credits: 2.5 ABC/ 2.0 BOC. To register online, visit www.owwco.com/webinar.php. ■■

JULY 13-14: Allard USA: T.O.T.E. (Tomorrow’s Orthotic Technology Education). Austin, TX. Hyatt Regency Austin. Three courses: New Perspectives in the Comprehensive Management in Gait Disorders; Tri-planar Biomechanics in Pediatric Function; Custom Fabrication TLSO/LSO & KAFO and New Approaches for Partial Foot Prostheses. Approved for 18.25 CEU’s. Contact 888/678-6548; e-mail: info@allardusa.com. ■■

JULY 14: AOPA Audio Conference: “Medicare Appeals Strategies.” To register, contact Ann Davis at 571/4310876 or adavis@aopanet.org. ■■

AOPA-sponsored activities appear in red.

O&P ALMANAC JULY 2010

JULY 15: Ohio Willow Wood: LimbLogic® VS for Technicians via WebEx, 1:30 pm ET. Learn essentials of elevated vacuum socket fabrication using available socket adaptors with LimbLogic VS. Learn how to deal with airtight issues, unit operation, and diagnostics that will keep the system optimal for patient use. Credits: 2.5 ABC/2.0 BOC. www.owwco.com/webinar.php ■■

JULY 15-17: Alabama Prosthetists and Orthotists Association State Meeting. Birmingham, AL. Birmingham Hilton. Contact Fred Crawford at 205/2801666 or crawfordfc@huges.net or visit www.alabamapoa.org. ■■

JULY 20: Ultraflex: Pediatric Spasticity Continuing Education Course, via WebEx, Noon – 1:00 pm ET. Covers clinical assessment of the pediatric neuromuscular patient with spasticity and using R1 & R2 for determining orthotic design for maintaining and improving muscle length. Register by calling 800/220-6670 or at www.ultraflexsystems.com.

AUGUST 3-4: Allard USA: T.O.T.E. (Tomorrow’s Orthotic Technology Education). Birmingham, AL. Sheraton Birmingham Hotel. Three courses: New Perspectives in the Comprehensive Management in Gait Disorders; Tri-planar Biomechanics in Pediatric Function; Custom Fabrication TLSO/LSO & KAFO and New Approaches for Partial Foot Prostheses. Approved for 18.25 CEU’s. Contact 888/678-6548; e-mail: info@allardusa.com. ■■

AUGUST 4-5: Canadian Association of Prosthetists and Orthotists Meeting. Quebec City. Hilton Quebec. Contact Kathy Kostycz at 204/949-4970 or capo@mts.net. ■■

■■

JULY 27: Ultraflex: Complex Orthopedic Rehabilitation Continuing Education Course via WebEx, Noon – 1:00 pm ET. Focuses on Ultraflex combination dynamic and static stretching orthosis for addressing complex orthopedic rehabilitation goals and restoring range and function. Register by calling 800/220-6670 or at www.ultraflexsystems.com. ■■

AUGUST 5-6: 2 Day RCR Transtibial Socket Workshop. Boise, ID. Extensive workshop on the casting, modifying, and fitting of the RCR Transtibial Socket with multiple suspension options. 10.25 credits. Schedule is designed to maximize instruction and hands-on activity while minimizing travel time. Contact Coyote Design at 800/819-5980 or visit www.coyotedesign.com ■■

AUGUST 6-7: Texas Chapter of the American Academy of Orthotist and Prosthetist (TCAAOP). Annual meeting and Scientific Symposium. Austin, TX. Sheraton Austin Hotel. Contact Jonathon Cassens, CPO. 979/255-5165 or ctoplp@aol.com. ■■

AUGUST 11: AOPA Audio Conference: “Medicare’s Knocking: How Good Is Your Compliance Plan?” To register contact Ann Davis at 571/431-0876 or adavis@aopanet.org. ■■

AUGUST 12: Ohio Willow Wood: LimbLogic VS® Applications Practitioner Course. Mt. Sterling, OH. Course covers various clinical aspects of LimbLogic VS applications: static & dynamic socket fitting, vacuum pump configurations, fob operation, system evaluation, liner options, alignment, and troubleshooting. Credits: 7.25 ABC/7.0 BOC. Registration deadline: July 22. Contact: 877/665-5443. ■■

