September 2016 O&P Almanac

SPECIAL SECTION: 2016 AOPA NATIONAL ASSEMBLY EXHIBITOR PREVIEW P.46 The Magazine for the Orthotics & Prosthetics Profession

S E P T E M B E R 2016

BONUS!

Revalidation Requirement for Medicare Enrollment

Amputee Coalition— InMotion Magazine Included With This Issue

Martina Caironi Paralympic Athlete

P.16

Community Building for Lasting Impact P.36

Billing for Repairs and Adjustments P.88

Ready, Set,

Rio! ATHLETES AND THEIR CLINICIANS TALK ABOUT GOING FOR GOLD IN BRAZIL P.26

E! QU IZ M EARN

2

BUSINESS CE

CREDITS

WWW.AOPANET.ORG

P.20

This Just In: Signs of Progress From Congress P.22

YOUR CONNECTION TO

EVERYTHING O&P

THE PREMIER MEETING FOR ORTHOTIC, PROSTHETIC, AND PEDORTHIC PROFESSIONALS.

Celebrating

100 1917

Years 2017

LAS VEGAS SEPT. 6-9

CELEBRATING A CENTURY | ENVISIONING THE FUTURE

SE PTE M B E R

6-9,

2017

LAS VEGAS EXCELLENCE in EDUCATION

Mark your calendars September 6-9, 2017, for an ideal combination of top-notch education and entertainment at the combined 100th AOPA National Assembly and World Congress Meeting in Las Vegas. We look forward to seeing you in 2017!

#AOPA2017

AOPAnet.org

Be

! e f a S

Patent Pending

fore e b ke

r e w Sho ith w ce on ! s n g e e id 2 l f n co own r u o y

Just

li

Shower Seal

TM

”Anti-slip”

Waterproof Be it... in the shower bathing by the pool

Orders (800) 252-2828

d safety an e h t y o j En nding on a t s f o e s ea r legs. both you

www.daw-usa.com © Copyright 2016, Daw Industries. San Diego CA. All rights reserved.

SE PTE M B E R 2016 | VOL. 65, NO. 9

contents

FEATURES COVER STORY

DEPARTMENTS | COLUMNS Views From AOPA Leadership......... 4 Insights from AOPA

AOPA Contacts............................................6 How to reach staff

Numbers........................................................ 8

At-a-glance statistics and data PHOTO: iStock.com/studio157

26 | Ready, Set, Rio!

Happenings............................................... 10

Research, updates, and industry news

People & Places........................................ 14

Transitions in the profession

Reimbursement Page.......................... 16

Elite athletes from across the globe are convening in Brazil this month to compete in the 2016 Paralympic Games. Meet five of the individuals who are going for the Gold in Rio—and find out how their prosthetists and other clinicians have helped them choose devices and prepare for the ultimate sports competition.

By Lia Dangelico

Revisiting Revalidation

Obtaining, keeping, and revalidating your DMEPOS supplier number

CE Opportunity to earn up to two CE credits by taking the online quiz.

CREDITS

Member Spotlight.................................64 n

22 | This Just In

n

A Short Session for Congress As senators and representatives return from a long summer recess before the November elections, where does that leave O&P legislative priorities? Here are some key signs of progress.

36 | Fitting In

AOPA News................................................68

AOPA meetings, announcements, member benefits, and more

P. 22

Welcome New Members ..................70

Marketplace.............................................. 72

Careers.........................................................82

Learn how several O&P businesses are integrating into their communities by sponsoring activities, taking part in fundraisers, hosting clinics, and encouraging employees to give back to their neighborhoods. Plus, find out how these activities can lead to networking opportunities, engaged employees, and grateful patients.

By Christine Umbrell

Hanger Clinic in Hollywood, Florida Kingsley Manufacturing

Professional opportunities

Calendar......................................................86

Ad Index....................................................... 87 Ask AOPA.................................................. 88

P. 36

Billing and coding for repairs and adjustments

SPECIAL SECTION: 2016 AOPA NATIONAL ASSEMBLY

46 | See You on the Show Floor

55 | Exhibitor Directory

Meet the title sponsors of this year’s event and learn what’s new on the trade show floor in Boston.

See the full list of companies that will be exhibiting at the AOPA National Assembly— including several first-timers.

54 | Exhibit Hall Map

O&P ALMANAC | SEPTEMBER 2016

3

VIEWS FROM AOPA LEADERSHIP

Specialists in delivering superior treatments and outcomes to patients with limb loss and limb impairment.

Time for Conversation: AOPA Launches Google+ Community “KNOWLEDGE IS POWER.” An old adage, I know. As cliché as it is, it has never been more true than it is in today’s business environment, especially for O&P. Medicaid migrations to managed care models, insurance companies implementing restrictive medical policies, and endless audits are a few of the many challenges facing O&P practices. Knowing what is happening in your community and your neighboring states can help you better prepare your own business for the future.

During the 2016 AOPA Policy Forum, AOPA launched a pilot phase of a Google+ Community. The concept itself was introduced

by Jeff Erenstone, CPO, and developed as part of the ongoing work by the Mobility Saves Committee, with member Ashlie White, MA, serving as the AOPA Google+ Community project manager. The committee recognized the need for a forum where members could engage in conversations about issues facing the O&P profession and develop advocacy strategies to address those issues. Fortunately, AOPA recognized that this project and several others needed expert, day-to-day guidance from a knowledgeable source and is pleased that White has joined the AOPA staff as manager of projects.

The pilot phase included members currently serving as AOPA state representatives and launched with a series of conversations about state-specific issues. What we learned is that what is happening in Alabama may, very quickly, become an issue in Georgia, for example. Knowledge about how individuals in one state handled an issue can help others prepare and plan for similar challenges.

AOPA believes that we need innovative approaches to address the issues facing the profession. While there is nothing particularly innovative about the Google+ Community platform, its reliable framework and easy-to-use interface offer a solid starting point for collaborative engagement. It is this type of collaboration that will ultimately lead to more creative strategies.

To be fair, the exchange of ideas must be a two-way street. AOPA is committed to listening to members’ concerns and will be an active participant in the Google+ Community. AOPA wants to know about the challenges your businesses face and wants to hear your ideas about ways to support your efforts to overcome these challenges. As an AOPA member, this is an opportunity to garner information from your peers and to discuss difficult topics in a private forum. It will not be a conversation without your participation.

You can find a link to join the AOPA Google+ Community on the AOPA website at AOPAnet.org.

Traci Dralle is an incoming supplier director for AOPA’s Board of Directors, the leader of the Communications Stream of AOPA’s Survival Imperatives, and a member of the 2016 AOPA National Assembly Planning Committee. She is the director of marketing for Fillauer.

4

SEPTEMBER 2016 | O&P ALMANAC

Board of Directors OFFICERS

President James Campbell, PhD, CO, FAAOP Hanger Clinic, Austin, TX President-Elect Michael Oros, CPO, FAAOP Scheck and Siress O&P Inc., Oakbrook Terrace, IL Vice President James Weber, MBA Prosthetic & Orthotic Care Inc., St. Louis, MO Immediate Past President Charles H. Dankmeyer Jr., CPO Arnold, MD Treasurer Jeff Collins, CPA Cascade Orthopedic Supply Inc., Chico, CA Executive Director/Secretary Thomas F. Fise, JD AOPA, Alexandria, VA DIRECTORS David A. Boone, BSPO, MPH, PhD Orthocare Innovations LLC, Mountain Lake Terrace, WA Maynard Carkhuff Freedom Innovations LLC, Irvine, CA Eileen Levis Orthologix LLC, Trevose, PA Pam Lupo, CO Wright & Filippis and Carolina Orthotics & Prosthetics Board of Directors, Royal Oak, MI Jeffrey Lutz, CPO Hanger Clinic, Lafayette, LA Dave McGill Össur Americas, Foothill Ranch, CA Chris Nolan Austin, TX Bradley N. Ruhl Ottobock, Austin, TX

function with purpose.

Discover the

at AOPA 2016

AOPA schedule | Booth #1433 Learn more LIMinnovations.com/AOPA2016

324 Divisadero Street, San Francisco, CA 94117 info@LIMinnovations.com | 844.888.8LIM ÂŽ 2016 LIM Innovations. All rights reserved. @ LIMInnovations.com facebook.com/LIMInnovations twitter.com/LIMInnovations instagram.com/LIM_Innovations

AOPA CONTACTS

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

Editorial Management Content Communicators LLC

Our Mission Statement The mission of the American Orthotic & Prosthetic Association is to work for favorable treatment of the O&P business in laws, regulation, and services; to help members improve their management and marketing skills; and to raise awareness and understanding of the industry and the association.

Our Core Objectives AOPA has three core objectives—Protect, Promote, and Provide.

These core objectives establish the foundation of the strategic business plan. AOPA encourages members to participate with our efforts to ensure these objectives are met.

EXECUTIVE OFFICES

REIMBURSEMENT SERVICES

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

Joe McTernan, director of coding and reimbursement services, education, and programming, 571/431-0811, jmcternan@ AOPAnet.org

Don DeBolt, chief operating officer, 571/431-0814, ddebolt@AOPAnet.org MEMBERSHIP & MEETINGS Tina Carlson, CMP, senior director of membership operations and meetings, 571/431-0808, tcarlson@AOPAnet.org Kelly O’Neill, CEM, manager of membership and meetings, 571/431-0852, koneill@AOPAnet.org Lauren Anderson, manager of communications, policy, and strategic initiatives, 571/431-0843, landerson@AOPAnet.org Betty Leppin, manager of member services and operations, 571/431-0810, bleppin@AOPAnet.org

Devon Bernard, assistant director of coding and reimbursement services, education, and programming, 571/431-0854, dbernard@ AOPAnet.org SPECIAL PROJECTS Ashlie White, MA, manager of projects, 571/431-0812, awhite@AOPAnet.org Reimbursement/Coding: 571/431-0833, www.LCodeSearch.com

O&P ALMANAC Thomas F. Fise, JD, publisher, 571/431-0802, tfise@AOPAnet.org

Yelena Mazur, membership and meetings coordinator, 571/431-0876, ymazur@AOPAnet.org

Josephine Rossi, editor, 703/662-5828, jrossi@contentcommunicators.com

Ryan Gleeson, meetings coordinator, 571/431-0876, rgleeson@AOPAnet.org

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

AOPA Bookstore: 571/431-0865

Bob Heiman, director of sales, 856/673-4000, bob.rhmedia@comcast.net Christine Umbrell, editorial/production associate and contributing writer, 703/6625828, cumbrell@contentcommunicators.com

6

SEPTEMBER 2016 | O&P ALMANAC

Publisher Thomas F. Fise, JD

Advertising Sales RH Media LLC Design & Production Marinoff Design LLC Printing Dartmouth Printing Company SUBSCRIBE O&P Almanac (ISSN: 1061-4621) is published monthly by the American Orthotic & Prosthetic Association, 330 John Carlyle St., Ste. 200, Alexandria, VA 22314. To subscribe, contact 571/431-0876, fax 571/431-0899, or email 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.

ADDRESS CHANGES POSTMASTER: Send address changes to: O&P Almanac, 330 John Carlyle St., Ste. 200, Alexandria, VA 22314.

Copyright © 2016 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 O&P Almanac. The O&P Almanac is not responsible for returning any unsolicited materials.

All letters, press releases, announcements, and articles submitted to the O&P 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.

COVER PHOTO: Ottobock

Advertise With Us! Reach out to AOPA’s membership and more than 13,000 subscribers.

Engage the profession today. Contact Bob Heiman at 856/673-4000 or email bob.rhmedia@comcast.net.

Visit bit.ly/aopamediakit for advertising options!

NUMBERS

Virtual Health Care

O&P professionals must get mobile to meet patients’ online needs

Today’s patients are increasingly drawn to mobile devices to manage their health care—from researching symptoms and diseases, to searching and reading reviews of practitioners, to tracking their physical activity and prescriptions. As health-care systems begin to build virtual medicine into their long-term strategic plans, orthotists and prosthetists can follow their example and design their own “mobile” health-care strategies.

INCREASED USE OF HEALTH-CARE APPS

WILLINGNESS TO COMMUNICATE VIA MOBILE

ADOPTION BY HEALTH-CARE PRACTITIONERS

Percentage of consumers who are willing to have a video visit with a physician through a mobile device.

21 Percent

Percentage of consumers who had used a mobile device to refill a prescription in 2013.

Percentage of consumers who had at least one health app on their device in 2013.

More Than 8 in 10 Clinicians Say mobile access to medical information helps coordinate patient care.

Nearly 4 in 10 Clinicians Use email to stay connected with their chronic disease patients.

Nearly 6 in 10 Clinicians Would rather provide a portion of care virtually.

SMARTPHONE ACTIVITIES BY AGE

Percentage of smartphone users who had recently engaged in the following activities Ages 18-29

Ages 30-39

Ages 50 and Older

Text Messaging

100%

98%

92%

Internet Use

97%

90%

80%

Voice/Video Calls

93%

91%

94%

Email

91% 87% 87%

Source: “Top Health Industry Issues of 2016,” PwC Health Research Institute

8

SEPTEMBER 2016 | O&P ALMANAC

Percentage of consumers who had at least one health app on their device in 2015.

“Smartphones, connected medical accessories, and apps have been underutilized by the health-care industry. In 2016, care will begin to shift into the palms of consumers’ hands, helping to drive down costs, increase access, and fulfill the public’s desire for ‘anywhere, anytime’ monitoring, diagnosis, and treatment.”

—“Top Health Industry Issues of 2016,” PwC Health Research Institute

SOURCES: “Top Health Industry Issues of 2016,” PwC Health Research Institute. PHOTO: iStock.com/Kovaciclea

60 Percent

16 Percent 32 Percent

BOOTH 1417 AOPA 2016 ™

Stance/Swing Control Ankle Joint

Come see the Triple Action™ and all our other products.

Live the life you want!

Independent alignment adjustment ± 10 degrees

Independent Features Provide Alignment adjustment for: • Toe Clearance

• Shank Inclination • Heel Height

• Contracture Management •

Controlled mobilization of the ankle and stabilization of the knee through the three rockers of gait.

p 800-521-2192 | 248-588-7480 f 800-923-2537 | 248-588-2960 Patent Pending

BeckerOrthopedic.com

Happenings RESEARCH ROUNDUP

PHOTO: Terry Grant/ASU

Bradley Greger, MD, an associate professor of biomedical engineering in ASU’s Ira A. Fulton Schools of Engineering, works with bioengineering doctoral student Denise Oswald to refine the process in which an Oculus Rift headset will help amputees control fine finger movements.

Researchers Link Upper-Limb Prosthesis to Virtual Reality Headset

10

SEPTEMBER 2016 | O&P ALMANAC

amplitude and frequency to determine how the amputees could perceive the stimulation. Greger’s team recorded activity during intended movements of the subjects’ “phantom fingers,” and decoded 13 specific movements as the subjects controlled the individual fingers of a virtual robotic hand.

Virtual reality offers an “ideal environment” for patients to practice their natural movement, says Greger. “We can actually provide some sensation of touch from the limb back through the nerve, and they will control the limb just by thinking about moving it,” he says.

“The idea is that with enough practice in that environment, it will really just become like using their natural limb.”

After studying the results, Greger’s team concluded that patients using a highly dexterous prosthetic limb controlled with a similar, bidirectional peripheral nerve interface might begin to think of the prosthesis as an extension of their body rather than as a separate device.

Greger is hopeful this technology could help lead to the development of

more sophisticated prosthetic limbs in the future—for example, prostheses that would allow an amputee to use a touch phone naturally. Research is ongoing, and Greger plans to recruit new patients to take part in additional studies soon.

For the next phase of the neuralprosthetic study in the ASU Neural Engineering Lab, markers are applied to the patient’s functioning hand in order to measure hand posture. These measurements are used to position the virtual hand.

PHOTO: Terry Grant/ASU

Researchers at Arizona State University (ASU) are leveraging virtual reality to aid upper-limb amputees in learning to control prostheses. The ASU team, led by Bradley Greger, MD, associate professor of biomedical engineering at ASU, has developed a virtual reality headset-controlled prosthetic limb.

The technology creates a link connecting the prosthesis to an amputee’s cerebral control.

Greger’s research seeks to establish bidirectional communication between a user and a new prosthetic limb that is capable of controlling more than 20 different movements. Sensors are tapped into the nerves in the amputee’s remaining arm; as the amputee thinks about moving certain fingers, a signal controls the prosthesis—and the amputee can see his or her movements in virtual reality in real time.

During the study, the researchers implanted an array of 96 electrodes into the medial and ulnar nerves of the residual arms of two amputees for 30 days. The electrodes were stimulated with varying degrees of

HAPPENINGS

DIABETES DOWNLOAD

CMS Proposes Additional Diabetes Prevention Strategies

PHOTO: iStock.com/Gpointstudio

CMS in July proposed expanding a program aimed at helping people avoid diabetes. The new program would build on a “demonstration” program implemented in 2013 by the CMS Innovation Center, which was created by the Affordable Care Act (ACA). That program has enrolled beneficiaries in eight states—Arizona, Delaware, Florida, Indiana, Minnesota, New York, Ohio, and Texas—and has been deemed a success in its first three years of implementation.

The ACA allows CMS to expand programs that prove effective without the approval of Congress.

During the demonstration program, individuals with higher-than-normal blood sugar levels were enrolled and attended weekly training sessions on nutrition, exercise, and overall healthy living. Participants received coaching, lifestyle intervention, and moderate physical activity, all with the goal of preventing the onset of diabetes in individuals who are prediabetic.

Those who attended at least four sessions reduced their body weight by approximately 5 percent.

Weight loss has been proven to reduce the risk of developing diabetes. Medicare estimated a savings of $2,650 per participant, which is beyond the cost of the program.

In March 2016, CMS estimated expansion of the diabetes model would reduce net Medicare spending.

Participating programs, which must be recognized by the Centers for Disease Control and Prevention, would enroll in Medicare beginning Jan. 1, 2017.

The agency has proposed a start date for the expanded program of 2018 and is seeking comment regarding whether the effort should be launched nationally or in additional select markets, as well as how it should define an eligible prediabetic patient. Visit www.cms.gov for details.

AUDIT INFO

Note: , 2016 Oct. 1

RAC Audits Placed on Hold

CMS has notified the four existing recovery audit contact (RAC) contractors that as a result of the upcoming award of new RAC contracts, current RAC audit activity will be placed on hiatus to allow the RACs to complete their open audits prior to the completion of their contracts.

Under this hiatus, May 16 was the last day that an auditor could send additional

documentation request (ADR) letters or semi-automated notification letters.

July 29 was the last day that an auditor could send notification of an improper payment to providers. This includes sending a review results letter or no findings letter, and/or providing a portal notification to each provider.

Auditors should have completed all discussion periods that were in process

by August 28. The recovery auditors continue to be required to hold claims for 30 days, starting with the date of the improper payment notification (via letter or portal) to the provider, to allow for discussion period requests.

Oct. 1, 2016, will be the last day a recovery auditor may send claim adjustment files to the Medicare administrative contractors.

This hiatus was implemented to allow for a smooth transition to new RAC contractors, including the single, national RAC contractor that will focus on claims for durable medical equipment, prosthetics, orthotics, and supplies, as well as home health and hospice services.

While this announcement may result in a temporary slowdown of RAC activity, it is important to remember that claims that are submitted today may be selected for audit by RAC contractors in the future.

O&P ALMANAC | SEPTEMBER 2016

11

HAPPENINGS

MONEY MATTERS

O&P OUTREACH

Prosthetist Speaks to United Nations

BLS Releases CPI-U Update

12

SEPTEMBER 2016 | O&P ALMANAC

Jeff Erenstone, CPO, president of Create Prosthetics and member of the eNABLE Advisory Board, recently addressed the United Nations (UN).

Erenstone spoke about the value and potential of 3D-printed prosthetics in third-world environments and conflict zones during Patients of Healing Hands for Haiti a panel headed by the UN ambassador of Iraq and sponsored by UN Mine Action Service (UNMAS). He discussed the evolution of 3D-printed prosthetics from “overhyped� plastic toys to devices that, when properly constructed in accordance with all regulatory controls set forth by the U.S. Food and Drug Administration (FDA), may be considered medical grade.

Erenstone shared his experience with recent efforts in Haiti and discussed how his team focused on educating the efforts to deploy relatively low-cost local prosthetists on this technology, 3D-printed devices in Iraq and Syria. giving the local practitioners control Other panelists included the ambasover deciding if a 3D-printed device is appropriate or whether they should sador of Iraq, who spoke about the need seek a more conventional device. for long-term care of victims of improHe also explained that 3D-printed vised explosive devices in northern Iraq. components can be fabricated on The UNMAS representative supported site, which can be valuable in conflict the information provided by the ambaszones where shipping supplies is sador and explained the actions the difficult. Erenstone plans to continue organization is taking to deal with this discussions with UNMAS about its area and other areas around the world.

PHOTOS: Jeff Erenstone, CPO

The Bureau of Labor and Statistics (BLS) released its latest update on the Consumer Pricing Index for Urban Areas (CPI-U) in July. From June 2015 through June 2016, the CPI-U increased by 1.0 percent.

This figure is relevant to O&P providers because it is used as the base for determining the adjustment for the fee schedule for the 2017 Medicare durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS).

However, the CPI-U is not the only factor affecting the fee schedule adjustment: The Affordable Care Act, beginning in 2011, introduced a second factor, the multifactor productivity (MFP) adjustment.

