Industry ConcernsĪOPA has released an executive summary of the proposed LCD/Policy Article and has outlined major issues therein, as follows, along with their potential impacts and pathways to improvement: This particular draft LCD/Policy Article 'contains significant revisions from existing Lower Limb Prosthesis medical policy.' and some aspects 'appear to be incompatible with quality patient care,' reports the American Orthotic & Prosthetic Association (AOPA). The Durable Medical Equipment Medicare Administrative Contractors (DME MACs) have released a local coverage determination (LCD) draft policy for lower-limb prostheses LCDs are the basis for decisions made by a Medicare contractor's medical review staff in the absence of statute, regulations, or national coverage policy.
