Protects Medicare Orthotics and Prosthetics Patents From Substandard Care
Legislation that will reduce federal spending by eliminating fraudulent
payments from Medicare, while ensuring that adequate prosthetic and orthotic
services are provided to Medicare beneficiaries has been introduced. It is
called the Medicare Orthotics & Prosthetics Improvement Act.
Glenn ‘GT’ Thompson and Mike Thompson today introduced, the act.
unlicensed and unaccredited providers deliver prosthetic and orthotic services,
both Medicare beneficiaries and the American taxpayer are shortchanged,"
stated Rep. Glenn Thompson. "Despite previous Congressional mandates, not
enough has been done to ensure that legitimate and licensed practitioners are
providing these items and services. The Medicare Orthotics and Prosthetics
Improvement Act of 2013 will protect Medicare beneficiaries by identifying and
addressing fraudulent payments, and hold government accountable by reducing
fraud and abuse within Medicare.”
fraudulent providers out of the Medicare program will save money and help make
sure that high quality care is provided,” said Rep. Mike Thompson. “This bill
will strengthen Medicare benefits for orthotics and prosthetics beneficiaries
by reducing fraud and abuse, improving health care quality and reducing
Benefits Improvement and Protection Act of (BIPA), legislated by Congress in
2000, mandated that a "practitioner" or "supplier" had to
be certified in order to be paid for certain orthotic and prosthetic services
Center for Medicare and Medicaid Services (CMS) has not enforced these
provisions, which has contributed to fraudulent payments and leaving Medicare
patients vulnerable to substandard and in some cases duplicative or
Medicare Orthotics & Prosthetics Improvement Act of 2013 would require CMS
to reimburse only those providers who have been accredited or licensed in
orthotics and prosthetics.
Glenn Thompson, a former therapist and licensed nursing home administrator with
28 years of experience in a non-profit health care setting, currently serves on
the House Education & the Workforce Committee. Rep. Mike Thompson serves on the House Committee
on Ways and Means’ Health Subcommittee.