The MFP is not expected to be released until later in the year.

The combination of the CPI-U increase or decrease and the MFP adjustment determines the annual update to the Medicare DMEPOS fee schedule. The CPI-U of 1.0 percent minus the to-be-determined MFP adjustment will result in the update to the DMEPOS fee schedule that will be implemented for Medicare claims with a date of service on or after Jan. 1, 2017. The MFP adjustment was -1.2 percent in 2011, -0.9 percent in 2012, -0.8 percent in 2013, -0.6 percent in 2014, and -0.5 percent in 2015. While the MFP adjustment has been trending downward, there is no guarantee that it will continue to do so in 2016.

HAPPENINGS

PATIENT PRIVACY

2016 Health-Care Data Breaches Peaked in June

More than 11 million patient records were breached in June, more than any other month this year, according to a report from security firm Protenus and DataBreaches.net. Most of the June breaches occurred at 24 health-care providers, followed by three at health plans and one sports-related organization. The June breaches were caused by outright hacking (41 percent), insider wrongdoing or error (41 percent), and theft or loss of devices (17 percent).

“The impact and rate of breaches illustrate how vulnerable the health-care industry remains, as well as the need to proactively protect patient privacy and data with new technologies,” the report concludes. Health-care records are considered much more valuable than credit card data alone, because criminals can gain access to payments information as well as Social Security numbers and private health information.

Examining the first six months of 2016, 142 health-care data breaches involving more than 500 records have been reported to the Department of Health and Human Services’ Office for Civil Rights.

For more information on how to implement cybersecurity strategies at your facility, see the “O&P Cybersecurity” feature on page 32 of the August 2016 issue of O&P Almanac.

THE LIGHTER SIDE

FAST FACT

Certified prosthetists and orthotists comprised less than 3 percent of providers of total durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) in 2015.

Medicare DMEPOS Providers by Specialty, 2015 Pharmacy

50,124

Medical Supply Company

10,613

Optometry

5,871

Podiatry

5,380

Individual Certified Prosthetist/Orthotist

2,514

Optician

2,161

Orthopedic Surgery

1,926

Opthalmology

1,541

General Practice

1,287

All Other DMEPOS Providers

5,197

Total DMEPOS Providers

86,313

Source: “CMS Fast Facts,” July 2016 Version

O&P ALMANAC | SEPTEMBER 2016

13

PEOPLE & PLACES PROFESSIONALS SCHOLARSHIPS

Christa Berry, 18, of Livermore, California, has been named the recipient of the Amputee Coalition’s Christina Skoski, MD, Scholarship for 2016. The award provides a $1,000 scholarship to a full-time undergraduate student who Christa Berry has congenital limb difference or an amputation.

Berry has worn a prosthesis her whole life after being born without her right foot, and spent several summers at Camp No Limits. She will attend Mount Holyoke College this fall, majoring in biology. She plans to attend graduate school to become a prosthetist.

Tyler Klenow, CO, has been selected as the recipient of the 2016 Larry Lange Travel Fellowship Award, established in 2007 by the National Commission on Orthotic and Prosthetic Education. The $2,000 award, which is to be used for travel and meeting registration fees for professional O&P conferences and activities, provides individuals at the beginning of their O&P careers with an opportunity to further enrich their education and professional development.

Klenow is a newly certified orthotist and current prosthetic resident at the James A. Haley VA Medical Center in Tampa, Florida, as well as a research consultant with the Prosthetics & Amputee Rehabilitation & Research Foundation. Following his residency, he will serve as clinical services manager with Brevard Prosthetics & Orthotics in Fort Meyers, Florida.

Jennifer L. Murphy has been selected as OPAF’s 2016 Dale Yasukawa Scholarship winner. Murphy, a native of Clifton Park, New York, has been working toward her master’s degree in prosthetics and orthotics Jennifer L. Murphy at Northwestern University, following career choices and educational pursuits within the O&P field since 2013. Murphy demonstrates a commitment to the care of people served by the O&P profession, according to the OPAF Scholarship Committee.

14

SEPTEMBER 2016 | O&P ALMANAC

ANNOUNCEMENTS AND TRANSITIONS

Ashlie White, MA, has joined the AOPA staff as manager of projects. She will be responsible for managing ongoing projects as part of AOPA’s Survival Imperatives, including Ashlie White, MA AOPA’s registry, outcomes, and comparative/ cost-effectiveness programs; Mobility Saves; Reimbursement Compendium; and additional membership enhancement projects.

White previously worked as director of operations at Beacon Prosthetics & Orthotics. She also has served as director of government affairs for the North Carolina Orthotics and Prosthetics Trade Association and as a member of the Board of Directors for National Association for the Advancement of Orthotics and Prosthetics.

Board of Certification/Accreditation (BOC) President and Chief Executive Officer Claudia Zacharias, MBA, CAE, has been named one of Maryland’s “2016 Most Admired CEOs” by The Daily Record. During Zacharias’s seven-year Claudia Zacharias, tenure, BOC’s revenue has increased nearly MBA, CAE 50 percent, thanks in part to the addition of two new credentialing programs, the certified durable medical equipment specialist and pharmacy accreditation.

Zacharias also spearheaded the launch of an inside sales program and helped revamp BOC’s customer experience.

“I am honored and grateful to have been selected for this significant recognition,” says Zacharias. “It has been a privilege to serve as CEO during a period of unprecedented growth for BOC, which would not have been possible without our supportive board of directors and dedicated staff.” Zacharias also serves as chair of the Board of Directors for the Institute for Credentialing Excellence.

IN MEMORIAM

Robert “Bob” Kraft Denison, 88, a retired orthotist, passed away July 8. Denison spent his lifetime dedicated to orthotics. By age 12, he was helping out at C.D. Orthopedic Appliance Corp., a company his parents founded in Baltimore in 1933.

After attending Long Military Academy in Bloomfield, Pennsylvania, Denison became a certified orthotist in 1949. He opened a satellite office of C.D. Denison in Norfolk, Virginia, serving the general public and the U.S. Navy. He also was a charter member of the American Academy of Orthotists and Prosthetists.

Denison later returned to Baltimore and rejoined his father, taking over the business when his father passed away. He sold the company in 2000.

During his career as an orthotist, Denison attended numerous children’s clinics, and was a reliable member of the Baltimore medical community. He also worked with prominent physicians in assisting disabled children in Africa and other areas.

What’s Jennifer’s big secret?

Jennifer wears a Providence brace to treat her scoliosis but her friends will never know, unless she decides to tell them.

That’s because she only wears her brace overnight, at home.

A past study has shown that overnight bracing can be just as effective as daytime bracing*—if not more, since it boosts compliance. Spinal Technology is the exclusive manufacturer of the Providence Nocturnal Scoliosis Orthosis.

technicians, and experts in foam & plastics at Spinal Technology are working to keep it that way.

Find out for yourself. Call to place an order, and we'll show you how Spinal Technology can help you achieve better spinal orthotic results for your patients.

What’s Jennifer’s big secret? At school, she’s like any other 12 year old girl; our team of orthotists, CSRs, mold & finish *Spine Vol 29 No.18

191 Mid Tech Drive West Yarmouth, MA 02673

800 253 7868

spinaltech.com

REIMBURSEMENT PAGE

By DEVON BERNARD

Revisiting Revalidation

E! QU IZ M

Tips for complying with the revalidation requirement for Medicare enrollment

CREDITS

Editor’s Note—Readers of Reimbursement Page are now eligible to earn two CE credits.

After reading this column, simply scan the QR code or use the link on page 20 to take the Reimbursement Page quiz. Receive a score of at least 80 percent, and AOPA will transmit the information to the certifying boards.

CE

CREDITS

RISK

CATEGORIES

LIMITED MODERATE RISK RISK

SEPTEMBER 2016 | O&P ALMANAC

2

P.20

Since all revalidations are carried out in accordance with the screening procedures created in 2011, a quick review of these procedures is in order.

In this month’s Reimbursement Page, we will focus on obtaining, keeping, and revalidating your DMEPOS supplier number. We will explore the risk categories and the application fee, and we will discuss what happens once you have submitted an application. We also will offer tips for preparing for revalidation.

Risk Categories

It’s important to know the three risk categories for DMEPOS suppliers: limited, moderate, and high. Providers in each group must meet certain criteria in order to obtain and keep their supplier number.

The “limited-risk” category generally includes physicians, nonphysician practitioners (i.e., nurse practitioners and occupational therapists), medical groups/clinics, ambulatory surgical centers, rural health clinics, skilled nursing facilities, and Department of Veterans Affairs hospitals; unfortunately, O&P providers will never be considered limited risk. For those limited-risk suppliers/providers that wish to enroll in Medicare or be revalidated, CMS will verify any provider/supplier-specific requirements established

by Medicare—for example, conduct license verifications and database checks. These checks will include verifying Social Security numbers, checking the National Provider Identifier (NPI), looking for Office of Inspector General (OIG) exclusions, and verifying tax identification (ID) numbers.

PHOTO: iStock.com/Sturti

16

HIGH RISK

I

N FEBRUARY 2011, CMS published a rule outlining new enrollment requirements for all durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) suppliers. At the core of the new requirements was the creation of a system placing suppliers into one of three risk categories based upon CMS’s judgment about how likely each supplier is to commit fraud, waste, and abuse. In addition, there was a change to the enrollment application fee.

As a result of these changes and in compliance with the Affordable Care Act, Medicare mandated that all enrolled suppliers/providers who were enrolled with Medicare prior to March 25, 2011, be re-evaluated and revalidated to ensure they are in compliance with the new screening/ enrollment procedures of their assigned risk category (i.e., site inspections, database checks, finger-printing, etc.) no later than March 23, 2015.

The March 23, 2015, deadline has come and gone, and all DMEPOS suppliers should have revalidated their information with CMS and the National Supplier Clearinghouse (NSC). In March 2016, Medicare began the process of its Revalidation Cycle 2. With the start of Revalidation Cycle 2, all DMEPOS suppliers should be back on a normal and predictable revalidation cycle—one in which a supplier will be required to resubmit and recertify the accuracy of its enrollment information every three years. Suppliers also should see some changes and upgrades that could make the revalidation process more efficient and reduce supplier burdens.

EARN

BUSINESS CE

REIMBURSEMENT PAGE

Sample Revalidation Timeline With a Revalidation Due Date of Jan. 31, 2017 Prior to Revalidation Deadline Timeframe

Action

Estimated Date of Action

Six months prior to revalidation deadline

Your revalidation is posted to the Medicare Revalidation List, www.data.cms.gov/revalidation

July 31, 2016

75-90 days prior to your

NSC emails/mails revalidation notification letter

Nov. 17, 2016

revalidation deadline

Post Revalidation Deadline—If There Are Problems Timeframe

Action

Estimated Date of Action

Within 25 days after your

A hold may be applied to all of your Medicare payments

Feb. 25, 2017

60-75 days after your

Your Medicare supplier number and billing privileges may be deactivated

April 1, 2017

Timeframe

Action

Estimated Date of Action

Any time after your deactivation

Submit a new full and complete application

N/A

N/A

Reactivation of your supplier number

Based on the receipt date of the new full and complete application.*

revalidation deadline

revalidation deadline

Reactivating a Supplier Number

*Reminder: Billing privileges are not retroactive to the date of deactivation.

The “moderate-risk” category includes physical therapists, ambulance suppliers, hospice organizations, clinical laboratories, community mental health centers, portable X-ray suppliers, all currently enrolled DMEPOS suppliers, including physicians and physician groups with DMEPOS supplier numbers, and home health agencies. Those suppliers/providers considered moderate risk must meet all of the enrollment requirements of the limited-risk category, and are subject to additional unannounced site visits to ensure their compliance with all established Medicare regulations— including compliance with the 30 Supplier Standards. So, if you are revalidating a current location, you will be considered moderate risk.

The “high-risk” category includes all newly enrolling DMEPOS suppliers and home health agencies. “Newly enrolling” includes both those providers/ suppliers who are not currently enrolled with Medicare, as well as new offices of existing, enrolled suppliers. If you are already enrolled with Medicare, but want to open a new branch, your new branch will be considered high risk. In addition to all of the enrollment requirements for the limited- and moderate-risk providers/suppliers, those in the high-risk category also must undergo background checks and finger-printing—but remember that only those staff members who are listed as owning or having a 5 percent or higher stake in the business will be required to complete the finger-printing and background check process.

Application Fee

DMEPOS suppliers are now required to submit an application fee for all revalidations and enrollment requests, for either the 855-S paper version or the online PECOS version. The 2016 application fee, which is $554, must be paid prior to the completion of your enrollment or revalidation; in other words, your application will not be processed until you application fee is received. To pay your application fee you must use the PECOS website portal, https://pecos.cms. hhs.gov/pecos/feePaymentWelcome.do.

Once you complete the online payment, you should print two copies of the confirmation screen and/or receipt of payment—one copy for your records, and the other copy to mail with your 855-S paper application or upload to your online PECOS application.

O&P ALMANAC | SEPTEMBER 2016

17

REIMBURSEMENT PAGE

the application is being processed; and you will not be able to see Medicare patients or provide any new services.

The reactivation of your supplier number will be based on the receipt date of your new complete and valid Medicare enrollment application.

Once reinstated, your billing privileges will not be retroactive to the date they were deactivated. Any items or services you provided to Medicare patients during the time you billing privileges were deactivated are your responsibility; they cannot be billed to Medicare or the patient.

Prepping for Revalidation Adhering to Deadlines

18

SEPTEMBER 2016 | O&P ALMANAC

Revalidation Approval

Once you have paid your fee and submitted your revalidation form to NSC, NSC will review the form; if it is deemed complete and approved, you are finished and your location is revalidated. If the form is missing information, NSC may request additional information. You will typically have 30 days to submit any additional information requested by NSC. You should respond to all additional information requests from CMS and NSC in a timely manner—within 30 days—or submit a complete revalidation application by your assigned due date. Failure to do so may result in the deactivation of your Medicare enrollment status (your supplier number) and billing privileges.

If your supplier number and billing privileges are deactivated, you must submit a new full and complete Medicare enrollment application. You will not have the ability to be paid for any services provided during the time

What can you do to prepare for revalidation? First, look at the information that is currently on file with Medicare by examining a copy of your most recent enrollment or revalidation application.

Is the information on the application still correct—for example, does the application reflect your current address, email, and other contact information? If any contact information is not accurate, update the information immediately.

You also should make sure that the information you have on file for your NPI number is correct, and matches the information on your most current Medicare enrollment/revalidation application. For example, is the name of the business the same? To check and update your NPI information, visit the National Plan & Provider Enumeration System website at https://nppes.cms.hhs.gov.

In addition, ensure all that all of the information relating to your tax ID number is accurate—CMS and NSC will use this information to determine where to send your revalidation requests. Also check the OIG exclusion list, www.oig. hhs.gov/fraud/exclusions.asp, to verify that none of your employees, vendors, owners, etc., is on the exclusion list.

Next, make sure your current supporting documents are in order— these are different than your tax ID and NPI information. Supporting documents include federal and state licenses, certifications, and insurance (liability, surety bond, etc.) documents.

In doing so, you should double-check that your insurance is up to date and

PHOTO: iStock.com/Sturti

To help ease the revalidation process, Medicare has established set due dates by which each DMEPOS supplier must revalidate its information.

These dates don’t change, and will always be the last day of the month. For example, if your current revalidation due date is Aug. 31, 2016, then your next due date would be Aug. 31, 2019.

To calculate your estimated due date for Revalidation Cycle 2 and future revalidation cycles, take a look at your last successful revalidation or initial enrollment and add three years (the revalidation time frame for DMEPOS suppliers). Medicare also has created a Medicare Revalidation website at http://go.cms.gov/MedicareRevalidation, which lists your actual revalidation due date approximately six months prior to the due date. Consider assigning a staff member the duty of routinely checking the Revalidation database, especially near the end of your current three-year enrollment cycle.

You also will be informed of your need for revalidation via a written document, which will be delivered to your primary location address and/ or emailed, as per your listed preference on your most recent application.

The letter will include the subject line “URGENT: Medicare Provider Enrollment Revalidation Request.” You should receive this revalidation notice from the NSC two to three months prior to your revalidation due date.

Once you have received a revalidation notice, or you are listed on the Medicare Revalidation website, you may begin the revalidation process—not before. The revalidation process itself is rather simple: You just pay your application fee and submit a completed Medicare enrollment/revalidation application, either the 855-S paper form version or the online PECOS version, https://pecos.cms.hhs.gov/pecos/login.do.

The clinically proven pocket-sized 3D image capturing system.

The SmartSoc 3D Capturing System is the latest addition to Orthomerica’s US FDA 510(k) cleared line of image capture devices for manufacturing of STARband® and STARlight® Cranial Orthoses. This system uses Samsung® devices and CurveCapture™, a revolutionary technology that converts 2D images to a 3D model. Orthomerica’s eBrace® web portal provides a seamless ordering process that is secure and HIPAA compliant. The SmartSoc System is currently available for cranial orthoses ordered directly from Orthomerica.

Affordable — SmartSoc is a fraction of the cost compared to other hand-held scanners User-Friendly — requires no special training to use the System Increased Speed & Efficiency — 2 minute scan time Extremely Accurate — precision accuracy to 0.1% Portable — easily taken to multiple facilities HIPAA Compliant — secure programs throughout the ordering process

The SmartSoc System eliminates the need to take messy, expensive, time-consuming & less accurate plaster casts.

LEARN MORE AT:

ebrace.orthomerica.com

www.orthomerica.com 877-737-8444

© 2016 Orthomerica Products, Inc. All Rights Reserved. U.S. Patent: 14/062,994 & Patents Pending

REIMBURSEMENT PAGE

to date and are being followed, and review the company’s policies and procedures with your employees.

With these tips, you should be well-prepared when it is your turn for Revalidation Cycle 2 and all future revalidation cycles—you should be able to avoid having your billing privileges deactivated for not revalidating your enrollment information on time.

do when the inspector comes—and find out whether any staff member may deal with the inspector, or if you need one main contact person. Be sure everyone on staff knows who the main contact person is and how to get in touch with that individual. If any staff member may deal with the inspector, does all of the staff know where the pertinent documentation (e.g., all licenses and documents) are located?

Also, be sure that all of your company’s policy and procedure manuals are up

Devon Bernard is AOPA’s assistant director of coding and reimbursement services, education, and programming. Reach him at dbernard@aopanet.org.

Take advantage of the opportunity to earn two CE credits today! Take the quiz by scanning the QR code or visit bit.ly/OPalmanacQuiz.

Earn CE credits accepted by certifying boards:

www.bocusa.org

EXTRAORDINARILY SIGNIFICANT FINDINGS: Medicare data proves the economic value of an O&P intervention.

O&P CARE is COST EFFECTIVE The Study that Started MobilitySaves.org

5

Reasons to visit MobilitySaves.org

Learn about the study proving orthotic and prosthetic care saves money

1.

Find ads and videos on Medicare’ costcutting to share on your website or social media

A major study, commissioned by the Amputee Coalition with support from the American Orthotic & Prosthetic Association, shows that Medicare pays more over the long term in most cases when Medicare patients are not provided with replacement lower limbs. Mobility Saves Lives And Money!

See healthy lives affected

by O&P care

2.

Follow us on social media!

SEPTEMBER 2016 | O&P ALMANAC

3.

Visit MobilitySaves.org.

“Search Mobility Saves” on Facebook, Twitter, and LinkedIn

20

Find resources to share with your patients

4.

Learn how much Medicare has saved this year by providing O&P care

5.

PHOTO: iStock.com/Hocus-Focus

for the proper amounts. Also review your accreditation and certifications to verify they are still active.

If you are in a licensure state, verify that your state licensure information is current. If you are unsure what type of licensure your state requires, visit the NSC website and its licensure database at www.palmettogba.com/nsc; NSC and its designated inspectors will be using the information on this site during their site visits and revalidation reviews. If the licensure database incorrectly lists that you require a specific license, take the proper steps to update the site, or determine if something has changed and you now require a license. Also, make sure all of the necessary documentation is in one place and organized, so you can find it with ease and provide exactly what the inspector requests.

Finally, be prepared for an unannounced site visit, which is part of the revised enrollment process for all moderate- and high-risk enrollees and revalidations with the Medicare program. Educate staff about what to

DISCOVER. BUILD. ORDER. T H E

A L L

N E W

COLLEGE-PARK.COM ARRIVING THIS FALL.

PREVIEW IN THE COLLEGE PARK BOOTH AT AOPA 2016. /CollegeParkIndustries /CollegeParkInd

800.728.7950 | 586.294.7950

@CollegeParkInd college-park.com

This Just In

A Short Session for Congress Will the House or Senate address O&P issues before the election?

