May 2010 O&P Almanac

Almanac OP The American Orthotic & Prosthetic Association

MAY 2010

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WWW.AOPANET.ORG

THE MAGAZINE FOR THE ORTHOTICS & PROSTHETICS INDUSTRY

Marking Strides in PEDIATRIC

RESEARCH

Groundbreaking studies aim to improve mobility and outcomes for years to come

GOING PAPERLESS Made Painless First Look at the 2010 AOPA NATIONAL ASSEMBLY

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O&P Almanac MAY 2010, VOLUME 59, NO. 5

COLUMNS

COVER STORY

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Marking Strides in Pediatric Research

By Anya Martin From using cranial headbands to treat deformational plagiocephaly to fitting pre-schoolers with myoelectric prostheses, current studies could re-shape pediatric patient care for years to come.

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This year’s AOPA National Assembly features a brand-new awards program, more targeted educational programs, networking opportunities, and more.

Staying current on the latest Medicare deadlines

DEPARTMENTS

By Deborah Conn Apprehensive about electronic recordkeeping? Practitioners at Great Lakes Prosthetics & Orthotics share their experiences in becoming a paperless office, plus expert tips for making the transition.

32 See You in Orlando

Reimbursement Page

FEATURE STORY

27 Destination Paperless

CONTENTS

AOPA Contact Page How to reach staff

In the News Updates and company announcements

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

Marketplace Products and services for O&P

Jobs Opportunities for O&P professionals

Calendar

Upcoming meetings and events

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Ad Index

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.

MAY 2010 O&P ALMANAC

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

MEMBERSHIP AND MEETINGS

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

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

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

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

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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

Visit O&P Almanac online at www.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

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

2010 EDITORIAL ADVISORY BOARD Rick Bowers Amputee Coalition of America

Joel J. Kempfer, CP, FAAOP Kempfer Prosthetics Orthotics Inc.

Rick Fleetwood Snell Prosthetic & Orthotic Laboratory

Tabi King Ossur North America

Steve Hill, CO Delphi Ortho

Anita Liberman-Lampear, MA University of Michigan Orthotics and Prosthetics Center

Russell J. Hornfisher Becker Orthopedic Appliance Co. Fran Varner Jenkins Fillauer Companies Inc.

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O&P ALMANAC MAY 2010

David Rotter, CO, CP, LO, LP, L.Ped Scheck and Siress Gary Steren, CPO Cornell Orthotics & Prosthetics Inc.

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 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 Registered Technicians Achieve Certified Status

Special Caps May Safely Control Prostheses A technology known as electroencephalography (EEG), which is capable of measuring electrical activity through the scalp, may someday allow prosthetics to be controlled by the brain without the need for current invasive surgery.

A team at the University of Maryland, College Park, led by graduate student Trent Bradberry, is testing the technology with a cap that contains many sensors, which is placed on the heads of volunteers to record their brain activity as they moved their hands. The motions made by the hands also were recorded, and the two recordings were correlated to produce an algorithm than can convert the brain activity into motion.

Currently, sensors that are implanted in a patient’s brain can effectively control a prosthesis, but surgery is required, and it is a dangerous procedure that can lead to brain damage and infection. Bradberry believes that his research could eventually improve the quality of life dramatically for those who have lost an arm as the result of an accident, amputation, or paralysis.

More information can be found at www.sidewaysnews.com.

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O&P ALMANAC MAY 2010

The American Board for Certification in Orthotics, Prosthetics and Pedorthics Inc. (ABC) has announced that the registered technician credentialing program is undergoing significant changes. Effective immediately, all ABC-registered orthotic and prosthetic technicians will be granted a certified designation. All future candidates for this program will receive the certified orthotic and/or prosthetic technician designation.

The ABC board of directors and members of the technician exam team have been evaluating the registered technician program in light of changes in the orthotic and prosthetic profession. With the shift in many clinical settings away from hands-on practitioner involvement in fabrication to greater reliance on an in-house technician or a central fabrication facility, ABC recognized the need to address the changing responsibilities

TRANSITIONS

and skills of this vital member of the clinical team.

Further changes to this program are expected in the future. “This is an exciting time for us as we prepare to examine every aspect of the technician credentialing program and make the necessary changes to reflect today’s practice environment,” says Jonathan D. Day, CPO, chairman of the technician exam team.

PEOPLE IN THE NEWS

Jonathan Naber, a junior at the University of Illinois, has won the Lemelson-MIT Illinois Student Prize for innovation and was awarded a $30,000 prize. Naber has been working on an upper limb prosthesis that would be easily made, durable, functional, and affordable for those in developing countries. A materials science and engineering major, Naber will test his device this summer at a clinic in Guatemala.

Paul Oswald, CPO, has joined the staff of OrPro Prosthetics & Orthotics in Piqua, Ohio. He holds a master’s degree in managementfrom Southern Oregon University,

a master’s in recreational education from Utah State University, and a bachelor’s degree in orthotics and prosthetics from the University of Washington. He has 25 years of O&P experience and recently worked as an instructor in the prosthetic and orthotic program at Oklahoma State University.

Sarah Reinertsen, a member of Team Össur, has been named USATriathlon.com’s 2009 Accenture Paratriathlete of the Year in the women’s category. Reinertsen has been racing in triathlons for the past six years.

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In the News In this energy-recycling foot, the University of Michigan engineers put wasted walking energy to work enhancing the power of ankle push-off.

New Prosthetic Foot Steps Up Walking Energy The energy-recycling foot puts wasted walking energy to work by enhancing the power of the ankle push-off. The device captures the dissipated energy, and a microcontroller tells the foot to return the energy to the system at just the right time.

“All prosthetic feet store and return energy, but they don’t give you a choice about when and how. They just return it whenever they want,” said Professor Art Kuo, chairman of the University of Michigan’s Departments of Biomedical Engineering and

BUSINESS IN THE NEWS

Orthocare Innovations LLC, has been named a finalist in the 2010 Edison Best New Product Awards for its Computerized Prosthesis Alignment System (Compas).

Compas is a finalist in the science and medical category, one of more than 10 categories honored by the Edison Awards.

Mechanical Engineering. “This is the first device to release the energy in the right way to supplement push-off, and to do so without an external power source.”

For more information, visit www. engin.umich.edu/newscenter.

Photos: Steve Collins

Prosthetic feet aren’t as energy efficient as the real thing. But a new artificial foot developed at the University of Michigan reduces by nearly 50 percent the energy lost during walking with a prosthesis.

The human walking gait naturally wastes energy as each foot collides with the ground in between steps. A human ankle exerts force to push off the ground; a typical prosthetic foot does not. Test subjects were found to spend 23 percent more energy walking with a conventional prosthetic foot, compared with walking naturally.

TRANSITIONS

Because the University of Michigan engineers’ energy-recycling foot takes advantage of power that would otherwise be lost, it uses less than 1 Watt of electricity through a small, portable battery.

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O&P ALMANAC MAY 2010

The Revolutionizing Prosthetics project, launched by the Defense Advanced Research Project Agency (DARPA) in 2000, aimed to make a device within five years that was fully functioning and neurally controlled.

While the device was not completed by 2005, the DEKA arm, developed by Dean Kamen and his team at Johns Hopkins, comes closer to success than any other device, reports Wired magazine. It is currently in clinical trials at several U.S. Army medical centers. Researchers at Johns Hopkins also are working on an arm E-8181-0110:E-8181-0110

12/4/09

Photo: iLimb from Touch Bionics

DARPA Continues Quest to Replace Missing Limbs

that would mimic the body’s natural brain/limb relationship using a 100-sensor neural interface.

Creating artificial neuro-prosthetics that work as well as natural limbs has been a slower and more difficult process than anticipated. One problem is that neural sensors only communicate for about two years. They also do not yet transmit sufficient information

10:58 AM

to give users the same control over a device that they have over their limbs.

DARPA’s prototypes currently transmit 500 events per second. Even a relatively simple movement, such as eating, uses thousands of movements, sensations, cues, and brain-neuron communications per second.

For more information, visit wired.com. a

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Reimbursement Page

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By Kathy Dodson, AOPA’s government affairs department

Missed Medicare Deadlines Will Cost You Know what’s needed to be compliant—and what happens when you’re not

W

orking to meet all the deadlines imposed by insurers is certainly challenging. But the alternative can result in serious costs to you financially, damage patient good will, and add significant stress for your billing staff.

You can avoid this by staying current on the latest Medicare deadlines for claims filing, claims appeals, changes to your enrollment information, changes to your electronic funds transfer information, and more. The

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O&P ALMANAC MAY 2010

chart on pages 14 and 16 summarizes all key deadlines and reminds you and your staff what’s needed to be compliant—and what happens when you’re not.

Here are a few other steps you can take to avoid missing deadlines: • First, make sure that you and your staff are familiar with all pertinent deadlines. Post this chart, or create your own, so that this information is readily available to everyone.

• Second, make sure that you fully read all correspondence and notices on a timely basis. When appeal rights exist, Medicare must notify you through its correspondence or notices. This will include not only the deadlines you must meet, but also how to appeal and where to send it.

• Third, if there is any confusion on how to handle a request for information, don’t set it aside to work on later. It’s too easy to keep putting it off until it is too late. Contact the contractor and ask questions or, if your facility is an AOPA member, call or contact AOPA for assistance in understanding what is being asked.

• Fourth, get into the habit of documenting administrative situations, such as unusual delays or circumstances that might contribute to not meeting deadlines. These will be vital when trying to meet the good cause criteria.

What Is Good Cause?

For both claim denials and appeal dismissals due to untimely filling, the contractor can override the denial/ dismissal if it determines that the untimely filling was for “good cause.”

But, one of the following conditions must exist in order for this to occur: • Incorrect or incomplete information about the claim and/or appeal was furnished by official sources (CMS, the contractor (DME MAC, NSC, PDAC), or the Social Security Administration) to the facility.

• Unavoidable circumstances prevented the facility from filing a timely request. Unavoidable circumstances include situations beyond the facility’s control such as major floods, fires, tornadoes, and other natural catastrophes.

What are not grounds for finding good cause for late filing? One example would be if the billing company or other consultant hired by the facility does not submit appeals or other information in a timely fashion. Also, good cause won’t be found where the facility’s lack of business office management skills or expertise caused the late filing. a Kathy Dodson is AOPA’s senior director of government affairs. Reach her at kdodson@aopanet.org.

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MEDICARE DEADLINE

Consequences of MISSING DEADLINE

Claims Submission Dates of Service (dates of service prior to Jan. 1, 2010): January through September

The end of the year following the year in which the service is rendered. For example, a service rendered on July 7, 2010 must be filed by Dec. 31, 2011.

Claim is denied for lack of timely filing. May be appealed for good cause. See note below on good cause requirements.

