Almanac OP The American Orthotic & Prosthetic Association
JUNE 2010
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WWW.AOPANET.ORG
THE MAGAZINE FOR THE ORTHOTICS & PROSTHETICS INDUSTRY
SATISFACTION GUARANTEED
Rethinking some common office practices boosts patient care and bottom lines
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O&P Almanac JUNE 2010, VOLUME 59, NO. 6
COLUMNS
COVER STORY
Satisfaction Guaranteed By Anya Martin Improving patient satisfaction doesn’t have to be complicated or costly. By simply modifying some common office behaviors, practitioners and staff can score big with patients. These seven tips help facility managers get started.
[16] FEATURE STORY
24 How to Decrease Denials
By Deborah Conn Several legal experts address the universal issue of denied reimbursement claims. As with most office best practices, teamwork and thorough documentation are key to combating the problem.
SPECIAL 2010
CONTENTS
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Reimbursement Page Who should pay for the services you provide?
28
Ask the Expert Tips for meeting the latest signature guidelines
30
Facility Spotlight Tom Watson’s Prosthetics and Orthotics Lab
DEPARTMENTS
4
AOPA Contact Page How to reach staff
8
In the News Updates and company announcements
32
36
AOPA Membership Applications
66
Jobs Opportunities for O&P professionals
70
Calendar Upcoming meetings and events
72
Ad Index
38 O&P Almanac’s
BUYERS’ GUIDE
2010 Buyers’ Guide This year’s Buyers’ Guide is a one-stop shopping resource for products and services, plus a comprehensive index of advertisers and AOPA member suppliers for easy reference. Don’t miss it.
AOPA Headlines News about AOPA initiatives, meetings, member benefits, and more
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. JUNE 2010 O&P ALMANAC
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OP Almanac
AOPA CONTACT INFORMATION
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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
Erin Kennedy, office, meetings administrator, and associate editor, AOPA in Advance, 571/431-0834, ekennedy@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
Erin Kennedy, staff writer, 571/431-0834, ekennedy@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
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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 JUNE 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!
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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.
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In the News
Undergraduate Creates Innovative, Inexpensive Prosthetic Kit Jonathan Naber, a 20-year-old student at the University of Illinois, Urbana-Champaign, has developed a prosthetic arm kit with standard parts that will allow more people to be fitted with devices—and at a significantly lower cost. Naber devised a way to
TRANSITIONS
PEOPLE IN THE NEWS
Payson Briggs, CO, has been promoted to practice manager of Hanger Prosthetics and Orthotics in Montgomery, Ohio. Briggs brings more than 10 years of proven clinical skills to this leadership position. Briggs holds a bachelor’s degree in prosthetics and orthotics from the University of Washington. Doug Davis, CPO, joins Hanger Prosthetics and Orthotics in its Salisbury, Maryland, patient-care center as practice manager. Davis earned his bachelor’s degree from York College of Pennsylvania and his prosthetic certificate through Northwestern University’s prosthetic certificate program. Mary Jo Geyer, PhD, PT, C. Ped., FCCWS, CLT-LANA, has been given the fifth annual Golden Apple Award from Health Volunteers Overseas (HVO). HVO created this award to recognize the extraordinary contributions of volunteers to international program sites. Dr. Geyer has promoted and stimulated multidisciplinary involvement in wound care and lymphedema at the global level. Walter Governor has been promoted to director of sales for technical orthopedics for Otto Bock HealthCare. He graduated from Madison University and has more than 23 years of experience in the healthcare industry. 8
O&P ALMANAC JUNE 2010
attach the arm that eliminates the need for a prosthetic socket. His innovative design made him the first-ever undergraduate winner of the Lemelson-MIT Student Prize, which is given by the renowned Massachusetts Institute of Technology to researchers
whose designs make society better. The end result of Naber’s work could be inexpensive (about $30) arm prostheses for patients in need in the Caribbean, Latin America, Southeast Asia, and elsewhere. Three prototypes will be tested in Guatemala this summer by Naber and a five-person team. For more information, visit www. suburbanjournals.stltoday.com.
Paul Harrington, CPO, has been promoted to practice manager of the Clackamas, Oregon, patient-care center for Hanger Prosthetics and Orthotics. Harrington graduated from Pierce College and Madison Army Medical Center. He received his bachelor’s degree from the University of Washington School of Medicine. Donald Helper, CPO, has joined Hanger as practice manager at the Bend, Oregon, patient-care center. Helper received his bachelor’s degree from Concordia University and brings more than 24 years of patient-care experience to his new position. Robert Montano, CO, has been promoted to practice manager for Hanger‘s Yuma, Arizona, patient-care facility. He has been with Hanger’s Tucson, Arizona, facility for the past six years. He began his medical career in 1985 as a physical therapist assistant in the Air Force after serving in the Marine Corps. Jose R. Ramos, an Iraq war veteran and legislative research specialist, has joined the board of directors of the Board of Certification/Accreditation, International (BOC). He was unanimously invited to serve as the board’s public member, responsible for representing both the direct and indirect uses of practitioners’ services.
Christie Reznik has joined PEL Supply Company as a new customer sales representative. Reznik has an associate’s degree in business communication and is working toward a bachelor’s degree with a minor in marketing. Randy Roberson, CP, has been promoted to practice manager at the Birmingham, Alabama, patient-care facility for Hanger. He brings more than 25 years of patient-care experience to his new position. Todd Smith, CO, has been promoted to practice manager of Hanger’s patient-care center in Tuscaloosa, Alabama. Smith has dedicated more than a decade to providing patient care. He received his bachelor’s degree from Embry-Riddle Aeronautical University and obtained his certificates in orthotics and prosthetics through the Newington certificate program. Matt Swiggum has been promoted to the newly created position of director of sales and marketing for mobility solutions for Otto Bock HealthCare. He holds degrees from Morehead State and Carlson School of Business in Minnesota. Before joining Otto Bock, he had a successful career in management at Wal-Mart.
New Brain Implant Transmits Neural Signals More Clearly A team of researchers from the University of Illinois, UrbanaChampaign, the University of Pennsylvania, and Tufts University
TRANSITIONS
has devised brain-computer interfaces (BCIs) that are thin, flexible, and melt onto the brain, according to Wired magazine. The new BCIs have the
potential to treat a number of psychiatric and neurological conditions and may allow for the development of longer-lasting neural prosthetics. The team made the BCIs by printing electrode arrays onto thin films of silk, which dissolve after the film is placed on the surface of the brain and flushed with saline. The film is about .025 the thickness of a sheet of paper and transmits stronger signals than previously developed BCIs. Those devices were about 30 times thicker than the new film and could pierce and potentially damage brain tissue during implantation. Even when older BCIs were implanted without causing damage, they often caused immune issues in patients, requiring surgery to replace the sensors every few months. For more information, visit www. wired.com. a
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Reimbursement Page
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By Joseph McTernan, AOPA government affairs department
Determining Payers Is Critical— and Complex Be aware of exceptions that require different claim submissions
D
etermining who should be billed for inpatient services provided to Medicare beneficiaries can often get complicated. AOPA answers more member questions on this topic than any other issue. So, this month, we will discuss some of the more complex issues regarding who is ultimately responsible for paying for the orthotics and prosthetics services you provide. To begin, it’s the location where an orthosis or prosthesis will be used that usually determines who is responsible for paying the claim. In most cases, a Medicare beneficiary will come to your office to receive an orthotic or prosthetic device and take the completed device home. Your claim should then list the place of service as 12 (home) and be submitted to the appropriate Durable Medical Equipment Medicare Administrative Contractor (DME MAC). Sometimes, however, you will treat a patient during a hospital or Medicare Part A covered skilled nursing facility (SNF) stay. Usually, when this occurs, you may not submit your claim to the DME MAC. Hospitals and SNFs are paid for Medicare Part A services through a prospective payment system (PPS). This system pays the facility a daily rate to cover the cost of all medically necessary services for the patient. Hospitals or SNFs use outside suppliers when they are unable to provide a particular service directly. They then must pay the outside supplier for their services, since they
10
O&P ALMANAC JUNE 2010
already have received payment in full for the patient’s care under the PPS. The hospital or SNF has the right to choose the vendor in this situation, so it is always recommended that payment terms be agreed upon before you provide any services to the patient. While these two situations account for the majority of O&P billing scenarios, there are several important exceptions that may result in different submissions for your claims.
The Two-Day Rule One exception to the general rule for billing the hospital or SNF is called the two-day rule that states: A supplier may deliver a completed O&P device to a Medicare beneficiary during a Part A hospital or SNF stay within 48 hours (two days) of the patient’s anticipated discharge. As long as the device is not medically necessary during the
remainder of the stay, and the patient is being discharged to his or her home, the supplier may bill the DME MAC directly for the device. However, the supplier must only be delivering the item in order to provide basic instruction on how to use and care for the device. The intent of the two-day rule is not to circumvent the responsibility of the hospital or the SNF to provide its patients with medically necessary services. If an O&P device is needed as part of the patient’s recovery or rehabilitation in the facility, it must be paid for by the facility regardless of when it was delivered. If you deliver an O&P device to a patient during a Medicare Part A hospital or the SNF stay and all of the criteria to bill under the two-day rule have been met, the claim may be submitted to the DME MAC following these guidelines. • Date of service. Under normal billing circumstances, the date of service is usually the date on which the completed device is delivered. However, when submitting a claim under the two-day rule, the date of service is the patient’s discharge date from the inpatient facility. Without this exception, the DME MAC would improperly deny the claim as the responsibility of the inpatient facility. While the two-day rule allows you to use the date of discharge as your date of service, the actual date of delivery should be
Reimbursement Page
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Hospital Billing In-Hospital Patient Device delivered during the last 2 days of stay Meets criteria: 1.
Patient being discharged home and
2.
Device provided for fitting and training and
3.
Patient does not use device in hospital
One or more criteria not met
Bill hospital
Bill DME MAC
documented in the patient’s chart in case there are questions later. • Place of service. Generally, the code selected should correspond to where the item will be used. This holds true under the two-day rule. When billing under this rule, indicate a place of service code of 12 (home).
Exhausting SNF Part A Benefits Medicare limits the number of days that it will cover Part A SNF services to 100 days per benefit period. A new benefit period begins with a mandatory hospital admission of at least three days followed by immediate admission to the SNF. As long as a minimum of 60 consecutive days has passed since the patient was last in a Medicare Part A SNF stay, a new benefit period may begin, starting with day 1. If a Medicare patient is in a Medicare Part A SNF stay for less than 100 days and is discharged, he or she remains eligible for the remaining days in the benefit period. For example, if a patient is in the hospital for hip replacement surgery and he or she is discharged to a SNF for a stay of 30 days, the patient has
12
O&P ALMANAC JUNE 2010
Device delivered any time in stay other than last 2 days
(get purchase order from hospital)
Bill hospital
(get purchase order from hospital)
70 days of Medicare Part A coverage remaining for that benefit period. If after two weeks at home, additional SNF care is needed, the patient can be readmitted to the SNF (without an additional hospital stay) and receive another 70 days of Medicare Part A SNF coverage. After 100 days of Medicare Part A SNF coverage within a benefit period, Medicare Part A no longer covers the SNF stay. If the patient remains in the SNF, he or she must pay for room, board, and nursing expenses through personal funds or other insurance. Medicare Part B will cover any orthotic and prosthetic care the patient needs. When this is the case, you may submit your claim directly to the DME MAC for consideration. It is important to note the 100-day period is a Medicare Part A benefit limit and not an entitlement. For Medicare Part A to continue covering the SNF care, the patient must continue to progress through therapy. Patients must be evaluated on a regular basis by the SNF staff. If the patient fails to progress, Medicare Part A will no longer cover the SNF stay, and you may submit your claim to the DME MAC.
When determining whether the patient is in a Medicare Part A SNF stay, it is always best to confirm the patient’s status with the facility business office. While therapists and physicians may provide you with limited information, the business office will definitively know the exact Medicare status of any patient at any given time. If you can get this information in writing to include in your files, it may help if there is confusion later regarding who is responsible for payment.
SNF Prosthetic Device Exceptions As discussed above, SNFs receive a per diem PPS payment to provide all medically necessary care for patients in a Medicare-covered Part A stay. Beginning in April 2000, however, most prosthetic devices were excluded from the SNF PPS system, because the high cost and relatively low volume of prosthetic services provided in the SNF settings had resulted in an undue financial burden on SNFs. Excluding most prosthetic devices from the PPS allowed suppliers to bill their DME MAC directly, instead of looking to the SNF for payment.
Reimbursement Page
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While most prosthetic services have been excluded from the SNF PPS system, certain services, such as prosthetic socks, shrinkers, partial hand and partial feet prostheses, and immediate post-surgical prostheses, continue to be included in the SNF PPS payment. These items, as well as all orthoses, must be paid for by the SNF when a patient is in a Medicare Part A covered stay. A list of codes excluded from the SNF PPS can be found at http://www. cms.gov/SNFConsolidatedBilling/02i_ 2010Update.asp#TopOfPage. On this page, scroll down to “Downloads” and select File 1 - Part A Stay - Physician Services. (Although the file says “physician services,” this list is still applicable to O&P suppliers.) Open the file. The list of exempt L codes begins at row 352. If a particular L code does not appear on this list, it is not exempt and you must make payment arrangements with the SNF.
From Hospital to SNF
PPS system, it is the facility’s responsibility to make arrangements with the outside supplier. It is always in your best interest to negotiate the terms of your payment prior to delivering your services. While the absence of a contractual agreement does not in any way relieve the facility from its responsibility to pay for such items, making such an agreement before providing services will help avoid misunderstandings. It is vital for all Medicare suppliers to understanding whom to bill and under what circumstances. Your time, costly materials, and hard work are extremely valuable, and you deserve to be compensated. Arming yourself with this knowledge will help eliminate confusion and ensure proper reimbursement. a
Another exception to regular billing rules occurs when a patient is being transferred from a hospital to an SNF. If a custom-fabricated O&P device is ordered for the patient while he or she is still in the hospital, but due to fabrication time, it is not delivered until after she arrives at the SNF, the hospital continues to be responsible for paying for the item. Medical necessity for the custom device was established while the patient was in the hospital, not in the SNF, so the SNF should not be billed. The two-day rule would not apply in this particular scenario, either, because the patient is not being discharged to his or her home. AOPA has developed flow charts to assist you in determining whom to bill for services delivered to Medicare patients in a Part A covered stay (see pages 12 and 14). It is important to note that when a hospital or the SNF requires the services of an outside supplier for items subject to the Medicare Part A
Joe McTernan is AOPA’s director of reimbursement services. Reach him at jmcternan@AOPAnet.org.
Medicare Skilled Nursing Facility Billing Device ordered in SNF
Prosthetic device
Device ordered at hospital, but delivered to patient in SNF
Orthotic device
Patient in Part A stay
LCodes excluded from SNF PPS
LCodes not excluded from SNF PPS
Bill DME MAC
Bill SNF
Delivered in last 2 days of service
Meets criteria:
Bill DME MAC
O&P ALMANAC JUNE 2010
(Use the date of initial order as date of service)
Patient in Part A stay
• Patient being discharged home and • Devices provided for fitting and traning and • Patient does not use device in SNF
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Bill DME MAC
Bill hospital
Patient in Part B stay
Bill DME MAC
Device ordered at home, but delivered to patient in SNF
One or more criteria not met
Bill SNF
Delivered any time in stay other than last 2 days of service
Bill SNF
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[
Start with these seven easy and cost-effective tips to enhance your patients’ office experience
J
eremiah Perez lost his leg in a car accident at age 17. He’s now 31 and over the years has seen several prosthetists—with very different styles. “The best prosthetist I had was really attentive and listened to my needs and also was accommodating with his schedule,” Perez says. “When something goes wrong with my leg, two weeks from now isn’t going to cut it.” He recalls other prosthetists who interrupted him before he could finish describing his problem. “Needless to say, I didn’t stay with them very long, he adds. Perez also remembers one particular front-office worker because she was not only caring and compassionate but also well informed about
]
the prosthetic process. “It’s great to have somebody else who also understands the terminology if you need a prosthetic sock or you’re talking about a liner,” Perez says. Because patient satisfaction goes straight to the bottom line, practitioners and experts warn against skimping on efforts to build loyalty and ensure positive patient experiences, which also can generate valuable referrals. And, yet, it’s so easy to let customer service slip with clinical staff concentrating on technology and the front office overwhelmed with more dayto-day tasks required in today’s demanding health-care environment, says Merideth McDonald, vice president of VGM Technologies
Inc., who has worked in communications for 39 years, including providing telemarketing support for Fortune 500 companies. The good news is that improving patient satisfaction can be done with relatively few dollars and the investment of some staff time and attention. You don’t need to hire an expensive consultant or send your staff off to a class. It’s possible to start with a simple Google search to find online help to enhance customer interactions, or turn to Amazon.com or other online booksellers, or your local library, to get a few books on relationship building and good service. To give you a head start, here are seven simple tips.