C

this legislation would legitimatize ONGRESS WAS IN RECESS from the orthotist’s/prosthetist’s notes as late July until just after Labor Day. part of the official patient medical Senators and representatives want to record; reaffirm obligations Congress get out of Washington and get home enacted in Section 427 of the Benefit to campaign this election year, so Improvement and there will be precious Protection Act about few legislative days qualified providers; before the November separate O&P legally 8 election. Where does from durable medical that leave our O&P equipment; and clarify legislative priorities? the narrow limits of With the huge assist off-the-shelf orthotics from former Sen. Bob as they relate to Kerrey (D-Nebraska) competitive bidding. in driving the interests In April, in of O&P before and addition to speaking after the recent Policy at the AOPA Policy Forum, we are in a Forum, Kerrey met better position now in person with seven than ever before. But senators, most of whom there remains much to are members of the be done and only a few important Finance days of opportunity, so Committee, which whether our key O&P controls Medicare provisions get enacted matters. AOPA staff and or not is beyond the Sen. Bob Kerrey (D-Nebraska) lobbyists have met with best prognosticator. virtually all other Senate Finance Key O&P needs are consoliCommittee members as well as many dated in S. 829, co-sponsored by House offices. Those visits have been Sens. Chuck Grassley (R-Iowa) and backed up with letters from several Mark Warner (D-Virginia), and H. hundred AOPA members to these 1530, co-sponsored by Reps. Glenn same Finance Committee members, Thompson (R-Pennsylvania) and Mike building grassroots support.

Thompson (D-California). If enacted,

22

SEPTEMBER 2016 | O&P ALMANAC

PRIME

INTRODUCING: FREE SHIPPING both ways!

Satisfaction Guaranteed!

Average lead time is 7-10 business days!*

Standard mods included at no additional charge!

Accommodative Orthotics

CORT-96

Call for pricing

Materials: P-Cell® + Microcel Puff®

Free Mods

(included in price):

Call for pricing SPRT-CO3

Materials: X-Static®/NeoSponge™ + Copoly + Microcel Puff® Post + Cordura + DuraSOLE

• Heel Lift • Wedges • High Heel Cup • High Flanges (Medial/Lateral)

AFO Gauntlets

• Met Pad • Met Bar • Neuroma Pads • Scaphoid Pad • Horseshoe Pads

• Dancer Pad • Toe Crest • Depressions • Saddle Accommodations

Richie Brace®

• Standard Features: • Volara®-padded collar • Polypropylene inner shell • PORON® padding throughout • Leather lining • Seamless footbed area • P-Cell® + PORON® orthotic • 18 colors of Leather available!

Call for pricing *Average lead time is 15 business days!*

Call for pricing CGC-001 • Now Made in the USA! • Choice of Closures • 7-10 Day Turnaround Time • FREE STS sock included with each outbound shipment

www.acor.com

Functional Orthotics

• FREE STS sock included with each outbound shipment

For information, contact Acor : 800-237-2267option 2

This Just In

There have been signs of progress in the following ways: • AOPA has confirmed with Hill staff that the Congressional Budget Office (CBO) has stated that S. 829, the Medicare Orthotic & Prosthetic Improvements Act, would not cost the federal government any money, making its enactment a better possibility.

• There are some unofficial signs that CMS may support the enactment of S. 829. Two of the biggest reasons Medicare proposals aren’t enacted are that it will cost the government money and/or CMS opposes it. So, if the indications of CMS support materialize, two major potential impediments will have been eliminated. Time for this Congress is short, and work will start from scratch with a new Congress in January, so AOPA has visited almost every member of the Senate Finance Committee—pressing them both in person and via more than 400 AOPA member letters to senators on the committee—and asked them to include the S. 829 provisions in a bill composed of noncontroversial, priority items to be packaged together for one end-of-year vote.

24

SEPTEMBER 2016 | O&P ALMANAC

Registration. O&P professionals who are unable to attend the Assembly can visit www.AOPAvotes.org to send a letter. It takes less than two minutes to make your voice heard.

Other O&P-related activity has taken place in recent weeks. The House Oversight and Government Reform (OGR) Committee chaired by Rep. Jason Chaffetz (R-Utah) received a response from the U.S. Department of Health and Human Services (HHS) to the committee’s request for documents and information surrounding the development of the flawed Local Coverage Determination (LCD) and policy statement for lower-limb prostheses, which was subsequently withdrawn. The HHS response did little to clarify nor explain why the interagency workgroup charged with developing a new version has not made the process transparent, and a host of lingering questions remain.

The original committee request and HHS response can be seen at bit.ly/lcdupdates.

HHS also owed a response to the letter from Sen. Mitch McConnell (R-Kentucky), which was encouraged

by AOPA member Tom Watson, CP. The letter raised serious questions about the LCD and the process used by CMS and the durable medical equipment Medicare administrative contractors.

The CMS responses to the House

OGR Committee and McConnell bear a close similarity. But the CMS letter to McConnell has at least one major questionable component where it states at the end of the carryover paragraph on page 2 that “CMS has researched this allegation and discovered that both insurance companies (United and CIGNA) performed their own literature searches on the matter to support their coverage policies.” In the written word, the companies asserted that; however, note the following: • When contacted by telephone by congressional offices, they said they would follow Medicare’s policy.

• The asserted literature searches, at least the one cited by United, was paper-thin, inaccurate, and when the O&P Alliance (with the Amputee Coalition) explicitly challenged the assertion, the company never responded—so perhaps CMS might have looked a bit deeper.

McConnell’s letter and the HHS response can be viewed at bit.ly/ lcdupdates.

As O&P stakeholders celebrate the profession during the AOPA National Assembly this month, we will be looking to see how legislators respond to the proposals and requests facing them that could have a positive impact on the future of O&P.

PHOTO: AOPA

AOPA’s message has paralleled what Kerrey told senators he met with in April: “I trust that the favorable CBO score will clear the path for very quick action to enact S. 829’s provisions, whether via the conference report route that we discussed, or inclusion in the Audit & Appeal Fairness, Integrity, and Reforms in Medicare bill, or any other Medicare vehicle headed for passage. When this becomes law, you can be proud of doing something remarkably good for people who will be forever grateful.”

Attendees at the AOPA National Assembly in Boston will be able to contribute to this effort by visiting kiosks at the conference to weigh in via email to their legislators. This opportunity will be available at both AOPA Exhibit Booth 1615 and at the Information Desk near AOPA

AOPA Policy Forum 2016 attendees take part in congressional visits.

The first integrated hand and wrist prosthesis with synchronized rotation and grip selection

speed. agility. intelligent motion.

Find out more at our ‘Advances in Upper Limb Prosthetics’ Manufacturers Workshop on Thurs 9/8.

Come and see us in booth #626

NOW PROUDLY PART OF

www.touchbionics.com

COVER STORY

Ready, Set, Rio! Elite athletes are gearing up for the 2016 Paralympic Games this month—with help from the O&P community

By LIA DANGELICO

26

SEPTEMBER 2016 | O&P ALMANAC

COVER STORY

I

T’S DAYBREAK IN RIO DE JANEIRO. The sun is casting

a golden light across Copacabana beach, where a runner’s quiet footprints plot the

path behind her. At sea, a lone fisherman sets the first cast of the day, his boat gently bobbing with the waves. In the soon-to-be-bustling city center, a street sweeper tidies up last night’s celebrations while humming a lively tune. Southeastern Brazil’s hub of “all things energy and excitement” is coming to life, and its 16 million residents—who call themselves “cariocas”—are gearing up for their pinnacle moment, playing host to the Paralympic Games, September 7-18.

The city has experienced years of furious preparation, training, and sacrifice in expectation of September. So, too, have the athletes competing in its Games.

While pushing themselves to their mental and physical limits, Paralympic athletes Mark Barr, Mohamed Lahna, Martina Caironi, Lora Webster, and Marko Cheseto have worked to draw new boundaries for the clinician-patient relationship, for the technology and devices needed to help them achieve success, and for what’s possible in O&P of tomorrow. And, like all of these athletes, Rio is ready to leap forward.

PHOTO: iStock.com/Wfurian

O&P ALMANAC | SEPTEMBER 2016

27

COVER STORY

Laying the Foundation

Mark Barr REPRESENTING: USA AGE: 30 EVENT: Paratriathlon

CLASSIFICATION: PT2 (right above-knee amputee)

FUN FACT: He represented Team

USA in the Paralympic Swimming event in 2004 at the Atlanta Games and in 2008 in Beijing.

Follow him on Twitter at @mdbarr8.

AMBASSADOR

Mohamed Lahna REPRESENTING: Morocco AGE: 34 EVENT: Paratriathlon

proximal femoral focal deficiency in right leg) PROSTHETIST: Patrice Ascargorta FUN FACT: This thrill-seeker once

swam across the Strait of Gibraltar— and also was the first above-knee athlete to complete the Marathon des Sables, a 155.9-mile race in the Saharan Desert that claims to be the “toughest foot race on earth.”

Follow him on Twitter @mohamed_lahna

AMBASSADOR

28

SEPTEMBER 2016 | O&P ALMANAC

PHOTO: Össur

CLASSIFICATION: PT2 (born with

PHOTOS: Hanger Clinic

CLINICIAN: Shane Wurdeman, PhD, MSPO, CP, FAAOP, Hanger Clinic, Houston, Texas

Before the medal ceremony, before the screaming supporters and lighting of the torch, comes hard work—a lot of it.

These elite athletes didn’t make it this far without some serious training.

And those training regimens differ by athlete and sport. For American paratriathlete and right above-knee amputee Mark Barr, the physical preparation is quite specific to his event. He trains six days a week, clocking an average of six hours of swimming, two to three hours of running, and two hours of strength training. A lifelong athlete, Barr had his right leg amputated at age 14 after doctors discovered a tumor. After retiring from USA Swimming (he competed in the 2004 Athens and 2008 Beijing Games), he was drawn to triathlons.

This year, he will be competing in the Paralymics’ first-ever paratriathalon event, a sprint race consisting of a 750-meter swim, 20-kilometer bike ride, and 5-kilometer run.

Moroccan paratriathlete Mohamed Lahna takes his preparation for the Games just as seriously. He participates in extreme biking, running, and swimming events throughout the year to stay in shape. This time, though, “there is much more at stake,” he says, “so I have dedicated this whole year to training for this event—no distractions.”

Lahna was born with proximal femoral focal deficiency in his right leg, but that never stopped him from playing soccer with other kids in the neighborhood or pushing his body and mind far beyond his or anyone else’s expectations.

The pressure to push the limits only grows stronger as the Games get closer, according to Italian sprinter Martina Caironi, an above-knee amputee whose left leg was amputated following a motorcycle accident in 2007. The reigning 100-meter T42 Gold medalist and Paralympic record holder says training is a priority leading up to the Paralympics “because the Games happen just once every four years… consequently, the desire grows month by month, year by year.” But this momentum brings out the best in the athletes, she says. “It gives us the push and the determination that we need to overcome the weight of fatigue.”

COVER STORY

PHOTO: Mauro Ficerai

Martina Caironi REPRESENTING: Italy AGE: 27 EVENT: Athletics, 100-meter, 200-meter, and

Long Jump PHOTO: Ottobock

CLASSIFICATION: T42/F42 (left above-knee

amputee) COACH: Mario Poletti FUN FACT: A Gold medalist at the 2012

London Games, she will represent Italy as its flag bearer during Rio’s Opening Ceremony.

Follow her on Twitter @smartinella AMBASSADOR

Still, finding a balance is necessary— the “all work and no play” adage comes to mind—and the athletes are emphatic about making time for family despite the push to get in as much training as possible. Four-time American sitting volleyball player Lora Webster is no stranger to multitasking. The busy full-time mom of three and left belowknee amputee says she does what she can from home—playing volleyball with her husband, conditioning and strength training, and getting her hands on the ball whenever she can. The trade-off is that she makes working out her focus when she’s at training camp, where the team is gearing up to face its biggest opponent and reigning Gold medal team, China.

30

SEPTEMBER 2016 | O&P ALMANAC

Cementing the Right Team

In addition to rigorous training, elite athletes such as these must have the right team in place. Most of them have a tight-knit group of trainers, coaches, and clinicians working together to make sure they have everything they need to put their best feet forward.

Here, the clinician-patient relationship is even more important because there are so many variables at play.

First, “you need to have a creative, patient, and dedicated prosthetist that will take the time to fit and finetune the running leg and socket to you,” says Barr. Whether it’s meeting after hours or on weekends to make adjustments, the practitioners must be willing to go above and beyond.

“Luckily for me,” he says, “my prosthetist Shane is up to the challenge.”

Shane Wurdeman, PhD, MSPO, CP, FAAOP, of Hanger Clinic, agrees it takes a big investment of energy and time—especially time out in the field.

Wurdeman has logged plenty of hours watching Barr run and bike, making tweaks along the way. Of course, more adjustment appointments mean clinicians must work harder to simultaneously manage their other patients.

Additionally, “the technicians have to be more meticulous with the fabrication of the device, as there is smaller margin for error,” says Wurdeman.

That attention to detail can be even more difficult when you’re dealing with a busy athlete who may not know what he’s thinking or feeling.

It helps if clinicians have a warm, inviting demeanor and take a flexible and collaborative approach. “You can’t always put exactly what you want into words,” says Webster. “Or pinpoint that millimeter of difference [in your fit] that’s causing you anxiety or discomfort.” But working with Sue Wisla, CP, of Hanger Clinic, put Webster right at ease. “It’s very easy and friendly with her,” says Webster.

“It makes such a personal process like we have, on the professional level, much easier.” Wisla also brings a wealth of knowledge about fitting for prostheses after rotationplasty, a procedure where, essentially, the ankle joint becomes the knee joint.

After being diagnosed with osteosarcoma as a child, Webster underwent the procedure, and has found few clinicians have experience with it.

Additionally, clinicians must be able to plan and prepare for the unpredictable. “Sometimes, the original plan for the prosthesis might not be working,” says Wisla. “It’s important to take a step back and be willing to adapt and be flexible.” The only way to help the athlete get where he or she is going is to listen and apply his or her feedback. Other than that, she says, the most important thing you can do is “be on their team.”

Amfit Lab Services

It's not Rocket Science FreeScan Lab Services Direct & Indirect 3D Digital Casting; Foam Box Processing Diabetic A5513 - with Toe Filler & Charcot Options EVA in 3/4 & Full Length, Carbon Fiber & PolyPro (Minimum monthly orders needed to qualify for FreeScan)

COVER STORY

Kenyan sprinter Marko Cheseto takes off during a training session for the Games.

Tapping the Right Tools

Just as important as the right clinician-patient dynamic are the tools necessary for success. And Stan Patterson, CPO, founder of Prosthetic & Orthotic Associates in Orlando, knows what the right toolbox looks like, as he currently

works with a number of successful Paralympic athletes, including bilateral amputee and sprinter Marko Cheseto.

A native of Kenya, Cheseto moved to Alaska as a college student to pursue his passion, and natural talent, of cross-country running. But his climb

Marko Cheseto REPRESENTING: Kenya AGE: 32 EVENT: Athletics, 100-meter and 200-meter CLASSIFICATION: T43 (bilateral below-knee

amputee) CLINICIAN: Stan Patterson, CPO, Prosthetic and Orthotic Associates, Orlando, Florida FUN FACT: Prior to his amputation, he was

a two-time NCAA All American in Cross Country.

Follow him on Twitter @MarkoLemtukei

32

SEPTEMBER 2016 | O&P ALMANAC

PHOTOS: Össur

AMBASSADOR

to the top of the running world came to a halt in 2011. In a most unbelievable story, during a hectic period in his time at the University of Alaska— Anchorage, Cheseto went out on an evening run and ended up getting lost in a blizzard, waking up almost two days later covered in snow and completely numb. After quite miraculously finding his way to a hospital, doctors determined he had suffered severe frostbite and had to amputate both legs. Over the last three years, he found his way back to his beloved sport of running, and is already making waves in the community. Patterson notes that Cheseto has impeccable form and a build that mirrors the fastest man alive, Jamaican sprinter Usain Bolt.

Part of that success can be attributed to the tools Patterson and his team employ. By using electronic timers set up on cones, Patterson and the coaches can monitor an athlete’s speed and performance at key intervals—for example, from the starting line to the 20-meter cone, from the 20-meter cone to the 40, and so on.

“So we can look at the variables… such as, old blade versus new blade, old alignment versus new alignment,” says Patterson. “Then we can make the necessary tweaks to get the maximum performance out of the prosthesis compared to what the athlete can give.” Prosthetic & Orthotic Associates’ digital-savvy setup also involves

Peak Scoliosis Bracing System

TM

Code L1005 Approved

Visit us at AOPA Booth

1034 Be sure to stop by both of our presentations

Treating the Adult Scoliosis Patient Manufacturer’s Workshop Thursday, September 8th, 8:00am – 12:00pm Check Final Program for Room Location

Product Preview Theater Friday, September 9th, 1:30pm -2:00pm Exhibit Hall

To place an order or for more information, contact your local Aspen Sales Representative or Customer Service at

800-295-2776

Life Changing Spinal Innovation

aspenmp.com

COVER STORY

slow-motion video capture and BTS GAITLAB engineering software, a program that measures the symmetry of the left and right sides with a series of sensors and gyroscopes. Armed with this data, the team can better determine whether issues that arise stem from the device or the person wearing it. “It’s about validating the work you’re doing, the changes you’re making,” says Patterson. “The athlete might say he or she feels faster, but what does that actually mean?”

From the gadgets to the gear, there are wide gaps and ranges—some of the athletes, such as Webster, don’t even wear a prosthesis to compete.

Others, such as paratriathletes Barr and Lahna, not only have to rely on their devices to get them through the race, but donning their prostheses is part of the competition. According to Wurdeman, Barr will be wearing a liner with silicone rings for the entire triathlon. After swimming comes biking, and he will plug into a socket

that has a ratchet strap to control rotation and is affixed to the bike frame on his amputated side. When he transitions from biking to running, he will have to put on his running-specific knee (Ottobock 3S80) and foot (Ottobock Springlite Sprinter).

Lahna and his team have decided that simplicity is best for the inaugural Paralympic paratriathlon. For running, Lahna will be wearing Össur’s FlexRun running blade as his foot, and he will go without a prosthesis for the cycling portion. “It seems counterintuitive to improve by pedaling with just one leg,” he says, “but it has allowed me to get more leverage over the bike and push harder. It also saves me time!”

The transitions in the paratriathlon are key. Volunteers help the athletes out of the water and to their bikes, but after that, they’re on their own.

“The longer the transition takes,” says Wurdeman, “they’re losing precious time. They have to be able to get the leg on quickly and correctly or they

Lora Webster REPRESENTING: USA AGE: 30 EVENT: Sitting Volleyball CLASSIFICATION: MD

(rotationplasty, left leg) CLINICIAN: Sue Wisla, CP, Hanger Clinic, Rockville Center, New York FUN FACT: Competing in the Rio Games

makes her the first four-time Paralympian in Sitting Volleyball.

AMBASSADOR

Webster competes in the 2012 London Games.

SEPTEMBER 2016 | O&P ALMANAC

Going for Gold

As the clinicians count down to the start of the Games, they are quite specific as they discuss their hopes for the elite athletes they treat. Wurdeman says he just wants Barr to have a leg he feels confident in—but medaling would be nice; Wisla says for Webster, it’s Gold or bust; and Patterson is looking beyond the “now,” projecting that one day in the near future—perhaps at the Tokyo Games in 2020—bilateral amputee Cheseto could break out as the fastest sprinter—not just in Paralympics, but in the world.

As for the athletes, when it comes to goals and motivations, they cite everything from breaking a world record, to achieving childhood dreams, to appreciating the support of their families. “There are a lot of people that tell me to ‘get a real job’ or that I probably shouldn’t attempt certain sports because of my disability,” says Lahna, “but the support from my family keeps me believing that I can do anything… that is what drives me.”

Webster also is motivated by family— specifically, her kids. As she proudly recounts, her 3-year-old son went through a Queen phase recently, when they spent four months listening to “We Will Rock You” and “We Are the Champions” on repeat in the car. “Every time it came on, I’d get goose bumps,” she says. “It’s been a long time coming. I can’t wait for the Games to be here.”

Lia Dangelico is a contributing writer to O&P Almanac. Reach her at ldangelico@contentcommunicators.com.

PHOTOS: Hanger Clinic

34

could lose seconds that they can’t get back.” And mere seconds—10 or 20— could and often do mean the difference between first and second place. That’s why, says Wurdeman, the amputee triathlon it is basically a four-event competition.

EDITOR'S NOTE: On press day, O&P Almanac learned that Kenya reduced its team size from 20 to nine athletes.

As a result, Marko Cheseto had been cut from the team. Reasons for the size reduction were not disclosed.

Arriving in the Athletes’ Village in Rio de Janeiro for the opening of the Ottobock technical service repair center for the Rio 2016 Paralympic Games on August 31.

28 Years of Serving

Paralympic Athletes

18 Tons of equipment 250 Items of hazardous goods

F

and dangerous chemicals

15,000 Spare parts 1,100

Wheelchair tires

Bremerhaven

70 Running blades

Duderstadt

Germany

300

Prosthetic feet

300 km From Ottobock Headquarters, Duderstadt, to Bremerhaven by road

10,100 km Bremerhaven, to Santos, São Paulo state, Brazil, by sea

PHOTOS: Buda Mendes - Getty Images for Ottobock

OR MANY PARALYMPIC ATHLETES, their clinicians and technicians won’t be traveling with them to the Games, so if they experience a malfunction or a broken device while in Rio, who do they turn to? As the official prosthetic, orthotic, and wheelchair technical services provider for the Paralympic Games since 1988, Ottobock is sending a team of 90 prosthetists, orthotists, wheelchair technicians, and welders to answer those calls for help across the Paralympic Villages and sport and training venues.

One member of the repair team is Hughes Myner, Ottobock’s director of sales, mobility solutions, who also is a qualified welder as well as a coach and national referee for wheelchair rugby. Myner is a technical services veteran, having worked at the Vancouver Games in 2010, London in 2012, and Sochi in 2014.

