American Orthotic and Prosthetic Association 2018 Annual Report

AMERICAN ORTHOTIC & PROSTHETIC ASSOCIATION

www.AOPAnet.org

20I8

ANNUAL REPORT

AOPA’S MISSION Through advocacy, research and education, AOPA improves patient access to quality orthotic and prosthetic care.

AMERICAN ORTHOTIC & PROSTHETIC ASSOCIATION

ANNUAL REPORT

20I8 TABLE OF CONTENTS

LEADERSHIP REPORT 2 OVERVIEW OF ACCOMPLISHMENTS 2018 Advocacy

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2018 Research

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2018 Education

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MEMBERSHIP 13 AOPA’S VOLUNTEER LEADERSHIP 2018 Board of Directors

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2018 Workgroups and Committees

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2018 FINANCIAL HIGHLIGHTS How Are My Membership Dues Invested?

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Statement of Activities and Financial Position for 2018 Year End

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SPECIAL ACKNOWLEDGMENTS 18 2018 AWARD RECIPIENTS 20 2019 RESOURCE GUIDE 21 2019 CALENDAR OF EVENTS

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2018 AMERICAN ORTHOTIC & PROSTHETIC ASSOCIATION (AOPA)

LEADERSHIP REPORT 2018 was not without it’s challenges, but the feeling that stands out most upon reflection is not one of struggle, it is one of

SUCCESS.

—JIM WEBER, MBA

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AOPAN E T.ORG

LEADERSHIP REPORT

IT HAS BEEN AN HONOR to serve our profession in the role of AOPA President for the past twelve months.

It’s a tremendous responsibility that has been shared by many talented and dedicated colleagues before my tenure. 2018 was not without it’s challenges, but the feeling that stands out most upon reflection is not one of struggle, it is one of success. I am fortunate to share the responsibilities of leading this organization with a strong, dynamic Board. One that has embraced a renewed spirit of collaboration and inclusivity, with an intentional eye towards diversity.

All of healthcare has been under constant transition these past few years as our country has sought to bring better solutions to the cost and delivery of care and the number of people covered by adequate health insurance.

The orthotics and prosthetics profession, like many other healthcare professions, has struggled to balance doing more with less, while continuing to ensure the best possible care for our patients. Diligence in efforts to protect the services O&P professionals provide to their patients has never been more important.

AOPA’s advocacy has delivered some incredible victories in 2018. First, we can celebrate the legislation signed into law by the President on February 8, 2018 which mandated that orthotists and prosthetists notes be included in the patient’s medical record for purposes of determining medical necessity. Secondly, the interagency workgroup working on the flawed lower limb Local Coverage Determination proposal that would have forced a 1970s level of care on amputees was withdrawn and the current Local Coverage Determination continues.

And finally, the highly disruptive “Dear Physician Letter” from August 2011 has been retired, removed, and replaced with a revised version that acknowledges the notes of O&P practitioners as part of the medical record for medical review purposes.

Another important AOPA advocacy effort in 2018 focused on ensuring that the VA continued to allow Veterans to exercise their choice for private sector care. AOPA was also successful in arguing against a 14% Medicare rate reduction on diabetic shoe inserts. This positive outcome also set a precedent for other codes where new technology may replace older fabrication methods.

Research has become a key strategic issue for our members, and AOPA has become a leader in funding O&P research. The Prosthetics 2020 initiative continues sponsoring research to ensure prosthetics are properly positioned for the future value-driven healthcare system.

Research is needed to improve future reimbursements and to match appropriate technology to patient needs. One important project under way explores the health economic benefits of allowing patients with K 2 functional levels to receive microprocessor prostheses. AOPA has proposed this project for possible partnership with the Center for Medicare and Medicaid Innovation (CMMI), which tests models that improve care, lower costs and better align payment systems to support patient centered practices.

Through the Orthotics 2020 initiative, AOPA, O&P manufacturers, patient care facilities and others have committed grant funds for clinical research in four areas: osteoarthritis, stroke, traumatic spinal injuries and plagiocephaly. The work of the fifth work group on scoliosis is beginning. O&P needs a stronger research basis on the value of orthotic services to support future reimbursement.

Left to right: Natalie Harold, CP; Nicole Ver Kuilen; and David Boone, PhD; meet with Nico Janssen, Healthcare Legislative Assistant to Senator Maria Cantwell (D-WA) to discuss the Medicare O&P Improvements Act during the 2018 Policy Forum AOPA, along with Dr. David Boone, MPH, PhD, and a group of University of Washington computer science engineering students has developed an application that walks clinicians through an outcomes measurement with written and video instructions. A written report serves as documentation and communicates what the results mean for the patient.

The Outcome Assessment & Reporting System (OARS) is currently in beta testing.