JUNE 2010 O&P ALMANAC
17
1.
Train staff to follow a few key rules.
The first rule of platinum customer service is: “It’s better to disappoint a customer with the truth, than to satisfy a customer with a lie.” Telling the truth can be hard when it’s something a customer does not want to hear, such as the brace or prosthesis won’t be ready when promised. But remember that patients will judge you more harshly when they feel they are being misled, McDonald explains. A good starting point is to make only the promises you can keep. “Reliability is one of the keys to good customer relationships,” McDonald stresses. “If you say something will be ready on Tuesday, make sure it is. But check before you give out any promises about the completion of a product or delivery of a service.” To engage everyone in improving customer service, McDonald advises inviting staff to share their own customer service horror stories, followed by a discussion about what can be learned from these examples. Another way to get staff more personally invested in patient satisfaction is to help them visualize treatment if they, their child, or grandmother were the patient, says Diana Faulkner, RN, regional vice president of sales for Bethesda, Maryland-based Hanger Prosthetics & Orthotics. During a health-care provider’s visit, everyone wants to feel respected, heard, understood, appreciated, and safe, she adds. As a patient, you also “want a timely response to my questions” and to have “all my problems addressed.” Finally, realize that patient satisfaction starts with the first contact with your office, which is usually a scheduling phone call, McDonald says. Make sure that a real person answers the call, not an automated voice, and that the person uses a warm and welcoming tone. “You have one opportunity to set a tone that will remain with the person the whole time that he or she is there with you,” she adds. “It’s very hard to change a bad first impression.” 18
O&P ALMANAC JUNE 2010
2.
Learn to listen.
A big complaint among patients is that their doctor or the office staff did not listen to them about their medical issues or about some other matter such as a billing dispute. While today’s more fastpaced world of health care does leave less time to listen, the good news is that any problems can be cured with a bit of practice, McDonald says. “When you’re dealing with patients all day long, it’s easy to get a preconceived idea of what they are going to say or to let your mind wander,” she adds. “But if you’re not listening and really hearing what the problem is, you may be going to left field when the patient is going to right field. The last thing you want to do is to have them repeat it again or have to tell it to someone else.” McDonald offers the following guidelines to teach staff to improve their listening skills: • Let the patient talk and show them you are listening. • Ask open-ended questions to get them to talk more, rather than closed ones that elicit just a “yes” or “no” response. • Allow yourself to pause before you answer a question or respond. • After the patient is finished, repeat back in your own words what was said to you and ask for confirmation that you understood correctly. One way to teach listening and
communication skills is to have employees tape their phone conversations for a day and then listen to the tapes and evaluate their behavior, McDonald says. Another exercise is to ask employees to practice listening skills at home with family and friends to see how different approaches impact those relationships, Faulkner suggests. “When your husband or wife comes home and you ask ‘how was your day,’ don’t ask while you’re doing your dishes,” she adds. “Stop what you’re doing and really listen to what they say.”
3.
Survey patients and use the results to make changes.
For several years, the five offices of Clark & Associates Prosthetics and Orthotics in Iowa closed their doors for lunch and to allow staff to handle errands for themselves and their families. But patient satisfaction surveys revealed that some patients found it was a hardship to not be able to get appointments or call staff from noon to 1 pm each day, says President Dennis Clark, CPO, who also is president of Orthotic and Prosthetic Group of America Inc., a division of VGM. After reviewing patient feedback, Clark & Associates now stays open over the noon hour and staggers lunch breaks for office staff and practitioners. Surveys and focus groups also inspired Clark to create a special “boutique” patient-care area for
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Words to Lose—and Use Often, the right choice of words and a pleasant and professional style of delivery can go a long way in smoothing and improving patient relationships. Here are more tips from the experts. Instead of:
Say:
Can I help you?
How can I help you?
I don’t know.
That’s a good question! I’ll find out for you.
We can’t do that.
Let’s see what we can do.
We don’t offer that.
I’m sorry that isn’t available. Would you like to hear about a similar service?
You have to…
The next step is…
No…
I’m sorry but… (or anything other than starting with no)
I have to put you on hold.
Are you able to hold for a moment, or may I call you back in ___ minutes.
You’ll have to wait.
I’ll be right with you.
That’s not my job.
Let me connect you with the correct person/ department.
––Merideth McDonald, vice president of VGA Technologies Inc. When dealing with an angry patient: •
Don’t make preconceptions and be open to empathize. Remember you don’t know what just happened to the person or what he or she has experienced. Assume that the patient is coming to you in a fragile state.
•
Let patients finish telling their story before you respond. In some cases, just listening will be enough to diffuse the anger. Usually, they are taken aback because they expect you to argue back.
•
Express understanding about the reasons for their anger, repeat back their words to show that you listened, and ask “what can I do to help?”
When you’re faced with a longwinded patient, use these phrases to end a conversation politely: •
“Let me find out the answer and get back to you.”
•
“That’s a wonderful story. Can you tell me the rest the next time I see you because there’s another patient I need to see.”
•
“Sorry that you’re having such a bad day. May I recommend someone else you can talk to who may be able to help you?” ––Diana Faulkner, regional vice president of sales, Hanger Prosthetics & Orthotics
20
O&P ALMANAC JUNE 2010
patients who had undergone a mastectomy. Comments from patients resulted in more feminine wallpaper and color choices for the area, and each room has two full-length mirrors enabling patients to easily see their prosthesis from either a profile or straight-on angle. The drugs that mastectomy patients take also can make them sensitive to the odors from the glues and adhesives used to make devices so the area also has its own heating and cooling system.
4.
Enhance the waiting room experience.
“The waiting is the hardest part,” sings Tom Petty, and for many patients, it is the most dreaded part of the visit. Because of that, practices with high patient satisfaction rates go the extra mile to make the waiting room clean and waiting time pleasant, says Ken Cornell, CO, FAAOP, vice president of Cornell Orthotics & Prosthetics with three care centers in Massachusetts. Both Cornell and Faulkner recommend that all practitioners periodically make a point of walking into their offices by the front door and spending some time in their own waiting rooms. Faulkner also suggests a walk around the parking lot, while Cornell says it’s helpful to ask
new employees and new patients what they notice that you could do better. “A lot of people get used to seeing their office the way it is,” Cornell says. “There could be a hole in the wall. Nobody notices it any longer except the new patients who are coming in.” Make sure the waiting area offers recent magazines to read, as well as crayons, coloring books, and clean toys to keep children busy, he adds. Other welcome features can include a candy dish at the reception desk, and the availability of fresh coffee and a water cooler. Some offices now have a DVD player, but Cornell prefers offering cable TV tuned to general interest programs like news shows on CNN. While patients can be entertained by TV or music, staff should be mindful of being overheard and limit personal conversations that patients could interpret as “goofing off.” Importantly, discussions about patient care must remain confidential both to avoid violating HIPAA rules and to assure patients that the practice is professional at all times.
22
O&P ALMANAC JUNE 2010
5.
Reduce waiting times and handle delays politely and proactively.
No matter how pleasant you make the waiting room, don’t forget that waiting too long is one of the biggest gripes from today’s patients. Long wait times overwhelmingly were the top reason for skipping a follow-up appointment, according to 75 percent of no-show glaucoma patients at San Francisco General Hospital, surveyed in a 2009 Stanford University study. Ideally, a patient should be seen on time and never wait more than 30 minutes, Cornell recommends. Some ways to reduce waiting times include spreading out appointment times or hiring an extra fitter to take care of some of the easier tasks, he adds. If unavoidable issues increase the patient’s wait time, a staff member should get up from the front desk to apologize directly to the patient, Clark says. Be upfront about the reasons for the delay and give the patient regular updates, he stresses. “This gives you a chance to communicate that you
are trying to give the best care to everyone—that the person waiting is just as important as the one being seen,” he adds. Another option is to bring the patient to another practitioner in the office who can get the visit started. And if a family with young children is going to be waiting for a while, Clark will even offer them the use of his own office to provide more privacy. Rescheduling a patient already sitting in the waiting room should be an absolute rarity, but if it does happen at Clark, front-office staff have the ability to offer an after-hours or weekend appointment if needed to make up for the inconvenience. Office staff also contact the referring provider’s office to report the delay, confirm that the patient is being cared for, and to apologize. “We go to extraordinary lengths to communicate, so everybody knows this is not normal,” Clark says.
6.
Show respect throughout the office visit.
Patients feeling disrespected (36 percent) and disagreements between practitioner and patient about expectations of care (23 percent) were the two most common patient complaints in a study of physician behaviors reported in the February 2004 issue of Academic Medicine. One reason patients say they feel disrespected is that the provider does not spend enough time with them; many studies cite abbreviated face-time with a provider as the number one patient complaint. To address care expectations, involve the patient and any caregivers in the development of a treatment plan, and don’t leave the room until you are sure there is understanding and consensus, Cornell suggests. Good communication is key.
He relies on a strategy of “ask, explain, discuss, and then agree” before a patient leaves the office. Practitioners at Cornell P&O use an evaluation form that requires them to collect specific pieces of information from a patient to ensure that he or she feels heard and involved in decision-making. Patients also are sent home with handwritten notes and diagrams both for their own reference and to review with family, an idea Cornell adopted from Beth Israel Deaconess Medical Center in Boston. “When you enfranchise patients, you’ve got them on your side,” Cornell says. “They want the brace to work as much as you do.”
7.
Avoid surprises when the bill arrives.
For Perez, one of his biggest sources of dissatisfaction with a practitioner was receiving a bill that included higher costs than
the customary amount for a device or service, or showed “advance” charges for items a practitioner decided he might need later but which were never discussed during the office visit. “Insurance plans have caps so you can’t get other devices or goods because the prosthetist has charged too much,” he says. Bad billing experiences may have an even bigger impact on your practice because patients who participate in support groups, for instance for amputees, also will tell the others, Perez says. “You can get a bad reputation for overbilling or billing too much for a particular item,” he adds. Cornell P&O provides a statement of patient financial responsibility typically before fabrication but definitely before a final fit, so that if patients have problems with the charges, the matter can be discussed to allow the patient to make informed choices. In some cases, billing problems can
arise because the insurer may deny payment for something the patient really needs. Your willingness to go to bat for the patient over such issues goes a long way toward building positive relationships, says Faulkner, whether or not you win in the end. a Anya Martin is a contributing writer for O&P Almanac. Reach her at anya99@ mindspring.com.
EDITOR’S NOTE: Diana Faulkner, RN, will present “Igniting the Passion for Customer Service” at the 2010 AOPA National Assembly, September 29–October 2. She will review attitudes, ideas, and tools to improve internal and external relationships. For more information about the assembly and to register, visit www.aopanet.org.
JUNE 2010 O&P ALMANAC
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How to Decrease
DENIALS
Build smart procedures now to ensure solid documentation and sound practices By Deborah Conn O&P Medicare claims, use an automated system to pay most claims, but they can review and reopen any claim for any reason, going back several years from the payment date. If the DMAC denies a claim, the provider must return the overpayment.
Know the Limits
S
ooner or later, just about every orthotics and prosthetics practitioner will face a reimbursement denial from a health-care payer, ranging from Medicare and the U.S. Department of Veterans Affairs to private insurers. The good news is that O&P facilities can usually appeal these denials. Even better news: Taking preventive steps now can reduce the likelihood of denials in the future.
Why Denials? “Whenever you have a relatively high-cost service or device, those claims will stick out,” explains attorney Peter W. Thomas, principal with Powers Pyles Sutter & Verville PC, in Washington, D.C. “If you are billing for relatively complex or technologically sophisticated O&P services, payers often will investigate those claims further, especially if such claims for one individual turn into multiple claims throughout the years.” 24
O&P ALMANAC JUNE 2010
Although each insurer has its own rules and procedures, many payers follow Medicare requirements and may deny claims for a number of reasons. Sometimes, a specific service simply isn’t covered or the claim may lack a proper physician’s prescription or other documentation. In other instances, a procedure or device may be considered experimental, or the practitioner may not have satisfactorily demonstrated medical necessity. The use of “miscellaneous” L codes also can flag particular claims, delaying processing and often triggering denials, although payers may deny these codes separately and pay the rest of the claim. While many private insurers deny claims when they are filed, many Medicare denials occur after the fact, says Thomas, since Medicare, in addition to prepayment denial, also relies on a “pay and chase” system. Durable Medical Equipment Administrative Contractors (DMACs), which process
The fundamentals required to avoid denials are fairly simple and straightforward. The tough part is devoting the necessary time, knowledge, and attention to detail to make smart practices an office routine.”Every detail is important, and every detail must be documented,” says Elizabeth Carlstrom, who owns the business consulting firm O&P Business Solutions in Austin, Texas. The first step is to understand the patient’s insurance coverage. Each policy is a contract between the patient and the provider, says attorney Conal Doyle, a partner in Willoughby Doyle LLP, in Oakland, California. Known as the EOC (evidence of coverage), this document precisely sets forth coverages, exclusions, and limitations, as well as the procedural requirements for appeals. Patients or providers can request this document from insurers (many times the policies are available online) and Doyle believes a copy belongs in every patient file. Determining up front what the payer will cover is key, according to Carlstrom. She recommends contacting the insurer at three critical stages, at a minimum. For example, if a patient makes an appointment for an anklefoot orthosis (AFO), the office should ask the insurer about several likely
How to File an Appeal with Medicare If practitioners have been paid under assignment and want to file an appeal with Medicare, they must follow a prescribed five-step administrative appeals process.
STEP 1. Request for determination. The provider submits any additional documentation that would prove medical necessity and asks the DMAC to review its decision. In this phase, the contractor that made the initial decision takes another look at the case file, but different individuals conduct the review. Often, very little happens at this level—only one or two cases in 30 are overturned, according to Peter W. Thomas, principal with Powers Pyles Sutter & Verville PC, in Washington, D.C. STEP 2. Medical review by a qualified independent contractor (QIC). Reviewers at this phase, called a reconsideration, have some medical background. QICs are often nurses or therapists, rarely medical doctors, and even more rarely, if ever, O&P practitioners. “The key thing you need to know is that you must submit all of your evidence by this level,” says Thomas. At subsequent levels, practitioners may not submit new evidence without showing good cause. Successful appeals also are unusual at the QIC level; in Thomas’s experience, only two or three cases in 30 are overturned at this phase, although he says results can vary depending on the type of services being denied.
STEP 3. Review by an administrative law judge (ALJ). At this phase, the practitioner has a right to a hearing rather than just submitting case files. While ALJs rarely agree to in-person hearings, the provider may request a video teleconference, says Thomas. Most hearings, however, are conducted through telephone conference calls. He recommends including any relevant witnesses who are willing to participate, such as physicians who wrote the prescription, therapists who worked with the patient, and technicians who fabricated the device. During the hearing, the judge typically asks questions. “This is a non-adversarial procedure,” Thomas explains. “It’s not as though the payer will be cross-examining you. Payers can be a party to the proceedings, but they have to provide adequate notification. Usually, payers do not participate in hearings, but they may choose to do so, depending on the size of the claim. The ALJ level tends to be a favorable venue for providers. If you are organized and you lay out the documents and evidence well, you
have a pretty good chance that your claim will be reversed.” Although Thomas has no specific data on O&P appeals, his firm has seen between 75 and 85 percent of Medicare claims as a whole overturned at this level.