AUGUST 13-14: Ohio Willow Wood: LimbLogic® VS Applications Technicians Course. Mt. Sterling, OH. Learn all aspects of fabricating LimbLogic VS for various applications: socket materials, controller configurations and care, fob operation, troubleshooting. Fabricate sockets following recommended techniques for airtight socket designs. Credits: 12.25 ABC/12.0 BOC. Registration deadline: July 22. Contact: 877/665-5443. ■■

AUGUST 20-21: Arkansas Orthotic, Prosthetic, & Pedorthic Association State Meeting. Little Rock, AR. Peabody Hotel. Contact Tonya Horton at 501/663-2908 or thorton@ hortonsoandp.com. ■■

AUGUST 24-25: Allard USA: T.O.T.E. (Tomorrow’s Orthotic Technology Education). Indianapolis. Three courses: New Perspectives in the Comprehensive Management in Gait Disorders; Tri-planar Biomechanics in Pediatric Function; Custom Fabrication TLSO/LSO & KAFO and New Approaches for Partial Foot Prostheses. Approved for 18.25 CEU’s. Contact 888/6786548; e-mail: info@allardusa.com. ■■

AUGUST 26-29: The Amputee Coalition of America 2010 National Conference. Hyatt Regency, Irvine, CA. For more information, contact Continuing Education Coordinator at 888/267-5669, ext. 8102, or conference@ amputee-coalition.org or visit www.amputee-coalition.org. ■■

Scoliosis Orthotic Seminar Full-Time Orthotic Treatment Nocturnal Providence Scoliosis System Spinal Technology, Inc., the leader in fabrication of Spinal Orthoses, is proud to offer a 12.25 ABC Credit seminar on August 13 and 14, 2010. This day and one-half event will cover Full-Time Orthotic Treatment and the Nocturnal Providence Scoliosis System.

SEPTEMBER 8: AOPA Audio Conference: “Missed Billing Opportunities: Are You Billing Everything You Can?” To register contact Ann Davis at 571/431-0876 or adavis@aopanet.org. ■■

SEPTEMBER 14-15: Allard USA: T.O.T.E. (Tomorrow’s Orthotic Technology Education). Garden Grove, CA. Sheraton Garden Grove-Anaheim South. Three courses: New Perspectives in the Comprehensive Management in Gait Disorders; Tri-planar Biomechanics in Pediatric Function; Custom Fabrication TLSO/LSO & KAFO and New Approaches for Partial Foot Prostheses. Approved for 18.25 CEU’s. Contact 888/6786548; e-mail: info@allardusa. com.

Where: Tufts Medical Center, Boston, MA When: August 13, 8:00 a.m.–5:00 p.m. August 14, 8:00 a.m.–12:00 p.m. Accreditation: 12.25 ABC Credits Cost: $200 Early Registration–by July 16 $300 Registration–after July 16 ($100 credit off first Scoliosis Brace order)

■■

SEPTEMBER 23: Ohio Willow Wood: LimbLogic® VS for Technicians via WebEx, 1:30 pm ET. Learn essentials of elevated vacuum socket fabrication using available socket adaptors with LimbLogic VS. Learn how to deal with airtight issues, unit operation, and diagnostics that will keep the system optimal for patient use. Credits: 2.5 ABC/2.0 BOC. www.owwco.com/webinar.php

Attendance Limited For more information regarding this seminar, directions, hotel accommodations, or to register, please contact Nancy Francis at 508/775-0990 or e-mail symposium@spinaltech.com.

SEPTEMBER 29OCTOBER 2 AOPA National Assembly. Orlando, FL. Rosen Shingle Creek Resort. Exhibitors and sponsorship opportunities, contact Kelly O’Neill, 571/431-0852, or koneill@ AOPAnet.org. ■■

■■

OCTOBER 13: AOPA Audio Conference: “You’re Going To Pay Me WHAT? Hints on Managed Care Contracting.” To register contact Ann Davis at 571/431-0876 or adavis@ aopanet.org. ■■

OCTOBER 14: Ohio Willow Wood: LimbLogic VS® Applications Practitioner Course. Mt. Sterling, OH. Course covers various clinical aspects of LimbLogic VS applications: static and dynamic socket fitting, vacuum pump configurations, fob operation, system evaluation, liner options, alignment, and troubleshooting. Credits: 7.25 ABC/7.0 BOC. Registration deadline: September 23. Contact: 877/665-5443. ■■