According to Myner, the venues where athletes come for repairs couldn’t be more different. When athletes bring their wheelchairs or prosthetics to the Paralympic Villages, the team usually has ample time to diagnose the problem and develop a solution, and may even be able to loan out temporary replacements—they’ll have more than 15,000 spare parts and 18 tons of equipment at their disposal. At the sporting venues, “we’re more like a pit crew,” says Myner. “Except, a pit crew in racing, like in Formula One, will repair only its own car.... But we will repair any wheelchair or equipment from any manufacturer. All of our technicians have been trained in various different pieces of equipment and manufacturers.” In the sporting venues, there also is a greater emphasis on timeliness; the athletes can’t get back into competition until whatever is broken is fixed. Despite the service team’s long, 12-hour days, everyone works together to find solutions, Myner says. “The clock doesn’t stop for us.”

In what sounds like a premise for the first-ever O&P/mobility reality show, Ottobock projects than more than 2,000 of the 4,350 athletes competing will need to visit one of the workshops at some point during their time in Rio. No doubt this work is nothing short of the ultimate challenge for a clinician or technician, where any type of athlete, speaking any language, wearing any equipment, could walk in the door needing help at any time.

For those itching to try their hand at it, Myner says, “you have expect the unexpected… We always are thinking of the limitation, and these guys, because of their drive, keep surprising us every day.”

500 km Santos to Rio de Janeiro by road

Brazil

Santos, Sao Paulo

Athletes’ Village de Janeiro

Passion for Paralympics since 1988 www.ottobock.com/paralympics

SOURCE: Ottobock

O&P ALMANAC | SEPTEMBER 2016

35

By CHRISTINE UMBRELL

in Staff from Alabama Artificial Limb & Orthopedic Service Inc. took part in the ASU Occupational Therapy Awareness 5-K and 1-Mile Run in Montgomery.

• Many O&P businesses go beyond traditional patient care to support the communities where their facilities are located, allocating resources to sponsor activities, take part in local fundraisers, visit area schools, host adaptive sports clinics, and set up booths at health fairs.

• Such activities often involve partnering with local organizations and businesses, and offer opportunities for O&P facilities to build relationships with health-care-related businesses, as well as organizations that share a commitment to the community.

• Engaging the community enables O&P providers to raise awareness of orthotics and prosthetics, and provides a venue for staff members to share information with event attendees on the full spectrum of O&P products and services, as well as the O&P career path.

• Many O&P facility staff members appreciate being employed by companies that choose to give back to the community and make a commitment to corporate social responsibility.

• Budgeting for community building ensures that facilities will continue to support their neighbors throughout the year and serves as an important part of promoting the business.

36

SEPTEMBER 2016 | O&P ALMANAC

PHOTO: Alabama Artificial Limb & Orthopedic Service, Inc.

STEPPING UP YOUR COMMUNITY INVOLVEMENT CAN LEAD TO NEW PARTNERSHIPS, BOOST EMPLOYEE MORALE, AND ENHANCE THE NEIGHBORHOODS WHERE YOUR PATIENTS RESIDE

W

HEN THE CITIZENS OF

PHOTOS: Alabama Artificial Limb & Orthopedic Service, Inc. Bottom right, Ability Prosthetics & Orthotics

Montgomery, Selma, or Auburn, Alabama, attend a parade, they are often surprised to see an old fire truck travelling the route. Rather than firefighters, the truck has been adapted to carry the staff and patients of Alabama Artificial Limb & Orthopedic Service Inc. (AALOS), who use the fire truck to make their presence known at community events.

“We are embedded in the business community and people community of the cities where we have locations,” says Glenn Crumpton, CPO, LPO, CPed, owner of AALOS. It is his goal to go beyond traditional patient care to integrate into the fabric of the community. “We’re not just here to derive benefits from serving the O&P population,” says Crumpton. “We want to make the city a better place as well. We build the atmosphere that we’re part of the community.”

For AALOS, the nuances of each facility’s surrounding neighborhood help determine the community activities that location participates in. For example, football is important to the Auburn location, so the facility has a presence at tailgating events, says Crumpton. And the local Air Force base is significant to the city of Montgomery, so that branch takes part in golf tournaments that support the Air Force base, “and we can tie in what we do for Wounded Warriors,” he says.

Of course, AALOS staff bring “Rosie,” the fire truck, to community events whenever possible—including local parades in all five locations and MLK Day celebrations in Selma.

Crumpton purchased the retired fire truck—which came from New York and played a role in the 9/11 rescues—for $10,000 in 2009, to help his facility stand out in the crowd. The facility’s web address is featured prominently on the truck. “We invite our patients to join us in parades around the city.

The truck continues to be a goodwill ambassador throughout the community for AALOS,” says Crumpton.

"Rosie" the firetruck serves as a goodwill ambassador for AALOS in community parades.

Good Citizenship

Like Crumpton, many O&P providers entered the profession because they truly wanted to make a difference in the lives of the patients, not because they expected high profit margins. That mentality carries over into how they conduct business, including how they allocate resources to give back to the community.

When Jeffrey M. Brandt, CPO, founded Ability Prosthetics & Orthotics in Exton, Pennsylvania, in 2004, he felt he could not “just put my shingle out, treat patients, get good outcomes, and run to the bank every Friday, without making a commitment to my community.”

Brandt says, “I don’t ignore the social responsibility involved when you’re profiting in your community.”

Brandt explains that giving back to the neighborhood is part of the culture of Ability, which has grown to 11 markets. “Our staff members live near our facilities and patronize the local businesses.” By doing so, he says, “we’re returning part of our proceeds to the local market.”

Rosie and AALOS staff make an appearance at fundraisers, such as the American Kidney Foundation 5K in Dothan.

Ability Prosthetics & Orthotics hosts gait training clinics for the community.

O&P ALMANAC | SEPTEMBER 2016

37

Bringing the Community to You Hosting a ”First Clinic” with the help of OPAF offers benefits to patients, practitioners

Coach Mabio Costa

Ability gets involved in its communities by sponsoring golf events, charity runs, adaptive sports events, and more. In addition, the facility has held several “First Clinics,” including First Swim and First Golf Clinics, run by the Orthotic & Prosthetic Activities Foundation (see sidebar, “Bringing the Community to You”).

Serving the community is similarly a focus at Snell’s Orthotics and Prosthetics in Louisiana. The facility prioritizes supporting neighborhood functions— particularly those events that benefit individuals with disabilities, says the facility’s president, W. Clint Snell, CPO. The facility’s website lists dozens of organizations the facility is involved with. In particular, Snell’s takes part in fundraisers for the Muscular Dystrophy Association, Louisiana Rehabilitation Association, and local churches, schools, and theaters.

PHOTO: Ability Prosthetics & Orthotics PHOTO: W. Clint Snell

SEPTEMBER 2016 | O&P ALMANAC

Ability Prosthetics & Orthotics sponsors local golf tournaments.

PHOTOS: OPAF

38

O&P facilities can host their own adaptive sports events by working with the Orthotic & Prosthetic Activities Foundation (OPAF), the philanthropic arm of the O&P community.

Founded in 1995 to support the Paralympic Games in Atlanta, OPAF develops, implements, partners, and hosts adaptive recreational clinics for those with physical challenges. OPAF is supported in part by grant funding and personal donations.

Facilities can pay a flat fee of $3,000 for OPAF to bring a clinic to the facility’s local area. OPAF takes care of the marketing, registration, staffing, venue negotiations, and event photography, says Robin Burton, OPAF executive director. The main responsibility of the sponsoring facility is securing attendees, because HIPAA rules prevent OPAF from reaching out to patients directly.

Facilities can choose from a wide range of sports as the focus of a clinic, including tennis, swimming, diving, kayaking, dancing, golfing, climbing, and gait training. “We also offer a discount for multiple sports in the same weekend,” says Burton. The experience provides a hands-on introduction to the sport itself, taught by experienced athletes provided by OPAF, in a safe and secure environment with peers in similar situations.

“We always invite the local community’s adaptive sports center to take part, so we can point participants in the right direction” to continue participating in the sport once the clinic is over, says Burton.

Burton encourages facility owners to consider hosting a First Clinic. “This is a great marketing tool, plus it’s a way to show the community that you’re giving back, while showing people with disabilities what is out there sports-wise,” she says. For more information on OPAF and the First Clinics, visit www.opafonline.org.

W. Clint Snell, CPO

YOUR SYSTEM. YOUR CHOICE. “If you have intentions on having an active lifestyle, I think that this socket would be right for that individual.”

—Amren, Transfemoral Amputee Since 2005

The Most Advanced Components Are Now the Most Advanced Socket System.

• CHOICE OF LINERS Regulate residual limb temperature with the Alpha SmartTemp® Liner or enjoy the benefits of gel and silicone with the new Alpha Duo™ Liner.

TRY THE WILLOWWOOD ONE SYSTEM WITH THE NEW ALPHA DUO™ LINER!

• ONE SEAL Creates an airtight seal between the liner and socket.

• ONE GEL SOCK Allows vacuum to establish within socket.

• CHOICE OF SUSPENSION Maintain a secure fit with LimbLogic® or suction suspension.

To learn more or become certified, call 740.869.3377 or visit willowwoodone.com

Patent www.willowwoodco.com/education-and-resources/patents © The Ohio Willow Wood Company 2015

Building Partnerships

AALOS hosts booths at health fairs, such as the one at Selma Mall.

40

SEPTEMBER 2016 | O&P ALMANAC

Raising Awareness

Community involvement is seen by many providers as a notable way to raise awareness of O&P. Often, community members are unaware of the broad spectrum of services offered by orthotists and prosthetists—and neighborhood functions provide an opportunity for informal education.

Crumpton says that many locals incorrectly assume that the Wounded Warrior population makes up the majority of the O&P patient base.

“Seventy to 80 percent or higher of our patients are vascular disease patients,” he says. “Many in the community need our services—amputation and orthotic patients are everywhere.” He appreciates being able to explain the range of patient-care services at his facility when he meets new people.

Amputee Prosthetic Clinic in Georgia supports the community’s local theaters, schools, and hockey teams. Owner Jim Young, CP, FAAOP, frequently takes part in area career days, says Pam Young, owner and office manager. In addition, “we have a lot of teachers that call our office every school year when the children are studying disabilities,” she says. “Staff from the office visit the schools and give presentations on prosthetics. They take a lot of visual aids, so the kids can be hands on.” The students are eager to learn about a new profession: “A lot of people don’t know much about prosthetics, or that it’s a good career path—it’s great to bring awareness to our field,” says Young.

Reach Orthotic & Prosthetic Services helps sponsor the Denbigh Dash, a physical therapy practice's 24-hour fundraiser, says Marketing Coordinator Anne Sych (center).

PHOTO: Reach Orthotic & Prosthetic Services

One of the benefits of regional involvement is the opportunity to establish mutually beneficial relationships with other organizations—including groups with which you may have never previously considered partnering.

At Reach Orthotic & Prosthetic Services, much of the community outreach has involved partnering in local events. Last year, Reach O&P helped sponsor a physical therapy practice’s 24-hour fundraiser run/walk, called the Denbigh Dash, to benefit a local agency that provides support for people with brain injuries. In addition, the facility took part in a Pirate Run—a local museum fundraiser where several staff members were able to interact with the community, says Anne Sych, the facility’s marketing coordinator.

Reach also played a role in the local Tim Tebow “Night to Shine” prom for individuals with special needs.

“Partnering with local organizations who are raising awareness and funds for other worthwhile organizations provides a double boost to our community relations efforts,” says Sych. “This allows Reach to build relationships with both the sponsoring planners and recipients within the same event.”

Many O&P facilities find that local health fairs provide a beneficial forum to mingle with community members while networking with allied health teams. For example, AALOS sets up a booth at health fairs in area shopping malls; at those events, the AALOS team introduces itself to passersby and

interacts with other providers who have sponsored booths, such as home healthcare and dialysis clinics.

AALOS also has a presence at health fairs that are sponsored by area hospitals. “If we expect to derive benefits from hospitals, such as earning privileges to see patients, we support the hospitals in their support of the community—which reaches a larger scale than we could do on our own—and then we are seen as an extension of the hospital,” says Crumpton.

AALOS helps sponsor local 5K runs.

PHOTOS: Alabama Artificial Limb & Orthopedic Service, Inc., Ability Prosthetics & Orthotics

Ability Prosthetics & Orthotics donates to adaptive sports organizations.

”Hanger has been there for me and always has my best interest at heart.”

Curt A. Bertram, CPO, FAAOP Director, National Residency Program National Orthotics Specialist

Empower your career. Join Hanger today.

EmpoweredCareers.com

At Hanger, we provide clinicians like Curt everything needed to be successful. We help navigate intricate regulatory or compliance issues. We have an unparalleled network of experts to assist with challenging or unique cases. And, we provide unmatched career development, job flexibility and nationwide relocation opportunities. The way we see it, the less you have to worry about, the more you can focus on what you do best – spending time with patients and improving as many lives as possible.

BUILDING YOUR BRAND Among Millennial Patients O&P facilities that give back to the community are elevating their brand within the young adult population. Findings from the 2015 Cone Communications Millennial CSR Study indicate that U.S. Millennials expect brands to give back to society. Many Millennials look to purchase products and services from companies that have made a commitment to corporate social responsibility (CSR)—which is defined as business practices involving initiatives that benefit society. Facilities that are hoping to grow their patient base—and their employee pool—among 18- to 34-year-olds should consider these statistics when choosing to make a commitment to CSR and community building activities: • More than nine in 10 Millennials (91 percent versus 85 percent U.S. average) would switch brands to one associated with a cause.

• More than two-thirds of Millennials are willing to pay more for a product (70 percent vs. 66 percent U.S. average) if the product is associated with a company with a high level of CSR. • Two-thirds use social media to engage around CSR (66 percent versus 53 percent U.S. average).

• Sixty-two percent are willing to take a pay cut to work for a responsible company (versus 56 percent average).

SOURCE: 2015 Cone Communications Millennial CSR Study

Staff at Dankmeyer Prosthetics & Orthotics educate local students about the O&P profession.

Boosting Employee Morale

AALOS takes part in “Homes for our Troops” in Auburn.

42

SEPTEMBER 2016 | O&P ALMANAC

O&P facilities that sponsor community events or give back to the neighborhood stand to gain the respect of their employees—especially their younger staff members (see sidebar, “Building Your Brand Among Millennial Patients”).

PHOTOS: Top right, Dankmeyer, Inc. Bottom left, Alabama Artificial Limb & Orthopedic Service, Inc.

Reaching out to the community to raise awareness of O&P was a goal of Dankmeyer Prosthetics & Orthotics, headquartered in Linthicum Heights, Maryland, when it took part in a problem-based learning project in conjunction with Anne Arundel schools, says Becky Snell, Dankmeyer’s IT and marketing director. Over the course of a school year, 100 students in grades 4 through 12 focused on upper-limb prostheses, and took part in activities such as designing and drawing prosthetic hands, writing a children’s book about prosthetic devices, and even 3D printing prosthetic hands.

Dankmeyer provided support at various levels, including hosting visiting students in the office, going to the schools to demonstrate upper- and lower-limb devices, and working with the students in an e-NABLE Helping Hands event to try 3D printing, says Becky Snell.

embraceable For over 20-years, the Bremer Group Company has established a reputation for embracing practitioners and patients with high quality back braces and exceptional customer service.

We provide comprehensive back brace solutions: • VertAlign®, ComfAlign® or Custom Back Braces enveloping your patients with the support that fits their diagnosis; protects instability, helps to ease their pain • Application and use training in your office plus printed patient instructions, encircling a successful fit, enhancing compliance • Support for proper reimbursement encompassing products with verified payment histories and extraordinary customer service Embrace Bremer Group back bracing without delay!

Visit www.bremergroup.com, call 800-428-2304.

See us at AOPA, Booth #1527 VertAlign® and ComfAlign® are registered trademarks of The Bremer Group Company VertAlign protected under U.S. Patent No. 5,718,670 ComfAlign protected under U.S. Patent No. 6,702,770 *Before attempting application, refer to complete application instructions accompanying each product. © 2016, The Bremer Group Company. All rights reserved.

11243-6 St. Johns Industrial Parkway S. Jacksonville, FL 33246 TEL 904-645-0004 FAX 904-645-0990 Toll Free 800-428-2304 bremergroup@bremer.net www.bremergroup.com

Embracing Excellence The Bremer Group Company

44

SEPTEMBER 2016 | O&P ALMANAC

While some may question the return on investment for such activities, “my answer is that I don’t think we need an exact dollar figure,” Brandt explains. “We’re not doing it expecting a great return; it’s more of a gesture of who we are.”

Serving Your Neighbors

Whether your facility chooses to repurpose a fire truck to take part in parades, partner with other organizations at health fairs and fun runs, or find another way to build bridges with community members, it’s clear that neighborhood involvement can send an important message.

Any time his facility invites community members to visit or takes part in a neighborhood event, it benefits others while serving as a marketing and promotional activity.

“When people see my name or our corporate name, they think of what we do,” says W. Clint Snell.

And a commitment to the local area makes a difference to patients: “When you’re in a room with a patient and talking about what you’re doing that weekend, if a patient mentions he is going to a health fair at the mall, it means a lot if you can share that you have a booth, and you’ll see them at the mall,” says Brandt. “It reinforces to the patient that you’re committed enough to the community to spend your Saturday at the mall health fair.

“As patients are aware of your involvement, they know there’s a level of professional commitment,” adds Brandt. “They then feel we’re supporting them, more than an average health-care provider. It’s about providing comprehensive care to them beyond the device we’ve provided.”

Christine Umbrell is a staff writer and editorial/production associate for O&P Almanac. Reach her at cumbrell@contentcommunicators.com.

PHOTOS: Top right, Alabama Artificial Limb & Orthopedic Service, Inc. Bottom left, Reach O&P

“These events really serve as employee team building,” says Crumpton. “If all we did was take from the community of amputees and not give back in some way, our employees would notice.”

And while participating in events after office hours is optional for staff, Crumpton notes that many employees—and even patients— choose to participate in the mud runs, color runs, or 5Ks that AALOS helps sponsor, on behalf AALOS hosts a booth at a local “Rehab Week.” of the facility. “It shows the community we are here for more than just our own profits.”

Sych. “Everyone becomes a part of the At Reach O&P, staff members are marketing team, and gives Reach the encouraged to register for events ability to engage more intimately with that have personal meaning to them, the community on a participant, as says Sych. “Each Reach staff member opposed to a sponsor, level.” is given an annual budget to use on registration fees for participating Investing in Community Building in community events,” she says.

With a seemingly endless number of Employees have used these funds to possible community events to consider, sign up for golf fundraisers, including it can be challenging for managers at amputee tournaments, as well as charity O&P facilities to decide which events runs—such as a local “Dirty Girl” run to take part in—especially given the benefiting a breast cancer foundation. costs that may be involved. But it’s “Reach pays the fees, and the employees easier to support such events when typically wear a company-branded you consider it “an important part shirt or hat. We share pictures of our of promoting the facility—while also employees on our social media outlets,” doing good for others and being part says Sych. of the community,” says W. Clint Snell.

“Giving staff a personal budget He notes that many benefits come of to participate in community events such events—promoting the business, takes Reach marketing into areas we increasing name recognition, and might not otherwise engage in,” says building a reputation of helping others.

Brandt says that while financing community activities can take a significant monetary commitment, the investment is well worth it. At Ability, “it’s become part of our annual budgeting process,” he explains.

Brandt believes it’s important to contribute to causes throughout the year—even when profits are down. “We’ve made donations and sponsorships when it’s been hard to do so, even if cash flow is tight,” he says.

Reach O&P, Wells Fargo Teams

NEW ALPS SP Liner Superior Performance

Features our new ďŹ rm High Density Gel with black fabric.

R

www.easyliner.com info@easyliner.com

See You on the

SHOW FLOOR Meet ‘O&P’s Finest’ in the exhibit hall at the 2016 AOPA National Assembly

Assembly Sponsors...................... 48 Meet the exhibitors that have signed on as title sponsors for this year’s event

Exhibit Hall Map........................... 54 Use this handy floor plan to navigate the trade show floor

Exhibitor Directory...................... 55 Find a complete, alphabetical listing of the exhibitors and their booth numbers

46

SEPTEMBER 2016 | O&P ALMANAC

The world’s leading O&P manufacturers are showing off their latest advances in Boston at the 2016 AOPA National Assembly. This year’s exhibit hall features more interactive and hands-on activities that makes visiting the trade show floor even more exciting and educational.

B

ECAUSE THE EXHIBIT HALL will be open longer, attendees will

have extra time to visit booths showcasing the latest O&P products and services. The always-packed Welcome Reception on Thursday, September 8, will kick off the festivities, and this year’s “Friday Night Lights” themed happy hour will offer participants their chance to see the exhibits while wearing their favorite team's attire. Next, “ExpoDay” will take place from 10 a.m. to 2 p.m. on Saturday, September 10, and will feature more than 150 exhibitors, special events, demonstrations, door prizes, and show specials. Several exhibitors will be offering show-floor discounts and special promotions on their products.

Attendees won’t want to miss these events, all happening during ExpoDay: • ExpoDay Raffle—Thousands of dollars’ worth of door prizes will be awarded by AOPA, exhibitors, and local Boston merchants. Sample prizes include Apex 360 Systems software, $100 Visa gift cards, tickets to Boston’s famous Duck Tours, and much more.