STEP 4. Medicare Appeals Council (MAC). Although this body is supposed to conduct a new review of each case brought before it, the council tends to defer to the ALJ, according to Thomas, and it is rare to get a positive result at this level. STEP 5. Federal court. Given the expense of hiring attorneys and engaging in federal court litigation, only claims involving significant amounts of money ever reach this level. For private payers, the appeals process is similar to that of Medicare, though not as structured. Thomas says that private payers are often more willing to figure out what really happened and will sit down and talk with the practitioner before processing the overpayment. The new health-care reform law mandates that every private insurer provide an external, as well as an internal, appeals mechanism. So in the future, practitioners will have access to an independent decision maker not employed by the insurer, if they do not have this right already. Normally, the internal appeal will occur first, but the appeals process will be governed by state law. When making an appeal, it is important to understand the rules followed by the insurer, advises attorney Conal Doyle, a partner in Willoughby Doyle, LLP, in Oakland, California. “Pay particular attention to the timelines that are set forth,” he says. “Do things at the proper time and send materials to the right people. You have to follow the rules of their game.” Is it necessary to hire an attorney to pursue an appeal? The answer to that depends on the dollar amount involved. Doyle says, “Retaining an attorney will almost always improve the chance of a successful appeal. However, it may not be cost-effective in every case. If the final appeal is denied and litigation is required, the court will often award attorney fees to a victorious plaintiff, so attorney fees and costs will not necessarily be borne by the prosthetist or patient.” In any case, the more information you supply, and the more professional and thorough your package, the more likely it will be successful, he says. JUNE 2010 O&P ALMANAC
25
Thomas offers a simple principle to help avoid denials: Document all activity. codes (such as those for a prefabricated or a custom AFO) to confirm basic coverage. Once the practitioner has evaluated the patient and determined specific L codes, the office should verify these codes are covered. And finally, on the day the device is delivered, the office should check that the patient is still covered under that insurance policy. “With today’s economy and so many job losses, it’s important to verify that the patient’s insurance is still active,” Carlstrom notes. Equally important is to ask the right questions. “Insurance companies tend to have a ‘no ask, no tell’ policy,” Carlstrom says. “It’s important to understand there are always special provisions or exclusions on a patient’s policy. Diabetic shoes may be covered, but the patient may have to be diabetic. It may be that the policy will pay for a custom device, but not a prefabricated one. With Medicare, it’s important to understand the local coverage determinations (LCDs) set by the DMACs.” Once a facility knows what is covered, it must show that it has followed the rules. Thomas offers a simple principle to help avoid denials: Document all activity. This begins with the patient’s phone call to make an appointment and includes every document and activity until the patient leaves the office with the device. “These are basic requirements,” says Thomas. “You need to have the order for services signed and dated by the physician. It needs to be sufficiently detailed so that you don’t have to defend providing services that were too technologically advanced for a particular patient under a generic order. You should draft a letter to the physician to make sure he or she understands and signs off on the specific treatment protocol, even down to a list of specific L codes and descriptors. For Medicare, this is called a detailed prescription. Then you need to document all your clinical findings throughout the 26
O&P ALMANAC JUNE 2010
fitting, design, and fabrication process, and make sure the patient signs in to demonstrate he was actually in the practitioner’s office for each day of treatment. Everything has to be written down. You want to create a comprehensive paper trail showing you took the proper steps to obtain approval.”
Depend on Teamwork The best way to ensure proper procedures and documentation is through conscientious teamwork, an approach that has been successful for Michael O’Donnell, CPO, at Hanger P&O in Parkersburg, West Virginia. “With any device, high tech or not, we take a team approach. Clinicians evaluate the patient and come up with appropriate codes, and the administrative staff knows how to communicate to the insurance companies to get approval on the front end,” he says. “If a facility is having trouble getting claims approved, I recommend looking at the history and see what information they’ve provided. Look at the differences between successful claims and those that were denied. I think most insurance companies are consistent in what they want. If you have a winning system with one company, you can probably be successful with another one.” Nevertheless, every insurance company has its own definition of medical necessity for myoelectric and micro-processor knees, so providers must be sure to address that definition specifically when submitting a claim, advises Dan Blasini, RN, clinical care manager for Hanger’s Upper Extremity Prosthetics Program. As a board-certified case manager, Blasini helps Hanger facilities navigate the authorization and appeals process. He notes that technology development often moves faster than Medicare can approve new codes for reimbursement. When that happens, the provider may have to use a miscellaneous code
and then provide thorough information, including photos, product information, and even videos. “Pictures help the payer see the patient’s loss and what the components can do,” says Blasini. One helpful resource can be the manufacturers themselves, which often post on their Web sites articles and clinical studies supporting the efficacy of their products.
What’s Ahead If these procedures seem onerous, it is doubtful that they will loosen up any time soon. With passage of the 2010 health-care reform bill, Medicare and other insurers are likely to be even more rigorous in their requirements. “The government has premised a fair amount of savings on targeting fraud and abuse,” says Thomas. “Even though O&P is a small field, it has high-tech devices with relatively highdollar claims. Demonstrating efficacy and outcomes is going to be critical. Payers are being asked to spend $30,000 for a limb that would have cost $15,000 15 years ago. Practitioners will have to show that the patient has benefitted to the same extent.” New legislation is merely continuing the trend toward costeffective purchasing, according to John Markus, JD, of Balch & Bingham, LLP, in Birmingham, Alabama. “The notion that something new and better will automatically qualify for reimbursement and become part of the market—that changed a long time ago,” he says. a Deborah Conn is a contributing writer for O&P Almanac. Reach her at debconn@ cox.net.
EDITOR’S NOTE: Conal Doyle, Esq., Peter W. Thomas, Esq., and John Markus, JD, are among the many speakers presenting at the 2010 AOPA National Assembly, September 29– October 2. For more information on this year’s conference events and to register, visit www.aopanet.org.
Ask the Expert
n
By Devon Bernard, AOPA government affairs department
Medicare Revises Signature Requirements Properly signed records are critical to claims processing
E
arlier in the year, Medicare provided to all of its contractors updated information regarding signature requirements for medical review purposes. This means when contractors, such as Durable Medical Equipment Medicare Administrative Contractors (DME MACs) or Recovery Audit Contractors (RACs), are adjudicating your claims, they may ask you for additional information or for your medical records. When reviewing your medical records, they may use the presence or absence of a signature to approve, deny, or seek repayment of your claims. This month, we will examine some of the updated signature requirements, and what you can do to make sure you are meeting the very latest signature guidelines.
Q: What does this requirement
mean to me and to my patient chart notes?
A: According to the signature
requirements, any record that is used in the processing of a claim would require a signature. Since your chart notes are part of the patient’s medical record, and can be used to support the medical necessity of an item, they would require a signature. The signature must be from the individual who wrote the record. Therefore, you will now want to make sure that you are signing any entries that you make in the patient’s medical record.
28
O&P ALMANAC JUNE 2010
Q: What is considered an acceptable signature?
A: Medicare will accept
handwritten signatures, as long as they are legible. Electronic signatures are also acceptable, as long as they can be tied to an individual and cannot be altered. This is usually accomplished with a password and PIN code system. Faxed copies of a signature are acceptable, as well. If you are using faxed signatures, keep in mind that Medicare can request a copy of the original signature. The only kind of signature that is not acceptable to Medicare is a stamped signature.
Q: What if the signature is not legible?
A: You may take some precautions
to ensure that a signature will still be acceptable even if it is deemed illegible. You may include a line or space below the signature where the person signing also may print or type his or her name. This is probably the most practical way to ensure that the signature will be accepted as legible. If you do not want to add extra lines to your records, you may create a signature log for your office, and submit this log for verification of the signature. The signature log should include the person’s typed name, signature, and initials. This log will allow the Medicare contractors to cross-reference and tie the illegible signature to an individual, and verify that he or she
was the one who made the entries into the medical record.
Q: May initials be substituted for a full signature?
A: Yes, initials may be used as a
substitute for a full signature, as long as a few criteria are met. The initials must be above a typed or printed full name, and they must be legible. If the initials are not above a printed or typed name, you also must submit a signature log or an attestation statement.
Q: What if there is no signature present in the medical record?
A: If you forgot to sign the medical
and it must be signed and dated by the individual who made the entry to the medical record.
Q: Can attestation statements be
used to add more information to the medical record?
A: No. The attestation statement is
only to be used to verify the individual who entered specific information into the medical record. If there is not an existing entry in the medical record to which the attestation statement relates, then the attestation statement will not be accepted for review.
Q: Do these same guidelines
apply to medical records I request and receive from a physician?
record, you may submit an attestation statement to validate the entry. In other Yes. If you are submitting words, you may send a statement that physician records to help adjudicate says the information in the medical your claim, the physician’s records record was entered by me and is must be signed, and the same accurate and true. The attestation signature requirements would apply. statement must clearly identify the The information discussed in this E-8181-0110:E-8181-0110 12/4/09 10:58 AM only Pagecovers 1 patient whose records are involved, article signature require-
A:
ments in the review process of medical records for the adjudication of claims. If policy requires different signature requirements, that policy will trump these requirements. For example, that policy requires that you have a signed detailed order on file in order to bill for services. If you billed for services prior to receiving a signed detailed order, you could not use an attestation statement to back date the order. If you have more questions about Medicare guidelines regarding signature requirements, please contact any member of the Government Affairs Department at AOPA. You also may review the guidelines in the Medicare Program Integrity Manual in Chapter 3, Section 3.4.1.1., at www.cms.gov/ Manuals/IOM/list.asp.a Devon Bernard is reimbursement services coordinator for AOPA. Reach him at dbernard @AOPANet.org.
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JUNE 2010 O&P ALMANAC
29
Facility Spotlight
n
By Deborah Conn
Selectively Small Tom Watson’s Prosthetics and Orthotics Lab’s rural setting encourages teamwork among staff and physicians Tom Watson, CP, (right) and son Jeffrey Phelps, CPO, outside the Owensboro, Kentucky, facility
FACILITY: Tom Watson’s Prosthetics and Orthotics Lab LOCATION: Owensboro, Kentucky
OWNER: Thomas H. Watson, CP
HISTORY: 29 years in business
30
O&P ALMANAC JUNE 2010
T
homas H. Watson, CP, feels right at home practicing in the small town of Owensboro, Kentucky, which is not surprising, since he was born and raised there. Tom Watson’s Prosthetics and Orthotics Lab serves a population of about 100,000 people in the city and surrounding area. The facility provides a full range of orthotic and prosthetic services in the Owensboro office and at a second location in nearby Evansville, Indiana, just across the Ohio River. Watson’s 10-member staff includes another CP, a CPO (Watson’s son, Jeffery Phelps), a C.Ped, and a technician who works alongside the clinicians to handle the practice’s fabrication needs. Five administrative employees include Watson’s wife, Barbara, as business manager, and his sister, Cathy Ringham, as office manager. Watson became a transfemoral amputee at age 19, which sparked his interest in becoming a prosthetist. In 1974, after studying at Northwestern University and the Rehabilitation Insti-
tute of Chicago, he went to work in Nashville for Ronny Snell, CPO, one of the founders of the American Academy of Orthotics and Prosthetics. When the Snell Artificial Limb Co. opened a branch in Owensboro in 1976, Watson came home. He continued working there after the Fillauer Companies bought out the Snells, and in 1981, Watson and his wife purchased the Owensboro facility. Watson is a facility surveyor for the American Board for Certification. He served as 2000-2001 AOPA president, and has held various regional and statewide offices. Watson has experienced both big-city and small-town practices, and says he definitely prefers the personal nature of working in a closeknit community. The former mayor of Owensboro, he says, “I see the people I take care of at church, at the grocery store, at the baseball diamond.” He believes the small-town atmosphere also fosters better relationships with physicians. “I see them on a daily
basis, which works well for a team approach,” he explains. “No one minds picking up the phone to say that we’re headed in the right or the wrong direction. Everyone is working together to do the best thing for the patient.” Watson also finds that being away from larger metropolitan areas insulates him from short-lived systemic changes in medical care or insurance coverage. “I remember when managed care was going to take over America, but it died before it ever got here,” he says. “By the time new ideas trickle down to the rural areas, they’ve found out what’s wrong with them. So when those ‘perfect scenarios’ get to us, they’re either gone or there’s a better way of doing them.” Finding qualified practitioners has not been an issue for Watson, although he says, “most people don’t want to move to the boondocks when they could live anywhere.” As a result, his employees tend to be natives of the area who come home after gaining the necessary credentials elsewhere. They tend to stay put, too, with an average tenure of around 16 years. Nevertheless, a rural practice does have drawbacks, Watson notes. For example, only one insurer covers western Kentucky, which can limit treatment options. “It’s difficult when you have a patient who could benefit from the newest technology, but the only health-care carrier in the area considers anything expensive to be experimental,” he says. “In a larger city, with multiple insurers offering a variety of plans, the opportunity to provide 21st-century technology is greater.” In some cases, the lack of medical resources can make it difficult to provide consistent care. “When really traumatic injuries occur, the patient is shipped off to a medical center in a big city,” says Watson. After the patient begins to recover, he or she returns home and has to start building new relationships with local providers. Nevertheless, Watson says he wouldn’t trade places with any big-city practitioner, and Tom Watson’s P&O
Watson and Phelps adjust a multi-axial prosthesis
Patient Eldon “Glenn” Morrison (right), Watson, and Phelps on a tour of a landing ship tank similar to one Morrison served on during the Korean War
Lab is likely to stay put for at least another generation. Like many smallfacility owners, Watson is making plans to keep his company in the family. His son, Jeffrey Phelps, grew up in the business and then earned a bachelor’s degree in O&P from the University of Texas Southwestern Medical School in Dallas. Phelps and his wife are in the midst of a four-year process of purchasing the facility from his parents. Watson finds succession planning
more difficult in light of health-care reform and the impact it may have on reimbursement levels. “There is so much we don’t know yet,” he says. Regardless, it’s doubtful that he will fully retire, even after his son assumes ownership of the facility. “My wife wants me to play more golf,” he says. “But I still love what I do.” a Deborah Conn is a contributing writer to O&P Almanac. Reach her at debconn@ cox.net.
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AOPA Headlines AOPA WORKING FOR YOU
New Health-Care Law Heightens Outcomes Focus AOPA increases research investment to step up comparative effectiveness results
T
he recent AOPA Policy Forum focused on the myriad public policy challenges resulting from the new health-care law and how they’ll have an impact on the delivery of quality care for O&P patients. We don’t have to wait for the regulations to be written to know there will be a strong emphasis on outcomes, which will require significant comparative effectiveness research—something that’s now woefully missing in the O&P community.
It’s critical for the O&P industry to step up to the plate and make some significant research investments. We also know now that the O&P industry and other providers will be subject to “productivity adjustments” beginning in 2011. This provision of the new law assumes that as technology advances and providers gather more experience, they will become more proficient in delivering services. The new law requires that such efficiencies should be realized in downward adjustments in fee schedule updates, with estimates in the range of 1 percent to 1.5 percent per year. Over a 10-year period, these somewhat arbitrary adjustments may force providers to cope with what could be cumulatively a 10 percent to 15 percent lower fee schedule
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update than they would have received otherwise. This makes it all the more imperative to protect O&P fee schedules in other ways. This means intensive investment into research that verifies the comparative effectiveness of various treatment programs and devices.
Looking Into Research The comparative effectiveness research area already is being addressed by AOPA and much more aggressively than in the past. One of AOPA’s 11 initiatives adopted by the board of directors in 2008 focused on outcomes and evidencebased practice. In June 2009 AOPA funded three pilot research projects by awarding grants to • Georgia Tech University’s Robert S. Kristenberg, CP, FAAOP, for research on the “Comparison of LinerAssisted Suspensions in Transtibial Prosthetics.” • Andrew Sawers, CPO, MSPO, of the University of Washington for the “Estimation of Axis Rotation Position in Non-Articulated Energy Storage and Return Prosthetic Foot-Ankle Mechanism.” • Geza Kogler, PhD, CO, of Georgia Institute of Technology at Georgia Tech University for research on the “Functional Outcomes of Custom, Energy Harvesting, ‘Bullfrog’ AFO.” The Center for O&P Learning and Outcomes/EvidenceBased Practice (COPL) reviewed RFP responses and selected the award recipients. Interim reports were filed Dec. 31, 2009, and final reports are due Dec. 31, 2010. This is just the start. RFPs were issued by AOPA in March 2010 for five additional areas of pilot research, each funded at the $7,500 level. The response deadline was April 30, 2010, and once again COPL will be reviewing responses and recommending who should receive AOPA-funded awards.
•
• • • •
Topics for funding include: AFO treatment of stroke and the appropriateness of the five criteria for custom device use microprocessor knees and the functional value for K2 patients residual limb and socket interface selection criteria vacuum-assisted socket research prosthetic foot/ankle mechanism assessment of current functional classifications.