OCTOBER 14-15: AOPA Mastering Medicare: Advance Coding and Billing Seminar. Las Vegas. Mandalay Bay Resort. To register contact Ann Davis at 571/431-0876 or adavis@aopanet.org. ■■

JULY 2010 O&P ALMANAC

Calendar

OCTOBER 22: Ohio Orthotics and Prosthetics Association Annual Fall Meeting. Embassy Suites, Dublin, OH. Contact Dianne Farabi 614/659-0197 or dfarabi@ columbus.rr.com. ■■

OCTOBER 23: Ohio Chapter, American Academy of Orthotists and Prosthetists (AAOP) Annual Fall Scientific Meeting. Embassy Suites, Dublin, OH. Contact Richard W. Butchko 614/659-0197 or butchko1@ columbus.rr.com. See Web site at www.ohiochapteraaop.com.

NOVEMBER 10: AOPA Audio Conference: “The Ins and Outs of Billing in a Part A Setting: Hospital, SNF and Hospice.” To register contact Ann Davis at 571/431-0876 or adavis@ aopanet.org.

■■

DECEMBER 8: AOPA Audio Conference: ”New Codes and Medical Policies for 2011.” To register contact Ann Davis at 571/431-0876 or adavis@ aopanet.org. ■■

MARCH 28 - APRIL 2: Association of Children’s Prosthetic-Orthotic Clinics 2011 Annual Meeting. Park City, UT. The Canyons. For more information, call 847/698-1637, e-mail acpoc@ aaos.org, or visit www.acpoc.org. ■■

APRIL 15 Ohio Orthotics and Prosthetics Association Annual Spring Meeting. Hilton Columbus, Columbus, OH. Contact Dianne Farabi at 614/659-0197 or dfarabi@ columbus.rr.com. ■■

APRIL 15-16: Ohio Chapter, American Academy of Orthotists and Prosthetists (AAOP) Annual Spring Technical Meeting. Hilton Columbus, Columbus, OH. Exhibits included. Contact Richard W. Butchko 614/659-0197 or butchko1@ columbus.rr.com. See Web site at www.ohiochapteraaop.com. ■■

SEPTEMBER 19-22 AOPA National Assembly. Las Vegas. Mirage Hotel. Exhibitors and sponsorship opportunities, contact Kelly O’Neill, 571/431-0852, or koneill@ AOPAnet.org. a ■■

AOPA Applications

The officers and directors of the American Orthotic & Prosthetic Association (AOPA) are pleased to present these applicants for membership. Each company will become an official member of AOPA if, within 30 days of publication, no objections are made regarding the company’s ability to meet the qualifications and requirements of membership. At the end of each new facility listing is the name of the certified or state-licensed practitioner who qualifies that patient-care facility for membership according to AOPA’s bylaws. Affiliate members do not require a certified or statelicensed practitioner to be eligible for membership. At the end of each new supplier member listing is the supplier level associated with that company. Supplier levels are based on annual gross sales volume: Level 1: equal to or less than $1 million Level 2: $1 million to $1,999,999 Level 3: $2 million to $4,999,999 Level 4: more than $5 million

2011

■■

O&P ALMANAC JULY 2010

Ashland Prosthetics & Orthotics Inc. 2816 Carter Avenue Ashland, KY 41101 606/324-5786 Fax: 606/324-5876 Category: Patient Care Facility Shawn L. Kirk, CP

Performance Prosthetics & Orthotics PL 2280 N. 9th Avenue Pensacola, FL 32503 850/607-6126 Fax: 850/607-6674 Category: Patient Care Facility Robert Baumann, CPO

Great Lakes Orthopedic Center 4045 W. Royal Drive Traverse City, MI 49684 231/935-0900 Fax: 231/935-0308 Category: Patient Care Facility Doug Hockenberger, CPO, C.Ped.

Ad Index

For free product information from these advertisers, enter the advertiser name online at www.opalmanac.org/shop. Company

Page

Allard USA Inc. 21 ALPS 39 American Board for Certification in Orthotics, Prosthetics & Pedorthics 59 Anatomical Concepts Inc. 15 Apis Footwear 34,35 Arizona AFO 28 College Park Industries Inc. 27, 37 Daw Industries 1 Dr. Comfort 5, C3 Euro International 13 Fillauer Companies Inc. 41 KISS Technologies LLC 47 Ohio Willow Wood 2 OPTEC 6, 7, 42, 43 Össur® Americas Inc. C4 Otto Bock HealthCare C2 PEL Supply Company 23 Spinal Technology Inc. 11 SPS 19

Not Just Golf...