• Trail of Freedom—Follow this interactive “trail” to visit stations and learn about historic Boston sites, while answering trivia questions on the AOPA 365 mobile app.

Expo D • Book signing—Boston Marathon bombing Book Sign ay ing with survivor Jeff Bauman will be on hand to sign Jeff Bauma n copies of his book, Stronger.

Boston Mar

athon Survivo

• Technical Fabrication Contest—Find out how quickly your colleagues can assemble an articulating ankle-foot orthosis joint and a below-knee socket and foot.

• And much more!

r and Nationa

l Hero

Meet Jeff Bauma n for a book signing with benefiting Wiggle proceeds Your Toes.

His memoir is soon to be a major motion picture starrin Jake Gyllen g hal.

SATURDAY / SEPT. 10 10:00 AM – 2:00 PM Exhibit Hall

Soon to be a major motion picture!

Proceeds to

Benefit

With so many events planned for the 2016 AOPA National Assembly show, you will want to set aside several hours to browse the aisles during the Welcome Reception, ExpoDay, and expanded hours throughout the conference. Keep these O&P Almanac pages handy to help guide your trip through the Boston exhibit hall.

O&P ALMANAC | SEPTEMBER 2016

47

ASSEMBLY SPONSORS 2016

ALPS South

Allard USA

A fully owned subsidiary of Sweden’s Camp Scandinavia AB, Allard USA considers itself a “partner” for O&P. At this year’s Assembly, the company is “excited to show off a quick and easy way to fabricate a lumbosacral orthosis (LSO)/thoracolumbosacral orthosis (TLSO), as well as break down the fitting of a carbon composite anklefoot orthosis (AFO) into eight easyto-follow steps,” says Diane Beesley, Allard’s marketing manager. “Both will enhance patient compliance, and continue our pursuit to provide ‘Support for better life.’”

Allard USA offers educational programs, training, and marketing support to help O&P facilities increase their referrals. The corporation takes pride in continuous research and development for new products, on-time delivery, and dedicated and caring management and employees.

As the company prepares to share its innovations with thousands of visitors on the AOPA trade show floor, Beesley is excited for the future of O&P, and “all of the new technological advancements that enhance the lives of those with physical challenges.”

48

SEPTEMBER 2016 | O&P ALMANAC

With a mission of “Making Lives Better,” ALPS South offers prosthetic and orthotic devices and is an industry leader in the development and manufacturing of advanced silicone-based products. The company arrives in Boston this year to take advantage of the “opportunity to showcase our new and exciting products, such as our new High Density Gel product line,” says Jessica Plomatos, operations manager.

ALPS has been serving the O&P profession and patients since 1988, initially focusing on the development of innovative silicone products, before expanding into the manufacturing of prosthetic devices in 1993. Now the company offers sleeves, liners, locks, skin care, socks, and other products that facilitate comfort and security for both above- and below-knee amputee patients, as well as a variety of braces for the knee, ankle, back, and more.

Throughout the years, ALPS has seen a lot of change. As she looks to 2017 and beyond, Plomatos is enthusiastic about “the prospect of the opportunity to grow and evolve with the innovative technology and changes within the industry.”

American Board for Certification in Orthotics, Prosthetics, & Pedorthics Inc.

The American Board for Certification in Orthotics, Prosthetics, & Pedorthics Inc. (ABC), one of the industry’s credentialing boards, takes pride in being part of this year’s AOPA gathering. “Our participation in the AOPA National Assembly allows us to engage

with potential certification candidates, residents, and those already in the profession,” says Catherine A. Carter, ABC executive director. “This engagement keeps us connected to the profession and helps us understand the challenges and successes of our constituents.”

ABC represents the interests of more than 14,000 certified individuals and over 6,000 accredited facilities.

Its certification programs are accredited by the Institute for Credentialing Excellence. ABC is recognized as a deemed authority for facility accreditation by CMS, the Department of Veterans Affairs, major health-care insurance providers, and health maintenance organizations throughout the United States.

www.bocusa.org

Board of Certification/ Accreditation

The Board of Certification/ Accreditation (BOC), founded in 1984, is an independent, not-for-profit agency dedicated to meeting the demands for quality patient care by offering credentials for professionals and suppliers of comprehensive O&P care and durable medical equipment services. “We always enjoy meeting and reconnecting with our certificants and accredited facility owners/managers in person. It gives us the opportunity to hear about their credentialing experiences and answer any questions they may have,” says Wendy Miller, BOC chief credentialing officer, BOCO, LO, CDME. “BOC promises to be there every step of the way for all of our certificants, and our presence here at the AOPA conference reinforces that promise.”

Looking to the future, Miller says that advances in technology “will continue to refine and improve the products and services practitioners offer to their patients. We are excited to see how patient lives will be enhanced by these types of developments.”

ASSEMBLY SPONSORS 2016

Cailor Fleming Insurance

Cailor Fleming Insurance, which has been insuring the O&P industry for more than 15 years, has designed an insurance program that addresses the unique exposures the O&P industry faces. The program offers comprehensive protection for all types of O&P businesses, including patient-care facilities, central fabrication facilities, manufacturers, and distributors, according to the company’s website.

“We believe that by being one of the main corporate sponsors of AOPA’s National Assembly, we are helping the O&P industry by helping its main trade association continue to provide business services and products as well as being the voice for O&P, which in turn raises awareness and understanding of the industry,” says Donald Foley, principal/program specialist at Cailor Fleming Insurance.

The insurance company has a unique perspective on the O&P profession. Foley says the company is excited to see “the new generation of business owners embracing the current healthcare system, and being willing to work within its stricter parameters.”

Endolite

At the 2016 National Assembly, Endolite will be featuring the 2016 Mac Robert Award-winning Linx Limb System. “We are launching the EchelonVac, a new hydraulic ankle foot with vacuum, and we will be introducing the Orion3 microprocessor knee with added features and benefits.”

50

SEPTEMBER 2016 | O&P ALMANAC

Endolite is part of the Blatchford Group, a rehabilitation provider with 125 years of innovation and expertise in lower-limb prosthetic technology.

The staff at Endolite believes it is important for the company to be a sponsor of and participate in the Assembly because “it provides an excellent opportunity to say thank you and further our relationship with existing customers and develop new relationships,” says Sue Borondy, marketing and communications manager. “It also is an opportunity for us to showcase our technology.”

Advances in technologies are bringing exciting changes to the O&P profession, says Borondy: “New materials, processes, and methods are being introduced that aid in the technological advancements of the products we develop to enhance patient rehabilitation.”

Fillauer

At the AOPA National Assembly, Fillauer Companies Inc. will “showcase our company and its products through workshops on our new high-activity prosthetic feet and Motion Control myoelectric upper-extremity products,” says Traci Dralle.

Dralle is director of marketing for the company, which has grown to be a globally renowned leader in the development, manufacturing, distribution, and application of orthotic and prosthetic products. “In the exhibit hall this year, we are excited to share our latest innovations, including the patent-pending NEXO skeleton for UE, Trautman Tech Station, and ETD2.

And if an attendee’s phone or tablet needs a charge, Fillauer is proud to sponsor the charging stations located in the center of the exhibit hall.”

The “possibilities” surrounding the O&P profession excite Dralle: “Through

new technology and innovation, patients will not be limited because they wear prosthetics and orthotics, but they will be limitless because of them.

That is our challenge as a manufacturer and patient-care provider. And the world is already starting to see this today, as they watch American Ninja Warrior, the Paralympics, and Dancing With the Stars.”

RUSHTM Foot

Being a sponsor at the Assembly “allows us to maximize our exposure in the most effective avenues possible, so that we may connect with the market that may benefit the most from the products and services we have to offer,” says Richard Sainz, MA, CP, national clinical manager for Ability. The company participates in the Assembly “to stay informed and connected with the latest in O&P products, services, educational opportunities, trends, and industry advocacy. While we are viewed as industry experts in what we do, we rely on the experts at AOPA to keep us connected with our colleagues and provide us with the direction and advocacy we need to remain successful and keep our focus on what’s most important: successful outcomes and an improved quality of life for the patients we serve.”

Sainz foresees a positive evolution in product development as well as in the concerted effort to distinguish O&P as separate and independent of durable medical equipment. “We love being on the forefront of innovation with respect to material sciences and concepts, as well as efficient designs that have proven outcomes and benefits to the patient,” says Sainz. “We see a distinct shift in professional practice where practitioners are seeking out and demanding evidence-based outcomes and data-driven results as the essential criteria from which to make clinically appropriate decisions.”

Agilium Freestep Less pain. More Life.

Uniquely treats knee osteoarthritis at the foot

Helps eliminate traditional patient compliance issues including migration

Lightweight minimalist design can easily be concealed under clothing

Visit us at AOPA booth #306 or speak to your sales representative.

ASSEMBLY SPONSORS 2016

2016 SPONSORS AOPA thanks the following companies for their generous support and sponsorship of the 2016 AOPA National Assembly.

Diamond Sponsors

Platinum Sponsors

Gold Sponsors www.bocusa.org

Silver Sponsors

SUPPORTING SPONSORS Amfit Inc. Aspen Medical Products Becker Orthopedic Appliance Co Cascade Dafo Inc. Click Medical Comfort Products FLO-TECH® Orthotic & Prosthetic Systems Inc HOPE O&P Careers Consortium KISS Technologies Levy & Rappel

52

SEPTEMBER 2016 | O&P ALMANAC

medi USA Northwestern University/Amputee Research Orthotic & Prosthetic Group of America (OPGA) OPIE Software PEL ProtoKinetics Gait Analysis Walkways Surestep Townsend Design US Member Society—ISPO VQ Orthocare

Össur Americas

Össur is sharing a full range of products at this year’s conference. “Our innovative prosthetic technologies include the new Pro-Flex line of prosthetic feet, the weatherproof RHEO KNEE 3 and RHEO KNEE XC, Low-Activity Solutions, and Unity Sleeveless Vacuum,” says Heather Hoover, director of product management, osteoarthritis (OA) and injury, for Össur. Other highlights include recently launched items in Össur’s OA and Injury Solutions bracing line.

“The Unloader line of osteoarthritis bracing features the clinically proven Unloader One knee brace and the new Unloader hip brace, the first brace on the market for conservative treatment of hip osteoarthritis,” says Hoover. “In addition, our growing line of Rebound injury solutions features the new, lightweight Rebound DUAL ligament knee brace and the Rebound PCL, the world’s first dynamic force posterior cruciate ligament brace. The Assembly this year is a perfect forum for us to showcase all these new technologies and advancements.”

Hoover believes the future is bright, with the constantly evolving innovation and mentality to design with patients’ needs in mind. “As a noninvasive orthopedic manufacturer, our goal is to provide the best patient outcomes and continuously strive to improve our products through innovation,” she says. “It’s exciting to know the sky’s the limit for O&P, and we are looking forward to helping practitioners provide cutting-edge technology to help their patients.”

Ottobock

Ottobock is excited to support the Paralympic spirit, and active lifestyles, at the 2016 Assembly, says Rod McCrimmon, director of marketing.

“We have a passion for the Paralympics and have provided over 80 technicians to support the games in Rio,” he says. “At Ottobock, we help people maintain or regain their freedom of movement, and every Ottobock prosthesis or orthosis is designed to support improved activity and healthier lifestyles for patients.” Ottobock offers products “to support improved mobility for patients in rehabilitation, for confident ambulators, and for competitive or professional athletes,” says McCrimmon.

Ottobock is sharing several new products at the Assembly, including the 1E95 Challenger waterproof foot; the 1E91 Runner and 1E93 Runner Jr. running feet; the Dynamic Vacuum System (DVS) suspension system; the Agilium Freestep and Agilium Reactive unique patient solutions; the Kenevo microprocessor knee for the K2 ambulator; the e-Mano hand-cycle; and the Arctic Flash sledge-hockey system.

Ottobock will “continue to deliver innovation” in the areas of patient experience, health, and wellness, focusing on advanced technologies and improved services that enable patients to live life more fully, says McCrimmon. “The range of new technologies and innovation that Ottobock is developing … has breakthrough potential in a number of areas.

Focusing upon our mission to help people maintain and regain freedom of movement remains our forwardlooking guiding principle.”

Spinal Technology Inc.

Spinal Technology Inc. is celebrating its 25th anniversary in 2016 and has been a supporter of AOPA since its inception. “As a manufacturer located in the Boston area, we take great pride in welcoming the orthotic and prosthetic community from the United States, and internationally, to our city,” says Bob Burns, creative director, brand marketing.

The company strives to provide the best experience possible to practitioners looking for the highest quality orthotic and prosthetic fabrication services, says Burns. The company uses state-of-the-art manufacturing techniques performed by its staff of certified orthotists/prosthetists and technicians, with decades of experience, to ensure positive outcomes for practitioners and their patients.

“The future of the O&P field is exciting in many ways,” says Burns.

“Our industry is advancing with new technology with innovative uses of CAD/CAM, 3D printing, and microprocessors that will be used extensively in the future. The educational advancements—specifically, the master’s level educational requirement for dual certification—will strengthen the practitioners’ knowledge base to assist in providing higher-quality patient outcomes.”

WillowWood

“Numerous elements within the O&P industry, such as technology, research, coding, and legislature, have been advancing and changing at an ever-increasing rate,” says WillowWood President Ryan Arbogast. “New prosthetic research, the latest products, and education are key elements WillowWood focuses on while at the

AOPA National Assembly.” This year, WillowWood is active in offering educational workshops, presenting prosthetic free papers with new research, and introducing new apps at the Assembly. “We invest in sending staff of various disciplines to the show to teach, present, and visit with customers in our booth but also to attend sessions, meet with industry leaders, and support our distributors.”

WillowWood will be unveiling a new Alpha® Liner that, for the first time, includes both thermoplastic elastomer gel and silicone, says Arbogast. “The Alpha Duo™ Liner was developed based on a product concept from seven or eight years ago that we couldn’t produce at the time due to limits in existing technology…but we never forgot the concept. With today’s manufacturing technology and equipment, we put the concept back into development and have successfully created the Alpha Duo Liner so that amputees can experience the comfort of gel with mineral oil and have the durability and protection of silicone,” he says.

Arbogast notes that advancements have been happening in the form of new materials, new software capabilities, and new manufacturing techniques. “With each advancement in our industry, amputees and clinicians realize improvements in their prostheses or their patient care.”

O&P ALMANAC | SEPTEMBER 2016

53

EXHIBITOR DIRECTORY 2016

On the following pages is an advance look at the companies that will be exhibiting at the 2016 AOPA National Assembly. You’ll find website information and booth numbers for each exhibitor—use this guide and floor plan to organize your visit to the Exhibit Hall. Better yet, check out their websites now and plan ahead!

Welcome to Boston

HYNES CONVENTION CENTER

EXHIBIT HALL AMERICAN ORTHOTIC & PROSTHETIC

RECEPTION THURSDAY

SEPTEMBER 8-11, 2016

CONVENTION CENTER - EXHIBIT HALLS SEPTEMBER 8-11,HYNES 2016

SEPTEMBER 8, 2016

5:45 – 7:15 PM

BOSTON, MASSACHUSETTS

BOSTON, MA, USA

SHERATON ENTRANCE

66" TABLE W/10 CHAIRS

66" TABLE W/10 CHAIRS

66" TABLE W/10 CHAIRS

66" TABLE W/10 CHAIRS

66" TABLE W/10 CHAIRS

66" TABLE W/10 CHAIRS

66" TABLE W/10 CHAIRS

66" TABLE W/10 CHAIRS

66" TABLE W/10 CHAIRS

66" TABLE W/10 CHAIRS

66" TABLE W/10 CHAIRS

66" TABLE W/10 CHAIRS

66" TABLE W/10 CHAIRS

66" TABLE W/10 CHAIRS

66" TABLE W/10 CHAIRS

66" TABLE W/10 CHAIRS

66" TABLE W/10 CHAIRS

EE

FHC FE

329 228

330

327 325

JOS America/ Ottobock

224

320

323

OPGA

122 119 8'

116

8'

218

8'

318

525

424

523

422

521

SteeperUSA

420

519

520

8'

526

Touch Bionics 8'

Vorum

Cascade Orthopedic

1133

1032

1131

1134

Nabtesco Proteor-USA

medi USA

926

8' Spinal OPIE Technology Software Inc. 620

10'

718

1124

215

8' 1122 922

OHI 8'

1126

1026

824

418

8'

818

1022

918

1017

1120

10' 8'

1018

10'

616

113

10'

13'

Ottobock

Össur Americas

PEL

107

106

206

306

College Park

606

506

Freedom Innovations

12'

10'

Endolite

SPS

Raffle

OPTEC USA Inc.

New Products

512

111

105

832

726

626

BIONIX

109

732

1033

706

905

1006

11

16'

PLASMA FA N710

45

Reg Counter

ENTRANCE

ATTENDEE REGISTRATION

AED

Reg Counter Reg Counter Reg Counter Reg Counter 45

N710

45

N710

45

N710

45

N710

45

N710

45

N710

45

N710

FA

FA

10

45

SEPTEMBER 2016 | O&P ALMANAC

11

N710

54

12

45

SIGN-IN COUNTER

ATTENDEE REGISTRATION

9

1102

BADGE PICK UP

FA

N710

Reg Counter

45

FP

45

N710

ATTENDEE REGISTRATION

N710

SIGN-IN COUNTER

12'-8" CASHIER

1100

PLASMA

FA

45

103

45

N710

100

100A

N710

8

BADGE PICK UP

45

FA

N710

OA Display

FA

45

FA

N710

FA

7

BADGE PICK UP

45

SPEAKER READY

WELCOME BANNER

N710

FA PLASMA

FHC FE

45

FE

N710

902

6

EXHIBITOR REGISTRATION

45

FA

900

801

N710

FA

800 700

FE FE

45

301

N710

300

Reg Counter Reg Counter Reg Counter Reg Counter

202

5

EXHIBITOR REGISTRATION

45

FE FHC

N710

EE

EE

45

FA

FP

N710

EE

FE FHC

EE

EXHI REGIST

unter Reg Counter

FP

4

45

115

8'

Knit Rite

426

Epica Applied Tech.

629

934

1136

N710

117

322

530

529 527

Orthomerica

EE

FHC FE

Comfort Products

PPT

EE

EE

1035

Trulife

334

838

736

EXHIBITOR LOUNGE

FHC FE

Orthomerica

Sensor Medica

Aspen Medical

EE

3

EXHIBITOR DIRECTORY 2016

ACOR Orthopaedic Inc. ............... 523 www.acor.com

ALPS South ................................... 1405 www.easyliner.com

Adaptec Prosthetics/ 5280 Prosthetics ............................ 228 www.adaptecprosthetics.com Additive O&P/Ability P&O ......... 1736 www.additiveoandp.com Advanced O&P Solutions LLC .... 418 www.aopsolutions.com

Bold listings indicate the exhibitor is a member with the American Orthotic & Prosthetic Association (AOPA).

ASSOCIATION

Allard USA Inc. ........................ 1526 www.allardusa.com

indicates the exhibitor is a S C&D Supplier Plus Partner with AOPA.

• indicates new exhibitor for 2016.

Exhibitors as of August 12, 2016.