The 2009 and 2010 pilot research awards are intended to serve as a springboard for more advanced research on a much larger scale to establish comparative effectiveness outcomes. To help make sure appropriate funding for this expanded research can be identified, AOPA has retained
the services of The Winkenwerder Company LLC, which was founded by Dr. William Winkenwerder, the former assistant secretary of defense for health affairs in the U.S. Department of Defense from October 2001 through April 2007. He also has held several executive positions at major health-care and consulting companies. Two major research projects are jointly being considered by manufacturers involved with prosthetic knees and feet. These two high-reimbursement areas need more comparative effectiveness research results to document the favorable impact on patients and the cost effectiveness of the treatment. Financial underwriting of the research by the manufacturers of these products would be augmented by an AOPA contribution. Other avenues are being explored by
the Jefferson School of Health Policy under a contract with AOPA to set up a patient registry for actual patient data gathering. A first phase has been completed and provides a template for building further patient registries. The contract also provides for a literature search to document the existing world of O&P-published research to further quantify which areas most desperately need research. It’s critical for the O&P industry to step up to the plate and make some significant research investments. Fortunately, the AOPA Board recognizes this pressing need and will continue to invest your dollars in making sure O&P remains at the forefront of providing hard evidence on which outcomes produce the best results. a
IN MEMORIAM
Ben Moss, Former AOPA President and Industry Advocate AOPA and the O&P industry mourn the loss of Ben B. Moss, who passed away on May 6, 2010, at the age of 89. Moss served as president of AOPA from 19761977. He entered the O&P field through his ownership of the Florida Brace Corp. in Winter Park, Florida, in the early 1960s. He remained actively involved in the management of the Florida Brace Corp. until recent years when his daughter, Anne, took over daily management duties. Donations may be made in memory of Moss to the Orlando Philharmonic Orchestra, 812 E. Rollins St., Orlando, FL 32803, or Benevolent Assistance of Westminster Retirement Communities, c/o Winter Park Towers, 1111 S. Lakemont Ave, Winter Park, FL 32792.
Latest Audioconference Tackles Crisis Management Your office may be equipped to handle everyday challenges, but what happens when disaster strikes? Prepare for unexpected situations now before it is too late by attending AOPA’s June 9 audioconference, “When Disaster Strikes: Implementing a Contingency Plan.” The program will help participants understand the importance of contingency planning, including how to: • develop and implement a contingency plan • identify key employees • prepare for natural disasters • deal with technological failures • recover from an office fire • respond to a burglarized office • maintain operations during an event. Attend this valuable one-hour telephone session to help you prepare for the unexpected. Register online at www.aopanet.org. For more information, contact Erin Kennedy at ekennedy@aopanet.org or 571/431-0876.
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AOPA Headlines ace The Pl ! To Be
Registration Opens for 2010 National Assembly Don’t miss the 2010 AOPA National Assembly, September 29 through October 2, at the luxurious Rosen Shingle Creek in Orlando, Florida. Attendees at this year’s Assembly will be able to take advantage of the best in clinical and business education, as well as a beautiful on-site golf course (ranked among America’s Top 40 New Courses by Golfweek), spa, nature trails, a variety of fine and casual dining options, and proximity to all of Orlando’s best tourist attractions. Register online at www.aopanet.org, or contact Erin Kennedy at ekennedy@aopanet.org or 571/431-0876 for more information.
2010 Thranhardt Award Winners Announced In anticipation of the 2010 AOPA National Assembly, AOPA’s educational committee has selected the winners of the 2010 Thranhardt Award. Dr. Andreas Kannenberg, PhD, director of medical affairs for Otto Bock HealthCare GmbH in Duderstadt, Germany, was selected for his entry, “A New Shoulder Orthosis to Treat Painful Shoulder and Facilitate Gait Rehabilitation of Stroke Patients.” This clinical study investigates the extent to which the newly developed shoulder orthosis, Omo Neurexa, affects the painful shoulder condition after a stroke (with or without shoulder subluxation). Kannenberg received his degree in medicine from Humboldt University of Berlin in 1989 and his medical board certification as a general practitioner in 1995. His clinical experience includes general and family medicine, surgery, dermatology, internal medicine, rheumatology, orthopedics, and rehabilitation medicine. The second winner is Maria Gerschutz, PhD, an applied research engineer at Ohio Willow Wood, for her paper, “Quantitative Evaluation of Elevated Vacuum Suspension System Effectiveness Under Dynamic Conditions.” She examined a K3 transfemoral amputee who was measured using a positioning sensor with three prosthetic suspension systems: vented to the air, one-way suction, and elevated vacuum. Gerschutz earned her doctorate degree in engineering with an emphasis on biomedical engineering from Wright State University. Both winners will present their papers on Thursday, September 30, during a special AOPA National Assembly General Session following the keynote address. For further information, contact Steven Rybicki at srybicki@aopanet.org or 571/431-0835.
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Present a Poster, Highlight Your Research AOPA is accepting submissions from those who wish to present a poster at the 2010 AOPA National Assembly, September 29 through October 2, at the Rosen Shingle Creek in Orlando, Florida. Submissions will be accepted through July. This is a great opportunity to present your research findings or a case study to the entire O&P community. Presentations should be a graphic display in poster format using photographs, diagrams, flowcharts and graphs, and any sample educational materials developed. For more information and to submit a poster, visit www.aopaassembly.org. a
OP Almanac &
ONLINE Go to www.AOPAnet.org, click on ‘O&P Almanac Online’ today!
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ABC facility accreditation isn’t just about meeting the minimum standards—it’s about you and the quality of care you provide. Accreditation from ABC tells your patients that the highest standards in the profession have been met. Contact us today at 703-836-7114 and join the best in the profession. Download the accreditation guidelines and an application at www.abcop.org.
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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
Advanced Prosthetics & Orthotics LLC
Life in Motion Orthotic & Prosthetic Center Inc.
4293 American Way Memphis, TN 38118 901/795-1776 Fax: 901/795-1738 Category: Patient Care Facility Marcus Baker, CPO, LPO
443 N St. Francis, Ste. E Wichita, KS 67202 316/263-1155 Fax: 316/263-1558 Category: Patient Care Facility Michael A. Rolle, BS, CP, BOP
Ark Valley Orthotics & Prosthetics LLC
Premier Prosthetics & Orthotics LLC
9727 Shannon Woods, Ste. 180 Wichita, KS 67226 316/630-8420 Fax: 316/630-0410 Category: Patient Care Facility Jason E. Tanner, CPO
Bay City Orthocare LLC 2313 Peach Street Erie, PA 16509 814/452-4632 Fax: 814/452-4636 Category: Patient Care Facility George Fagan, CPO
BMI International
9241 Lazy Lane Tampa, FL 33614 877/603-3737 Fax: 877/603-3939 Category: Supplier Level 1
Cook Children’s Home Health Abletech Orthopedics Corp. No. 8, Lane 234, Xinshu Road Xinzhuang City, Taipei, 242 Taiwan 886-2-29261765 Fax: 886-2-29262933 Category: Supplier Level 1
Accion Rehab Inc. 213 N. 15th Sreet McAllen, TX 78501 956/630-0209 Fax: 956/630-0247 Category: Patient Care Facility Rinky Shah
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1719 8th Avenue Fort Worth, TX 76110 682/885-6295 Fax: 682/885-8405 Category: Patient Care Facility Deborah Graham, CPO
Johnson’s Orthotic & Prosthetic Lab 1311 Strozier Court Barling, AR 72923 479/434-6722 Fax: 479/434-6732 Category: Patient Care Facility Thomas J. Johnson, LPO
633 Emerson Road, Ste. 10 Saint Louis, MO 63141 314/262-8900 Fax: 314/743-3575 Category: Patient Care Facility Gregory Doerr, CPO
Sota Prosthetics & Orthotics Ltd. 1A 1st Fl, North Valley Business Centre Oldmallow Road Blackpool, Cork, Ireland (Eire) +353-21-430-8543 Fax: +353-21-439-6585 Category: International Michael Foutty
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
NOW IN STOCK: © 2009 ALPS. All Rights Reserved.
Experience Our Commitment
BUYERS’ 2010 GUIDE The annual one-stop resource for O&P products and services
Orthoses and Components....... 39
Orthotics—All........................................................ 39 Ankle/Foot Care.................................................... 39 Hip Orthoses......................................................... 39 Knee Orthoses....................................................... 39 Orthoses: Lower Limb............................................. 39 Pediatric Orthoses.................................................. 42 Specialty Products.................................................. 42 Spinal Orthoses..................................................... 42 Upper Extremity: O&P............................................ 43
Prostheses and Components........................... 44
Prosthetics—All...................................................... 44 Electronic Components: Upper Limb......................... 44 Lower Limb............................................................ 46 38
O&P ALMANAC JUNE 2010
contents
Elevated Vacuum Socket Volume Management........... 46 Feet...................................................................... 48 Foot Care: Custom Footwear................................... 50 Liners.................................................................... 50 Mastectomy/Post Mastectomy.................................. 52
Lab Equipment........................ 52
Lab Equipment—All................................................ 52
Miscellaneous......................... 54
CAD/CAM Systems............................................... 54 Central Fabrication................................................ 54 Specialty O&P Distributors...................................... 54
Reference Materials and Business Services..................... 55
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ANKLE FOOT ORTHOTIC–AFO Allard USA Inc.
ORTHOTICS—ALL
Rockaway, NJ 888/678-6548 www.allard.com info@allard.com
Becker Oregon
HIP ORTHOSES
Albany, OR 541/967-1821 www.beckeroregoncatalog.com Becker Oregon began as Oregon Orthotic Systems (OOS), Inc. in 1990 as a company that introduced the principles of rotational control to lower limb laminated orthotics. Today Becker Oregon is owned and operated by Becker Orthopedic as an independent, full-service, central fabrication facility on the west coast. Although Becker Oregon continues to offer rotational control laminated orthotics, the company has changed its focus to more traditional thermoplastic and metal & leather orthotic fabrication. Becker Oregon is committed to the highest standards of workmanship and unsurpassed service to the orthotic and prosthetic community. For more information please contact Becker Oregon at 541/967-1821 or visit BeckerOregonCatalog.com.
Fillauer Companies, Inc. Chattanooga, TN 423/624-0946 www.fillauercompanies.com fjenkins@fillauer.com
Otto Bock HealthCare Minneapolis, MN 800/328-4058 www.ottobockus.com Otto Bock HeathCare orthoses provide stabilization, immobilization, relief and/or correction to meet your patients’ requirements. We offer a full range of prefabricated solutions for temporary wear following surgery or injury. Our custom-fabricated braces are supported by world-class technology and hands-on craftsmanship to ensure your patients receive the stabilization and support they need. We also support your custom orthotics business with a comprehensive selection of joints, bars, and materials. See more detail about our industry-leading KAFOs including innovation Stance Control options for the highest level of function. Backed by a skilled clinical team, educational courses and one-on-one custom-fabricated orders, Otto Bock is your orthotics partner. For more information call 800/328-4058 or visit www.ottobockus.com.
BUYERS’ GUIDE
Orthoses and Components
Allard USA Inc. Rockaway, NJ 888/678-6548 www.allardusa.com info@allardusa.com
KNEE ORTHOSES Allard USA Inc. Rockaway, NJ 888/678-6548 www.allardusa.com info@allardusa.com
ORTHOSES: LOWER LIMB Allard USA Inc. Rockaway, NJ 888/678-6548 www.allardusa.com info@allardusa.com
Becker Stance Control Becker Orthopedic offers the largest selection of orthotic Stance Control systems in the industry: • PreStride™ • FullStride™ • SafetyStride™ • GX-Knee • GX-Assist • GXL-Knee • UTX® • Load Response Knee Joint For information on our Stance Control systems, please request your FREE copy of our Stance Control Overview Guide II or our FullStride™ Case Study I DVD by calling 800/521-2192 or visit our Web site at www.beckerorthopedic.com.
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BUYERS’ GUIDE
ORTHOSES: LOWER LIMB (CONT’D.) Otto Bock HealthCare: Lower Limb, Stance Control Minneapolis, MN 800/328-4058 www.ottobockus.com Otto Bock HealthCare offers an innovative Stance Control solution for every patient requirement. Next-generation devices, the Sensor Walk® and the E-MAG Active KAFOs, are microprocessor and electronically-controlled and do not require mechanical or weight triggers to lock and unlock. For patients needing more basic solutions, we offer the FreeWalk, a lightweight, mechanical stance control KAFO, or KAFOs customfabricated with our unilateral joints. Supporting Otto Bock’s stance control KAFOs is a portfolio of clinical evaluation devices, two CEU-approved qualification courses, and a day-long KAFO Clinic to help you promote and grow your stance control practice. For more information call 800/3284058 or visit www.ottobockus.com.
E-MAG Active Stance Control KAFO: Take a Step in the Right Direction! Easy to fit for practitioners and even easier for patients to use, this integrated, low-profile joint provides the best in electronic stance control and helps your patients get into a more active lifestyle. The E-MAG Active calibrates itself to capture the user’s unique gait pattern with the help of the simple onboard programming. This unique feature adds a whole new dimension of functionality for people who previously have had limited bracing options, such as a locked knee brace or manual device. Help your patients get back into the swing of things with the E-MAG Active! For information visit www.ottobockus.com.
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Spinal Technology’s Expertise in Lower Limb Technology & Prosthetics Spinal Technology, Inc. takes its excellence in product quality and service and brings them to Lower Limb Orthotics and Prosthetics. With our unparalleled customer service, experienced technicians and certified orthotists, we offer custom-made lower extremity orthotics and prosthetics with emphasis on high-quality craftsmanship. For more information on our Lower Limb products and Prosthetics, call 800/253-7868, or e-mail us at info@spinaltech.com.
The SPL2 from Fillauer LLC The most popular stance-control orthotic knee joint, the Swing Phase Lock 2 (SPL2) includes the following features and benefits: • Enhanced position-dependent pendulum design. • Multiple locking positions for tentative gait • Added free motion feature • Easy fabrication with minimal followup maintenance. • Works with any orthotic ankle design. • Only design available for use as a rehab knee orthoses. • Bilateral or unilateral uprights for easy donning. Available in a kit or as a Fillauer Custom Fabrication orthosis For more information, contact Fillauer at 800/251-6398 or visit us at www.fillauer.com.
Let Anatomical Concepts Inc. help you...help your patients Providing innovations in Concept, Design and Application
KAFO - Fracture Brace PDAC Verified AFO: L1971 • Free dorsi flexion • Moldable foot plate with post op shoe
• Posterior upright • Optimal pressure relief • Adjustment in ALL planes of motion
Pentagon - Five Function or Range of Motion Designs
• Single posterior upright • Allows thigh and calf segment to dynamically shorten and lengthen with patients extremity
FIVE FUNCTION KNEE ORTHOSIS
KAFO - (KMO / DDA Combination) Knee Management Orthosis - Dynamic Dorsi Assist Combination Custom off loading knee orthosis
• NO corrective straps or pads • Self aligning polycentric knee joint • Provided with 2 sets of liners • Blounts & adult custom KAFO’s available Patent # 5,088,479 Patent # 5,486,157 Patent # 5,593,383 Patent # 5,545,127 Patent # 5,908,398 Patent # 5,944,679 Patent # 6,302,858 Patent # 6,350,246
Patent # 6,377,178 Patent # 6,464,659 Patent # 6,793,638 Patent # 7,112,118 Patent # 7,122,016 Patent # 7,662,119 European Patent EP 0 931 525 B1 Patents Pending
• Bi-Articular contracture management • KMO allows static progressive adjustment • DDA allows passive push through
1399 E. Western Reserve Rd • Poland, OH 44514-3250 Toll Free: (800) 837-3888 • www.prafo.com
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BUYERS’ GUIDE
PEDIATRIC ORTHOSES
SPINAL ORTHOSES
Allard USA Inc.
Allard USA Inc.