A Golf

Phone

Web site or E-mail

888/678-6548 800/574-5426

www.allardusa.com www.easyliner.com

703/836-7114 800/837-3888 888/937-2747 877/780-8382 800/728-7950 800/252-2828 800/556-5572 800/378-2480 800/251-6398 410/663-5477 800/848-4930 888/982-8181 800/233-6263 800/328-4058 800/321-1264 800/253-7868 800/767-7776 Ext. 3

www.abcop.org www.AnatomicalConceptsInc.com www.bigwideshoes.com www.arizonaafo.com www.college-park.com www.daw-usa.com www.drcomfortdpm.com www.eurointl.com www.fillauercompanies.com www.kiss-suspension.com www.owwco.com www.optecusa.com www.ossur.com www.ottobockus.com www.pelsupply.com www.spinaltech.com www.spsco.com

EXCELLENCE

SAVE THE DATE: SEPT. 29, 2010

IS PAR FOR OUR COURSE. Experience “A’ T  N G C ” –  G

The Fall 2010 Thranhardt Golf Tournament promises to be the best one yet! Two great causes and one great course make it not just golf, but a golf experience. Shingle Creek will be an unforgettable golfing experience. David Harman’s design is both innovative and classic while providing a challenging and rewarding game of golf for all skill levels. The prime location, the natural beauty of the course, the first class amenities and

For years, meeting planners have chosen Rosen Hotels & Resorts for our award-winning service and unsurpassed Central Florida locations. Now, meeting planners can take advantage of our incredible golf course. This challenging yet playable David Harman design lies along Shingle Creek, headwaters to the Florida Everglades. Undulating fairways, interconnected waterways and the natural beauty of Shingle Creek make this a rewarding and memorable experience for players of all levels.

the renowned commitment to excellence and service, will distinguish Home this of the course from all the others in the Central Florida area.

What better way to spend your day than a great game of golf and supporting two of your favorite causes—OPAF and the O&P PAC? Proceeds from the Thranhardt Golf Classic: •

•

Help OPAF sustain its chief mission: enabling individuals with physical disabilities to enjoy the rewards of physical fitness and social interaction Support the O&P PAC and legislative initiatives for the orthotics, prosthetics, and pedorthics profession.

O&P ALMANAC JULY 2010

This par 72 championship course with rolling fairways and interconnecting waterways provides a challenging test of golf for all skill levels. It features all first-class amenities, including:

This beautiful course is located at the site of • State-of-the-art practice facility • Daily on-course food & beverage the 2010 National Assembly. No buses—just a delivery service • Full service 1,600 sq. ft. golf shop great day of golf with your O&P friends. Save the date of Wednesday, September 29. Specializing in custom group/corporate golf events Individual Play $195; Foursome Play $750 407-996-9933 • Toll-Free 866-996-9933 • www.shinglecreekgolf.com Fee includes green fees, cart fees, practice balls, and lunch. Visit www.AOPAnet.org for more information. Register on your Assembly registration form. • Tournament course conditions every day • 7,228 yard, 18-hole Championship layout • UpLink GPS yardage system • Complimentary valet parking • Club and shoe rental

and even more comfort for your patients.

CALL 1-800-992-3580 OR VISIT www.drcomfort.com Â®

THE NEW FLEX-FooT TALUX. WITH SANDAL ToE. ®

“Talux is the perfect combination of comfort, energy, stability and flexibility. I am a teacher and a mother of two young children, so I walk several miles every day. With Talux, I am not tired at the end of the day like I was when I wore a low-profile foot. Whether hiking with my dog, hustling around campus, or just keeping up with my kids, my Talux feet feel very light and are super stable. They give me the confidence to tackle uneven ground without having to concentrate on my feet. And now, with the new sandal toe design, I can choose to wear sandals or shoes!”

— Jami Goldman-Marseilles, 41

with cover

CALL (800) 233-6263 or VISIT oSSUr.CoM To LEArN MorE.

without cover