Dates of Service (dates of service prior to Jan. 1, 2010): October through December

Services rendered in the last three months of the year are considered performed in the following year for timely filing purposes. Deadline is therefore the end of the second year following the date of service. For example, a service rendered on Oct. 15, 2009, must be filed by Dec. 31, 2011.

Claim is denied for lack of timely filing. May be appealed for good cause.

All assigned Medicare Part B Claims (dates of service prior to Jan. 1, 2010)

One year from the date of service.

Claim still can be paid, but reimbursement will be reduced by 10%.

All Medicare Part B Claims (dates of service on or after Jan. 1, 2010)

One calendar year from the date of service.

Claim will be denied for lack of timely filing.

May be appealed for good cause.

DME MAC Claims Development Letters

Usually 30 days from the date of the request for additional information.

Claim may be denied for lack of medical necessity, based on lack of information.

Reopening

Within one year of the date of the initial determination or within four years for good cause.

After these dates, claim cannot be reopened.

MEDICARE DEADLINE

Consequences of MISSING DEADLINE

Redeterminations

Within 120 days of the date of receipt of the initial claim decision. The clock starts running five days after the date on the initial claims determination. The DME MAC counts the redetermination as received on the date when it arrives in the DME MAC mailroom.

After 120 days, claim cannot be considered for redetermination, unless good cause can be documented. If the appeal is dismissed due to lack of timely filing, higher levels of appeal are not available.

Reconsiderations

Within 180 days of the date of receipt of the redetermination.

After 180 days, the claim cannot be eligible for reconsideration, unless good cause can be documented. If the appeal is dismissed due to lack of timely filing, higher levels of appeal are not available.

Administrative Law Judge (ALJ) Case

Within 60 days of the date of the reconsideration.

After 60 days, claim cannot be considered by the ALJ unless good cause can be documented. If the appeal is dismissed due to lack of timely filing, higher levels of appeal are not available.

Departmental Appeals Board (DAB)

Within 60 days of the date of receipt of the ALJ decision.

After 60 days, claim cannot be considered by the DAB unless good cause can be documented.

If the appeal is dismissed due to lack of timely filing, higher levels of appeal are not available.

Federal Court Review

Within 60 days of receipt of the DAB decision.

After 60 days, the claim cannot be taken to federal court.

Good Cause Appeal

If a claim/appeal is dismissed due to untimely filing, a facility may appeal the dismissal for good cause. This appeal must be filed within six months of receipt of the notice of dismissal.

If good cause is deemed invalid, claim/appeal will not be considered.

O&P ALMANAC MAY 2010

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MEDICARE DEADLINE

Consequences of MISSING DEADLINE

RAC Development Letters

Must supply requested information to the RAC contractor within 45 days of the date of the letter requesting the information.

Recoupment if information is not supplied.

Refund of Overpayments

Thirty days from the date of the demand letter. A second demand letter will be sent if no response is received in 30 days, with a deadline for response to the second letter that is 40 days from the initial letter.

Recoupment, starting on day 41.

Change in Medicare Enrollment Information

National Supplier Clearinghouse must be notified within 30 days of any change in information on the 855S enrollment form.

Varies from no penalty to having the Medicare PTAN revoked, depending on what information is incorrect.

Physician’s Certifying Statement (Therapeutic shoes only)

Statement valid for 12 months. After 12 months, a new physician’s certifying statement must be obtained in order to provide new shoes/inserts.

Without up-to-date statement, claims are not valid and if paid, will be recouped upon audit.

Use of New Codes

January 1 of each year, unless otherwise specified.

Use of deleted codes after January 1 will result in claim denials.

Billing under Each PTAN

At least one claim must be billed under each PTAN each year.

If no claim is filed under a specific PTAN, the PTAN will be revoked.

Provision of ABN

Must be provided prior to rendering service.

If it is provided after the service is rendered, the ABN is invalid.

O&P ALMANAC MAY 2010

Marking Strides in

Pediatric Research

Improving devices for children enables them to take important first steps—and keep growing

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O&P ALMANAC MAY 2010

BY ANYA MARTIN

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nitially, parents are very excited about the first prosthesis for their 9-month-old babies who have had transfemoral or knee disarticulation amputations, says Peter Kapelke, CPO, orthotic supervisor at Shriners Hospital for Children in Salt Lake City. Then, they see the straight-leg prosthesis that up to now has been a standard for first fittings.

“All they hear are these wonderful stories about prosthetic technology, and then they come in here and we give them a broomstick with a foot on it,” Kapelke says. “When you see that type of prosthesis on a baby, it virtually immobilizes them. Try crawling around with one of your knees totally straight and you’ll understand why.”

While these babies do eventually stand, parents have reported they do so about four to five months after their peers and tend to circumduct, resembling a pirate-leg gait. The extended leg often also doesn’t fit comfortably into high chairs and car seats in smaller cars. These observations troubled Kapelke, a self-declared “fixer,” launching him on a quest that would culminate in a self-regulating electric locking knee for children. The device automatically locks when a child stands and unlocks if he falls down so he can begin crawling again.

“Buckling of a prosthetic knee would make the fragile first steps considerably more frustrating,” he writes in an abstract about his findings presented at last year’s Association of Children’s Prosthetic-Orthotic Clinics (ACPOC) conference. “Moreover, therapists and parents cannot verbally communicate instructions to a toddler on use of the prosthetic knee.”

MAY 2010 O&P ALMANAC

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The increase in amputations due to war injuries in recent years has focused much research and funding on improving orthotics and prosthetics devices for adult amputees.

However, groundbreaking study is still happening in pediatrics thanks to dedicated researchers. Here are three innovators who are attempting not only to improve mobility and outcomes but also ensure that parents and children do not miss out on key developmental milestones. At the same time, they are helping the O&P industry better understand how children wear devices and when best to fit them.

Ahead of the Cranial Curve Since the 1990s, Children’s Healthcare of Atlanta’s Cranial Remolding Program has seen a dramatic increase in the number of referrals for babies with deformational plagiocephaly, a condition in which head shape is asymmetrical, says Aaron Smith, CO, LO, the program’s leader. While a variety of factors can cause it, including a difficult delivery, a key reason for the recent spike is likely the American Academy of Pediatrics’ aggressive campaign promoting that infants sleep on their backs to reduce the risk of sudden infant death syndrome (SIDS), she adds. While SIDS rates have greatly improved, spending more time on their backs has caused some babies to develop plagiocephaly, which is often accompanied by torticollis, a tightening of the sternocleidomastoid muscle in the neck.

“Those FIRST PRECIOUS STEPS when a kid gets up and tries to walk, then falls into a parent with extended arms, those are the kind of things that I wanted this knee to make possible.”

Meanwhile, practitioners have debated the benefits of cranial helmets that guide the baby’s skull growth back to a more normal shape, and parents often face a battle with insurers to get coverage for the orthotic device. Faced with practitioner indecision about efficacy and sometimes high out-of-pocket costs, some parents have opted out of helmet treatment, but did they make the right decision? Would these untreated babies’ head shapes improve on their own? Would the untreated skull abnormalities lead to other developmental or medical problems? And what are parents’ attitudes toward any lasting effects over time?

These questions spurred Smith and colleague Rebecca Spragg, MSPO, CO, to launch an inquiry, later receiving the 2009 ACPOC Research Award for their work in this area. Smith and Spragg were able to identify 21 children, ages 18 months to 4 years, who had been referred to Children’s as babies with head deformations severe enough that a

“Right now, there’s no information that tells us by the time children reach a certain age, their head shape will have improved or look a certain way.”

––Aaron Smith, CO, LO

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O&P ALMANAC MAY 2010

––Peter Kapelke, CPO

cranial helmet was recommended, but whose parents decided not to get one.

The search for participants was challenging as many families had moved since their original visit, Smith says.

The pair invited parents and children back for a complimentary follow-up visit during which digital photographs and a scan of the head were taken, and parents completed a survey about their satisfaction levels.

The measurement of the cranial vault asymmetry index generally decreased without the use of a helmet due to normal circumferential growth.

However, the overall severity level did not decrease significantly. The change among these children was so minor— an average of just 1.8 percent—that no child could be reclassified to a lower severity. Based on current head shapes, 77 percent of patients still would be recommended for orthotic treatment.

Nevertheless, 16 parents were either “very” (10) or “somewhat” (six) satisfied with the head shapes of their children.

Only five selected “not very satisfied,” and of those, none felt the head shape had worsened since infancy, Smith says.

The research also revealed no adverse trends in the development of key motor skills such as walking, climbing, selffeeding, or holding a crayon, she adds.

“Definitely a lot more research needs to be done especially into the psychological part,” Smith says. “A lot of parents have questions about ‘what will happen to my child when he or she gets older?’ They don’t want to have to worry about their child looking odd as a teenager. Right now,

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there’s no information that tells us by the time children reach a certain age, their head shape will have improved or look a certain way.”

Nonetheless the initial data does support that helmets improve head shape much better than doing nothing, and Smith hopes that her findings will encourage pediatric health providers to recommend helmets and persuade insurers to cover them. She also plans to continue the study at Children’s to increase the data pool.

“It’s a time-sensitive treatment that works best in the first year of life when the skull is most moldable. So if parents struggle with insurance for three months, it puts them in a time crunch,” Smith says. “It has no side effects and is almost like wearing a hat 23 hours a day for three to four months. Most kids are not bothered by it at all.”

Backing Up the Brace Orthopedic surgeons have long debated whether scoliosis bracing is effective for preventing curve progression, potentially eliminating the need for corrective surgery, says Don Katz, BS, CO, administrative director of the orthotics and prosthetics departments at Texas Scottish Rite Hospital for Children in Dallas. A literature review done by the Scoliosis Research Society suggested one reason was that various studies had inconsistent results due to a focus on populations with different risk factors.

From his own experience, Katz felt that when his patients wore the brace more often, they did benefit from it.

But he also had another concern. While small children were typically more tolerant to wearing spinal orthoses, school-age children and adolescents often become more self-conscious about what the devices may communicate to peers. Not wanting to be chastised, teens also are more likely to over-report to parents and providers the amount of time they wear the braces. Numerous research studies already had established the inaccuracy of self-reporting for a variety of health tasks, so researchers who relied

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O&P ALMANAC MAY 2010

“No study had taken a large cohort of patients with varying curve patterns and then monitored how much they wore the brace throughout the entire treatment period.”

––Don Katz, BS, CO

on self-reporting were unlikely to be getting accurate figures related to wear adherence.

“No study had taken a large cohort of patients with varying curve patterns and then monitored how much they wore the brace throughout the entire treatment period,” Katz says. With that in mind, he partnered with the hospital’s bioengineering department and a statistician to develop a sensor and algorithm that used body temperature to determine not only for how many hours the child wore a Boston brace daily but also at what time of day— for example, morning, during school hours, after school, or just at night.