Rockaway, NJ 888/678-6548 www.allardusa.com info@allardusa.com
Rockaway, NJ 888/678-6548 www.allard.com info@allard.com
Fillauer’s ParaPod
OPTEC Products with PDAC Approved Codes
The ParaPod comes in a kit form that can be sized and assembled easily for significantly less than conventional HKAFOs. The kit provides an exoskeleton worn over clothing that consists of shoe clamps, aluminum uprights, foam knee blocks, and upper-back and chest supports. The aluminum uprights are sized at the knee and hip and are cut to length. Additional tubes can be cut to a longer length to accommodate growth. • Normal age range is 2-6 years • Easy to use standing and sitting mechanism • Durability for everyday use For more information, contact Fillauer at 800/251-6398 or visit our website at www.fillauer.com.
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 call us today at 888/982-8181 or visit www.optecusa.com.
SPECIALTY PRODUCTS Walkaide Bi-Flex Cuff Enhances Comfort SPS is pleased to launch the new WalkAide Bi-Flex Cuff, designed to provide a secure fit and optimal electrode positioning to enhance reproducibility of outcomes both inside and outside clinical settings. • Visual Indicator helps accurately align the WalkAide System for consistent positioning. • Universal Fit can be used on either left of right leg and is available in three convenient sizes • Electrode Locators help ensure precise electrode placement every time for optimized stimulation • Dual Durometer Construction - rigid side helps secure cuff while allowing one-handed donning and doffing; soft side conforms to the leg for total electrode contact For more information, contact SPS Customer Service at 800/767-7776, extension 3 or contact your SPS Sales Manager. 42
O&P ALMANAC JUNE 2010
Stealth PRO - PDAC Approved L0631 OPTEC is proud to present our new Stealth PRO, which is ideal for patients requiring firm support. The Stealth’s revolutionary intercrossing strapping system along with the anterior opening design combine with a rigid back panel to provide spinal stabilization from the sacrococcygeal junction to T9 vertebra. The Stealth PRO back panel attaches to the Stealth brace with our secure elastic suspender, which ensures the same fit every time with no rotation of either component when donning. PDAC recently approved both the Stealth PRO2 and Stealth PRO4 for HCPCS code L0631. Find out more about these and other products call us today at 888/982-8181 or visit www.optecusa.com.
Stealth X––15% Discount! Continuing in the tradition of excellence, OPTEC is pleased to introduce the Stealth X. The Stealth X is our newest and most revolutionary streamline design. 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 for complete rehabilitation. Stealth
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The Stealth TLSO: Complete Immobilization Complete Comfort 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. Find out more about these and other products call us today at 888/982-8181 or visit www.optecusa.com.
Spinal Technology’s Flex-Foam®
BUYERS’ GUIDE
X combines the benefits of a post-op and rehab brace, all into one innovative design. PDAC recently determined that L0637 is the appropriate HCPCS code for the Stealth X. Order the Stealth X now through June 31, 2010 to receive 15% OFF regular price. Find out more about these and other products call us today at 888/982-8181 or visit www.optecusa.com.
The FlexFoam® Spinal Orthosis from Spinal Technology, Inc. offers a patented design that combines the rigidity of a traditional TLSO with the comfort of a soft brace. This product is designed specifically for patients who have a low tolerance for rigid, full contact orthoses. The FlexFoam® is fabricated with two layers of varying densities of foam to provide both comfort and control. An external thermoplastic shell is incorporated to provide additional support and correction where indicated. The orthosis can be fabricated with a single opening or bi-valve. It can be custom fit to measurement or cast. For more information, call 800/253-7868 or visit www.SpinalTech.com.
UPPER EXTREMITY: O&P Texas Assistive Devices LLC Brazoria, TX 800/532-6840 www.n-abler.org hps@n-abler.org
Introducing J-Gel Wherever pressure relief and shear reduction is required • Low-durometer, high performance, antimicrobial polyurethane gel • 1mm and 2mm circles, heel protectors and pads • Adhesive backing makes it easily applied to any foot orthotic, brace or footwear product for relief in specific “hot spot” areas. • New: Game Time Tape in 1.5” x 18” strips for use in more specific sports applications.
For more information visit www.jmsplastics.com or call 800-342-2602 3535 Route 66, Bldg. #4, Neptune, NJ 07753-2625 800-342-2602 / 732-918-8115 / Fax 732-918-1131
www.jmsplastics.com
Eco Friendly Products from JMS Plastics
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Prostheses and Components PROSTHETICS—ALL Fillauer Companies, Inc. Chattanooga, TN 423/624-0946 www.fillauercompanies.com fjenkins@fillauer.com
Otto Bock HealthCare Minneapolis, MN 800/328-4058 www.ottobockus.com You’ve counted on Otto Bock HealthCare’s high-quality prosthetic products and services to provide functional, reliable technology for your patients. That’s what’s made the C-Leg® the standard in microprocessor-controlled knees. Continue to give your customers increased mobility, confidence, and independence with Otto Bock’s precisely fitted solutions, suitable for even for the most demanding situations, for every level of function and amputation. Your prosthetic fitting goal is to provide the best possible outcome for your patient. Our individualized solutions fit every lifestyle and will help you give your patients the quality of life they deserve. For more information call 800/328-4058 or visit www.ottobockus.com.
Spinal Technology’s Expertise in Lower Limb Technology & Prosthetics Spinal Technology, Inc. takes its excellence in product quality and service and brings them to Lower Limb Orthotics and Prosthetics. With our unparalleled customer service, experienced technicians and certified orthotists, we offer custom-made lower extremity orthotics and prosthetics with emphasis on highquality craftsmanship. For more information on our Lower Limb products and Prosthetics, call 800/253-7868, or e-mail us at info@spinaltech.com.
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O&P ALMANAC JUNE 2010
ELECTRONIC COMPONENTS: UPPER LIMB SPS Stocks bebionic Hand bebionic is the first commercially available myo-electric hand with a powered wrist joint that can flex, extend and rotate. Each articulated digit is driven by individual actuators and is fully proportional allowing the wearer to control the speed and strength of the hand. • Microprocessors constantly monitor the position of the fingers, so grip sequences are accurate every time. • Microprocessors located in the palm of the hand to provide greater protection and durability. • Auto grasp feature senses if an object is slipping and automatically provides additional power as needed, to maintain a secure and safe hold on an object. • Two user selectable thumb positions: opposed and non-opposed • Four grip patterns––Tripod grip, Power Grip, Key Grip and Index Point SPS is offering a series of half-day training courses on the bebionic hand around the U.S. For more information, call Kim Martin at 800/767-7776, extension 173 or visit www.spsco.com.
i-LIMB Pulse Hand available through SPS The new Pulse hand is the latest addition to the i-LIMB family and is so named because of its pulsing grip, providing greater grip strength than previous i-LIMB models • Unique pulsing grip strength is variable and selectable per digit. • BIoSim Professional software embedded in the Pulse Hand allows real-time assessments and control. Must be fully accredited to utilize. • New aluminum chassis, knuckles and dislocators increase the strength beyond earlier i-LIMB models • Proportional speed allows Pulse hand to respond based on the strength of the input signal • Two sizes available––small and medium • Two colors available––flack and natural • Two cover options––i-LIMB Skin or new Dynamic Flex Cover • Available June 2010. For additional information, call SPS Customer Service at 800/767-7776, extension 3.
ThE ORIgINAl COMpREssOgRIp ® B / K E l A s T I C
s h R I N K E R s
ReSeARChed And develoPed by Knit-Rite
Apply the first layer.
eveRy Roll iS quAlity teSted
ConSiStent ComPReSSion
Position the ring snugly.
teSted And widely ACCePted foR 30+ yeARS
effiCACy CliniCAlly teSted (RePRintS AvAilAble)
Apply the second layer to a point of desired maximum compression.
Invented by Knit-Rite, Inc., the original tubular compression prosthetic shrinker for control and prevention of edema following amputation surgery and for limb volumetric maintenance. Compressogrip Shrinkers
AlsO AvAIl ABlE !
assure controlled compression, ease of application and wearer acceptance.
Tapered Compressogrip – tapered Compressogrip b/K Shrinkers are a new addition to the industry standard. Additional width at the top accommodates fuller thighs and reduces rolling and bunching behind the knee caused by too much compression above the knee. tubular compression material is used for control or prevention of edema following amputation surgery, for limb volumetric maintenance, to minimize hypertrophic scarring and to give compressive support for pain relief.
Compressogrip A/K shrinker – the Compressogrip A/K for transfemoral applications is clinically effective and easy to use and apply. it is lower cost than traditional shrinkers — fewer sizes fit more patients. easy and affordable to keep on hand for same day delivery.
See the difference • ASk for A free SAmple FOR MORE INFORMATION VISIT KNITRITE.COM OR CALL 800.821.3094
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BUYERS’ GUIDE
LOWER LIMB Entegra Knee 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 • 4 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.
Össur Launches New Rheo Knee® with Multiple Advantages The new and improved RHEO KNEE, the latest addition to Össur’s innovative Bionic line, now offers a higher weight limit (275 pounds), increased torque, faster swing speed, and improved aesthetics. Thanks to its low build height, the RHEO KNEE is compatible with the entire Össur Flex-Foot line. Together they deliver maximum dynamics and a natural gait experience. As always, the Rheo Knee recognizes and responds immediately to changes in speed, load, and terrain, restoring the user’s ability to walk naturally, comfortably, and confidently at any speed. For more information, call 800/ 233-6263 or visit our Web site at www.ossur.com.
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O&P ALMANAC JUNE 2010
ELEVATED VACUUM SOCKET VOLUME MANAGEMENT Ohio Willow Wood’s LimbLogic VS: Reliable, Secure Vacuum Suspension LimbLogic® VS provides secure, reliable vacuum suspension. Numerous features set it apart from other vacuum suspension systems on the market: • It is the only fully-integrated electronic vacuum suspension system available. • A remote control for adjusting and monitoring vacuum levels comes with every system. - It is the only waterproof electronic vacuum suspension system. • The system may be used in laminated and thermoplastic sockets. Other key features are inline mounting in a prosthesis, adjustable vacuum from 0 to 20 in-Hg, ‘set & forget’ vacuum monitoring, remote control operation, and quiet operation. Contact Ohio Willow Wood: 800/848-4930 or www.owwco.com.
Less is More – Harmony® P3 by Otto Bock: Elegant Design With Maximum Functionality The P3 is lighter with a smaller overall height and width than its predecessors. Appropriate for amputees who are moderate to high activity level and want to ensure optimized fit. Like previous generations of the mechanical Harmony devices, the P3 is waterproof to support your patients in a number of environments. The P3’s Functional Ring provides vacuum generation, vertical shock absorption and torsion, all in one simple component. To find out how to get your patients into Harmony P3 today, call 800/3284058 or visit www.ottobockus.com.
TM
Shoes Specially Designed to Accommodate Mild or Severe Foot Problems, Off-the-Shelf and at Low Prices Toll Free: 1-888-937-2747 Accommodative Expandable Foam Collar Now available off-the-shelf Reflex the leather counter on itself to reduce archilles pressure
NEW
728-E: for Men 628-E : for Women
628-E, 728-E spcially designed to accommodate severe Bunion/bunionette & Edema with Foam Collar and built-in Flex area on medial & lateral side, the uppers are made of Lycra® to allow more flexibility This unique collar design accommodates huge ankle circumference.
Widths: Size Run: 5-13 for ladies, Full & half sizes 5-17 for men, Full & half sizes Ladies': B, D, 3E, 5E, 7E, 10E, 14E Men's: D, 2E, 4E, 6E, 9E, 10E, 14E
Bunion Foot
Edema Foot
Athletic
TM
Very soft leather uppers & linings
Double-depths to accommodate AFO's, KAFO's, and foot orthotics Broad width at the toe & extra girth at the ankle Extended medial counter to provide support & stability
MEN’S High density injected EVA outsole with symmetrical cut line for easy sole modifications Better accommodation for orthotics, AFO’s & internal modifications Elongated medial & lateral counter to provide support & stability
554-3(men’s)
444-3V(women’s)
Size: 6, 6.5 - 12.5, 13, 14, 15 Width: M(D)(Medium) W(EE)(Wide) XW(EEEE)(Extra Wide) Color: White/Navy
WoMEN’S Size: 5, 5.5 - 10.5, 11 Width: M(B)(Medium) W(E)(Wide) XW(EEE)(Extra Wide) Color: White/Silver
554-1VB(men’s)
444-1LB(women’s)
Apis Footwear Company
2239 Tyler Ave. South El Monte, CA 91733 Tel: 1-888-937-2747 Fax: 1-888-990-2245 www.bignwideshoes.com
Footwear Co.
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BUYERS’ GUIDE
FEET The Tribute® Foot from College Park The Tribute® delivers dependable performance in an economical package. The true multi-axial design and precision Gait Match provides the user better control and stability. The full-length toe lever and a low frequency response are ideal for people that require firm footing on varied terrain. The Tribute is an ideal solution for initial fittings and low to moderate impact users. Key Features include: • True multi-axial function with transverse rotation for natural feeling performance • Adjustable Stride Control™ offers fine adjustment to match any individual’s gait • Full-length toe lever with low frequency dynamic response • Scaled design allows for more natural proportions for improved cosmetic appearance • Same-day, custom built to order For more information, call 800/728-7950 or visit www.college-park.com.
New Foot/Ankle System: The MotionFoot® from Motion Control offering 50° Plantar Flexion 50° ankle range of motion gives the Motionfoot™ a great comfort advantage and superior stability on flat, sloping, or uneven ground. The hydraulic ankle allows adjustment of the resistance by the wearer in both plantar flexion and dorsi flexion. The prosthetist can also adjust heel height, and toe stiffness. For more information, contact Motion Control at 888/696-2767 or visit www.utaharm.com.
Fillauer Introduces the Ibex Foot System, an Emotis Design The Ibex Foot System is a leap forward in multi-axial foot design. The innovative micro-slices in the Ibex pylon and the split heel plate provide controlled inversion/ eversion for terrain conformance. The multi-axial design is energy optimized with a long carbon pylon and full length heel plate that allows the Ibex to reach foot flat sooner and store more energy. The unique components of the Ibex work together from heel strike to toe off to provide stability without sacrificing energy return. The Ibex foot’s balanced 48
O&P ALMANAC JUNE 2010
performance gives amputees the confidence they need to meet life’s challenges head on. For more information, contact Fillauer’s customer service department at 800/251-6398 or visit www.fillauer.com.
Ohio Willow Wood Mount Sterling, OH 800/848-4930 www.owwco.com info@owwco.com
New Flex-Foot® Talux® by Össur, now with Sandal Toe The Flex-Foot Talux has been redesigned for ultimate durability, a great new look, and now features the sandal toe, which offers considerably more footwear options! Smooth or rough terrain, indoors and out, no other foot provides a more fluid, graceful walking gait. The Talux still includes the Tarsal Core and Achilles Strap, which provide multi-axial function, while the Dual J-Springs enhance forward motion, giving users ideal proportions of balance and agility. Try one today! For more information, call 800/ 233-6263 or visit our Web site at www.ossur.com.
PEL Supply Offers Element DS Foot System™ The Element Foot sets itself apart from two-spring prosthetic foot designs by adding an innovative 3rd Element. Emotis has designed the Element to support each phase of foot function in the gait cycle–from heel strike, to mid-stance, to toe off. The result is a foot with unsurpassed smoothness, stability and performance throughout the gait cycle. Now Fillauer has added the DuraShock to create a system that increases the vertical shock absorption and adds axial rotation. The elastomers and carbon components work together to absorb, store and return energy in vertical and horizontal planes. The result is a foot system that provides a high level function and requires only 6.5 inches of clearance. Kit includes foot, heel bands and elastomers, Spectra Sock, instruction manual, and DuraShock. Rated for patients up to 275 lbs (125 kg), it offers maintenance free design and a 3-year warranty. For more information about the Element DS Foot System, or any outstanding products from The Fillauer Companies, contact PEL at 800/321-1264, by fax 800/222-6176, or e-mail customerservice@pelsupply.com or visit www.pelsupply.com.