SHERATON ENTRANCE NORTH

66" TABLE W/10 CHAIRS

66" TABLE W/10 CHAIRS

66" TABLE W/10 CHAIRS

66" TABLE W/10 CHAIRS

66" TABLE W/10 CHAIRS

66" TABLE W/10 CHAIRS

66" TABLE W/10 CHAIRS

66" TABLE W/10 CHAIRS

66" TABLE W/10 CHAIRS

66" TABLE W/10 CHAIRS

66" TABLE W/10 CHAIRS

66" TABLE W/10 CHAIRS

66" TABLE W/10 CHAIRS

66" TABLE W/10 CHAIRS

66" TABLE W/10 CHAIRS

66" TABLE W/10 CHAIRS

66" TABLE W/10 CHAIRS

66" TABLE W/10 CHAIRS

1234

1335

1636

1635

1736 1734

1333

1434

1433

1534

1533

1634

1633

1331

1432

1431

1532

1531

1632

1631

1329

1430

1429

1530

1529

1327

1428

1427

1629

1527

1425 1323

1424

Townsend Design

1317

Becker Orthopedic

1519 8'

1417

8'

10'

1205 1206

1104

1200 FA

1615

1311

1412

DAW Industries

1305

8'

ALPS

8'

Fillauer

1405

1505

FA

IBITOR TRATION

1723

1824

1721

1822

8' 1717

1818

1715

1816

1713

1814

1608

1300 1301 1302 FA

PLASMA FA

1813 1811

1707

1808

1807

EE

FA

SUITE2

1809

FHC FE

American Orthotic & Prosthetic Association (AOPA) ..................... 1615 www.aopanet.org

SUITE3

1810

1500 1501 1502 1600 1601 FAPLASMA

SUITE4

1709

EE FHC FE

SUITE5

SUITE1

10'

1605 16'

Friddle's 1201 Orthopedic1204

Tech Fabrication Lab

Tech Fab 1611 Contest 1607

ENTRANCE

American Prosthetic Components LLC ........................... 918 www.apcomponents.com Amfit Inc. ................................... 616 www.amfit.com Amputee Coalition ....................... 1224 www.amputee-coalition.org

• Anatomi Metrix Inc. ............... 1607 www.manu3lab.com

LEAD INFORMATION RETRIEVAL

Reg Counter Reg Counter Reg C 45

45

N710

N710

45

N710

45

N710

45

N710

3

AOPA

8' 1313

AED

106

Concession Stand

1212

1730

1623

Surestep

8'

American Central Fabrication ....... 111 Email: americancenfab@aol.com

Relaxation Station

1526

1222 1220

FHC FHC FE

1628

1224

1214

American Board for Certification in Orthotics, Prosthetics & Pedorthics (ABC).......................... 1529 www.abcop.org

EE

98'-6"

Mobile Charging Stations sponsored by Fillauer

American Academy of Orthotists & Prosthetists (AAOP).................. 107 www.oandp.org

66" TABLE W/10 CHAIRS

1238 1236

N

66" TABLE W/10 CHAIRS

PRIVATE MEETING ROOMS

66" TABLE W/10 CHAIRS

Alternative Prosthetic Services Inc. ................................... 1329 www.alternativeprosthetics.com

1

2

GBCVB BOOTH

O&P ALMANAC | SEPTEMBER 2016

55

EXHIBITOR DIRECTORY 2016

Board of Certification/ Accreditation, Int'l (BOC) ......... 1808 www.bocusa.org Anatomical Concepts Inc. .......... 1601 www.anatomicalconceptsinc.com

Cascade Orthopedic Supply Inc. ...................................... 824 www.cascade-usa.com

www.bocusa.org

CBS Medical Billing & Consulting, LLC ............................ 1205 www.cbsmedicalbilling.com

Bort-Swiss Orthopedic Supply ... 1311 www.bort-swissortho.com

•Charcot Marie Tooth Association ..... 1811 www.cmtusa.org

•Apex 360 Systems, LLC .............. 113 www.apex360systems.com

Boston Brace International Inc./dba NOPCO ............................ 629 www.bostonbrace.com

CGS Administrations ( DME MAC Medical Contractors) ........................... 1530 www.cgsmedicare.com

Apex Foot Health Industries......... 818 www.apexfoot.com

Breg .................................................. 322 www.breg.com

CJ Socket Technology ................. 1200 www.cjsocket.com

Apis Footwear ..........................1608 www.apisfootwear.com

Bremer Group Co., The ............... 1527 www.bremergroup.com

Click Medical .................................. 1131 www.clickmedical.co

Arizona AFO Inc. ............................ 818 www.arizonaafo.com

Brightree LLC ................................. 424 www.brightree.com

Clinical Education Concepts .......... 1238 www.cecpo.com

Aspen Medical Products ............ 1032 www.aspenmp.com

Bulldog Tools Inc. ......................... 1106 www.bulldogtools.com

Coapt LLC ...................................... 1432 www.coaptengineering.com

Becker Orthopedic Appliance Co. ................................ 1417 www.beckerorthopedic.com

Cailor Fleming Insurance .............. 521 www.cailorfleming.com

College Park Industries ............... 606 www.college-park.com

Anodyne ......................................... 1412 www.anodyneshoes.com

•APDM Wearable Technologies .. 1124 www.apdm.com

Comfort Products Inc. .................. 426 www.comfortoandp.com

biodesigns inc. ................................ 422 www.joinHiFi.com BionX Medical Technologies .. 512 www.bionxmed.com BioSculptor Corp. ......................... 1301 www.biosculptor.com

• Corflex ......................................... 300 •Capron Prodologie ................... 1428 Email: contact@capronpodoloie.com Cascade Dafo Inc. ................... 1323 www.cascadedafo.com

www.corflex.com

Coyote Design & Mfg Inc. ............. 420 www.coyotedesign.com Create Prosthetics ......................... 105 www.createprosthetics.com Curbell Plastics, Inc. .......................... 519 www.curbellplastics.com DAW Industries Inc. .................... 1305 www.daw-usa.com Design Interactive Inc. ............... 1636 designinteractive.net DJO ................................................. 1424 www.djoglobal.com

•Dralla Foundation ........................ 1810 www.dralla.org

56

SEPTEMBER 2016 | O&P ALMANAC

It’s not endo or exo, it’s

Proximal Attachment with Open Distal End

Multiple Attachment Options

This feature allows easy access for pull-in designs and provides the amputee with a transfer of force proximal to the cut bone end.

The NEXO system offers two socket ring options: set screws for easy adjustment and adhesive for a lowprofile, cosmetic finish.

Flexible PEEK Rods The NEXO’s PEEK rods are lightweight and strong.

Because of their flexibility, they reduce rotational and perpendicular vibration to the residual limb.

Quick Disconnect Wrist Included Simply change terminal devices with the USMCstyle quick disconnect wrist, previously only available for use in an exoskeletal system.

www.fillauer.com © 2016 Fillauer LLC

EXHIBITOR DIRECTORY 2016

Lyft .................................................... 103 www.lyft.com

• Mac Dowell Silicones ................. 1126 www.macdowell.it Makstride Prosthetics ................. 1214 www.makstrideprosthetics.com Martin Bionics ............................... 900 martinbionics.com M-Brace/MIH International ........... 323 www.m-brace.com Drew Shoe Corp. ............................ 1629 www.drewshoe.com

• Fusiform Medical .................... 1430 www.fusiform.co

MD Orthopaedics Inc. ................... 116 www.mdorthopaedics.com

Endolite ...................................... 905 www.endolite.com

Grace Prosthetic Fabrication Inc. ............................ 1206 www.gpfinc.com

Med Spec (ASO EVO) ................. 1500 www.medspec.com

• HOPE O&P Careers

Medex International Inc. ............. 330 medexinternational.com

Consortium ..................................... 1713 www.HOPEcareers.org Epica Applied Technologies ........ 526 www.epicatech.com Engineered Silicon Products LLC .... 1533 www.wearesp.com Fabtech Systems LLC .................. 1035 www.fabtechsystems.com Fillauer ...................................... 1505 www.fillauer.com

Infinite Biomedical Technologies .................................. 1635 www.i-biomed.com Janco Inc. ........................................ 527 www.janco-inc.com

KISS Technologies LLC ................. 922 www.kiss-suspension.com

FLO-TECH® Orthotic & Prosthetic Systems Inc. .............. 1300 www.1800flo-tech.com

Knit-Rite Inc. ................................... 218 www.knitrite.com

• Foot Solutions ........................... 1134 www.footsolutions.com

Langer Biomechanics .................... 818 www.langerbiomechanics.com

Freedom Innovations LLC ............ 706 www.freedom-innovations.com

LegWorks ....................................... 1136 www.LegWorks.org

Friddle’s Orthopedic Appliances Inc. .............................. 1201 www.friddles.com

Levy & Rappel ................................ 530 www.LevyandRappel.com

SEPTEMBER 2016 | O&P ALMANAC

Mile High Orthotics Lab ............... 525 www.mholabs.com Mobility Saves............................... 1615 www.mobilitysaves.org

Kinetic Research Inc. ................... 1100 www.KineticResearch.com

KLM Laboratories ........................ 1502 www.klmlabs.com

58

medi USA ........................................ 926 www.mediusa.com

LIM Innovations ............................ 1433 www.liminnovations.com

• Mobius Bionics LLC ................. 1717 www.mobiusbionics.com Myomo ............................................ 1122 www.myomo.com Nabtesco & Proteor in USA ....... 1026 www.proteor.com Naked Prosthetics ......................... 202 www.nakedprosthetics.com National Commission on O&P Education (NCOPE) ........... 1632 www.ncope.org National Orthotic and Prosthetic Appeal Advocates ........................................ 1222 www.opappeals.com

EXHIBITOR DIRECTORY 2016

Orthomerica Products Inc. .832 & 838 www.orthomerica.com

• Peacocks Orthotics Ltd .......... 1434 www.podfo.com

NEAAOP-New England Chapter of AAOP................................................ 109 www.neaaop.org

Orthotic & Prosthetic Group of America (OPGA) ............................ 318 www.opga.com

• Pedorthic Foundation ............... 1807 www.pedorthicfoundation.org

New Options Sports ...................... 329 www.newoptionssports.com

Orthotics and Prosthetics One ... 320 www.oandp1.com

New Step Orthotic Lab Inc. ........ 1313 www.newsteporthotics.com

• Osseointegration Group of

nora systems Inc. ........................... 934 www.nora-shoe.com Northwestern University/Amputee Research .......................................... 1813 www.amputeeresearch.com

Australia ......................................... 1431 www.osseointegrationaustralia.com.au

• OssKin ........................................ 1335 www.osskin.com Össur Americas .............................. 206 www.ossur.com

O&P Almanac .................................1615 www.AOPAnet.org

PEL .............................................. 506 www.pelservice.com Pinnacle Prosthetic labs ............. 1204 www.pinnlab.com

• Private Funding for Prosthetic

Devices ............................................ 1120 Pro-Tech Orthopedics ................. 1104 www.protech-intl.com ProtoKinetics Gait Analysis Walkways ...................................... 1628 www.protokinetics.com

• Qdesign ..................................... 1730 www.qdrobotics.com Ottobock ......................................... 306 www.ottobockus.com O&P EDGE/Amplitude ................. 732 www.oandp.com/edge O&P Business News/SLACK Inc... 1501 www.oandpnews.com Orthotic Holdings Inc.(OHI) ....... 818 www.ohi.net OP Solutions Inc ........................... 800 www.opsolutions.us OPAF & The First Clinics .............. 100 www.opfund.org OPIE Software ................................. 718 www.opiesoftware.com OPTEC USA, INC .......................... 106 www.optecusa.com Orfit Industries America .............. 902 www.orfit.com

• Original Bending Brace .......... 1220 www.cbb.org

60

SEPTEMBER 2016 | O&P ALMANAC

Renia GmbH ................................... 934 www.renia.com Restorative Care of America .......... 1531 www.rcai.com

Ottobock/Jos America .................. 122 www.josamerica.com P.W. Minor ........................................ 327 www.pwminor.com Paceline ........................................... 801 www.paceline.com

Royal Knit Inc. ................................ 529 www.royalknit.com RS Print ............................................ 301 www.rsprint.com

© Össur, 10.2015

PRO-FLEX

®

®

Less load, more dynamics™ The numbers don't lie. Compared to a conventional energy storing and return foot, Pro-Flex generates exceptional mechanical power and range of ankle motion to reduce the impact on the sound side. Over a lifetime of steps, the potential health benefits are clear.

93 82 11

%

increase in peak ankle power*

+

%

increase in range of ankle motion*

=

%

load reduction on the sound side*

Check out Pro-Flex at AOPA BOOTH 206, or online at www.ossur.com/proflex.

FOLLOW ÖSSUR ON © Össur, 09.2016

* Visit ossur.com/proflex for study reference.

USA (800) 233-6263 CANADA (800) 663-5982 WWW.OSSUR.COM

EXHIBITOR DIRECTORY 2016

Tillges Technologies/TCOP ........ 1427 www.tillgestechnologies.com Top Shelf Orthopedics ................. 1327 www.topshelforthopedics.com Touch Bionics ................................. 626 www.touchbionics.com Townsend Design .................... 1317 www.townsenddesign.com

RUSH Foot .................................... 1022 www.abilitydynamics.com

SteeperUSA .................................... 520 www.steeperusa.com

• Steps of Faith Foundation .......... 1532 www.stepsoffaithfoundation.org Sensor Medica ................................ 736 www.sensormedica.com

Streifeneder USA ........................ 1605 www.streifeneder-usa.com

• Sigvaris Inc. ................................. 1331

Surestep ......................................... 1519 www.surestep.net

Silipos Inc. ....................................... 224 www.silipos.com

Tamarack Habilitation Technologies Inc. .......................... 1425 www.tamarackhti.com

Soletech Inc. ................................. 1033 www.soletech.com

TechMed 3D Inc. ........................... 1333 www.techmed3d.com

Spinal Technology Inc. ............ 620 www.spinaltech.com

ThermoActive .............................. 1302 www.thermoactivemedical.com

www.sigvarisusa.com

TRS Inc. (Therapeutic Recreation Systems Inc.) ............ 1234 www.trsprosthetics.com Trulife ............................................. 1017 www.trulife.com Turbomed Orthotics .................... 1534 www.turbomedorthotics.com Ultraflex Systems ......................... 1212 www.ultraflexsystems.com US Member Society - ISPO .......... 1809 www.usispo.org Vorum .............................................. 726 www.vorum.com VQ Orthocare ................................ 1707 www.vqorthocare.com WillowWood .................................. 1018 www.willowwoodco.com

ThyssenKrupp AIN Plastics ....... 1102 www.ainplastics.com SPS ............................................ 1006 www.spsco.com SPS National Labs ....................... 1709 spsnatllabs.com

BUILD A

Better

ST&G USA Corp. ........................... 700 www.stngco.com St. Petersburg College ..................... 1814 www.spcollege.edu Standard Cyborg ........................... 1133 www.standardcyborg.com

62

SEPTEMBER 2016 | O&P ALMANAC

BUSINESS

www.AOPAnet.org

WITH AOPA

AOPA membership has its benefits.

Members save more than $300 on the National Assembly registration.

Visit www.AOPAnet.org/join today!

For us, it’s personal.

There’s a reason PEL was voted “Most Trusted O&P Distributor.” And it’s an honor we work hard to earn every day. Learn more at pelservice.com ©2015 PEL, LLC

MEMBER SPOTLIGHT

Hanger Clinic

By DEBORAH CONN

Seasoned Professionals Clinicians offer decades of O&P experience and first-hand knowledge to patients in the Sunshine State

L

EWIS MELTZER, CPO, HAS

been a practitioner for 45 years and a below-knee amputee for 67, as the result of an accident.

His professional longevity is not unusual at the Hanger Clinic in Hollywood, Florida, where he estimates a combined experience of around 120 years among himself; Jesse Mitrani, LP, ORF; and technician Ken White. Rounding out the staff are office administrators Vickie Hernandez and Michelle Gonzalez.

Lewis Meltzer, CPO

Jesse Mitrani, LP(C), ORF

64

SEPTEMBER 2016 | O&P ALMANAC

PHOTOS: Lewis Meltzer, CPO, LPO, of Hanger Clinic

Meltzer did not begin his career in O&P—he started off as an accountant. When he realized he wasn’t satisfied with that direction, he entered New York University in 1969 to study prosthetics. His long history as an amputee gives him a special insight into the evolution of prosthetics—his first artificial leg was wood. Since then, “I’ve worn anything that was available,” he says, “and as prosthetic technology evolves, I’m fortunate to be able to try the components that are a good fit for me and my lifestyle.

“That experience helps me guide my patients. Often an amputee will say, ‘You don’t know what this feels like.’ But I do.

Certainly you don’t have to be an amputee to be a good prosthetist, but it does give me a deeper connection to my patients.”

The facility where Meltzer and Mitrani work, which was bought by Hanger Clinic eight years ago, occupies a ground-floor office in a threestory building.

The practitioners primarily see prosthetic patients off-site, in nursing facilities, private homes, and hospitals. “But if a case is more involved and we believe that Jesse Mitrani, LP(C), ORF, works a patient would with patient William Moses. be better served in the office, we can bring them here, where we have a small fitting room and a larger gait room,” says Meltzer.

The remainder of the facility is devoted to a fabrication lab FACILITY: and administrative functions.

Hanger Clinic The facility’s Florida location means that while Meltzer and LOCATION: Mitrani treat a few children and middle-aged adults, their biggest Hollywood, Florida patient population is seniors. “We OWNER: also see a lot more patients with diabetes than we used to,” he says.

Hanger Clinic, Orthotic patients account for Hanger Inc. a large percentage of the facility’s case load, and the practitioners fit HISTORY: a lot of therapeutic shoes, ankleEight years foot orthoses, back supports, and some upper-extremity orthoses.

After a patient has a prescription from his or her physician, Meltzer or Mitrani will typically visit the patient to evaluate what type of custom device is needed. This process includes documentation, and once the

office manager signs off on the paperwork, the clinician will return to measure the patient, using digital scanners whenever possible. Another visit is devoted to fitting the device, which is delivered soon after. Follow-up visits are unlimited, says Meltzer.

“I follow them forever. I believe in treating the patient in total, and we want to keep them happy.”

Being part of the Hanger Clinic network allows Meltzer to tap specialized resources when he needs to, he says. “I recently saw a patient with a nonunion fracture that had been healing for many years. The patient had undergone multiple surgeries. I wasn’t satisfied with what I could do for him, so I reached out to one of our specialists in another Hanger Clinic office, and now he’s following that patient.

“I’ve been in the business many, many years, but you’re never too old to say someone else has more expertise in another area. The important thing is customer satisfaction, and providing the best care we can.”

Like every other O&P practitioner, Meltzer faces a raft of paperwork. “Paperwork requirements have changed substantially throughout the years. We now we have a standard 12- to 15-page form just for evaluation, along with the work order form, the lab work order form, progress notes, and so on. It’s a significant change, but we understand the need to provide the best quality care and meet CMS and legal requirements.”

Because the staff at the Hanger Clinic in Hollywood has been together so long, the facility has a warm, friendly atmosphere, says Meltzer. “I’m proud that we’ve maintained the same basic staff for many years,” he says. “It’s kind of a family atmosphere.”

Deborah Conn is a contributing writer to O&P Almanac. Reach her at deborahconn@verizon.net.

BOC HELPS YOU get back to what matters

Considered the blue ribbon of accreditation, BOC equips your business with nationally recognized, in-demand credentials that ensure compliance with CMS. Plus, BOC’s award-winning staff will support you with one-on-one guidance throughout our streamlined accreditation process.

Visit our booth at the AOPA National Assembly for a chance to win an Amazon Echo!

1 color: PMS 534c

We’re with you every step of the way.

It’s our promise. Every patient. Every facility. Every day.

TM

White: reversed

O&P Facility Accreditation

CMYK: PMS 534c (C=100 M=80 Y=30 K=5)

bocusa.org

Black

877.776.2200

MEMBER SPOTLIGHT

Kingsley Manufacturing

By DEBORAH CONN

Third-Generation Manufacturing California company evolved from producing plastics to manufacturing and distributing O&P devices

C

HEMICAL ENGINEER KENNETH KINGSLEY founded

66

SEPTEMBER 2016 | O&P ALMANAC

COMPANY: Kingsley Manufacturing OWNER: Jeff Kingsley LOCATION: Costa Mesa, California HISTORY: 68 years

The company offers eight shades of color pigments to tint resin.

in three pieces,” explains Jeff Kingsley, Kenneth’s grandson, who owns the business today.

Throughout the 1970s, the company was run by Kenneth’s son-in-law, James Truesdell.

During this time, Kingsley Manufacturing became the first to carve toes into the mold in 1977, and throughout the 1970s and 1980s, the company extended the line to include 21 styles of SACH feet to accommodate varying heel heights of shoes.

“We make feet from 10 centimeters, to fit a six-month baby, to adult size 16,” says Kingsley.

Jeff Kingsley, who had graduated from the University of Southern California in 1978, took over when his uncle died in 1991 and has been at the helm since. He has served on the AOPA Board of Directors and has served as exhibits chairman for AOPA and for the American Academy of Orthotists and Prosthetists. “Most of my closest friends and mentors have come

from the industry,” he says.

The company continues to make SACH feet, which are still in demand—particularly because they are outside the purview of recovery audit contractors (RACs). “RAC audits don’t affect our products.

Being at the low end of the spectrum, we’ve kind of dodged those issues,” says Kingsley.

In addition, the company distributes prosthetic and orthotic devices and supplies, including products from Becker Orthopedic, Fillauer, and other companies. The distribution business is limited mainly to the southern California area, says Kingsley. “Our bread and butter is the SACH foot line and foot shells for various manufacturers who make high-tech feet. We also make eight shades of Kingsley color pigments to tint resin to match the user’s skin tones,” he says.

Kingsley Manufacturing occupies a 10,000-square-foot facility in Costa Mesa, California, with seven employees, including two administrative staffers and one in shipping. The company markets its products through its website and various industry publications.

Kingsley regularly attends AOPA and Academy national meetings.

New technology is important to the industry, Kingsley believes.

Yet sticking to the basics has served this business well for 68 years.

Deborah Conn is a contributing writer to O&P Almanac. Reach her at deborahconn@verizon.net.

PHOTOS: Kingsley Manufacturing

Kingsley Manufacturing in 1948 after he retired from Norris Industries. Kingsley produced a variety of plastic products, including fiberglass tops for MG cars. The company moved into prosthetics in 1953, almost by happenstance.

As the story goes, Kingsley was at a cocktail party with his friend Colonel Maurice Fletcher, who was in charge of the U.S. Army Prosthetic Research Laboratory—which, at the time, was searching for a company to produce cosmetic gloves for its newly developed prosthetic hand.

Fletcher introduced Kingsley to another manufacturer, who had the contract for making the gloves but had failed to come up with a viable product. The second manufacturer happily handed over his contract and his molds to Kingsley, who was then able to successfully fulfill the project.

Around the same time, the company began manufacturing the laminated Solid Ankle Cushion Heel (SACH) foot that had been developed at the Biomechanics Laboratory of the University of California—Berkeley under the guidance of Charles W. “Chuck” Radcliffe. In the early 1960s, Ottobock pioneered the molded SACH foot. Kingsley was able to duplicate this molding process, and avoided patent issues by changing the manufacturing process.