“It was not at all a simple matter; you can get a lot of false positives in a hot Texas summer,” Katz recalls. “We tried to fool this technology because we knew kids were going to be creative, and we tested it until it was more than 99 percent accurate.”

Katz and the team at Scottish Rite then followed 100 patients, recruited between 1998 to 2000, who used the orthosis for up to five years. Of patients who wore the brace less than seven hours a day on average, about 70 percent got worse, defined as a curve progression of 6 degrees or more.

In contrast, among those who wore the brace more than an average of 12 hours a day over the treatment period, only 18 percent had worsened curve progression, and none of these required surgery.

“Frankly, this gives us a much

higher level of confidence in counseling patients on the value of wearing the brace,” Katz says, “Now we can more definitively say more than 80 percent of patients who wore it an average or at least 12 hours a day throughout the treatment did very well.”

Another finding was that the patients who did well wore the brace during the day in school hours, while those who refused to wear it to school often could not get enough hours in the brace for it to be effective, he adds. And those who wore the brace for an average of 12 hours sometimes wore it much more, up to 16 to 18 hours, for a significant part of the study period and only fell back to shorter wear periods after getting older.

The study did not include subjects with curve types that have been shown by other studies to benefit from just night brace wear, Katz notes.

An adjunct study done in partnership with the psychology department compared the temperature data with self-reporting by child and parent, as well as estimates by orthopedist and orthotist based on examination. “On average, patients and parents overestimated by about five hours per day,” Katz says. “Orthopedists and orthotists came a little closer but still not that close.

Frankly, we weren’t surprised.”

Results of the psychological portion have already appeared in the Journal of Pediatric Orthopaedics. The main efficacy study results are scheduled to be published in the Journal of Bone and Joint Surgery later this year.

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computer-based survey featuring a

by Swedish neurophysioloealth providers and variety of questions about how children gist Rolf Sorbye, she later some payers remain ages 2 to 18 are performing a list of participated in a two-year divided over the two-handed activities such as holding research study in 1980 at question: Should young a hockey stick or tying their shoelaces.

Bloorview to develop effecchildren be fitted with a Researchers hope to evaluate the effitive training strategies for myoelectric prosthetic arm? cacy of different devices for children in preschool children. That More research is needed, different age groups, geographic locastudy proved successful, but the final answer most tions, and family circumstances. and the facility started likely will be yes, according Thanks to increased funding from fitting children aged 2.5 to Sheila Hubbard, P&OT, Sheila Hubbard organizations such as the Bloorview and older routinely with BSc (PT), who spent 40 years Childrens Hospital Foundation, what myoelectric prostheses. By the 1980s, in practice at Bloorview Kids Rehab in started as a pilot study of 40 Toronto breakthroughs, such as smaller compoToronto, Canada. children expanded to a multicenter nents and a simpler control system, “I have definitely seen a change in study of more than 1,000 children in allowed fitting at even earlier ages. the way kids use myoelectric hands seven countries. Participants include Over time, Hubbard anecdotally when we started fitting them at 10 to 12 the prosthetic programs in the Shriners observed, and perhaps not surprismonths of age,” Hubbard says. “They Hospitals for Children group. ingly, that children whose parents obviously weren’t immediate users, Still, researchers need to follow actively nurture and encourage prosbut they gradually developed skills even more children from infancy to thesis use typically do better with the so that by age 2, they used the hands adulthood to have sufficient data to devices than those whose parents don’t in a very natural way. You had to look make broad conclusions, Wright says. promote use. However, certain quescloser to see they were limb-deficient, However, a Dutch analysis of early tions continued to concern her. as opposed to the very mechanical use findings does suggest that “We didn’t know enough when they started later.” hours worn or amount of about what the kids themHubbard talked about her experiactivities performed with selves thought about the ences fitting myoelectric prosthetic the prosthesis may be less devices, and what makes one arms on toddlers and reviewed the important than how valubecome a good wearer and research literature on the topic at able the child finds a device another not,” Hubbard says. last year’s Association of Children’s in doing the activities that “We need more attention on Prosthetic-Orthotic Clinics (ACPOC) he or she feels are most those psychosocial aspects. conference. An article based on that valuable, she adds.

In the past, we were simply lecture is expected to appear in ACPOC Wright credits Hubbard more focused on the fitting News later this year. with getting the project and training aspects.”

Hubbard began her career training F. Virginia Wright started. “Sheila was the In search of answers, children, who were victims of the leading-edge person who identified Hubbard and F. Virginia Wright, PT, thalidomide drug tragedy of the early for us as researchers that we needed to PhD, a clinician scientist at Bloorview, 1960s, to use prostheses. She witnessed began developing the Prosthetic Upper the rise of the first myoelectric devices, have some way to evaluate how well Extremity Functional Index (PUFI) in which were not considered appropriate different types of upper-extremity artithe 1990s. PUFI is a multiple-choice, for use with young children. Inspired ficial limbs work,” she says.

24

O&P ALMANAC MAY 2010

Straight to the Knee

ORLANDO

The road to invention is not always a straight line. In the O&P industry, there’s often a lot of trial and error between a light bulb idea and a workable device. Peter Kapelke started by testing a totally free knee with a side joint, which allowed the prosthetic joint to be mounted at the exact same height as the contra-lateral knee. It allowed free crawling and was more proportionate in its fit, in his opinion, than a single-axis Otto Bock knee, which other experts have recommended. The latter, he says, is too heavy for the early standing and walking baby. He also observed that single-axis knees do not match the height of the contra-lateral leg and extend past the end of the socket, making it hard for babies to crawl or pull to stand.

However, while the side-joint free knee worked well during the crawling stage, it literally crashes when the baby tries to take that first independent sagittal plane step, Kapelke

explains. “They plant their foot and kablam! The knee bends and they hit the floor.”

Kapelke then experimented with knees fitted with a manual lock which parents could reach down and adjust when the child pulled to standing.

But observing his own two toddlers, he quickly realized that solution was completely impractical. “Sitting on my couch, I watched my daughter stand up and fall down a hundred times in an hour,” he says.

The parents of a baby fitted with this version also found it burdensome.

Next, he envisioned a remote control that would allow a parent to do the locking and unlocking from a distance.

But even that action would be challenging for a parent to implement at the speed a child moved, he decided.

The only solution was an electric sensor that locks or unlocks based on a gravity-activated switch and other cues as the child crawls, sits, or stands.

The Shriners Hospitals have applied for both domestic and inter-

SAVE thE DAtE

national patents on the infant-sized self-regulating electric locking knee, and Kapelke plans to continue its development for eventual market availability. He expects the market to be small for mass production with only a few hundred American children born with congenital conditions requiring such a prosthesis every year.

However, for those children and their parents, the benefits are immense. He says he’s delighted to make the device on a case-by-case basis.

“Those first precious steps when a kid gets up and tries to walk, then falls into a parent with extended arms, those are the kind of things that I wanted this knee to make possible,” Kapelke says. a

Anya Martin is a contributing writer for O&P Almanac. Reach her at anya99@ mindspring.com.

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s

Destination

Paperless

By Deborah Conn

s

Careful research and

gradual implementation highlight one facility’s path to electronic recordkeeping

E

lectronic recordkeeping— so-called paperless technology—is garnering increasing attention in health-care professions, especially since the Obama administration called for electronic health records for all Americans by 2014.

Nevertheless, many practitioners, particularly those in smaller facilities, are hesitant to take the plunge. But those who do are seeing immediate— and important benefits.

For one facility owner, the decision to adopt paperless technology came down to a matter of space. Like many practitioners, Chris Fairman, CPO, Detroit-based Great Lakes Prosthetics & Orthotics, has been aware of the technology for years but was reluctant to introduce such a drastic change to his practice. Finally, after two years of

discussing the pros and cons with his colleagues, Fairman was jolted into action.

“The last straw was having to rent a storage unit for old charts,” he explains. The facility retains patient charts for seven years before shredding them, and the two-office practice simply ran out of room. “We had charts stored in the lab, in a seldom-used bathroom, under the counters—they were everywhere!” he says. “We were tripping over charts, and it was starting to affect our productivity.”

Improving productivity was a strong impetus to move to paperless technology. Great Lakes P&O’s five practitioners were finding it difficult to track down charts, particularly as they moved between their two offices. “A chart could be in any of a number of

s 1

s 2

s

3

BEFORE PHOTOS. (1) Martin Huebner, CPO, works in a crammed lab. (2 and 3) Charts are stored on all available shelves, boxes, and desks in the office.

O&P MAY ALMANAC 2010 O&P ALMANAC MAY 2010 27 27

s 4

s 5

s 6

TIME TO PURGE. (4 and 5) Fairman gathers and trashes old paper records after (6) Maria Trombley scans them into the new system.

pending piles, waiting for a prescription, for practitioner notes, or for something to be ordered. We wasted a lot of time trying to locate the right file,” Fairman says. “We knew it was time to make a change.”

Choosing a System After Fairman and his colleagues decided to pursue paperless technology, he needed to select a system.

His first step was to call other practitioners who were using paperless technology, among them Jonathan Naft, CPO, of GRE Prosthetics & Orthotics, based in Chardon, Ohio. Naft is a strong advocate for electronic recordkeeping and a frequent presenter on the topic at O&P professional meetings.

[See sidebar on page 30.] Fairman had attended several of Naft’s sessions, so he was familiar with the technology vendors that offered systems suitable for the O&P field.

Fairman looked at three systems, all of which had similar features. Ultimately, his choice was based on cost versus projected usage. The program he selected, like several others, integrated smoothly with the patient management and billing software already used by the practice. The new program is an online document management system that stores information that has been scanned in or entered via a laptop or tablet.

“We purchased an excellent scanner for around $1,200, and we’re using it to scan any documents the patient fills out, insurance cards, HIPAA and Medicare acknowledgements, and delivery tickets,” says Fairman.

28

O&P ALMANAC MAY 2010

The practice decided not to scan historical charts, choosing instead a “scan as you go” approach. “As we adopt this new system, we will stop making paper charts,” says Fairman.

“Of course, if a patient returns, we will scan the old chart and integrate it into the new system. This method won’t immediately solve our storage problem, but over time, it will make a big difference.”

Training and Implementation Great Lakes P&O is taking a gradual approach to implementation as well. Its five practitioners and three administrative staffers range in age from around 20 to 58. Generally, the younger employees are more computer literate. Fairman and another practitioner are the most comfortable with technology, so they were the first to implement the new system. “We’re working out the bugs,” he explains. “After we figure out how it works and streamline our protocol, the others will gradually move over.”

The practice is using both laptops and tablets to input information.