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Apis Footwear Company
SHOWCASE
FOOT CARE: CUSTOM FOOTWARE
Provel Inc. • 509.857.2009 www.provel.us
Comfort Products Introduces the X-Silver Shrinker Family LINERS Made with X-Static® Silver fiber for proven antimicrobial protectionComfort and uniqueProducts therapeuticIntroduces properties, the AK®and BK theX-Silver X-Silver Shrinkers™ offer a comfortable environment for shortand longShringer Family term use. ® Made with X-Static We make it easy: Silver fiber for proven K The AK EasyWear™ Belt antimicrobial protection eliminates tightness and unique therapeuaround your middle. One belt size accommodates a 32–50 ticin.properties, the X-Silver AK and BK Shrinkers™ offer a waist. comfortable environment for made short-with andalong-term K Real easy: BK Shrinkers are gel lockinguse. sys-We make it easy: tem to prevent migrating. • toThe AK EasyWear™ Beltwidths eliminates tightness around K Easy order: Available in five and three lengths. Interchangeable right/left-side applications. your middle. One belt size accommodates a 32–50 K Easy toin.care for: Machine wash and dry. waist. K Easy on your budget! • Real easy: BK Shrinkers are made with a gel locking
2239 Tyler Ave., Suite B El Monte, CA 91733 888/937-2747 www.apisfootwear.com 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 custommade shoes, shoe modification services, free foam boxes, free samples and no-hassle return policy, large inventory systComfort em to prevent migrating. Products • 800.822.7500 and quick turnaround. Together with your support and our Circle # • 45 Easy towww.comfortoandp.com order: Available in five widths and three continuous efforts, Apis Footwear Company is striving to lengths. Interchangeable right/left-side applications. become one-stop shop for all your therapeutic footwear • Easy3 to care for: Machine wash and dry. P Functional Kiddythotics needs. Please call our friendly customer service at 888/937• Easy on your budget! Treat smallest patients with the best functional for 2747 or visit www.bignwideshoes.com. Foryour more information contact Comfort Products prefab at 800/822children. Kiddythotics™ are designed to produce the 7500 orProLab www.comfortoandp.com.
SPS Launches New Adventure Series Shoes
best outcomes by incorporating: K Rigid polypropylene shell Euro International’s ClearTex Liner: The High K Deep heel cup Silicone Liner KActivity 4mm medial heel skive K Medial flange The ClearTex Liner by Euro International features a two layer silicone that consists K 4/4 rearfoot post
SureFit, a Division of Southern Prosthetic Supply, has designed its Adventure Series footwear collection as a marriage of originalof a cushioning and a supporting layer. It is ity and classically inspired recommended for medium to high activity styling. Manufactured in patients who need a simple liner handling. rich colors with innovaThe ClearTex Liner features a 10 cm internal tive detailing, the footwear matrix and a jersey fabric cover. It is available designs deliver unbeatable in 3 mm and in sizes from 23.5 cm to 45 cm. comfort with SureFit’s For more information on this liner or any of Available only through licensed practitioners. famous commitment to fit. Adventure Series footwear is our other products, contact your account ProLabmanager Orthotics/USA • 800.477.6522 made of fine quality materials with leather linings and padded at 800/378-2480 or visit our Web www.prolaborthotics.com collars for all – day comfort. The firm heel counters provide Circle # 215 site at www.eurointl.com. support and stability, while the remarkably lightweight EVA ■ May soles ensure lasting durability. Constructed with the new TheEDGE Alpha Select 2010 Liner by Ohio Willow Wood 86 86 The O&P Origins last, these beautifully tailored shoes are designed Since 1996 Ohio Willow to fit like a dream. The extremely lightweight, fashion right Wood has lead the way in designs have hardware accents and touches of natural beauty comfort and protection with that will provide your diabetic patients with lasting value! For the Alpha® Liner. The new Alpha more information, call SPS Customer Service at 800/767Select Liner combines the most 7776, extension 3 or view the 2010 SureFit Therapeutic desirable characteristics into one Footwear Catalog online at www.spsco.com. product by providing comfort, durability and flexibility while controlling pistoning. The Alpha Select Liner features a progressive gel style with 9 mm gel distally for extra comfort, 6 mm gel over the tibial crest, then thinning to 2.5 mm gel behind the knee and proximally. The liner’s new hybrid gel has a higher durometer combining durability with comfort. Contact Ohio Willow Wood at 800/848-4930 or visit www.owwco.com. 50
O&P ALMANAC JUNE 2010
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BUYERS’ GUIDE
Lab Equipment
LINERS (CONT’D.) Össur Expands its Cushion Liner Family Össur’s most popular Iceross® liners - Comfort, Dermo, and Synergy - are now available with either locking or cushion suspension options. Each of these new liners now offer a more comfortable, softer distal silicone cap, which makes them better suited to conform to complex distal end shapes. A simple to use, durable solution for anyone looking for the ideal cushion liner. Iceross cushion liners are recommended for use with the Iceross Sleeve. For more information, call 800/ 233-6263 or visit our website at www.ossur.com.
New ALPS Suspension Sleeve from PEL Supply The new ALPS Extreme Sleeve Fabric Reinforced (SFK) has superior comfort provided by ALPS GripGel™. The SFK has limited vertical stretch, and the elasticity of the fabric still allows the user excellent freedom of knee flexion. The Extreme Sleeve also achieves secure suspension by sealing with the skin without restricting circulation, while the GripGel sticks to the patient’s skin without causing shear forces. The grip will help prevent the sleeve from rolling down the patient’s limb because of the nature of the GripGel, which is more tactile than EZGel to gently, but firmly support the residual limb and sensitive tissues. Built-in features include: • Limited vertical stretch to reduce movement of redundant tissue • Durable performance • 6mm and 3mm uniform thicknesses available • 90-day warranty PEL Supply stocks over 50,000 products, components, tools and accessories, with most available for same day shipment. Call 800/321-1264, fax 800/222-6176, or e-mail customerservice@pelsupply.com.
MASTECTOMY/POST-MASTECTOMY Anita International Corp. Fort Lauderdale, FL 800/678-6223 www.anita.com andrea.barbera@anita.net
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O&P ALMANAC JUNE 2010
LAB EQUIPMENT—ALL Otto Bock HealthCare Minneapolis, MN 800/328-4058 www.ottobockus.com Otto Bock’s integrated equipment systems keep your workshop activities smooth and efficient. There are no deadlocks in work and material flow, making your staff ’s valuable working time highly productive. You can count on expert knowledge of correct use of products, efficient processes, and state-of-the-art methods and procedures. We partner with you to develop room utilization concepts, equipment that meets all your practical needs, financial planning, and profitability analyses. Our primary aim is to reduce your costs and optimize workshop processes. Over the past 40 years, Otto Bock has planned and implemented over 1,800 projects worldwide. For more information call 800/328-4058 or visit www.ottobockus.com.
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 Tribute® – is a custom gait matched, multiaxial design with a full-length toe lever. Ideal for low to moderate impact individuals that require stable footing on varied terrain.
You can trust College Park to create your patient’s CPIdeal.
individualized solutions. thousands of possibilities.
800.728.7950
I
www.college-park.com
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Miscellaneous CAD/CAM SYSTEMS Ohio Willow Wood’s OMEGA® Tracer® –– Versatile CAD/CAM Technology Design prosthetic and orthotic devices with Ohio Willow Wood’s OMEGA Tracer System. By using the OMEGA Scanner for shape capture, practitioners are able to obtain accurate, three-dimensional electronic images of patient shapes. OMEGA Tracer’s intuitive software allows for the shapes to be quickly and accurately modified, fabricated and stored for future reference. Create numerous O&P devices with the OMEGA Tracer System and the OMEGA Scanner. Prosthetics: • Transtibial sockets • Transfemoral sockets • Upper Extremity sockets • Custom Alpha DESIGN® Liners • Custom breast prostheses Orthotics: • Cranials • AFOs • Insoles • Spinals For information, contact Ohio Willow Wood at 800/8722373 or visit www.owwco.com.
CENTRAL FABRICATION Center for Orthotics Design Campbell, CA 800/346-4746 www.centerfororthoticsdesign.com jcrowell@hosmer.com
Fillauer LLC Chattanooga, TN 800/251-6398 www.fillauer.com customerservice@fillauer.com
Hosmer Campbell, CA 800/827-0070 www.hosmer.com customerservice@hosmer.com
OTS Corp. Weaverville, NC 828/658-8330 info@ots-corp.com 54
O&P ALMANAC JUNE 2010
Otto Bock HealthCare Minneapolis, MN 800/328-4058 www.ottobockus.com Whether your fabrication job is simple or complex, you want specialty facilities with the broadest range of services available, staffed by knowledgeable, caring people. That’s why Otto Bock Fabrication Services is a perfect partner for your business: we offer decades of expertise, exceptional customer service, and an unparalleled reputation for quality. Expertise in fabrication technologies is a given. And we also continually evaluate new materials and improve our processes to serve you better. You can count on the best results even with “temperamental” materials – our experts will give you exactly what you need. For more information call 800/328-4058 or visit www.ottobockus.com.
SPECIALTY O&P DISTRIBUTORS BREG, Inc. 2611 Commerce Way Vista, CA 92081 800/321-0607 Phone 800/959-2734 Fax www.breg.com info@breg.com BREG, Inc. is committed to delivering world-class solutions to meet the needs of our customers. Our extensive product offerings include postoperative cold therapy products, soft goods and functional braces, as well as orthopedic practice solutions.
Cascade Orthopedic Supply, Inc. Representing over 200 manufacturers and more than 80,000 products, Cascade has serviced the O&P community and foot care specialists throughout North America for over 30 years. Besides having an outstanding customer service team to personally answer your calls from 5:30 am to 5:30 pm PST. Cascade offers two fully stocked warehouse locations, billing and payment options, volume discounts, a 10% discount to new accounts for the first 6 months and has overnight delivery—at only ground rates to you!* We are also an OPIE Software integrated supplier. Toll-Free: 800/888-0865 Email: info@cascade-usa.com Website: www.cascade-usa.com. *restrictions apply.
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Brazoria, TX 800/532-6840 www.n-abler.org hps@n-abler.org Texas Assistive Devices (TAD) distributes UE prosthetic and orthotic components for individuals with hand dysfunction or amputation. TAD’s products include an interchangeable tool system featuring the N-Abler II to which a variety of adapted tools and utensils can be attached. The N-Abler II offers 360° radial deviation and 60° flexion on any plane, so that tools and implements can be held at a natural angle allowing the user to independently perform activities which might otherwise be impossible (eating, cooking, grooming, carpentry, fishing, etc.). TAD’s products co-ordinate with body-powered or myo-electric prostheses, as well as with wrist-hand-othoses (WHO) braces. All have L Codes.
Reference Materials and Business Services 2010 AOPA Coding Products Coding Suite New L codes? No problem! Order the 2010 AOPA Coding Suite today! Get your facility up to speed, fast, on all the O&P HCPCS code changes with an array of 2009 AOPA coding products. Get illustrations of each HCPCS code and the AOPA interpretations with the 2010CodingPro software and 2010 Illustrated Guide. The CodingPro also contains Medicare fee schedules and medical The Most Popular Orthotic and Prosthetic Illustrated Reference!
policy information. Ensure each of your staff has a 2010 Quick Coder, a durable, easy-to-store desk reference of all the O&P HCPCS codes and descriptors. Now being offered at a lower price! (Coding Suite includes CodingPro single user, Illustrated Guide and Quick Coder): $350 AOPA members, $895 nonmembers. CodingPro CD-ROM (single-user version): $185 AOPA members, $425 non-members. CodingPro CD-ROM (network version): $435 AOPA members, $695 non-members. Illustrated Guide: $185 AOPA members, $425 nonmembers. Quick Coder: $30 AOPA members, $80 non-members. Order at www.AOPAnet.org or by calling the AOPA bookstore at 571/431-0865.
FINALLY! O&P Board Study Resources We can help you pass your Boards. The only comprehensive study guides specifically for Orthotics and Prosthetics. Many of our products are available in DVD Format also! Just added: the Mastectomy Fitter’s Review and Study Guide. We have board study value packages in Orthotics and Prosalso thetics. Our bestselling products save you money! For more FINALLY!! O&P Board Study Resources information visit www.oandpstudyguide.com. We can help you PASS your BOARDS The ONLY Comprehensive Study Guides Specifically for Orthotics and Prosthetics (Many of our products are available in DVD Format also!)
JUST ADDED: The MASTECTOMY FITTER’s Review and Study Guide
We also have Board Study Value Packages in Orthotics and Prosthetics
AOPA PRODUCTS
COMPREHENSIVE GUIDE
BUYERS’ GUIDE
Texas Assistive Devices LLC
A M E R I C A N O R T H O T I C & P R O S T H E T I C A S S O C I AT I O N ( A O PA )
2010ILLUSTRATED GUIDE UPDATED MEDICARE CODES for Orthotics and Prosthetics
The De Prosth finitive Or thotic etic Co an ding Reso d urce
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The Our BEST SELLING products to save you money! O&P Almanac’s Buyers’ Guide is paid advertising. Entries were submitted and paid for by product manufacturers www.oandpstudyguide.com and distributors. AOPA and the O&P Almanac do not endorse, support or recommend the use of any specific products included in the Buyers’ Guide. In addition, AOPA and the O&P Almanac neither sanction nor approve manufacturers’ claims about the function or reliability of their products. These listings can also be found on AOPA’s Web site: www.AOPAnet.org. When you contact manufacturers about these products, be sure to tell them you saw them in the O&P Almanac Buyers’ Guide. a
2010 AOPA Coding Suite
JUNE 2010 O&P ALMANAC
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TM
LSO LP (back)
3-IN-1
COmPLEtE CArE
Post-oP ImmobIlIzatIon brace
rehabIlItatIon brace
corset
LSO LP L0637
aPPrOved
T
he 3-1 Stealth LSO LP system comes with rigid panels that can be customized for all stages of your patient’s therapy. The revolutionary streamline design glides to provide smooth compression, comfort and increased patient compliance. PDAC recently determined that L0637 is the appropriate HCPCS code for the Stealth LSO LP. Ph: 888-982-8181 • Fx: 877-288-4197 • sales@optecusa.com
Glide to warp speed recovery!!!
TLSO (back)
TLSO w/ PPX L0464
TLSO w/ dLk SuggeSTed L0462
SuggeSTed
• 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 • Back Panel automatically contours to your patient’s lordosis • Available in two strap and four strap designs
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
Post-operative support from a completely
modular orthotic management system.
LSO and TLSO designs made of lightweight, breathable material. Easy donning/doffing and comfort to facilitate optimal patient compliance. Anterior, posterior and lateral panels for increased stabilization. Compound Closure adjusts to hip development and circumference—one-hand pull.
California Original
Low-Cut Anterior Panel
One-Pull Closure
Posterior Spinal Relief
L0637 APPROVED
California ECO
California CEO
L0456 APPROVED
L0472 APPROVED
California Chairback L0633 APPROVED
California C3
L0627 APPROVED
California Mid-Profile L0631 APPROVED
California CPO
L0637 APPROVED
California Low-Profile L0627 APPROVED
| 800-446-6770 | orthomerica.com Š2010 Orthomerica Products, Inc. All Rights Reserved. HCPCS Codes (i.e., L-Codes) listed with each product are guidelines only. Regardless of the source of coding information, the final responsibility for correct coding within all established laws, rules, standards and practices is the sole responsibility of the company submitting the claim. Orthomerica accepts no responsibility for and will not be liable for, any actions relating to this coding information.