“Ours came out of the mold completely finished, rather than

Owner Jeff Kingsley with a prosthetic foot manufactured by the company

AOPA NEWS

SEPTEMBER 14

OCTOBER 12

Fill in the Blanks: Know Your Forms

Register for the September 14 Webinar Are you filling out all of your forms correctly? Join AOPA experts for the September 14 webinar and get answers to these questions: • Are your prescriptions compliant with Medicare?

• Are you putting all of the correct information on proof of delivery forms?

• Do you require a letter of medical necessity for your claims?

• When should the certifying statement be signed by the doctor?

Knee Orthosis Policy: The ABCs of the Local Coverage Determination and Policy Article

Register for the October 12 Webinar

AOPA members pay $99 (nonmembers pay $199), and any number of employees may participate on a given line. Attendees earn 1.5 continuing education credits by returning the provided quiz within 30 days and scoring at least 80 percent. Register at bit. ly/2016webinars. Contact Ryan Gleeson at rgleeson@ AOPAnet.org or 571/431-0876 with questions.

Register for the whole series and get three free webinars! The series costs $990 for members and $1,990 for nonmembers. All webinars that you missed will be sent as a recording. Register at bit.ly/2016billing.

68

SEPTEMBER 2016 | O&P ALMANAC

Join AOPA experts for the October 12 webinar, and find out everything you need to know about the proposed Local Coverage Determination (LCD) and Policy Article for knee orthoses: • Examine which addition codes can be used with each base code.

• Determine what documentation is needed for each type of knee orthosis.

• Determine when you may use the KX modifier on a KO claim.

• Review all other pertinent information found in the LCD and Policy Article.

AOPA members pay $99 (nonmembers pay $199), and any number of employees may participate on a given line. Attendees earn 1.5 continuing education credits by returning the provided quiz within 30 days and scoring at least 80 percent. Register at bit. ly/2016webinars. Contact Ryan Gleeson at rgleeson@ AOPAnet.org or 571/431-0876 with questions.

Register for the whole series and get three free webinars! The series costs $990 for members and $1,990 for nonmembers. All webinars that you missed will be sent as a recording. Register at bit.ly/2016billing.

Products & Services For Orthotic, Prosthetic & Pedorthic Professionals

AOPA MASTERING MEDICARE:

ESSENTIAL CODING & BILLING TECHNIQUES SEMINAR

LAS VEGAS

EARN

NOVEMBER 14-15 | 2016

AOPA Coding Experts Are Coming to Las Vegas The world of coding and billing has changed dramatically in the past few years. The AOPA experts are here for you! The Coding & Billing Seminar will teach you the most up-to-date information to advance the coding knowledge of O&P practitioners and billing staff.

The seminar features hands-on breakout sessions, where you will practice coding complex devices, including repairs and adjustments. Breakouts are tailored specifically for practitioners and billing staff. Take part in this seminar and better your business, your staff, and your patients!

Don’t miss the opportunity to experience two jam-packed days of valuable O&P coding and billing information. Learn more and see the rest of the year’s schedule at bit.ly/2016billing.

In this audit-heavy climate, can you afford not to attend?

14 CEs

Top 10 reasons to attend: 1.

Get your claims paid.

2.

Increase your company’s bottom line.

3.

Stay up-to-date on billing Medicare.

4.

Code complex devices

5.

Earn 14 CE credits.

6.

Learn about audit updates.

7.

Overturn denials.

8.

Submit your specific questions ahead of time.

9.

Advance your career.

10. AOPA coding and billing experts have more than 70 years of combined experience.

Find the best practices to help you manage your business.

Participate in the 2016 Coding & Billing Seminar!

Register online at bit.ly/2016billing. For more information, email Ryan Gleeson at rgleeson@AOPAnet.org. .

www.AOPAnet.org

AOPA NEWS WELCOME NEW MEMBERS

T

HE OFFICERS AND DIRECTORS of the American Orthotic & Prosthetic Association (AOPA) are pleased to present these applicants for membership. Each company will become an official member of AOPA if, within 30 days of publiwww.AOPAnet.org cation, no objections are made regarding the company’s ability to meet the qualifications and requirements of membership.

At the end of each new facility listing is the name of the certified or state-licensed practitioner who qualifies that patient-care facility for membership according to AOPA’s bylaws. Affiliate members do not require a certified or state-licensed practitioner to be eligible for membership.

At the end of each new supplier member listing is the supplier level associated with that company. Supplier levels are based on annual gross sales volume.

Dankmeyer Inc. 2401 W. Belvedere Avenue, Ste. 107 Baltimore, MD 21215 410/542-6500 Category: Patient-Care Affiliate Parent Company: Dankmeyer Inc., Linthicum Heights, MD

Dankmeyer Inc. 147 National Highway La Vale, MD 21502 301/777-7086 Category: Patient-Care Affiliate Parent Company: Dankmeyer Inc., Linthicum Heights, MD

Dankmeyer Inc. 403 Purdy Street, Ste. 203 Easton, MD 21601 800/879-1245 Category: Patient-Care Affiliate Parent Company: Dankmeyer Inc., Linthicum Heights, MD Prothotics Health 285 Sills Road, Bldg 3 E Patchogue, NY 11772 877/776-8400 Category: Patient-Care Facility John Affenita, CPO Advanced Orthotic Designs 3995 Sladeview Crescent, Unit 4 Mississauga, ON Canada L5L 5Y1 905/607-4022 Category: Patient-Care Facility Greg Belbin, CO

Is Your Facility Celebrating a Special Milestone?

O&P Almanac would like to celebrate the important milestones of established AOPA members. To share information about your anniversary or other special occasion to be published in a future issue of O&P Almanac, please email cumbrell@contentcommunicators.com.

The Source for Orthotic & Prosthetic Coding

T

HE O&P CODING EXPERTISE the profession has come to rely on is available online 24/7! LCodeSearch.com allows users to search for information that matches L Codes with products in the orthotic and prosthetic industry. Users rely on it to search for L Codes and manufacturers, and to select appropriate codes for specific products.

This exclusive service is available only for AOPA members.

Log on to LCodeSearch.com and start today.

Need to renew your membership?

Contact Betty Leppin at 571/431-0876 or bleppin@AOPAnet.org. www.AOPAnet.org

70

SEPTEMBER 2016 | O&P ALMANAC

McCleve O&P 5432 E Southern Avenue, Ste. 106 Mesa, AZ 85206 480/981-6767 Category: Patient-Care Facility Dean McCleve, CPO Prosthetic Rehabilitation Center 2 Winding Lane Newburgh, NY 12550 845/565-8255 Category: Patient-Care Facility Maggy Carubia Prosthetic Solutions Inc. 4000 Bienville Street, Ste. D New Orleans, LA 70119 504/500-1349 Category: Patient-Care Facility Curt Patton Rehability 12851 Fort King Road Dade City, FL 33525 352/437-3979 Category: Patient-Care Facility Cheriee Barajas

Manufacturers: AOPA is now offering Enhanced Listings on LCodeSearch.com. Don’t miss out on this great opportunity for buyers to see your product information! Contact Betty Leppin for more information at 571-431-0876.

D Diiggiittiizzeerr ++ LLaab b SSeerrvviicceess = =

FREE Scanner

No No monkey monkey business business The The perfect perfect fit fit for for your your busy busy office office

MARKETPLACE

Feature your product or service in Marketplace.

Contact Bob Heiman at 856/673-4000 or email bob.rhmedia@comcast.net.

Visit bit.ly/aopamedia for advertising options.

New AFO Gauntlets, Part of ACOR PRIME! Booth 523 A custom AFO Gauntlet is prescribed to assist in stability and allow functional mobility without demanding excessive energy. For 2016 Acor is now offering our refined-design AFO Gauntlets hand-made in our Cleveland, Ohio, facility as part of our new ACOR PRIME services.

ACOR PRIME is designed to eliminate pricing and shipping hassles, with free shipping both ways and standard orthotics mods included at no additional charge!

See our ad this issue for information regarding our new ACOR PRIME services or just call Acor at 800/237-2267.

ALPS EasyLiner™ Booth 1405 ALPS EasyLiner is formulated with EasyGel, which contains an antioxidant blend that is an effective hydroxyl scavenger and has been reported to have beneficial effects to the skin. It features a flat encapsulation for additional comfort, and high-performance fabric for more durability. The EasyLiner is available in 3-mm and 6-mm uniform thickness, or tapered 6/3-mm distal to proximal.

For more information, contact ALPS at 800/574-5426 or visit www.easyliner.com. ALPS is located at 2895 42nd Avenue N., St. Petersburg, FL 33714.

PDAC Approved A5513 Diabetic Insoles Booth 616 Custom-milled, not molded, EVA and approved for Medicare billing

by PDAC. Submit foam/crush boxes or Amfit digital orders for fabrication in three to five business days of receipt. Program pricing includes shipping to keep your costs low. Standard Bi-Lam and Tri-Lam plus toe fillers and Charcot foot styles. Do your office a favor and outsource your diabetic orthotic orders.

Program services start with FootPrinter Foam Boxes where no equipment is placed at your office. For lower fabrication pricing and more control over the orthotic design, talk with us about FreeScan and lease purchase requirements.

For complete details, please email sales@amfit.com or call toll-free 800/356-FOOT/3668, x266 or x264.

72

SEPTEMBER 2016 | O&P ALMANAC

Amfit Contact LT 3D Digital Casting Booth 616 The Contact LT retains all the accuracy and automatic offloading of the original Contact Pro Digitizer. Flash-Scan speed for casting and contour display in less than 10 seconds, thanks to eliminating the sensor lock. One button operates pins up, scan, and release, but sensor pressure is still adjustable to fit your preferred casting and treatment methodology. Offered in the FreeScan Program, the Contact LT is a great addition to clinic offices and mobile service providers. As with all Amfit equipment, the LT is designed and built in the USA. For complete details on the Contact LT and FreeScan please email sales@amfit.com or call 800/356-FOOT/3668, x266 or x264, today.

Peak Scoliosis Bracing System Booth 1032 Winner of the 2015 Spine Technology Award, the Peak Scoliosis Bracing System is a revolutionary new bracing system from Aspen Medical Products.

This innovative new concept in bracing is the only brace specifically designed for adults with scoliosis and has been shown to: • Significantly reduce pain • Increase mobility • Promote better posture • Improve the quality of life.

Code L1005 approved. Visit www.aspenmp.com.

Switch to BOC Today!

Booth 1808 Why make the transition to BOC? Award-winning customer service, www.bocusa.org nationally recognized credentials, and a user-friendly website are just a few of the benefits of choosing BOC. As your credentialing partner, we provide accreditation for your O&P facility at a discounted rate, guide you through the accreditation process, and support your future success!

Plus, it’s easy and free! Make the switch to BOC accreditation for no up-front cost.

Contact us today at 877/776-2200 or info@bocusa.org.

We’re with you every step of the way. It’s our promise.

Every patient. Every facility. Every day.TM

NEW ALPS SP Liner Superior Performance

Features our new ďŹ rm High Density Gel with black fabric.

R

www.easyliner.com info@easyliner.com

MARKETPLACE New OdysseyK3® Hydraulic Foot Booth 606 Introducing the next step in the Odyssey line of hydraulic feet from College Park, the OdysseyK3 utilizes the patented curved hydraulic ankle plus a higherfrequency carbon fiber foot base for increased dynamic response.

The robust ankle housing and angular positioning was designed for moderate-impact users able to balance without assistance. The combination of smooth hydraulics and a dynamic foot base brings exceptional performance during activities like aggressive city walking or multiterrain hiking.

See it in action at www.youtube.com/CollegeParkInd.

Your Image Just Got Better—ComfortFit’s NEW iPad Based Scanning System

Booth 426 ComfortFit Labs, with technology partner Tom-Cat Solutions, is now offering a full function scanning system that has integrated all hardware and software. iTOM-CAT is an iPad Air 2 based system. Imaging of the feet using the iTOM-CAT is quick and easy. The system uses a structured sensor to capture a 3D image that has an accuracy of less than 0.2 mm. If you would like additional information, including detailed pricing, please contact us by phone at 888/523-1600, by email at contact@ comfortfitlabs.com, or online at www.comfortfitlabs.com.

Sure Stance K3 Knee by DAW Industries Booth 1305: THK-4PSC This ultralight, true variable cadence, multiaxis knee is the world’s first nonmicroprocessor, four-bar stance-control knee. The positive lock of the stance control activates up to 35 degrees of flexion! The smoothness of the variable cadence, together with the reliability of toe clearance at swing phase, makes this knee the choice prescription for K3 patients not qualifying for a microprocessor knee.

For more information, call DAW Industries Inc. at 800/2522828, email info@daw-usa.com, or visit www.daw-usa.com.

74

SEPTEMBER 2016 | O&P ALMANAC

Cool Liner 2.0 Vertical Stretch Control (VSC) by DAW Industries Booth 1305: Cool Liner 2.0 VSC DAW, the world’s leading manufacturer in prosthetic socket interface (DAW Sheath/ Sock), has improved upon our unbelievably advanced Cool Liner™ technology to create a thermoformable gel socket liner that provides a level of socket comfort beyond what is thought possible. You will never go back after using our new and improved Cool Liner with patented Vertical Stretch Control (VSC)—no other liner provides total elimination of Vertical Stretch with this level of comfort.

For more information, call DAW Industries Inc. at 800/2522828, email info@daw-usa.com, or visit www.daw-usa.com.

Child Variable Cadence Multiaxis Knee Booth 1305: TK-4POC Never heard of before: This ultralight miniaturized knee provides the ultimate in function and dependability for the active above-knee child amputee or smaller petite adults. Designed as a four-bar Pneumatic Polycentric, the knee’s instantaneous center of rotation is projected proximally to the patient's residual limb.

The specially engineered alloy construction accommodates the most active child amputee or lightweight adult with uncompromising strength and durability.

For more information, contact DAW Industries Inc. at 800/2522828, email info@daw-usa.com, or visit www.daw-usa.com.

Introducing the Coneiak Mini Polishing Arbors From Fillauer!

Booth 1505 Perfect for your pediatric fabrication needs.

Use these with your Dremel or Trautman Carver to reach tight spaces and small edges. To order your five piece kit or individual arbor, contact Fillauer or your preferred O&P distributor today.

For more information, contact Fillauer at 800/251-6398, 423/624-0946, or visit www.fillauer.com.

MARKETPLACE Fusiform FusiformCAST Booth 1430 FusiformCAST is a software application that makes ordering your O&P devices much more easy and simple.

Clinicians can create a patient and add any media they’d like, including 3D scans, pictures, and videos. They can select a vendor and device through the platform and fill out a digital consistent form, which will overlay on the custom fabrication form.

If the fabricator is on the system, it can communicate directly with each of its clinics through messaging, and media annotations. CAST will forge the way to make a fully digital O&P ecosystem. For more information, call 714/623-3711 or visit www.fusiform.co.

LEAP Balance Brace Hersco’s Lower-Extremity Ankle Protection (LEAP) brace is designed to aid stability and proprioception for patients at risk for trips and falls. The LEAP is a short, semirigid ankle-foot orthosis that is functionally balanced to support the foot and ankle complex. It is fully lined with a lightweight and cushioning Velcloth interface, and is easily secured and removed with two Velcro straps and a padded tongue.

For more information, call at 800/301-8275 or visit www.hersco.com.

Infinite TT Booth 1433 The Infinite TT is a custom-molded, modular, and adjustable socket system for transtibial amputees. The thermoplastic carbon-fiber frame, hinging posterior strut, and BOA closure system draw in the medial and lateral walls to improve biomechanical control. The advanced pressure distribution system incorporates height adjustment and air bladders, designed in response to activity demands, pressure areas, and shape change. The colorful range of soft shell covers allows patients to choose the right style for them.

If you are interested in attending our Infinite TT AOPA workshop, please RSVP to RSVP@LIMInnovations.com.

76

SEPTEMBER 2016 | O&P ALMANAC

Infinite Socket TF Booth 1433 The Infinite Socket TF is a custom-molded, modular, and adjustable socket system for transfemoral amputees. It is a blend of advanced textiles and structural components, enabling transfemoral amputees to live beyond the limits of their prosthesis.

It is made of a modular four-strut configuration, base-plate, and an adjustable brim designed to adapt and conform to limb fluctuation. The Infinite Socket is the first truly adjustable socket that the patient and clinician can fine tune on the fly.

If you are interested in attending our Infinite Socket TF AOPA workshop, please RSVP to RSVP@LIMInnovations.com.

Introducing the Fuzion™ Family of Orthoses Booth 1433 Patients experience greater fit, function, and freedom with Orthomerica’s new Fuzion line of custom orthoses. The Fuzion’s design and materials ensure greater patient compliance for a variety of challenging clinical indications.

Available for both select adult and pediatric patients.

Key benefits: • Proprietary heat-adjustable plastic makes patient management much easier vs. traditional orthoses • New treatment options for patients historically not candidates for orthotic intervention and management • Fuzion’s compression design holds the patient in a secure, comfortable position while assisting with spasticity management • Accommodates volume changes.

Call 877/737-8444 or visit www.orthomerica.com.

Silicone Prosthetics to Restore the Original Appearance Custom fitted for the ultimate patient comfort.

Custom sculpted, in great detail, to the mirror image of the sound extremity.

Traditional prostheses have been fabricated primarily to restore function with little emphasis on the aesthetic appearance.

ARTech's natural looking restorations are virtually undetectable.

ARTech silicone prostheses can improve gait and posture, ease lower back pain, relieve pressure on bone spurs and other sensitive areas, protect the tissue from further injury, improve the operation of myoelectric hands, etc.

When a restoration has a natural appearance, sculpted and painted to match the opposite limb, as opposed to the robotic or mannequin look of traditional prostheses, utilization by the patient is maximized.

Office: (888) 775-5501 Fax: (972) 775-2000 www.artechlab-prosthetics.com

MARKETPLACE Looking for a Cost-Effective and Easy Scanning and Prosthetic Ordering System?

Booth 206 Now you can scan and order for under $400!

Download our free iPad app to your iPad, and use a commercially available 3D sensor for a cost-effective scanning and ordering solution, saving you hours of labor and days of time compared to casting.

The Össur Custom Solutions team can quickly design and fabricate your lower-limb socket, custom liner, or prosthetic solution, exactly how you want it, each and every time. And you won’t pay extra for smooth brim edges, alignment transfers, or even foam carvings. Learn more: ossur.com/c-sol.

C-Brace Booth 306 The C-Brace combines real-time gait analysis, the energy redistributing properties of carbon fiber, and the ability of software to customize joint response, freeing your patient to ambulate to his or her full potential. With a highly detailed fitting process facilitated by Ottobock clinical staff, we will work with you and your patient to create the ideal solution.

For more information on the C-brace, please visit the website professionals.ottobockus.com or contact your Ottobock sales representative.

Aqualine Booth 306 The pylons and adapters of Aqualine are covered with protective coatings to resist wear and corrosion. With galvanized bolts, all components of the Aqualine can be rinsed with clean water after use in bath, salt, and chlorine water. The 3WR95 Aqua knee includes a manual lock that prevents knee flexion, and the lightweight 1WR95 Aqua Foot has treads on the sole for extra traction in slippery areas.

For more information on Aqualine, please visit the website professionals. ottobockus.com or contact your Ottobock sales representative.

78

SEPTEMBER 2016 | O&P ALMANAC

How PEL Contributes to a Better Patient Experience Booth 506 Health-care business strategists are redefining value-based health-care delivery by placing greater emphasis on patient experiences. A recent study revealed the quality of care is strongly correlated with quality patient time.

PEL has a tradition of offering superior personal service that allows O&P practitioners to spend more time focusing on patients. Results from a recent study of O&P practitioners confirmed PEL’s superior personal service.

Personal service highlights: • Trustworthy representatives with authentic desire to help customers • Easiest to do business with on the website • Lowest in customer frustration.

If you desire a better distributor experience, try PEL, leading the O&P industry in customer service.

For more information, visit: www.pelservice.com or call 800/321-1264.

Spinal Technology Booth 620 Spinal Technology Inc. is a leading central fabricator of spinal orthotics, upper- and lower-limb orthotics, and prosthetics. Our ABC-certified staff orthotists/prosthetists collaborate with highly skilled, experienced technicians to provide the highest quality products and fastest delivery time, including weekends and holidays, as well as unparalleled customer support in the industry.

Spinal Technology is the exclusive manufacturer of the Providence Scoliosis System, a nocturnal bracing system designed to prevent the progression of scoliosis, and the patented FlexFoam™ spinal orthoses.

For information, contact 800/253-7868, fax 888/775-0588, email info@spinaltech.com, or visit www.spinaltech.com.

DAW’s SLK beats all other MPKs for 3.0 to 3.3 patients.

OPEN FORUM WELCOME... Call Stuart at 1-877-242-2423

in w n i Aw and

ou for y patient your

NO OTHER

TGK-5PSØSLK TGK-5PS1ØSLK

Microprocessor Knee

can match the SLK

(877) 242-2423

www.daw-usa.com

Copyright © 2012 DAW Industries, San Diego, CA. All rights reserved.

MARKETPLACE Access App Control Through Your Apple Watch!

Booth 626 • Tap the screen for quick grips™.

• Change selected quick grips™ using my i-limb™ app.

• Compatible with all i-limb™ hands manufactured after June 2013.

Visit Touch Bionics at AOPA in booth 626!

For more information, contact Touch Bionics Inc. at (855)MY iLimb or visit www.touchbionics.com.