Computer-literate staff members type in their notes; those less techsavvy can hand-write information and tablet software will capture it electronically. The office is developing templates and prompts to streamline the process of taking notes.

As part of its training package, the vendor offered access to field trainers, people who use the system

in their own businesses. The field trainer assigned to Great Lakes P&O was the office manager of another O&P facility, so Fairman and his colleagues were able to receive industry-specific advice on the patient management and billing features of the system.

“She was able to give us examples of how her office tracks works in progress––when each step of fabrication was completed, when patients were ready to be notified once the job is done, and when it could be billed,” says Fairman. “That was a huge help, rather than dealing with an IT person who’d never been in an O&P office before,” he says.

Other training consisted of a twohour webinar, an online instructional session, supplemented by additional Internet-based programs. Staff can access previous training sessions at any time, as well as select specific topics.

“These are handy,” says Fairman. “The 15-minute or half-hour pieces are easy to digest.”

Fairman recognizes the discomfort that comes with change. “We all resisted this a little bit,” he says. “Our main fear was that we would not be able to find something once it was in the computer.”

Even though the system’s OCR (optical character reading) software allows staff members to search files by patient name, date, third-party payer, and other data, the lack of a physical chart was daunting. “The fear is that we might forget to bill something or skip a step. I know what needs to be done next, but if you don’t go to the right spot in the computer, you might

GOING PAPERLESS:

Tips to Make the Transition

s

One of the industry’s most zealous proponents of paperless technology is Jonathan Naft, CPO, president of GRE Prosthetics & Orthotics, in Chardon, Ohio. Naft feels strongly that it is as important for practitioners to remain as current on the administrative aspects of their work as on clinical techniques and skills. He believes electronic recordkeeping is essential to a well-run facility.

Naft offers these suggestions to guide O&P practices through the adoption and implementation of new technology:

• Assess your practice. How many offices do you have? Will a number of people at several offices need to access records? What type of work do you do? Different types of O&P services require different styles of documentation and billing. What other software do you use in the office: Video? Billing systems? Scanners? CAD? Identifying these factors will help you choose an appropriate system that will integrate smoothly with your practice and provide the functions you require. You don’t want to be well into the implementation phase only to learn that your CAD software will not interface with your paperless system.

• Know your staff. Will they embrace new technology or need more support to make the transition?

If more support and training are required, it may mean additional costs or time during implementation.

• Review current communications in your office. Do you leave sticky notes on someone’s chair or send e-mail? It is important to understand how you want to communicate with the three parts of your practice—technical, clinical, and administrative—and to ensure that everyone will use the same

30

O&P ALMANAC MAY 2010

means of communication. If you are willing to make changes, be thorough and make sure everyone is included.

• Evaluate your current technology.

Think about what you’d like, and find out what’s available. Can you envision situations, such as at a hospital clinic, where you would want to be able to access your office system from a cell phone? Are there limitations in your area about the kinds of available technology such as DSL, cable, or satellite? The best part of the advanced office systems are the efficiency, accuracy, and accessibility they provide. You may find you can do more in less time when on the road or in the office.

Today’s smartphones will surprise you with apps that work for O&P. • Consider your budget. Depending on your situation, you can pay as little as $4,000 to $6,000 to get started or up to six figures for a large, multi-office practice. Do the math to estimate how the time saved will translate to dollars. Remember that errors will be reduced too, and this saves time and money.

• Choose a software vendor. The best places to look are at O&P trade shows at national meetings. If you

want to hire an IT consultant, talk to businesses in your area to see whom they use. You may want to hire a consultant on a part-time basis rather than pay a monthly retainer to an IT company.

• Visit paperless offices. Ideally, visit the system in operation that you may consider purchasing. Find friends in the industry who will let you observe how their systems are functioning.

• Be realistic about implementation.

Don’t underestimate the time needed to train employees and fully implement the system—it will take longer than you expect.

Remember that administrative responsibilities are as important as clinical responsibilities.

• Review your choice. Wait a few months after you’ve implemented the system and revisit what you’re doing. You may realize that you need to branch off in a different direction. For example, you may start out using a digital template format for dictation, but later decide to switch to a voice recognition system for better accuracy.

Technology keeps evolving, and you may find better and better ways of doing things.

s 7

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NEW TECHNOLOGY. (7) New scanner helps practitioners convert files, and (8) Fairman uses a tablet PC to input information during a patient visit.

8

lose something or forget to do it,” says Fairman.

To aid in the transition, Great Lakes P&O has set up a “tickler” system, adding columns to the patient sign-in sheet that indicate if something needs to be charged or ordered. As the business phases in the program, practitioners will use a hybrid chart, making electronic notes but still being able to check them against other records.

Looking Ahead Great Lakes P&O has just begun the process of adopting a paperless

approach. Fairman anticipates a phasein period of a few months before the system is fully integrated in June.

He is hopeful that when the practice moves to another location later this year, it will be without paper charts.

“It makes designing a new space much nicer when you don’t have to account for rows and rows of file cabinets,” he says. “You start to see how much larger the space can be without all that paper.”

So far, implementation has been smooth. “We are pleasantly surprised at how easy it was,” says Fairman.

Not Just Golf...

A Golf

“Even our less computer-savvy practitioners seem to be accepting it pretty well.”

He is certain that going paperless was a wise investment, noting that when he looked at the cost of the system and compared it to the money and time wasted on creating, filing, finding, storing, and shredding paper charts, paperless technology would clearly save the business money. a Deborah Conn is a contributing writer for O&P Almanac. Reach her at debconn@ cox.net.

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MAY 2010 O&P ALMANAC

31

2010 AOPA NATIONAL ASSEMBLY:

See You in

ORLANDO Top Opportunities for Learning and Leisure Await at the 2010 AOPA National Assembly

lace P e Th Be! To

T

he 2010 AOPA National Assembly will be held September 29 through October 2 at the fabulous Rosen Shingle Creek Resort in Orlando, Florida. This beautiful luxury resort opened in September 2006 and is located at the headwaters of the famous Florida Everglades, and just down the road from Universal Studios, CityWalk, and all the fabulous attractions that Orlando offers. The Rosen Shingle Creek Resort is unique among Orlando resorts in that it offers an exceptional 18-hole golf course, an on-site spa, and special eco-tourism opportunities.

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O&P ALMANAC MAY 2010

The David Harman-designed Shingle Creek Golf Course has been lauded as one of Golfweek’s Top 40 New Courses and by Central Florida Business Journal as one of Central Florida’s 10 Toughest Courses.

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PRELIMINARY SCHEDULE WEDNESDAY, SEPTEMBER 29

9:30 am – 6:00 pm

Exhibit Hall Open

7:00 am Registration Open

9:30 am – 4:30 pm

Product Preview Theater Presentations

8:00 am Thranhardt Golf Classic

10:30 am – 5:00 pm Concurrent Education Sessions • Business Education

> Macro Approach to Patient Evaluations

> Practitioner of the Future

> Health-care Reform—The Implications of Legislation

for O&P • Orthotics

> Hypertonic Foot

> Panel Discussion on FES • Gait Training for Prosthetists • International Track Hosted by the German Association of Orthopaedic Technology • Technical Track Hosted by OPTA

8:00 am – Noon Manufacturers’ Workshops – Tier I (Up to 15 to choose from) 1:00 – 5:00 pm Manufacturers’ Workshops – Tier II (Up to 15 to choose from) 6:00 – 7:30 pm Welcome to Orlando Reception

THURSDAY, SEPTEMBER 30 6:00 am

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12:30 pm Lunch

Exhibit Hall Open/Product Preview Theater Presentations

10:30 – 12:30 pm Concurrent Education Sessions • Regulatory Roundup (Business Education)

> CMS Medical Directors Panel

> Recovery Audit Contractors––RACs • Head-to-Toe Orthotic Solutions • O&P Emerging Technologies • Understand, Heal, and Protect the Diabetic Foot (Part I) • Post-Mastectomy Care for Today (Part I) 12:30 pm Lunch 2:00 – 5:00 pm Concurrent Education Sessions • Top 10 Series (Business Education) • Walking Your Way Through Stance Control Orthoses and Reciprocating Gain Orthoses • Prosthetics

> Body-Powered Upper Limb Prosthetics

> Soft Tissue Management for Prosthetists

> Caring for Prosthetic Amputees

> Unique Challenges of Hip Disarticulation Amputees • Understand, Heal, and Protect the Diabetic Foot—Part II • Post-Mastectomy Care for Today—Part II • Florida State Licensure Programming 6:00 pm O&P Wine Tasting & Auction

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Fun Run/Walk

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Your Clinical Intervention

> Knowledge is Power—Managing Your O&P Business • Special Education Program Featuring the Haitian Relief Initiative 8:00 am – Noon Exhibit Hall Open/Product Preview Theater

7:30 am Registration Opens 7:30 – 9:30 am General Session • Business Keynote Speaker • Modified Membership Meeting • Award-Winning Business Presentation

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2:00 – 5:00 pm Concurrent Education Sessions • Good Business Sense

> Igniting the Passion for Customer Service

> How to Appeal Payer Denials for High-Technology Devices

> Developing a Comprehensive Compliance Program

> Facility Accreditation Forum • Prosthetic Solutions for Today • Managing the Geriatric Spine: Degenerative Injury, Deformity, and Pain • International Track—Part II Hosted by ISPO • Technical Track—Part II • Research Track—Center for O&P Learning/ Evidence-Based Practice (COPL)

11:30 am Exhibit Hall––$10,000 Cash Giveaway Sponsored by Arizona, AFO and Branier Shoes 1:00 – 5:00 pm Manufacturers’ Workshops – Tier III (Up to 10 to choose from)

ratings by AAA in 2009. The resort’s steakhouse is called A Land Remembered, named after the novel that inspired the design for the Shingle Creek Resort. Featured steaks are Harris Ranch all-natural prime black angus beef, but the menu is designed for all tastes. A Land Remembered is located in the Golf Clubhouse and open nightly for dinner. Evening resort attire and reservations are recommended.

The resort’s signature restaurant is Calla Bella (“Creek Beautiful”), an Italian bistro where diners are whisked away to Tuscany. With a menu featuring salads, seafood, steaks, fresh pastas, and fine wines in a relaxing, romantic atmosphere, this is a memorable dining experience. The resort food services also include Café Osceola and Osceola Bar, 18 Monroe Street Market, Headwaters Lounge, Smooth Java, Creek Ice Creamery, and more.

MAY 2010 O&P ALMANAC

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Mix Fun with Business On Friday night, AOPA will provide bus transportation to Universal’s CityWalk entertainment complex.

Restaurants, nightclubs, live music, and bars are all featured at CityWalk. For dinner, you can book a table at Emeril’s Restaurant Orlando. Or enjoy a more relaxed dining experience at Jimmy Buffet’s Margaritaville, the Bubba Gump Shrimp Co., or the Hard Rock Café.