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Companies in bold are AOPA members. are Supplier Plus Partners Companies with
BUYERS’ GUIDE
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comprehensive index Abletech Orthopedics Corp. Xinzhuang City, Taipei, Taiwan 886/2-29261765 www.wellcare-supports.com sales@wellcare-supports.com ACOR Orthopaedic Inc. Cleveland, OH 216/662-4500 www.acor.com requestinfo@acor.com Advanced O&P Solutions LLC Hickory Hills, IL 708/237-4088 www.aopsolutions.com mangelico@aopsolutions.com Aetrex Worldwide Inc. Teaneck, NJ 201/833-2700 www.aetrex.com info@aetrex.com
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Allard USA Inc. Rockaway, NJ 888/678-6548 www.allardusa.com info@allardusa.com ALPS Saint Petersburg, FL 800/574-5426 www.easyliner.com info@easyliner.com Alternative Prosthetic Services Inc. Bridgeport, CT 203/367-1212 www.alternativeprosthetics.com info@alternativeprosthetics.com American Central Fabrication Shreveport, LA 318/636-3751 americancenfab@aol.com
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Airway Cincinnati, OH 513/271-4594 www.airwaymast.com airway@surgicalappliance.com
American Prosthetic Components Inc. Green Bay, WI 800/772-7508 www.apcomponents.com comments@apcomponents.com
Alignmed, LLC Santa Ana, CA 949/251-5123 www.alignmed.com customerservice@alignmed.com
American Shoe Corp. Brooklyn, NY 866/620-7463 www.americancustomshoes.com seagiz@aol.com
AliMed Inc. Dedham, MA 800/225-2610 www.alimed.com mdonovan@alimed.com
Amfit Inc. Vancouver, WA 800/356-3668 www.amfit.com sales@amfit.com
AMGF Inc. Global Prosthetic Development Nesconset, NY 631/979-4095 www.amgf-prosthetics.com graziella.fargnoli@amgf-prosthetic.com Anatomical Concepts Inc. Poland, OH 800/837-3888 www.prafo.com theprafo@aol.com Anita International Corp. Fort Lauderdale, FL 954/730-8189 www.anita.com andreabarbera@anita.net AON/Affinity Insurance Services Inc. Hatboro, PA 312/753-6233 www.aon.com james_schmidt@asg.aon.com Apis Footwear Co. El Monte, CA 626/448-8905 www.bignwideshoes.com apisfootwear@earthlink.net Arizona AFO Mesa, AZ 480/222-1580 www.arizonaafo.com don@arizonaafo.com
Aspen Medical Products Irvine, CA 800/295-2776 www.aspenmp.com custserv@aspenmp.com Atlantic Rim Brace Manufacturing Corp. Nashua, NH 800/233-0356 www.spinalbraces.com ebrace@spinalbraces.com Bader Prosthetics & Orthotics/Kinetic Research Inc. Tampa, FL 813/962-6100 www.readypreg.com BPO13711@aol.com Bauerfeind USA Inc. Kennesaw, GA 800/423-3405 www.bauerfeindusa.com info@bauerfeindusa.com Becker Oregon Inc. Albany, OR 541/967-1821 www.beckeroregeoncatalog. com cborn@beckerorthopedic.net Becker Orthopedic Appliance Co. Troy, MI 248/588-7480 www.beckerorthopedic.com mail@beckerorthopedic.net
ARTech Laboratory Inc. Midlothian, TX 972/775-2000 www.artechlab-prosthetics.com Mholt36107@aol.com
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BUYERS’ GUIDE
Bio Prosthetic Orthotic Lab Inc. Ashburn, VA 703/726-4092 biolabva@aol.com
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BIONESS Inc. Valencia, CA 800/211-9136 www.bioness.com info@bioness.com
Bremer Group Co. Jacksonville, FL 904/645-0004 www.bremergroup.com bremergroup@bremer.net
BioQuest Prosthetics LLC Bakersfield, CA 661/325-3338 www.bioquestpros.com tramirez@bioquestpros.com
Bulldog Tools Inc. Lewisburg, OH 937/962-4140 www.bulldogtools.com rmeyer@bulldogtools.com
BioSculptor Corp. Hialeah, FL 305/556-5815 www.biosculptor.com bio_info@biosculptor.com Bledsoe Brace Systems Grand Prairie, TX 972/647-0884 www.bledsoebrace.com eric@bledsoebrace.net BMI International Tampa, FL 877/603-3737 www.orthobmi.com sales@orthobmi.com Bort-Swiss Orthopedic Supply Commerce, MI 248/242-6907 www.bort-swissortho.com beth.swiss@bort-swissortho.com Boston Brace International Inc. Avon, MA 508/588-6060 www.bostonbrace.com info@bostonbrace.com
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BREG Inc. Vista, CA 800/321-0607 www.breg.com info@breg.com
O&P ALMANAC JUNE 2010
Cascade DAFO Inc. Ferndale, WA 800/848-7332 www.cascadedafo.com dafo@dafo.com
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Cascade Orthopedic Supply Inc. Chico, CA 530/879-1500 www.cascade-usa.com info@cascade-usa.com
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Center for Orthotics Design––A Fillauer Company Campbell, CA 800/346-4746 www.centerfororthotics design.com jcrowell@hosmer.com
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Centri––A Fillauer Company Sollentuna, Sweden 46-8-505-332-00 www.centri.se bengt@centri.se CIR Systems Havertown, PA 610/449-4879 www.gaitrite.com sales@gaitrite.com
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College Park Industries Inc. Fraser, MI 800/728-7950 www.college-park.com info@college-park.com Comfort Products Inc. Croydon, PA 800/822-7500 www.comfortoandp.com info@comfortoandp.com The Compliance Team Inc. Spring House, PA 215/654-9110 www.exemplaryprovider.com rjcanallyjr@tctinc.us Coyote Design & Mfg. Boise, ID 800/819-5980 www.coyotedesign.com mailbox@coyotedesign.com CrocsRx Niwot, CO 303/848-7399 www.crocsrx.com info@crocsrx.com Cybertech Medical La Verne, CA 909/447-7050 www.bcionline.com jmbjr@bcionline.com DAW Industries Inc. San Diego, CA 800/252-2828 www.daw-usa.com info@daw-usa.com DeRoyal Industries Inc. Naples, FL 888/938-7828 www.deroyal.com DJO Inc. Vista, CA 800/321-9549 www.djglobal.com info@djortho.com
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Dr. Comfort Mequon, WI 262/242-5300 www.DrComfortDPM.com rickk@drcomfortdpm.com
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ENDOLITE Centerville, OH 800/548-3534 www.endolite.com info@endolite.com Euro International Inc. Tampa, FL 813/246-5995 www.eurointl.com sales@eurointl.com Exact Metrology Inc. Algonquin, IL 614/264-8587 www.exactmetrology.com stevey@exactmetrology.com Fabtech Systems LLC Mukilteo, WA 425/349-9557 www.fabtechsystems.com staff@fabtechsystems.com Ferrier Coupler Inc. North Branch, MI 810/688-4292 www.ferrier.coupler.com sales@coupler.com
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Fillauer Companies Inc. Chattanooga, TN 423/624-0946 www.fillauercompanies.com fjenkins@fillauer.com
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Fillauer LLC–– A Fillauer Company Chattanooga, TN 800/251-6398 www.fillauer.com customerservice@fillauer.com Florida Brace Corp. Winter Park, FL 407/644-2650 www.flabrace.com customerservice@flabrace.com
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HOPE Orthopedic Orlando, FL 407/850-0411 www.hopeortho.com/ company info@hopeortho.com
Freedom Innovations LLC Irvine, CA 888/818-6777 www.freedom-innovations.com info@freedom-innovations.com
Hosmer Dorrance Corp. ––A Fillauer Company Campbell, CA 800/827-0070 www.hosmer.com customerservice@hosmer.com
Freeman Manufacturing Co. Sturgis, MI 269/651-2371 www.freemanmfg.com freeman@freemanmfg.com Friddle’s Orthopedic Appliances Honea Path, SC 864/369-2328 www.friddles.com info@friddles.com Futura International Inc. Clearwater, FL 727/791-3332 www.futuraintl.com sales@futuraintl.com Grace Prosthetic Fabrication Inc. New Port Richey, FL 800/940-5347 www.gpfinc.com grace@gpfinc.com Guard Industries Inc. Saint Louis, MO 800/535-3508 www.guardmfg.com guard@guardmfg.com Hely & Weber Santa Paula, CA 800/221-5465 www.hely-weber.com info@hely-weber.com
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Hutnick Rehab Support Services, Inc. Bohemia, NY 631/467-3725 Hutnickrehab@msn.com Innovative Neurotronics Inc. Austin, TX 888/884-6462 www.walkaide.com info@ininc.us JMS Plastic Supply Neptune, NJ 800/342-2602 www.jmsplastics.com steves@jmsplastics.com Joint Active Systems Effingham, IL 217/342-3412 www.jointactivesystems.com jzacha@jointactivesystems. com Joli’s Orthopedic Shoes & Medical Supplies Weslaco, TX 956/969-1323 joliesorthoshoes@aol.com Kingsley Manufacturing Co. Costa Mesa, CA 949/645-4401 www.kingsleymfg.com info@kingsleymfg.com
KISS Technologies LLC Baltimore, MD 410/663-5477 www.kiss-suspension.com Knit-Rite Inc. Kansas City, KS 913/281-4600 www.knitrite.com customerservice@knitrite.com Lawson Medical LLC Virginia Beach, VA 866/631-6311 lawsonmedical@aol.com Leo G. Stein & Co. Addison, IL 630/333-4602 www.leogstein.com leogstein@ameritech.net Levy & Rappel Saddle Brook, NJ 973/478-6511 www.LevyandRappel.com levyandrappel@optonline.net Liberating Technologies Inc. Holliston, MA 508/893-6363 www.liberatingtechnologies.com info@liberatingtech.com Life Like Laboratory LLC Carrollton, TX 972/620-0203 www.lifelikelab.com siliconarm@aol.com
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Lohmann & Rauscher Inc. Topeka, KS 800/279-3863 www.lohmann-rauscher.com
BUYERS’ GUIDE
FLO-TECH Orthotic & Prosthetic Systems, Inc. Trumansburg, NY 800/356-8324 www.1800flo-tech.com info@1800flo-tech.com
Maramed Orthopedic Systems Hialeah, FL 305/823-8300 www.maramed.com custsupport@maramed.com MD Orthopaedics Wayland, IA 877/766-7384 www.mdorthopaedics.com mdortho@farmtel.net Med Spec (ASO) Charlotte, NC 704/573-4040 www.medspec.com request@medspec.com Medequip Inc. San Juan Capistrano, CA 949/443-4414 soren@leadingmd.com Medi USA Whitsett, NC 336/449-4440 www.mediusa.com salesandmarketing@mediusa.com Mike’s Medical Clinton, OK 888/419-5666 www.mikesmed.com teresa@mikesmed.com
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Motion Control–– A Fillauer Company Salt Lake City, UT 801/326-3434 www.utaharm.com info@utaharm.com Motion Medical Inc. Pelham, AL 205/982-1511 www.zcastusa.com sales@motionmedical.com
M. J. Markell Shoe Co. Inc. Yonkers, NY 914/963-2258 www.markellshoe.com info@markellshoe.com
JUNE 2010 O&P ALMANAC
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BUYERS’ GUIDE
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National Fab @ Orlando Orlando, FL 877/265-1491 www.cbb.org Nearly Me Technologies Inc. Waco, TX 254/662-1752 www.nearlyme.org tmahan@nearlymetech.com The New Generation Inc. Silver Spring, MD 800/327-3036 New Options Sports Dallas, TX 800/872-5488 www.newoptionssports.com info@newoptionssports.com NOPCO North Andover, MA 978/688-7900 Northwood Inc. Center Line, MI 586/755-3830 www.northwoodinc.com debbiec@northwoodinc.com O&P 1 Waterloo, IA 800/408-3598 www.oandp1.com shawn@oandp1.com O&P Billing Solutions Inc. Murfreesboro, TN 615/217-9821 www.oandpbilling.com carla@oandpbilling.com O&P Business News/ SLACK Inc. Thorofare, NJ 856/848-1000 oandpbiznews.com oandp@slackinc.com
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O&P ALMANAC JUNE 2010
O&P EDGE/Western Media LLC Northglenn, CO 303/255-0843 www.oandp.com/edge tonja@opedge.com O&P Enterprises Inc. Gurnee, IL 800/666-0356 www.oandpenterprises.com opent@aol.com oandp.com Gainesville, FL 352/331-3741 www.oandp.com info@oandp.com
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Orthomerica Products Inc. Orlando, FL 800/446-6770 www.orthomerica.com custserv@orthomerica.com
PEL Supply Co. Cleveland, OH 216/267-5775 www.pelsupply.com customerservice@pelsupply.com
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PFS Med, Inc. Eugene, OR 541/349-9646 www.pfsmed.com rirish@pfsmed.com
Orthotic & Prosthetic Group of America (OPGA) Waterloo, IA 800/214-6742 www.opga.com jim.andreassen@vgm.com Orthotic and Prosthetic Study and Review Guide www.oandpstudyguide.com
Ohio Willow Wood Mount Sterling, OH 740/869-3377 www.owwco.com support@owwco.com
Össur Americas Inc. Aliso Viejo, CA 949/362-3883 www.ossur.com mail@ossur.com
OPPO Medical Inc. Tukwila, WA 206/575-8843 www.oppomedical.com theresaw@oppomedicalusa. com
OTS Corp.––A Fillauer Company Weaverville, NC 800/221-4769 www.ots-corp.com info@ots-corp.com
OPTEC Lawrenceville, GA 888/982-8181 www.optecusa.com optecusa@aol.com
Otto Bock HealthCare Plymouth, MN 800/328-4058 www.ottobockus.com usa.custerservice@ottobockus. com
Orfit Industries America Jericho, NY 516/935-8500 www.orfit.com sales-us@orfit.com Orten Lyon, France 011-33-472-611-727 www.orten.fr contact@orten.fr
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P.W. Minor Batavia, NY www.pwminor.com cyndeef@pwminor.com Pacific Medical Inc. Tracy, CA 209/834-1158 www.pacmedical.com csindel@pacmedical.com
Pilgrim Shoes dba Hoopoe Footwear Baltimore, MD 410/277-8855 www.hooposhoes.com aa@hoopoeshoes.com POINT Health Centers of America Waterloo, IA 866/283-2872 www.pointhca.com dennis.clark@vgm.com Prosthetic Design Inc. Clayton, OH 800/459-0177 www.prostheticdesign.com bcarpenter@prostheticdesign. com Prosthetic Orthotic Center of New England Portland, ME 207/838-4945 Proteor Dijon Cedex. France 011 33 380784285 www.proteor.com ht.orthopedie@proteor.com Provel Inc. Cle Elum, WA 509/857-2059 www.provel.us info@provel.us PSL Fabrication Fulton, MO 573/642-5554 www.pslab.com pslab@midamerica.net
”
YpsilonTM helps me in my daily life!”
”
”ToeOFF took me back to Marathons!” ®
www.allardusa.com
ALLARD USA, INC. 21 Pine Street, Suite 120 Rockaway, NJ 07866-3130
info@allardusa.com Toll Free 888-678-6548 Fax 800-289-0809
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BUYERS’ GUIDE
SPS Alpharetta, GA 800/767-7776 www.spsco.com esales@spsco.com
TiMED Inc. Torrance, CA 310/212-1232 www.ti-med.com info@ti-med.com
Vorum Research Corp. Vancouver, BC 800/461-4353 www.vorum.com canfit@vorum.com
Renia GmbH. Chemische Fabrik Koeln, Germany www.renia.com info@renia.com
ST&G USA Corp. Placentia, CA 714/396-3739 www.stngco.com glennestngco.com
Touch Bionics Middletown, NY 845/343-4668 www.touchbionics.com info@touchbionics.com
WalkWell International Laboratories Boise, ID 208/344-0081 Walkwell_Labs@yahoo.com
Restorative Care of America Inc. St. Petersburg, FL 800/627-1595 www.rcai.com inquire@rcai.com
SureStep South Bend, IN 877/462-0711 bernie@surestep.net
Townsend Design Bakersfield, CA 661/837-1795 www.townsenddesign.com townsend@townsenddesign.com
Yale Surgical-Yale Comfort Shoe New Haven, CT 203/777-2396 www.yalesurgical.com info@surgical.com
Quality Outcomes Falmouth, VA 703/859-4126 www.qualityoutcomes.org jduley@qualityoutcomes.com
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Roden Leather Co. Inc. Royal Oak, MI 800/521-4833 www.rodenleather.com info@rodenleather.com Royal Knit Inc. Lees Summit, MO 800/664-5648 www.royalknit.com royalknitinc@yahoo.com RX Textiles Inc. Monroe, NC 704/283-9787 info@rxtextiles.com Silipos Inc. Niagara Falls, NY 800/229-7105 www.silipos.com brij@silipos.com SoleTech Inc./ Advance Footwear Salem, MA 603/542-8905 www.advancefootwear.com jim@soletech.com
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Spinal Technology Inc. West Yarmouth, MA 800/253-7868 www.spinaltech.com info@spinaltech.com 64
O&P ALMANAC JUNE 2010
Symmetric Designs, Ltd. Salt Spring Island, BC, Canada 800/537-1724 www.symmetric-designs.com sales@symmetric-designs.com Syncor Ltd. Green Bay, WI 920/435-1199 syncorltd@netzero.com Tamarack Habilitation Technologies Inc. Blaine, MN 763/795-0057 www.tamarackhti.com martyc@tamarackhti.com Texas Assistive Devices LLC Brazoria, TX 979/798-1185 www.n-abler.org hps@n-abler.org ThermoTek Inc. Flower Mound, TX 972/874-4949 www.thermotekusa.com tq@thermotekusa.com Thuasne North America Bainbridge Island, WA 206/843-9177 www.thuasnena.com shoughton@thuasnena.com
TRS Inc. (Therapeutic Recreation Systems Inc.) Boulder, CO 303/444-4720 www.oandp.com/trs bob-trs@att.net Truform Orthotics & Prosthetics Cincinnati, OH 513/271-4594 www.truform-otc.com truform-otc@surgicalappliance.com
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Trulife Poulsbo, WA 888/878-1238 www.trulife.com info@trulife.com Ultraflex System Downingtown, PA 610/906-1410 www.ultraflexsystems.com mdeharde@ultraflexsystems. com Universal Artificial Limb Co. Silver Spring, MD 301/587-6892
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Jobs
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.