WillowWood Custom Solutions Booth 1018 WillowWood’s Custom Solutions team is an extension of your facility. We accept casts and OMEGA®, STL, and AOP files to facilitate any clinician’s preferred workflow. Our capabilities include: • Positive model carvings • Lower-extremity diagnostic sockets • Single- and double-lamination sockets • Sockets with flexible liner and laminated frame • Lower-extremity foam cover shaping.

We’re pleased to offer the most competitive pricing for customized prosthetic fabrication. And with no hidden fees, it’s easy to see your total price at a glance. WillowWood Custom Solutions is your partner in providing patients with customized prosthetics.

For information, contact WillowWood at 800/848-4930 or visit willowwoodco.com.

New Alpha Liner Merges TPE Gel and Silicone Booth 1018 WillowWood’s new Alpha Duo™ Liner combines gel and silicone in one liner. Inside the Alpha Duo Liner is our comfortable, skin-friendly Alpha Classic® Gel with mineral oil. Alpha Silicone® coats the liner exterior for durability and protection. The final touch is a satin finish that slides against itself for easy donning without requiring lubricants.

Designed for transtibial or transfemoral use, the Alpha Duo Liner may be used with suction suspension or elevated vacuum. The liner retrofits with the fabricless Alpha SmartTemp® Liner used in the WillowWood One® system.

For more information, contact WillowWood at 800/848-4930 or visit willowwoodco.com.

2016 AOPA Coding Products Booth 1615 Get your facility up to speed, fast, on all of the O&P Health-Care Common Procedure Coding System (HCPCS) code changes with an array of 2016 AOPA coding products.

• Coding Suite (includes CodingPro single user, Illustrated Guide, and Quick Coder): $350 AOPA members, $895 nonmembers • CodingPro CD-ROM (single-user version): $185 AOPA members, $425 nonmembers • CodingPro CD-ROM (network version): $435 AOPA members, $695 nonmembers • Illustrated Guide: $185 AOPA members, $425 nonmembers • Quick Coder: $30 AOPA members, $80 nonmembers Order at www.AOPAnet.org or by calling AOPA at 571/431-0876.

80

SEPTEMBER 2016 | O&P ALMANAC

Custom AFO Gauntlets from ____________ ____________ ____________ ____________ ____________ ____________ ____________

                                                 

Made in the USA

Standard Features

 Soft Volara®-padded collar  Molded polypropylene inner shell with PORON® padding throughout  Lined with leather or optional X-Static®-lined NeoSponge™  Seamless footbed area  PORON® + Multicork™ orthotic  In-house turnaround time of 5-7 business days  PDAC Letters available at: www.acor.com/PDAC-Sadmerc.php

L1940 L2330 L2820 L5000 (G9118) CGC-002 CGC-002 Acor AFO Gauntlets are available with your choice of three polypropylene reinforcements.

Full Heel

G9210

G9230

Standard

G9231

Flexure Joint Articulating

Lace

CGC-002

CGC-003

Boot Hooks

Speed Lacer

www.acor.com

orderentry@acor.com

Leaf Heel

G9218

Dorsi-Assist Articulating

Chopart Toe Filler

18 Color Options!

Multiple Closure Options

CGC-001

Open Heel

CGC-004

Velcro

CGC-006

Lace/Velcro

(natural leather - colors may vary)

CGC-009

black

brown

bone

white

taupe

navy blue

oak

sand

pink

red

orange

yellow

purple

royal blue

kelly green

light grey

medium grey

sky blue

Navicular Strap

800-237-2267 (option 2)

Scan this barcode with your smartphone QR reader or visit: www.acor.com/downloads.html to download our new catalogs

Look for us:

You

Tube

AOPA NEWS

CAREERS

Opportunities for O&P Professionals

Pacific

Job location key:

CO/CP/CPO

- Northeast - Mid-Atlantic - Southeast - North Central - Inter-Mountain - Pacific

Hire employees and promote services by placing your classified ad in the O&P Almanac. When placing a blind ad, the advertiser may request that responses be sent to an ad number, to be assigned by AOPA. Responses to O&P box numbers are forwarded free of charge.

Include your company logo with your listing free of charge.

Deadline: Advertisements and payments need to be received one month prior to publication date in order to be printed in the magazine. Ads can be posted and updated any time online on the O&P Job Board at jobs.AOPAnet.org. No orders or cancellations are taken by phone. Submit ads by email to landerson@AOPAnet. org or fax to 571/431-0899, along with VISA or MasterCard number, cardholder name, and expiration date. Mail typed advertisements and checks in U.S. currency (made out to AOPA) to P.O. Box 34711, Alexandria, VA 22334-0711. Note: AOPA reserves the right to edit Job listings for space and style considerations.

O&P Almanac Careers Rates Color Ad Special 1/4 Page ad 1/2 Page ad

Member $482 $634

Listing Word Count 50 or less 51-75 76-120 121+

Member Nonmember $140 $280 $190 $380 $260 $520 $2.25 per word $5 per word

Fresno/Sacramento, California; Medford, Oregon; Richland, Washington Established in 1987, Pacific Medical Prosthetics and Orthotics has become a tenured company in the industry for patientcare products and services. With the heart of the company dedicated to helping and serving others, we are currently seeking four candidates as follows: a certified orthotist or a certified prosthetist/orthotist in Fresno and Sacramento, California; a certified prosthetist/orthotist in Medford, Oregon; and a certified prosthetist or certified prosthetist/ orthotist in Richland, Washington.

We are looking for seasoned practitioners with experience in practice management, clinical expertise in outpatient and inpatient settings, organization and maintenance of an O&P facility, fabrication, fitting, and a willingness to work within a dynamic team. All positions as aforementioned are excellent opportunities for candidates that are selfdriven/motivated with an entrepreneurial spirit looking to produce results in an expanding market. Competitive salary, benefits, and profit sharing offered based on experience.

Interested candidates should email inquiries/résumé to:

Nonmember $678 $830

Pacific Medical Prosthetics and Orthotics Email: careers@pacmedical.com Fax: 209/834-0690

ONLINE: O&P Job Board Rates Visit the only online job board in the industry at jobs.AOPAnet.org.

Job Board

Member Nonmember $85 $150

For more opportunities, visit: http://jobs.aopanet.org.

BUILD A

Better

SUBSCRIBE

A large number of O&P Almanac readers view the digital issue— If you’re missing out, apply for an eSubscription by subscribing at bit.ly/AlmanacEsubscribe, or visit issuu.com/americanoandp to view your trusted source of everything O&P.

82

SEPTEMBER 2016 | O&P ALMANAC

BUSINESS WITH AOPA

www.AOPAnet.org

AOPA membership has its benefits.

Members save more than $300 on the National Assembly registration.

Visit www.AOPAnet.org/join today!

CAREERS

RIDE THE WAVE WITH

THE TRUSTED SOURCE FOR THE O&P PROFESSION

Cailor Fleming Insurance has been a trusted insurance agency for years—let our experience and lasting service speak for itself. Because of the unique exposures the O&P industry faces, we designed an insurance program specifically for these risks and offer comprehensive protection that helps your business succeed, whether it’s a patient care facility, central fab, manufacturer or distributor.

800-796-8495

Gain your peace of mind with a customized insurance plan specific to YOUR business by calling Cailor Fleming at 800/796-8495.

http://cailorfleming.com/OandP.asp

AOPA’S INSURANCE PROGRAM— Practitioners trust us most because we know your business and we know insurance unlike any other program.

EXCLUSIVELY ENDORSED by the American Orthotic and Prosthetic Association

PROFESSIONAL LIABILITY

|

GENERAL LIABILITY

|

PROPERTY

|

AUTO

|

| SEPTEMBER O&P ALMANAC 2016&83 UMBRELLA | WORKERS COMP MORE

AOPA NEWS

CAREERS

Inter-Mountain

North Central

Prosthetic Technician

CO/CPO or Board-Eligible Practitioner, Certified Pedorthist, & Technician

San Antonio, Texas The Prosthetics Division of PVA exists to support the mission of PVA in providing comprehensive rehab services. The prosthetic technician position duties will provide clinical support, technical fabrication, equipment maintenance and inventory management, and perform various product and equipment repair duties. A prosthetic technician is primarily responsible for making artificial limbs used by the disabled.

Prosthetic technicians also may be required to repair existing artificial limbs. In order to perform these functions properly, prosthetic technicians will have to operate machinery and tools that assist in rebuilding, repairing, and fabrication of artificial limbs. Prosthetic technicians typically work in a laboratory setting under the guidance of a professional prosthetist and occasionally engage patients under the guidance of a certified prosthetist to perform repairs and product maintenance.

Preferable to have formal training from technical college; history of on-the-job prosthetic technical training is acceptable.

Minimum qualification is background in working with tools or in a medical setting. Must be competent in oral communication and writing skills and be able to interact with faculty and staff at various professional levels. This job does involve some lifting of patients, moving of heavy equipment on wheels (up to approximately 500 lbs) and moving patients in wheelchairs and stretchers, and does require prolonged standing, walking, and kneeling.

PVA offers great medical/dental/vision, FSA, and company-paid life insurance/STD/LTD/EAP, an awesome 401(k) with profit sharing, vacation/sick leave, and continuing education assistance.

Founded in 1975, PVA is one of the largest single-specialty vascular groups in the nation. Vascular surgeons are the only specialists extensively trained to provide the full range of treatment options including medical management, minimally invasive endovascular therapy, and traditional surgery. We offer a complete range of peripheral vascular surgery services.

With over 200 years of cumulative experience as “Doctors of Arteries and Veins,” our goal is to help patients with vascular problems, and to prevent future problems in those at risk.

For consideration, email résumé to:

Email: lmontejano@pvasatx .com

84

SEPTEMBER 2016 | O&P ALMANAC

Madison, Wisconsin The Aljan Company in Madison, Wisconsin, has immediate full-time openings for a certified orthotist or orthotist/ prosthetist, certified pedorthist, and a full-time technician.

Patient-care experience preferred for CO/CPO/CPed. Applicants must be able to work independently; be highly motivated; possess excellent communication, time management, and organization skills; and have the ability to work with patients of all ages. Applying CPO also must be available to work on-call weekends once a month.

We are a well-established, privately owned O&P company in South Central Wisconsin that prides ourselves on providing excellent patient care. We offer competitive salary and benefits package.

For additional information, please contact:

Alan Burke, BOCO Phone: 608/257-4256 Email: arbblinc@msn.com Website: www.aljan.com

North Central Certified Orthotist

Wyoming, Michigan How would you like to become a part of a team providing compassionate care to veterans?

The Battle Creek Veterans Affairs Medical Center is seeking a certified orthotist for its Wyoming, Michigan, facility.

Incumbent must possess a valid unrestricted driver’s license as travel is part of the job, for the provision of diabetic footwear.

Certification in orthotics is required at the practitioner level by the American Board for Certification in Orthotics and Prosthetics (ABC) or the Board for Orthotist/Prosthetist Certification (BOC) as an orthotist, prosthetist, or orthotist/prosthetist.

Wages are between $59,246 and $77,019, based on experience.

Contact Nanette.Swallow@va.gov for more information or to submit a résumé.

Check us out at: Website: www.battlecreek.va.gov

Immediate

Pain Relief for

Adult Scoliosis Patients

Visit us at AOPA

Booth 1034

Product Preview Theater Friday, September 9th, 1:30pm - 2:00pm Exhibit Hall

“Before I started wearing the brace, I was in excruciating pain. I wear it in the morning...and I’ll be good for the rest of the day.”

-Jennifer, CA

Introducing the New

Peak Scoliosis Bracing System

TM

This revolutionary new bracing system from Aspen was specifically designed for Adult Scoliosis patients and has been shown to: • Significantly Reduce Pain • Improve the Quality of Life • Increase Mobility

• Promote Better Posture • Increase Patient Compliance

Code L1005 Approved To place an order or for more information, contact your local Aspen Sales Representative or Customer Service at

800-295-2776

Life Changing Spinal Innovation

aspenmp.com

CALENDAR

2016

October 1

September 8-11

99th AOPA National Assembly. Boston. For exhibitors and sponsorship opportunities, contact Kelly O’Neill at 571/431-0852 or koneill@AOPAnet.org.

For general inquiries, contact Betty Leppin at 571/431-0876, or bleppin@AOPAnet.org, or visit www.AOPAnet.org.

September 12-17

ABC: Written and Written Simulation Certification Exams. ABC certification exams will be administered for orthotists, prosthetists, pedorthists, orthotic fitters, mastectomy fitters, therapeutic shoe fitters, orthotic and prosthetic assistants, and technicians in 250 locations nationwide. Contact 703/836-7114, email certification@abcop.org, or visit www.abcop.org/certification.

ABC: Practitioner Residency Completion Deadline for November and December Certification Exams. All practitioner candidates have an additional 30 days after the application deadline to complete their residency. Contact 703/836-7114, email certification@abcop.org, or visit www.abcop.org/certification.

October 1

ABC: Application Deadline for ABC/OPERF Student Award for Academic Achievement. Ten exceptional students will be selected to win $1,000 to cover educational expenses. For more info or to apply, go to operf.org.

October 12

Knee Orthosis Policy: The ABCs of the LCD and Policy Article. Register online at bit.ly/2016webinars. For more information, email Ryan Gleeson at rgleeson@AOPAnet.org.

Webinar Conference

September 14

Fill in the Blanks: Know Your Forms.

Register online at bit.ly/2016webinars. For more information, email Ryan Gleeson at rgleeson@AOPAnet.org.

Webinar Conference

September 23-24

POMAC (Prosthetic and Orthotic Management Associates Corporation) Fall Continuing Education Seminar. LaGuardia Airport Plaza Hotel, New York. Contact Drew Shreter at 800/946-9170, ext. 101, or email dshreter@pomac.com.

November 9

Don’t Miss Out: Are You Billing for Everything You Can? Register online at bit.ly/2016webinars. For more information, email Ryan Gleeson at rgleeson@AOPAnet.org.

Webinar Conference

November 14-15

AOPA Mastering Medicare: Essential Coding & Billing Techniques Seminar.

The Tropicana, Las Vegas. Register online at bit.ly/2016billing. For more information, email Ryan Gleeson at rgleeson@AOPAnet.org.

Seminar

No Application Deadlines BOC offers year-round testing with no deadlines. COF and CMF candidates can apply – test when ready and receive their results instantly.

Existing BOCO, BOCP, BOCPD candidates still have 3 years to take their exams. To learn more about our nationally recognized, in-demand credentials, or to apply now visit www.bocusa.org.

www.bocusa.org

SHARE

your next event!

86

Cascade Dafo Inc. Cascade Dafo Institute. Now offering a series of six free ABC-approved online courses, designed for pediatric practitioners. Visit www.cascadedafo.com or call 800/848-7332.

CE For information on continuing education credits, contact the sponsor.

Questions? Email landerson@AOPAnet.org.

Calendar Rates Let us

Online Training

CREDITS

Phone numbers, email addresses, and websites are counted as single words. Refer to www.AOPAnet.org for content deadlines.

Send announcement and payment to: O&P Almanac, Calendar, P.O. Box 34711, Alexandria, VA 22334-0711, fax 571/431-0899, or email landerson@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. Note: AOPA reserves the right to edit calendar listings for space and style considerations.

SEPTEMBER 2016 | O&P ALMANAC

Words/Rate

Member

Nonmember

25 or less

$40

$50

26-50

$50 $60

51+

$2.25/word $5.00/word

Color Ad Special 1/4 page Ad

$482

$678

1/2 page Ad

$634

$830

CALENDAR

December 14

New Codes and What Lies Ahead for 2017. Register online at bit.ly/2016webinars.

For more information, email Ryan Gleeson at rgleeson@AOPAnet.org.

Webinar Conference

2017

Membership has its benefits:

BUILD A

Better BUSINESS

September 6-9

WITH AOPA

100th AOPA National Assembly.

Las Vegas. For exhibitors and sponsorship opportunities, contact Kelly O’Neill at 571/431-0852 or koneill@ AOPAnet.org. For general inquiries, contact Betty Leppin at 571/4310876, or bleppin@AOPAnet.org, or visit www.AOPAnet.org.

LAS VEGAS SEPT. 6-9

Learn more at www.AOPAnet.org/join

ADVERTISERS INDEX

Company

Page Phone

Website

ACOR Orthopedics Inc.

23, 81

800/237-2276

www.acor.com

ALPS South LLC

45, 73

800/574-5426

www.easyliner.com

Amfit Amputee Coalition

31, 71 C3

800/356-3668 888/267-5669

www.amfit.com www.amputee-coalition.org//lled

Aspen Medical

33, 85

800/295-2776

www.aspenmp.com

77

888/775-5501

www.artechlab-prosthetics.com

ARTech Becker Orthopedic

9

800/521-2192

www.beckerorthopedic.com

Board of Certification/Accreditation

65

877/776-2200

www.bocusa.org

The Bremer Group

43

800/428-2304

www.bremergroup.com

Cailor Fleming Insurance

83

800/796-8495

www.cailorfleming.com

Cascade Dafo Inc.

59

800/848-7332

www.cascadedafo.com

College Park Industries

21

800/728-7950

www.college-park.com

49, 75

888/523-1600

www.comfortfitlabs.com

67

866/273-2230

www.cc-mfg.com

ComfortFit Orthotic Labs Inc. Custom Composite DAW

1, 79

800/252-2828

www.daw-usa.com

Fillauer

57

800/251-6398

www.fillauer.com

Fusiform Medical

29

714/623-3711

www.fusiform.co

Hanger Inc.

41

512/777-3800

www.EmpoweredCareers.com

Hersco

2

800/301-8275

www.hersco.com

Kingsley Manufacturing Company

7

800/854-3749

www.kingsleymfg.com

LIM Innovations

5

844/888-8LIM

www.liminnovations.com

Orthomerica

19

800/446-6770

www.orthomerica.com

Össur

61

800/233-6263

www.ossur.com

51, C4

800/328-4058

www.professionals.ottobockus.com

PEL

63

800/321-1264

www.pelservice.com

Spinal Technology

15

800/253-7868

www.spinaltech.com

Ottobock

Touch Bionics

25

855/694-5462

www.touchbionics.com

WillowWood

39, Insert

800/848-4930

www.willowwoodco.com O&P ALMANAC | SEPTEMBER 2016

87

ASK AOPA CALENDAR

Rules for Repairs Billing and coding for repairs and adjustments to O&P devices

AOPA receives hundreds of queries from readers and members who have questions about some aspect of the O&P industry.

Each month, we’ll share several of these questions and answers from AOPA’s expert staff with readers.

If you would like to submit a question to AOPA for possible inclusion in the department, email Editor Josephine Rossi at jrossi@contentcommunicators.com.

Q

When billing for a repair or adjustment using the repair codes L4205 and L4210 for orthotic repairs or L7510 and L7520 for prosthetic repairs, are we required to use the directional modifiers LT or RT?

Q/

Is a new order/prescription required in order for me to conduct a repair or adjustment to an orthosis or prosthesis I originally provided?

Q/

No. Minor repairs and adjustments are covered under the original order/prescription for the lifetime of the device delivered to the patient. However, you should have documentation on file to support the need of the item being repaired.

Be aware, however, that if you are replacing a major component of the item being repaired, a new order/prescription is required.

A/

The directional modifiers RT and LT do not need to be included on your claim when billing for L4205, L4210, L7510, and L7520.

However, the RT and LT modifiers must be used when billing for specific replacement part codes, such as replacement straps, L4002.

A/

Is there a dollar limit to a “minor part” as described by L4210 and L7520?

What information should be included with my claims when billing with the repair codes?

No, Medicare has not set a ceiling for the minor part codes. Each claim is paid by individual consideration. However, there are limits regarding the amount Medicare will pay for a repair.

For example, if the expense involved with the repair, including labor and parts, exceeds the costs of providing a new item, no payment may be made for the amount of the excess.

A/

PHOTOS: Kingsley Manufacturing

A claim for the labor component of a repair (L4205 and L7510) should include information about what is being repaired or adjusted. A claim for the part component of a repair (L4210 and L7520) should include a description of the part being replaced.

A/

SEPTEMBER 2016 | O&P ALMANAC

The labor codes include only the time associated with conducting the physical repair or adjustment of the orthosis or prosthesis.

They do not include things such as evaluations, education/training, measurements, follow-up visits, etc.

However, the codes also include, or may be used to bill for, labor that was not done by you; the labor codes can include off-site labor that is charged to you by an outside source, such as a manufacturer.

A/

Q/

Q/

88

What is included with the time/labor component of the L4205 and L7510?

Q/

LIMB LOSS EDUCATION DAYS 2016 Join us in 2016 in the following cities:

A donor-supported nonprofit

“No other local gathering is as powerful and as important in educating, connecting people with local resources, and promoting healthy and fun adaptive recreation to the limb loss community.” ~ Jack Richmond, interim president & CEO, Amputee Coalition Amputee Coalition’s Limb Loss Education Days are wonderful opportunities to connect with knowledgeable experts, adaptive recreation leaders, exhibitors and the limb loss community near you!

For more information, visit: amputee-coalition.org/lled

Memphis, Tennessee Saturday, October 1, 2016 9am-4pm Sacramento, California Saturday, October 22, 2016 9am-4pm *Dates subject to change.

Accept the challenge The largest adaptive sports portfolio

Completely submersible Robust and ready for action

Walk2Run mode ideal for start-and-stop activities

professionals.ottobockus.com professionals.ottobock.ca