Rising Star offers visitors the opportunity to do karaoke with a live band.

Other venues, such as Velvet Sessions at Hard Rock Hotel, let you relax with live music. Pat O’Brien’s, Blue Man Group, the Wantilan Luau, and much more offer an entertainment experience that matches any mood or taste.

Photo: AOPA

Photos: Rosen Shingle Creek

Rosen Shingle Creek Resort

O&P ALMANAC MAY 2010

NEW!

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Shingle Creek offers a wide range of amenities for guests to enjoy. Whether you prefer lounging by the pool or taking a dip, you’ll enjoy doing so in one of the property’s four heated pools and two hot tubs. The resort also features a 13,000 square feet spa with nine treatment rooms. Guests can also play sand volleyball, or pickup basketball (upon request), or take a nature walk. Also available are two lighted tennis courts, and you can make reservations to go fishing.

Certain special events continue to be an important part of the AOPA National Assembly. The Thranhardt Golf Classic, Welcome Reception to open the Exhibit Hall, Wine Tasting and Auction, Fun Run/Walk, and exhibitor-hosted parties, including Happy Hour, are all set for the 2010 AOPA National Assembly, giving friends and colleagues plenty of chances to reconnect and interact while

in Orlando. Please plan to join us this year for the third annual AOPA Wine Auction; it’s a fun event and also benefits the O&P PAC. Great networking opportunities are available at these events, whether you’re a practitioner, a supplier, or a guest.

Revamped Education Program The education program at the AOPA National Assembly is constantly evolving in response to the feedback and professional development needs of attendees. This year’s Assembly will be the first to feature an award for the best business presentations, a counterpart to the Thranhardt award recognizing the best clinical education submissions.

Two general sessions will be held this year, one on Thursday morning and again on Friday morning, each anchored by these special award presentations. We’ll also be featuring two special guest speakers: an inspirational keynote speaker on Thursday when the Thranhardt award is presented and a special business keynote speaker on Friday preceding the award-winning business lectures.

AOPA also has created a new, more targeted education program in response to member feedback. This year’s education sessions will feature full-day targeted tracks for pedorthists, post-mastectomy care providers, and technicians. A full-day international track will be hosted by the German Association in the morning and the International Society for Prosthetics and Orthotics in the afternoon. A half-day research track will be hosted by the Center for O&P Learning/ Evidence-Based Practice (COPL).

Plenty of time will be available to visit the Exhibit Hall and learn about all the latest developments.

Business, pleasure, and superior education: This year’s AOPA National Assembly is the place to be for it all.

Please plan to join us in Orlando, September 29 – October 2, 2010, for the year’s best clinical and business education opportunities, and memorable opportunities for fun, networking, and recreation. a

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

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AOPA Headlines

Coding and Billing Seminar in Pittsburgh AOPA’s second 2010 seminar, “Mastering Medicare: Advanced Coding & Billing Techniques,” will be held in Pittsburgh, May 24-25, 2010. Hundreds of your colleagues have already benefited from this detailed, advanced seminar conducted by AOPA’s coding experts and members of the AOPA Coding & Reimbursement Committee. Meet us in Pittsburgh where you will: • learn how to code complex devices, including repairs and adjustments, through interactive discussions with AOPA experts and your colleagues • join in-depth discussions on compliance with Medicare billing rules and documentation expectations • learn how to assess and deal with compliance risk areas • review successful appeal strategies and hints on avoiding claim denials • participate in break-out sessions for practitioners and office staff

• get detailed information on hot topic issues in O&P • earn 14 continuing education credits in two days.

Seminar attendees stay at the Hyatt Regency Pittsburgh Airport for just $105/night.

The seminar cost is $525 for members/$725 for nonmembers if you register by April 23. (After the early bird deadline, the cost goes up by $25 per person.) Any additional attendees from the same office get a $50 discount—just $475 for members and $675 for non-members. Join us in Pittsburgh to get answers to your toughest coding questions, and spend an informative two days with AOPA’s experts and your colleagues.

Register at www.aopanet.org. For more information, contact Erin Kennedy at ekennedy@AOPAnet.org or 571/431-0876.

2010 AOPA Policy Forum Supports Advocacy

Register for Audio Conference on New HIPAA Rules

The 2010 AOPA Policy Forum will be held May 26-27, 2010, at the Hyatt Regency Capitol Hill. This exciting location will provide a worthwhile and memorable experience for new and returning attendees.

Nineteen states have passed prosthetic parity legislation since Colorado became the first state to do so in 2001. Twelve other states have introduced legislation so far this year and several more may do so before the year is out. Eleven states have passed licensure. The Policy Forum will help participants continue this momentum. In addition to lobbying their representatives on Capitol Hill on behalf of their individual businesses and the industry, Policy Forum attendees will be learning what they can do at the state level to advocate for the orthotics and prosthetics industry for parity, licensure, or both.

Registration is open at www.AOPAnet.org and costs just $75. Come to Washington, tell Congress what results you’d like to see, and learn how to take this message back home.

For more information, contact Erin Kennedy at ekennedy@ AOPAnet.org or 571/431-0876.

The next AOPAversity audio conference, “New Rules for HIPPA: Are You Still Compliant?,” will be held on Wednesday, May 12, from 1-2 p.m., EDT. Join us for this informative session to learn how the HITECH Act has updated HIPPA , focusing on such issues as: • what now constitutes a breach of PHI • when and how to notify a patient of a breach of their PHI • what policies and procedures must be updated • how these new changes will be enforced • what happens if you are not compliant.

The cost of participation is just $99 per line for members ($199 for non-members). Any number of employees may listen on a given line. Participants can earn 1.5 continuing education credits by returning the provided quiz within 30 days and scoring at least 80 percent.

You may register at www.aopanet.org. For more information, contact Erin Kennedy at ekennedy@AOPAnet.org or 571/431-0876.

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O&P ALMANAC MAY 2010

Visit us at ACPOC! Tables 26-27

Pediatrics Head to Toe

The STAR™ Family of Cranial Remolding Orthoses has been used to treat positional Plagiocephaly, Brachycephaly, Scaphocephaly and other head shape deformities in infants 3-18 months of age since 2000. Tens of thousands of infants have been successfully treated with the STARband®, the first cranial remolding orthosis with FDA clearance available to O&P practitioners across the United States and around the globe. And recently, Orthomerica has received FDA clearance and is now the first cranial remolding orthosis manufacturer to provide orthotic management for post-operative Craniosynostosis to the O&P profession. Orthomerica’s cranial remolding orthoses can be fabricated from an unmodified cast, or a scan of the infant’s head using the STARscanner™.

Custom Spinal Orthoses— join practitioners from major children’s hospitals who trust Orthomerica to fabricate custom spinal designs for their patients with scoliosis and kyphosis. Each orthosis is precisely fabricated to produce symmetry, correction, and control.

STARscanner™ Laser Data Acquisition System—replaces the need for plaster casting. In less than 2 seconds, the eye-safe laser collects the baby’s head shape data. 3-D data can be viewed in multiple planes with detailed analyses that help determine the severity of asymmetry. This captured data is transmitted to Orthomerica for fabrication of the cranial orthosis. Additional scans document treatment progress, offering quantitative outcomes to insurance carriers, physicians and parents.

TC Flex™ AFO System —a progressive orthotic management system for patients with neuromuscular, sensorimotor, orthopaedic and physical challenges. These custom molded orthoses are designed to stabilize the structures of the foot and ankle complex to enable the patient to utilize current and potential muscle capabilities.

KC Combo™—provides proximal alignment and stability to an Orthomerica AFO, including TC Flex™ designs, by adding this Knee Control Orthosis.

A ring pin fastener allows quick attachment/ detachment without the use of tools. An adjustment option allows for patient growth.

Newport® jr Hip System—with the new pj—Virtual® Pediatric Joint enhances hip stability by supporting and positioning the hips in optimal alignment while allowing controlled range of motion. This pediatric hip orthosis can be used post-operatively to maintain the corrected surgical position, or to maximize function during activities of daily living.

Pediatric UFO™—a comfortable, prefabricated orthosis for stretching and maintaining dorsi-flexion range of motion. This unique lower-limb orthosis positions the foot and ankle in optimal alignment for placing stretch on the soleus while the patient is sleeping. When used in conjunction with a knee immobilizer, this orthosis can also stretch the two-joint gastrocnemius group.

Customer Service 800-446-6770 | Custom Fabrication 877-737-8444 | orthomerica.com © 2010 Orthomerica Products, Inc. All Rights Reserved.

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

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Marketplace

ORTHOTIC MANAGEMENT OF GENU RECURVATUM COMBINED WITH FOOTDROP Allard USA introduces COMBO, a thigh cuff/knee brace attachment for ToeOFF or BlueRocker that offers lightweight, low profile, functional orthotic solution for the management of genu recurvatum or chronic knee instability, accompanied with footdrop. Combine COMBO with ToeOFF or BlueRocker to fabricate a KAFO, customized to meet your patient’s needs. Uprights with dual axis joints are easily shaped and adjusted to optimum height for the patient. Adjustable knee control popliteal interface for genu-recuvatum control. Modular components allow you to accommodate variances in thigh and calf circumferences.

For more information call 888/6786548, e-mail info@allardusa.com or visit www.allardusa.com.

APIS FOOTWEAR PRESENTS THE NEW BUNION/EMEDA SHOES

Apis Footwear is proudly presenting the new Bunion/Emeda shoes that are available off-the-shelf. The entire collar of the shoe is made of expandable elastic foam fabrics, designed to conform to the shape of the ankle

40

O&P ALMANAC MAY 2010

and significantly reduce Achilles pressure. The leather counter will reflex, which allows for more flexibility for support or for release. With builtin flex area on medial and lateral side of the shoes, this unique design will accommodate mild or severe bunion and bunionette situations. The Lycra top will allow more room in the shoe for claw or hammer toes. The outsole is constructed with total EVA materials so that the practitioner can modify the bottom very easily, whether for a wedge, out flare, lift, or rocker.

More questions? Please call our friendly customer service at 888/9372747.

KISS TRAINERS––DYNAMIC FLEXIBLE KEEL STUBBIE FEET

KISS Trainers combine phenomenal balance and ease-of-use. Patients feel stable while confidence training using these flexible keel “stubbie” feet.

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

COLLEGE PARK’S SOLEUS®–– TRUE ENERGY IN MOTION

The Soleus® offers a dynamic heel that allows for smooth, seamless transition between heel strike and toe-off.

Involving the entire foot in absorbing and returning energy, the Soleus’ four-spring system accommodates a moderate to the most active lifestyle.

The multi-composite design and wide platform heel affords stability, durability and comfort on various terrain.