- Northeast
Inter-Mountain
CPO, CO, Assistants, Technicians San Antonio, Texas Now is your chance to work with a dynamic private practice, with multiple locations, in San Antonio. We are seeking experienced, self-motivated practitioners, assistants, and technicians. Three years of experience preferred; pediatrics a plus. We offer a competitive salary with full benefits package, and an excellent bonus structure commensurate with productivity. Practitioners must be eligible for Texas licensure and have current certification with ABC. All inquiries will be kept strictly confidential.
- Mid-Atlantic - Southeast - North Central - Inter-Mountain - Pacific Use our map to find which region you fit into!
Southeast
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.
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O&P ALMANAC JUNE 2010
Fax: 210/614-9333 E-mail: hr@mkprosthetics.com
Assistant/Associate Professor Orthotics and Prosthetics Pinellas County, Florida St. Petersburg College, located in Pinellas County, on the beautiful West Coast of Florida in the Tampa Bay area is seeking an assistant/associate professor in orthotics and prosthetics in the College of Health Sciences. Interested applicants must possess a bachelor’s degree (orthotics and prosthetics preferred) and are American Board Certified or licensed in orthotics and prosthetics. For a detailed job description and to apply online:
www1.spjc.edu/central/hr/list_jobopenings. php?cat=3#id1391
Certified Prosthetist/Orthotist 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 also should 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 you resume, in confidence, to:
Eric S. Eisenberg, MS, CPO BioTech Limb & Brace, LLC 2421 4th Ave. South Birmingham, AL 35233 Phone: 205/324-7897 Fax: 205/324-7899 E-mail: eseisenberg@msn.com
Southeast
Northeast
CPO
CO/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:
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:
Walker Orthotics and Prosthetics 205 Redmond Rd. Rome, GA 30165 Phone: 706/232-4383 Fax: 706/232-4667 E-mail: lancwa@comcast.net
John Ficociello, CPO Yankee Medical Phone: 800/649-4591 E-mail: jnf@yankeemedical.com
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.
For more information visit www.hanger.com/careers
AVAILABLE POSITIONS Orthotist Phoenix, AZ Rancho Mirage, CA Stockton, CA Denver, CO Jacksonville Area, FL Tampa, FL Springfield, IL Evansville, IN
Methuen, MA Las Cruces, NM Toledo, OH Philadelphia Area, PA Richland, WA Milwaukee, WI Morgantown, WV Wheeling, WV
Orthotist/Prosthetist Frisco, CO Hollywood, FL Thomasville, GA
Jackson, MS El Paso, TX
Prosthetist Denver, CO Orange Park, FL Hattiesburg, MS
Meridian, MS Enid, OK Morgantown, WV
Prosthetist/Orthotist Cameron Park, CA Merced, CA Denver, CO Grand Junction, CO Marietta, GA Louisville, KY Baltimore, MD Salem, MA
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
Farmingdale, NJ Santa Fe, NM Philadelphia Area, PA Fort Worth, TX Alexandria, VA Bremerton, 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 Tucson, AZ Toledo, OH
Tacoma, WA Vancouver, WA Wheeling, WV
JUNE 2010 O&P ALMANAC
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For over 50 years, PEL has offered practitioners a reasonable
PRICE on the most popular products available from the O&P industry’s most respected manufacturers. Phone, fax or email a friendly PEL CSR, like Larry, for information on the newest, most innovative products available – at a competitive price.
Larry Moore, Customer Service Representative • Veteran’s Administration Specialist • International Auditor with UPS • Majored in Business Management at CSU • Enjoys playing and watching sports • Devoted family man – wife, new baby son and two dogs
Ohio Willow Wood Fusion™ Foot: Function without Compromise • Integrated design allows composite shank, heel, and foot plate to work together as a unit rather than independently • Delivers vertical shock absorption, smooth heel-to-toe transition, inversion/eversion, and strong energy return in one mechanism • Choice of either a proximal pyramid receiver or proximal rotating pyramid adapter • Comes with new full-height, high-activity unisex foot shell • 300-pound patient weight limit and a 36-month warranty
Allard USA KiddieGAIT™ SoftSHELL™ • Made just for kids! • Clever slip-on sleeve design • KiddieGAIT anterior shell slips between plush SoftKIT™ interface and fun-print front cover • Straps have D-ring cinch-closure for easy, adjustable tension application • Choose from Pink or Red fun-print pattern • Machine washable
Becker Orthopedic Model 1017-A38 Knee Joint • Automatic Angled Lever Lock Knee Joint • Heavy duty design – up to 320 lbs. • 3/8" x 3/4" (9.5mm x 19.1mm) aluminum uprights • Modular design for use in unilateral or double upright configuration • Can be fabricated into orthotic designs including conventional metal and leather, thermoplastics and composites
®
Experience the Power of One.
Over 50 years of one stop shopping for all your O&P needs.
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O&P ALMANAC JUNE 2010
Phone: 800-321-1264 Fax: 800-222-6176 E-mail: customerservice@pelsupply.com Web: www.pelsupply.com
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Jobs Pacific
Northeast
Certified Orthotist
O&P Technician
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.
Honolulu Immediate opening for an O&P tech with three years of minimum 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:
Timothy Lacy, CP, La Torre Orthopedic Laboratory 960 Troy-Schenectady Road, Latham, NY 12110 518/786-8655 E-mail: latorrelab@aol.com
CPO CO Board-Eligible Orthotist or O & P ALMANAC 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:
O&P Ad 25356, O&P Almanac 330 John Carlyle St., Ste. 200, Alexandria, VA 22314 Fax: 571/431-0899
Mid-Atlantic
CO, CPO, BOCO or BOCPO 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 a low cost of living. Submit resume in confidence to:
Fax: 808/791-1025 E-mail: rae@crnewton.com
Orthotics/Mastectomy Registered Fitter Honolulu Seeking a certified orthotic mastectomy fitter with excellent clinical, interpersonal, and communication skills. Applicant must be able to work independently. We are a privately DAL022223B owned, well-established O&P practice with more than 65 years in theKINICHOL business. Salary will commensurate with 3.5 x 4.5 experience. Fax or e-mail resume to: rv
Fax: 808/791-1025 E-mail: rae@crnewton.com
1
Have Freedom Find Your Direction
Healthcare careers limited only by your dreams.
Join Scott & White and discover the benefits of a nationally-recognized healthcare organization with plenty of open doors. Our dedication to leading research, lifelong learning and professional mobility provides you with plenty of ways to reach your ideal destination. The choice is easy. We are currently seeking the following experienced professional:
Certified Pedorthist Temple, TX
In this role, you will design, manufacture, fit and modify shoes and related foot appliances as prescribed for the amelioration of painful and/or disabling conditions of the foot and limb. Requires a HS diploma or equivalent. You must be certified by the American Board for Certification in Orthotics, Prosthetics and Pedorthics. One to two years of experience working in a pedorthic facility with direct patient care required; five to seven years’ preferred. You must have excellent patient relations skills. Join us, and believe in your career. To learn more about these and other opportunities, visit our careers link at: http://careers.sw.org. Scott & White is a fully integrated health system and is the largest multispecialty practice in Texas, and the sixth largest group practice in the nation. Scott & White employs more than 775 physicians and research scientists who care for patients covering 25,000 square miles across Central Texas. Scott & White has a 636-bed Level I Trauma acute care facility in Temple, an additional 50-bed Long Term Acute Care Hospital in Temple, another 150-bed acute care hospital in Temple, a 76-bed acute care facility in Round Rock (greater Austin area), and a network of 50 primary and specialty clinics throughout the region.
Scott & White is an Equal Opportunity Employer | Tobacco-Free Environment.
Michael P. Serenari, CO Enduracare Orthotic & Prosthetic Services, LLC Fax: 724/941-8831 E-mail: michaelserenari@gmail.com
JUNE 2010 O&P ALMANAC
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Calendar
2010 ■■
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.
AOPA-sponsored activities appear in red.
70 O&P O&PALMANAC ALMANAC JUNE JUNE2010 2010 70
■■ JUNE 2-5: Association of Children’s Prosthetic-Orthotic Clinics 2010 Annual Meeting. Clearwater, FL. Sheraton Sand Key Resort. For more information, call 847/6981637, e-mail acpoc@aaos.org, or visit www.acpoc.org.
■■ JUNE 16: Ohio Willow Wood: Clinical Tricks & Techniques with LimbLogic™ VS via WebEx, 1:30 pm ET. Discusses clinical treatment plans for using LimbLogic VS, application of fabrication processes, in-depth review of diagnostic process, & patient education methods. Credits: 2.5 ABC/2.0 BOC. To register online, visit www. owwco.com/webinar.php.
■■ JUNE 8: Ultraflex: Pediatric UltraSafeGait™ Continuing Education Course, via WebEx, Noon – 1:00 pm ET. Covers assessment of pediatric pathological gait & influencing shank kinematics with the new Adjustable Dynamic Response™ (ADR™) technology. Register at www.ultraflexsystems.com, 800/220-6670.
■■ JUNE 17: 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 ResponseTM (ADRTM) knee & ankle technology. Register at www. ultraflexsystems.com, 800/2206670.
■■ JUNE 9: AOPA Audio Conference: “When Disaster Strikes: Implementing a Contingency Plan.” To register contact Erin Kennedy at 571/431-0876 or ekennedy@AOPAnet.org.
■■ JUNE 22: Ultraflex: Pediatric Spasticity Continuing Education Course, via WebEx, Noon – 1:00 pm ET. Covers clinical assessment of the pediatric neuromuscular patient with spasticity & using R1 & R2 for determining orthotic design for maintaining & improving muscle length. Register at www.ultraflexsystems.com, 800/220-6670.
■■ JUNE 10-11: Michigan Orthotics & Prosthetics Association (MOPA) Continuing Education Seminar. Mt. Pleasant, MI. Soaring Eagle Casino & Resort. For details visit www.mopa.info or contact Mary Ellen Kitzman at 248/615-0600 or MOPA_ meeting@MOPA.info. ■■ JUNE 15: Ohio Willow Wood: Discover LimbLogic® VS via WebEx, 1:30PM ET. Critical components & operation discussed. Covers interpreting feedback from fob & basic fabrication processes for system. Credits: 2.5 ABC/2.0 BOC. To register online, visit www.owwco.com/webinar.php.
■■ JUNE 22-23: Allard USA: T.O.T.E. (Tomorrow’s Orthotic Technology Education). Cincinnati, Hilton Garden Inn, Blue Ash. Three courses: New Perspectives in the Comprehensive Management in Gait Disorders; Tri-planar Biomechanics in Pediatric Function; Custom Fabrication TLSO/LSO and KAFO and New Approaches for Partial Foot Prostheses. Approval pending for 18.25 CEU’s. Contact 888/678-6548; e-mail: info@allardusa.com.
■■ JUNE 25: Taste of Chicago and Bioness Training Course. Chicago. One-day course covers NESS L300 system evaluation and hands-on training. Instructed by John Michael, MEd, CPO/L. The NESS L300 is a user-friendly neuroprosthetic designed to improve gait for individuals experiencing foot drop. 7 MCEs from ABC. Register at www.opga.com or 800/214-6742. ■■ JUNE 29-30: Allard USA: T.O.T.E. (Tomorrow’s Orthotic Technology Education). Tysons Corner, VA. Three courses: New Perspectives in the Comprehensive Management in Gait Disorders; Tri-planar Biomechanics in Pediatric Function; Custom Fabrication TLSO/LSO and KAFO and New Approaches for Partial Foot Prostheses. Approval pending for 18.25 CEUs. Contact 888/678-6548; e-mail: info@allardusa.com. ■■ JUNE 30: Ultraflex: Complex Orthopedic Rehabilitation Continuing Education Course, via WebEx, Noon – 1:00 pm ET. Focuses on Ultraflex combination dynamic & static stretching orthosis for addressing complex orthopedic rehabilitation goals & restoring range & function. Register at www. ultraflexsystems.com, 800/2206670. ■■ JULY 1: Ohio Willow Wood: Take the Guesswork Out of Elevated Vacuum Suspension via WebEx, 1:30 pm ET. Covers background information and theory to the concept of elevated vacuum. Appropriate clinical applications and components reviewed. Credits: 1.5 ABC/1.0 BOC. To register online, visit www. owwco.com/webinar.php.
JULY 8-10: Florida Association of O&P. Bonita Springs, FL. Hyatt Regency Coconut Point. For information visit www.faop.org. ■■
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 and KAFO and New Approaches for Partial Foot Prostheses. Approval pending for 18.25 CEUs. Contact 888/678-6548; e-mail: info@allardusa.com. ■■
JULY 14: AOPA Audio Conference: “Medicare Appeals Strategies.” To register contact Erin Kennedy at 571/431-0876 or ekennedy@ AOPAnet.org. ■■
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. ■■
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. ■■
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 at 979/255-5165 or ctoplp@aol.com. ■■
AUGUST 11: AOPA Audio Conference: “Medicare’s Knocking: How Good Is Your Compliance Plan?” To register contact Erin Kennedy at 571/431-0876 or ekennedy@AOPAnet.org.
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. ■■
■■
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, & troubleshooting. Credits: 7.25 ABC/7.0 BOC. Registration deadline: July 22. Contact: 877/665-5443.
SEPTEMBER 8: AOPA Audio Conference: “Missed Billing Opportunities: Are You Billing Everything You Can?” To register contact Erin Kennedy at 571/431-0876 or ekennedy@AOPAnet.org. ■■
■■
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 & 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.
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. ■■
system evaluation, liner options, alignment, & 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 Erin Kennedy at 571/431-0876 or ekennedy@AOPAnet.org. ■■
NOVEMBER 10: AOPA Audio Conference: “The Ins and Outs of Billing in a Part A Setting: Hospital, SNF and Hospice.” To register contact Erin Kennedy at 571/431-0876 or ekennedy@AOPAnet.org. ■■
DECEMBER 8: AOPA Audio Conference: ”New Codes and Medical Policies for 2011.” To register contact Erin Kennedy at 571/431-0876 or ekennedy@AOPAnet.org. ■■
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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. ■■
OCTOBER 13: AOPA Audio Conference: “You’re Going To Pay Me WHAT? Hints on Managed Care Contracting.” To register contact Erin Kennedy at 571/431-0876 or ekennedy@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 & dynamic socket fitting, vacuum pump configurations, fob operation, ■■
2011 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. a ■■
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Ad Index For free product information from these advertisers, enter the advertiser name online at www.opalmanac.org/shop.
ORLANDO
Company Affinity Insurance Services, Inc. Allard USA Inc. ALPS American Board for Certification in Orthotics, Prosthetics & Pedorthics Anatomical Concepts Inc. Apis Footwear College Park Industries Inc. Custom Composite Daw Industries Dr. Comfort Euro International Ferrier Coupler Inc. Fillauer Companies Inc. Freeman Manufacturing Co. JMS Plastics KISS Technologies LLC KNIT-RITE Medex International Ohio Willow Wood OPTEC Orthomerica Products Ossur® Americas Inc. Otto Bock HealthCare PEL Supply Company Spinal Technology Inc. Texas Assistive Devices LLC SPS
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Phone 800/544-2672 888/678-6548 800/574-5426
Web site or E-mail www.aopa-insurance.com www.allardusa.com www.easyliner.com
35 41 47 53 27 1, 65 5, C3 11 23 51 9 43 49 45 19 2 6, 7; 56, 57 58 C4 C2 68 13 21 17
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SAVE thE DAtE
O&P ALMANAC JUNE 2010
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.
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