Key features include: • synchronized control throughout the stance phase • superior terrain compliance • precision gait matched for out-of-the-box performance • available in gold or silver • weight limit up to 275 pounds (125 kg), three-year warranty • same-day, custom built to order.

For more information, call 800/7287950 or visit www.college-park.com.

CLOSE CONTOUR PEDIATRIC KNEE JOINT The Close Contour pediatric knee joint from OTS is the smallest infant and pediatric joint available on the market. The Close Contour has a nickel plated finish for durability and unparalleled strength to weight ratio with OTS alloy:

• designed for use on traditional leather, metal or thermoplastic orthoses • contour within ½” of knee center • available in both the ratcheting StepLock® joint that features a built-in lock retainer and single position UniLock™ joint which includes bail (shown) • available in two sizes m Size 4: for non-ambulatory use m Size 4.5: for ambulatory use For more information, call OTS Corp. at 800/221-4769, or visit www. ots-corp.com.

For more information about the 10A10/T Rotation Adapter, please contact your account manager at 800/378-2480 or visit our Web site at www.eurointl.com.

NEW TRANSFER PAPER DESIGNS AT EURO INTERNATIONAL

designs are creative, fun and different,” said Nelson Sanabria, marketing director of Euro International.

The new transfer paper designs can be found at www.europrosthetics.com under the materials tab. Call your account manager today for special intro pricing at 800/378-2480.

Euro International has introduced ten new transfer paper designs into its product line. “Our customers are always looking to differentiate themselves and these new transfer paper

DYCOR

TAKING THE NEXT STEP...

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

THE DEPENDABLE ROTATION ADAPTER BY EURO INTERNATIONAL The Rotation Adapter from Euro International makes everyday activites like driving a car or tying your shoes much easier. The Rotation adapter is made of lightweight titanium and is weight rated up to 275 pounds. The adapter features a button that activates the rotation mechanism as well as an automatic locking system.

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

For more information please contact our Technical Support Dept. or visit our website at www.dycormfg.com

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MAY 2010 O&P ALMANAC

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Marketplace

VACUUM SUSPENSION BY OHIO WILLOW WOOD

THE STEALTH CB––FIRM SUPPORT WHEN YOU NEED IT

Ohio Willow Wood’s LimbLogic® VS provides amputees secure and reliable suspension.

The system is easy to fabricate, program for patient use, and monitor performance. Numerous features of LimbLogic VS 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 as well as thermoplastic sockets.

For more information, contact Ohio Willow Wood at 800/848-4930 or visit www.owwco.com.

The Stealth CB by OPTEC combines the Stealth corset with a rigid chairback frame to provide support laterally and from sacrococcygeal junction to T9 vertebra. The lightweight design is ideal for patients requiring intracavitary pressure to reduce load on intervertebral discs, truncal support and sagittal-coronal control. The chairback frame attaches to the Stealth brace with our new snap-on elastic design, which ensures the same fit every time with no rotation of either component when donning.

PDAC has approved the Stealth CB2 and the Stealth CB4 for the HCPCS Code L0637.

For more information, contact OPTEC at 888/982-8181 or e-mail sales@optecusa.com.

OPTEC’S CUSTOM BRACES–– READY WHEN YOU ARE For nearly 15 years, OPTEC has been a leader in custom spinal orthotic manufacturing. OPTEC provides the high quality products and services you need from your central fabricator. With around-the-clock technical support, quality products at a fair price, availability to take orders anytime you will find that OPTEC fits your needs. Further, you will get your custom brace when your patient needs it and just the way you want it. Try OPTEC for your next custom orthosis!

For more information, contact OPTEC at 888/982-8181 or e-mail sales@optecusa.com.

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O&P ALMANAC MAY 2010

STEALTH LSO LP–– 15% DISCOUNT

OPTEC’s 3-in-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. Our unique polymer closure straps allow your patient to achieve precise compression and increased spinal support each time the Stealth is

donned. PDAC recently determined that L0637 is the appropriate HCPCS code for the Stealth LSO LP. Order the Stealth LSO LP now through May 31, 2010 to receive 15 percent OFF regular price.

For more information, contact OPTEC at 888/982-8181 or e-mail sales@optecusa.com.

THE STEALTH TLSO: COMPLETE IMMOBILIZATION––COMPLETE COMFORT OPTEC’s Stealth TLSO provides motion restriction for the thoracic and lumbar regions.

The posterior extends from sacrococcygeal junction to just inferior of the scapular spine with rigid plastic providing lateral strength. The Stealth TLSO is available in three-panel and four-panel versions, which include a Dorsal Lumbar Kit (DLK) or a DLK with your choice of thoracic attachment. The Stealth TLSO allows you to restrict the thoracic vertebra with the ease of use and precise compression of our unique closure system.

For more information, contact OPTEC at 888/982-8181 or e-mail sales@optecusa.com.

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Marketplace

ÖSSUR INTRODUCES THE NEW FLEX-FOOT® BALANCE™

For more information, call 800/2336263 or visit www.ossur.com. *Please note product shown without its accompanying foot cover.

MOBILITY WITH STABILITYNEXT-GENERATION IN K2 FOOT DESIGN

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

Eliminate the need for realignment or painstaking adjustments and help improve your patient’s stability, with the 1M10 Adjust. Designed specifically for the K2 walker, the Adjust foot provides a stable center of

Solis Orthotics & Prosthetics, Inc. Offers the Highest Quality Fabrication at Affordable Prices

Solis O&P is a central fabrication facility specializing in lower and upper extremity prosthetics & orthotics:      

FREE shipping on all orders Next day turnaround always available Technician on call 7 days a week CAD/CAM services We can handle all your fabrication needs Discount programs and expedited services provided CALL TODAY AND ASK ABOUT OUR

FREE Check Socket Offer 321-751-9090

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O&P ALMANAC MAY 2010

gravity, allowing you to make adjustments, even change the heel strike stiffness with the Adjustable Heel Function, without realignment.

For more information, call 800/3284058 or visit www.1M10Adjust.com.

KIDDIEGAIT™ SMALLER SIZES AVAILABLE FROM PEL SUPPLY

Allard USA has announced new smaller sizes for the popular carbon composite the KiddieGAIT™ ToeOFF product line—and they are available now from PEL Supply. Previously, the youngest kids you could fit with KiddieGAIT were ages three or four.

The three new “baby” sizes are smaller to support the foot in early stages and beyond, to stimulate and assist the child to stand and toddle, and to provide support for correct functional posture and gait. KiddieGAIT will now fit kids from about 9 months to approximately 9 years.

It can be even more kid-friendly when paired with the new SoftSHELL™––the slip-on sleeve design that gives the KidddieGAIT a fun print front cover. Kids can choose from pink or red print patterns. And all sleeves are machine washable.

For information on the KiddieGAIT and the entire ToeOFF family of products from Allard, contact any helpful PEL customer service specialist at 800/321-1264, by fax at 800/222-6176, or by e-mail at customerservice@pelsupply.com, or order online at www.pelsupply.com.

For over 50 years, PEL has offered practitioners outstanding

SERVICE Bev Barnhardt, Director of Customer Service • 10 years of service with PEL • Cuyahoga Comm. College in Nursing • Loves walking and water aerobics • Avid “sports mom” for her 3 kids • Trains CSRs to “fulfill all customer expectations”

on the most popular products available from the O&P industry’s leading manufacturers. Phone, fax or email your order to a PEL CSR, trained and coached

by Bev, to provide expedient and dependable service. Over 98% of popular products ship the same day.

Seattle Kinetic keel assembly; cosmesis is not removeable.

Standard

Trulife Seattle Kinetic Foot • Advanced design for amputee’s everyday needs • Exceptional motion • Integrated multi-axial ankle • Male-bonded pylon and female foot adapter included • K2 activity level • 300 lb weight limit

Bariatric

ALPS Extreme Cushion Liner and Sleeve

Anatomical Concepts, Inc. APU® Bariatric PRAFO® Orthosis

• For transfemoral or active transtibial amputees • Liner has 80% less vertical stretch to reduce movement of redundant tissues • Sleeve seals against skin without restricting circulation or causing shear forces • Wider distal end for easier donning • New GripGEL™ gently yet firmly supports residual limb and sensitive tissues • Prevents sleeve from rolling down limb • Available in 3mm or 6mm uniform profile

• Kodel® boot will fit across a dorsum measurement up to 23" • Footplate width is 5" • Extends from 12-1/2" to 13-3/4" in length • Extends from 14” to 15” in height (can be trimmed shorter) • Adjustable calf strap extends 21" to 32" • Heavy duty 3/16" Aluminum APU heel suspension bar is standard • Available with traditional green/white or black liner ®

Experience the Power of One.

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

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

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HELIX3D THE SHAPE OF THINGS TO COME

Helix3D — and their gait will be more natural and confident because of the added stability provided by use of the C-Leg® microprocessor knee.

For more information, call 800/3284058 or visit www.ottobockus.com.

IBEX FOOT AVAILABLE THROUGH SPS

The Helix3D Hip Joint takes advantage of a groundbreaking design to create a more natural, three-dimensional hip movement. Its polycentric shape, in combination with a unique stance phase control system, also helps initiate swing phase and improves toe clearance and hip joint extension. The results for your patient are dramatic — your patients may experience less energy expenditure when walking with

The unique micro-slice pylon design and split heel plate contribute to an overall foot system inversion/eversion of 13 degrees. The lightweight, low profile design weighs only 16.2 ounces (size 27cm Category C spring) and has a build height of 6.75 inches.

The full length heel plate and resilient carbon structure allows IBEX user’s to reach foot flat sooner while expending less energy to get there. The stable, durable design is appropriate for users weighing up to 330 pounds.

For more information, call SPS customer service at 800/767-7776 x 3. a

SPS is pleased to make available the sleek, new slim-line design of the new IBEX™ foot system from Fillauer, with its “must-feel to believe” performance.

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

> > >

The O&P coding expertise you’ve come to rely on is now available whenver you need it.

Match products to L codes and manufacturers— anywhere you connect to the Internet.

This exclusive service is available only for AOPA members.

Not an AOPA member?

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

Manufacturers: Get your products in front of AOPA members!

Contact Joe McTernan at or 571/431-0811 jmcternan@AOPAnet.org.

VISIT AOPA AT WWW.AOPANET.ORG 46

O&P ALMANAC MAY 2010

Log onto LCodeSearch.com and get started today.

Welcome to

Powerful partnerships have redefined Boston Brace by enhancing our strengths while creating new and better ways to treat more patients.

• X ray mapping for scoliosis modification • 510(k) approval for cranial remolding since 2008 • Functional assistance and tonal control for neuromuscular patients

• Lower limb carving & fabrication by CAD

PARTNERSHIP HAS BENEFITS:

“My practice has grown and diversified substantially since partnering with Boston

Brace. We were simply a customer to our previous CAD system and helmet provider.

Boston Brace helps us in every step of the patient care process.”

— James Haas, CO & Owner, O&P Labs. Springfield, MA

Could your company be our next partner?

Contact us at 800.262.2235 or customerservice@bostonbrace.com Visit our website at www.bostonbrace.com

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

CLASSIFIED RATES Classified advertising rates are calculated by counting complete words. (Telephone and fax numbers, e-mail and Web addresses are counted as single words.) AOPA member companies receive the member rate.

Member Non-member Words Rate Rate 50 or fewer words $140 $280 51-75 words $190 $380 76-120 words $260 $520 121 words or more $2.25 per word $5.00 per word Specials: 1/4 page, color

1/2 page, color

$482 $634

$678 $830

Advertisements and payments need to be received approximately one month prior to publication date in order to be printed in the magazine. Ads can be posted and updated at any point on the O&P Job Board online at jobs.AOPAnet.org.

No orders or cancellations are taken by phone.

Ads may be faxed to 571/431-0899 or e-mailed to srybicki@ AOPAnet.org., along with a VISA or MasterCard number, the name on the card and the expiration date. Typed advertisements and checks in U.S. currency made out to AOPA can be mailed to P.O. Box 34711, Alexandria, VA 22334-0711.

Responses to O&P box numbers are forwarded free of charge. Company logos are placed free of charge.

JOB BOARD RATES Visit the only online job board in the industry at jobs.AOPAnet.org!

Member Rate $80

Non-member Rate $140

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

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O&P ALMANAC MAY 2010

Northeast

CPO CO Board-Eligible Orthotist or Prosthetist BOCO or BOCPO C.Ped Maine • Are you looking for something more?

• Do you want to be more than a number?

• Do you want a great life and a great job?

• We are a terrific practice looking for some nice people.

Is this you?

We are a well-established, patient-oriented, ABC-accredited facility seeking to strengthen our staff. Competitive salary offered, with bonuses commensurate with productivity, and renumeration for required educational credits. Offices located in picturesque Maine, just a short distance from our coast and mountain regions. Learn more about joining our team of dedicated specialists by contacting:

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

Certified Orthotist 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, CEU’s, 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.

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

Mid-Atlantic

Pacific

CO, CPO, BOCO or BOCPO

O&P Technician

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:

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.

E-mail or fax resume to:

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

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-owned, well-established O&P practice with more than 65 years in the business. Salary will commensurate with experience. E-mail or fax resume to:

Fax: 808/791-1025 E-mail: rae@crnewton.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 Jacksonville, FL Tampa, FL Aurora, IL Springfield, IL Evansville, IN Methuen, MA

Las Vegas, NV Las Cruces, NM Fairfield, OH Toledo, OH NW PA/NE OH Richland, WA Milwaukee, WI Morgantown, WV

Orthotist/Prosthetist Hollywood, FL Thomasville, GA

Jackson, MS El Paso, TX

Prosthetist Denver, CO Orange Park, FL Hattiesburg, MS Meridian, MS

Jefferson City, MO Enid, OK Morgantown, WV

Prosthetist/Orthotist Cameron Park, CA Denver, CO Frisco, CO Marietta, GA Baltimore, MD Salem, MA Las Vegas, NV Farmingdale, NJ

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

Santa Fe, NM Philadelphia, PA Oak Ridge, TN 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 Albuquerque, NM Toledo, OH

Tacoma, WA Vancouver, WA Wheeling, WV

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Jobs Inter-Mountain

Certified Orthotist Fargo, North Dakota Great Plains Health Company located in Fargo, North Dakota, is seeking a full-time certified orthotist. The individual we are looking for should be a self motivated practitioner with fabrication experience. Must be proficient in all aspects of orthotic care and be comfortable with physician contact. Five years of experience a plus.

Apply online at:

www.st.alexius.org or www.st.alexius.jobs Jerry Geiger Great Plains Health Company Direct: 701/530-7160 Phone: 888/777-1489 E-mail: ggeiger@primecare.org

Certified Prosthetist/Orthotist Las Vegas We are looking for someone to fill a management position.

Are you looking for sunshine almost year round? A city bustling with energy, in addition to the Mirage and Harrah’s, Vegas offers the Symphony Park, the Smith Center for the Performing Arts, Helldorada Days, the Las Vegas Zoo, professional fights and the National Finals Rodeo…to mention a few!

We are searching for a well-rounded prosthetist/ orthotist…someone with great organizational and communication skills along with excellent patient care experience. Management experience a plus! We offer a very attractive salary and benefit package, which includes relocation assistance and a sign on bonus. Ready to make a change? Join the Hanger Team! If interested, please contact, in confidence:

Certified Prosthetist Denver Have a front seat to the Colorado Rockies! More than 300 days of sunshine each year! Visit the 165-acre Washington Park which is hopping with activities for every taste and the Children’s Museum of Denver. Enjoy being near some of the best of the Old West…the historic Station Number One firehouse, Molly Brown’s Little Johnny Silver Mine. In addition, don’t forget the scenic drives, train travel, dinosaur bones, and amazing wildlife viewing!

We offer an exceptional opportunity for a well-rounded prosthetist who possesses experience in the latest technology, great organizational and communication skills, along with excellent patient care experience to work in a highly visible facility located next to three major health-care centers.

We offer a very attractive salary and benefit package, which includes relocation assistance and significant sign on bonus potential! Ready to make a change? Join the Hanger Team!

If interested, please contact, in confidence:

Sharon King Hanger Prosthetics & Orthotics, Inc. Phone: 678/455-8865 Fax: 678/455-8885 E-mail: Sking@hanger.com www.hanger.com/careers

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O&P ALMANAC MAY 2010

Sharon King Hanger Prosthetics & Orthotics, Inc. Phone: 678/455-8865 Fax: 678/455-8885 E-mail: Sking@hanger.com www.hanger.com/careers

Southeast

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 should also possess at least three years of broad experience in orthotics/ prosthetics. Fabrication skills are desired. We offer a competitive salary based on experience, and benefits including health insurance, vacation, personal time, and 401k. Forward you resume, in confidence, to:

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

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Jobs Certified Orthotist/Orthotic Fitter and/ or Prosthetic Lab Technician

Southeast

CPO Rome, Georgia Walker O&P is a privately owned practice in Rome, GA, 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: O & P ALMANAC

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

CPO/CO North Central Florida Enjoy North Central Florida. We are looking for an existing or future qualified Florida licensed CO/CPO to join our growing multi-location practice in our Ocala office. All of our offices are a short drive from Orlando as well as both beaches on the east and west coasts of Florida. If you are an ethical, professional team player with either a minimum of two ‘to five years of experience or have recently completed residency, we have a great opportunity for you. Join and grow with us and learn from our experienced practitioners if a recent graduate. Pediatric experience is a plus, along with attention to detail, computer, and fabrication skills. Salary and signing bonus available, based on qualifications, along with a competitive benefit package and friendly work environment. Please forward resume to:

Northwest Florida We are a relatively small, well-established practice that is patient oriented and ABC accredited. We are seeking employees with impeccable integrity and character to join us for a bright and comfortable future just minutes from the beautiful beaches of Northwest Florida. To be considered you must have a solid career history, possess exemplary orthotic and/or prosthetic skills, and a positive, passionate and winning attitude. We want our patients and referral sources to constantly be reminded why we were chosen as their provider. This is a great opportunity to demonstrate knowledge and enhance your skills to full potential.

DAL021748B We provide great benefits and work environment.

Salary is 3.5 x 4.5 KINICHOL negotiable. Serious inquiries only send resume and cover 1 cb letter to:

E-mail: requires.integrity.character@gmail.com

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.

Frank Vero 2300 SE 17th St., Suite 401 Ocala, FL 34471 Fax: 352/351-3267 E-mail: Ocala@midflpros.com

MAY 2010 O&P ALMANAC

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SCO

PROTECT YOUR BUSINESS PROTECT YOUR PATIENTS PROTECT YOUR FUTURE

YOU MAKE THE DIFFERENCE 2010 AOPA POLICY FORUM Wednesday, May 26 – Thursday, May 27 Hyatt Regency Washington on Capitol Hill

The most effective O&P messenger is YOU! The annual AOPA Policy Forum is your once a year opportunity for the orthotics and prosthetics community to tell the wonderful story of restoring our patients’ lives and hopes to legislators and their staffs.

This message of restoring life quality is especially timely with the human tragedy challenges in Haiti and Chile. Your Policy Forum participation opens the door to increasing awareness among the policy makers of our special role among providers of patient care. Awareness and understanding will be critical factors when policy makers are wielding the scalpel to reign in runaway health care costs.

The AOPA staff and lobbying team along with high profile policy makers and legislators will provide up to the minute briefings on the status of federal legislation and describe how we can deliver our message with the highest impact.

Talking points will be provided to clarify the messages we want to deliver. O&P will still seek enactment of Federal Parity and the O&P Medicare Improvement Act. You will be able to make the case for reducing waste and curbing fraud by enacting these recommendations.

2010 AOPA POLICY FORUM SCHEDULE: WednesdAy, MAy 26 Noon Meet & Greet O&P PAC Fundraiser with Rep. William Cassidy, Md (R-LA)

6:30 p.m. – 7:00 p.m. networking Reception 7:00 p.m. – 9:00 p.m. dinner

1:00 p.m. – 5:30 p.m.

Power Briefing/ Legislator Presentations/ Issues Review

ThuRsdAy, MAy 27

5:00 p.m.

Fundraiser/Reception with Rep. Jason Altmire (d-PA)

9:00 a.m. – 5:00 p.m.

Congressional Appointments

8:00 a.m. – 9:00 a.m.

Breakfast

NEW LOCATION! NEW AGENDA! NEW EXPERIENCE! Experience Washington as you’ve never experienced it before – at the Hyatt Regency Washington on Capitol Hill, 400 New Jersey Avenue, NW, Washington, DC 20001. Just a few minutes walk from the Capitol Dome, Senate and House Office buildings and all the magnificence of our nation’s capital.

Register online: www.AOPAnet.org or call 571/431-0876 for details.

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Jobs Certified Orthotist and/or Prosthetist

Southeast

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:

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

www1.spjc.edu/central/hr/list_jobopenings. php?cat=3#id1391

Sharon King Hanger Prosthetics & Orthotics, Inc. Phone: 678/455-8865 Fax: 678/455-8885 E-mail: Sking@hanger.com www.hanger.com/careers

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

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

Stop chasing claims collect 10 % to 30 % more today

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

“30 years of O & P experience and 10 years as a billing agency has taught me how to get results and save you hours and hours of unnecessary management.

Call me directly, toll free (866) 925-0674, so I can show you how easy it is to have us do your billing today.”. ...John Dolza, President CPO Services We make it easy for you to transition your billing to us with complete Satisfaction.

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

www.oandpoffice.com

MAY 2010 O&P ALMANAC

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Calendar

2010 MAY 10-15: ISPO World Congress and International Trade Show for Prosthetics, Orthotics and Rehabilitation Technology: “Orthopadie + Reha-Technik 2010.” Leipzig, Germany. www.ispo-2010-leipzig.de.

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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.

MAY 12: AOPA Audio Conference: “New Rules for HIPAA: Are You Still Compliant?”

To register contact Erin Kennedy at 571/431-0876 or ekennedy@AOPAnet.org.

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MAY 13-15: WAMOPA/COPA Combined Meeting. Sparks/Reno, Nevada. Nugget Hotel.

Combined meeting of Western and Midwestern Orthotic and Prosthetic Association and California Orthotic and Prosthetic Association. For information contact Steve Colwell at 206/440-1811 or Sharon Gomez at 503/5214541, or visit www.wamopa.com.

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MAY 14: Ultraflex: Pediatric UltraSafeGait Continuing Education Course, via WebEx, Noon – 1:00 pm ET. Covers assessment of pediatric pathological gait and influencing shank kinematics with the new Adjustable Dynamic Response (ADRTM) technology. Register at www. ultraflexsystems.com, 800/2206670.

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MAY 14-15: Oklahoma AAOP Chapter State Meeting. Oklahoma City, OK. Francis Tuttle Technical Center. Contact Tom Ferguson at 405/271-3644 x 41028 or thomas-ferguson@ ouhsc.edu.

56 O&P ALMANAC MAY 2010 56 O&P ALMANAC MAY 2010

MAY 24-25: AOPA Mastering Medicare: Advance Coding and Billing Seminar. Pittsburgh.

Hyatt Regency Pittsburgh International Airport.

To register contact Erin Kennedy at 571/431-0876 or ekennedy@AOPAnet.org.

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MAY 25-26: Allard USA: T.O.T.E. (Tomorrow’s Orthotic Technology Education).

Minneapolis, MN, Sheraton Bloomington Hotel, Minneapolis South. 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.

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MAY 18: Ultraflex: Complex Orthopedic Rehabilitation Continuing Education Course, via WebEx, 1:00 pm – 2:00 pm ET. Focuses on Ultraflex combination dynamic and static stretching orthosis for addressing complex orthopedic rehabilitation goals and restoring range and function. Instructor: Taffy Bowman, CPO. Register at www.ultraflexsystems.com, 800/220-6670.

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AOPA-sponsored activities appear in red.

MAY 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 and ankle technology.

Register at www.ultraflexsystems. com, 800/220-6670.

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MAY 19: Ultraflex: Adult UltraSafeStep™ Continuing Education Course, via WebEx, 1:00 pm – 2:00 pm ET. Focuses on normalizing adult pathological gait with the utilization of Adjustable Dynamic ResponseTM (ADRTM) knee and ankle technology. Instructor: Taffy Bowman, CPO. Register at www.ultraflexsystems.com, 800/220-6670.

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MAY 19-22: Pennsylvania AAOP Chapter Spring Conference.

Pittsburgh. Sheraton Station Square. Contact Beth or Joe at 814/455-5383.

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MAY 20-22: Louisiana Association of Orthotist & Prosthetist Meeting. Lafayette Hilton. O, P and C.Ped credits. Come take in Louisiana’s creole culture and culinary delights! Contact Sharon Layman at 504/4645577 or laymansh@yahoo.com or visit www.LAOP.org.

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MAY 26-27: 2010 AOPA Policy Forum.

Washington, DC. Hyatt Regency Washington on Capitol Hill. To register contact Erin Kennedy at 571/431-0876 or ekennedy@ AOPAnet.org.

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JUNE 1: Ohio Willow Wood: Take the Guesswork Out of Elevated Vacuum Suspension via WebEx, 1:30PM EST. 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.

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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.

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JUNE 4-5: PrimeFare East Regional Scientific Symposium 2010. Nashville. Nashville Convention Center. Contact Jane Edwards at 888/388-5243 or visit www.primecareop.com.

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JUNE 8-9: Allard USA: T.O.T.E. (Tomorrow’s Orthotic Technology Education).

Kansas City, Westin Crown Center. 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.

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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.

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JUNE 10: Ohio Willow Wood: LimbLogic VS® Applications Practitioner Course. Mt. Sterling, OH. Course covers various clinical aspects of LimbLogic VS applications: static and dynamic socket fitting, vacuum pump configurations, fob operation, system evaluation, liner options, alignment, and troubleshooting.

Credits: 7.25 ABC/7.0 BOC. Registration deadline: May 20.

Contact 877/665-5443.

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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.

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JUNE 11-12: Ohio Willow Wood: LimbLogic® VS Applications Technicians Course. Mt. Sterling, OH. Learn all aspects of fabricating LimbLogic VS for various applications: socket materials, controller configurations and care, fob operation, troubleshooting.

Fabricate sockets following recommended techniques for airtight socket designs.

Credits: 12.25 ABC/12.0 BOC. Registration deadline: May 20.

Contact 877/665-5443.

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JUNE 11-12: Rehabilitation Institute of Chicago: The Foot: Evaluation and management of common disorders.

Chicago. Featuring Thomas McPoil. 14.75 ABC Credits.

Contact Melissa Kolski at 312/238-7731 or vist www.ric. org/education.

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JUNE 15: Ohio Willow Wood: Clinical Tricks & Techniques with LimbLogic® VS via WebEx, 1:30PM EST. Discusses clinical treatment plans, fabrication processes, diagnostic process, patient education methods. Credits: 2.5 ABC/ 2.0 BOC. To register online, visit www.owwco.com/ webinar.php.

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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.

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JUNE 24- 25: Advanced Orthotic Design Workshop, OTS Corp.

Asheville, NC. Course includes: solutions and techniques that optimize gait. Address the new orthotic components that emphasize dynamic motion guidance. Presentation of case studies containing unique challenges and subsequent clinical solutions. To register, contact Tracy Ledford at 800/221-4769.

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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.

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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 CEU’s.

Contact 888/678-6548; e-mail: info@allardusa.com.

JULY 8-10: Florida Association of O&P. Bonita Springs, Florida. 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 CEU’s.

Contact 888/678-6548; e-mail: info@allardusa.com.

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JULY 14: AOPA Audio Conference: “Medicare Appeals Strategies.” To register contact Erin Kennedy at 571/431-0876 or ekennedy@ AOPAnet.org.

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■■ JULY 15-17: Alabama Prosthetists and Orthotists Association State Meeting. Birmingham.

Birmingham Hilton. Contact Fred Crawford at 205/2801666 or crawfordfc@huges.net or visit www.alabamapoa.org.

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Calendar

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.

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AUGUST 6-7: Texas Chapter of the American Academy of Orthotist and Prosthetist (TCAAOP). Annual meeting and Scientific Symposium.

Austin, Texas. Sheraton Austin Hotel. Contact Jonathon Cassens, CPO. 979/255-5165 or ctoplp@aol.com.

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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.

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AUGUST 13-14: Ohio Willow Wood: LimbLogic® VS Applications Technicians Course. Mt. Sterling, OH. Learn all aspects of fabricating LimbLogic VS for various applications: socket materials, controller configurations and care, fob operation, troubleshooting.

Fabricate sockets following recommended techniques for airtight socket designs.

Credits: 12.25 ABC/12.0 BOC. Registration deadline: July 22.

Contact 877/665-5443.

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SEPTEMBER 29OCTOBER 2 AOPA National Assembly.

Orlando, FL. Rosen Shingle Creek Resort. Exhibitors and sponsorship opportunities, contact Kelly O’Neill, 571/431-0852, or koneill@ AOPAnet.org.

OCTOBER 13: AOPA Audio Conference: “You’re Going To Pay Me WHAT? Hints on Managed Care Contracting.”

To register contact 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.

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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.

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

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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.

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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.

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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.

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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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O&P ALMANAC MAY 2010

2011

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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 ■■

ORLANDO

SEPTEMBER 29 – OCTOBER 2, 2010 ORLANDO, FLORIDA

Rosen Shingle Creek Resort

SAVE THE DATE SEPTEMBER 29 – OCTOBER 2, 2010 We look forward to seeing you in Orlando!

For more information, visit our Web site at www.AOPAnet.org.

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Ad Index

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

Company

Page

Phone

Web site or E-mail

Affinity Insurance Services Inc.

11

800/544-2672

www.aopa-insurance.com

Allard USA Inc.

15

888/678-6548

www.allardusa.com

ALPS

35

800/574-5426

www.easyliner.com

Orthotics, Prosthetics & Pedorthics

52

703/836-7114

www.abcop.org

Apis Footwear

23

888/937-2747

www.bigwideshoes.com

Arizona AFO

51

877/780-8382

www.arizonaafo.com

Boston Brace International

47

800/262-2235

www.bostonbrace.com

College Park Industries Inc.

26

800/728-7950

www.college-park.com

Custom Composite

17

866/273-2230

www.cc-mfg.com

Daw Industries

1

800/252-2828

www.daw-usa.com

Dr. Comfort

5, C3

800/556-5572

www.drcomfortdpm.com

Euro International

9, 29

800/378-2480

www.eurointl.com

Ferrier Coupler Inc.

16

800/437-8597

www.ferrier.coupler.com

Fillauer Companies Inc.

21

800/251-6398

www.fillauercompanies.com

KISS Technologies LLC

43

410/663-5477

www.kiss-suspension.com

Ohio Willow Wood

2

800/848-4930

www.owwco.com

OPTEC

6, 7; 38, 39 888/982-8181

www.optecusa.com

Orthomerica Products

37

800/637-4500

www.orthomerica.com

OssurÂŽ Americas Inc.

C4

800/233-6263

www.ossur.com

Otto Bock HealthCare

C2

800/328-4058

www.ottobockus.com

PEL Supply Company

45

800/321-1264

www.pelsupply.com

SPS

13

800/767-7776 Ext. 3

www.spsco.com

American Board for Certification in

60

O&P ALMANAC MAY 2010

and even more comfort for your patients.

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

“my old knee controlled me. with my new rheo knee, i'm in control!” ®

Only the RHEO KNEE uses Artificial Intelligence to continuously adapt to the user's walking style and environment. 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.

The new RHEO KNEE now features a 275 pound weight capability, as well as reduced resistance for faster swing speed and improved user confidence.

try the new rheo knee today and enable your patients to walk their way.

Dave Leeka, 60, Vietnam Veteran and Retired University Administrator

VISIT OSSUR.COM TO LEARN MORE. ©2010 Ossur. All rights reserved. Össur and RHEO KNEE are registered trademarks of Össur.