Change is inevitable in any organization. A few changes of note in 2018 include an amendment to the bylaws, approved by Membership, changing the word “eligible” in reference to affiliate locations to “assessed.” AOPA’s Board and members believe this will encourage fairness in support of AOPA through dues. Renewal of all affiliate locations reflects the value each O&P business receives from AOPA’s advocacy and research on important reimbursement issues.

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LEADERSHIP REPORT

AOPA BOARD OF DIRECTORS Top row, left to right: David Boone, PhD; Jeff Collins; Jeff Lutz, CP; Mitchell Dobson, CPO; Richard Riley; and David McGill, JD Bottom row, left to right: Brad Ruhl; Michael Oros, CP, FAAOP; Jim Weber, MBA; Traci Dralle, CFm; Jeff Brandt, CPO; and Teri Kuffel, JD

Due to unforeseen circumstances, our president-elect withdrew from AOPA’s board. As a result, as your currently serving president I agreed to serve another year with the invaluable commitment from your Immediate Past President, Michael Oros to also serve another year, while Jeff Lutz, President-Elect, prepared for his new role.

Our longtime Executive Director, Tom Fise, concluded his tenure with AOPA after twelve challenging but hugely successful years on behalf of our O&P community. The profession benefitted tremendously from Tom’s leadership.

Eve Lee, MBA, CAE

We are excited to welcome Eve (Humphreys) Lee, MBA, CAE, as AOPA’s new Executive Director. She possesses the experience and expertise to lead AOPA and expand our influence and leadership in healthcare.

Looking forward to 2019, we will continue to address the challenges facing the profession. AOPA has enjoyed considerable success this past year on longstanding issues, and we will continue to work hard to support the profession on reimbursement issues and to support technological advancements for our patients. The need to collaborate on all of our advocacy, research, and education initiatives with all key stakeholders—AOPA,

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AOPAN E T.ORG

www.bocusa.org

AAOP, NAAOP, ABC, BOC, NCOPE and the Amputee Coalition—is paramount. AOPA does not stand alone in these initiatives. Member support will ensure this important work continues.

We hope to see you this spring at the Policy Forum and at the 2019 Assembly, September 25-28, 2019, in San Diego, California at the spectacular, San Diego Convention Center.

JIM WEBER, MBA

AOPA President

2018 AOPA OVERVIEW OF

ACCOMPLISHMENTS ADVOCACY— AOPA’S 2018

GRAND SLAM

AOPA’s advocacy on behalf of members delivered some incredible wins in 2018.

Consider how these results impact the bottom line of O&P business: ✔✔ Orthotists and prosthetist notes are now recognized as part of the patient’s medical record. ✔✔ Comparable reimbursements were secured for devices made using direct milling technology. ✔✔ The “Dear Physician” letter for artificial limbs and the Draft LCD and Policy Article for Lower Limb Prosthetics were both retired.

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OVERVIEW OF ACCOMPLISHMENTS

ORTHOTISTS AND PROSTHETISTS NOTES This past year has been marked with important legislative and regulatory progress on several longstanding legislative priorities. 2018 started with a legislative victory when Congress recognized the orthotist’s and prosthetist’s notes as being part of a patient’s medical record for purposes of medical necessity. This provision was a key component of the O&P Medicare Improvements Act (H.R. 2599/S.1191) and by pushing this section as a stand-alone item, it was signed into law as part of a Bipartisan Budget Act of 2018 that passed in February. By this change becoming statute, we have provided confirmation that both orthotist and prosthetist notes will be considered by CMS to be officially part of the patient’s medical record for purposes of medical necessity, and with potential assistance with RAC and pre-payment audits.

RETIREMENT OF DRAFT LCD POLICY ARTICLE After a sustained effort by AOPA, the O&P Alliance and others, CMS concurred with its Lower Limb Interagency Workgroup’s recommendation that the draft LCD and Policy Article for Lower Limb Prostheses, initially released on July 16, 2015, should be removed from the DME MAC websites and that the current LCD and Policy Article should remain in force for the immediate future. In June, the DME MACs released a joint publication announcing the retirement of both the draft LCD and Policy Article. The removal of the Draft LCD has been a major goal of AOPA and our lobbying efforts since it was introduced in 2015, because of limitations it put on patient care and reimbursement.

VETERANS CARE

DEAR PHYSICIAN LETTER Four DME MACs published an announcement that the “Dear Physician Letter” on lower limb prosthetics is being retired due to guidance from CMS. While the retirement of the “Dear Physician” letter does not mean that DME MACs will no longer require physician documentation to support claims for artificial limbs, it is a clear indication that they acknowledge and understand that the provisions of the original “Dear Physician letter” are no longer consistent with the law and therefore are not a prerequisite and cannot be used as the sole justification for denying a Medicare claim.

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AOPAN E T.ORG

The Department of Veterans Affairs published a proposed rule to “reorganize and update” the regulations on prosthetics and rehabilitative items and services for veterans. AOPA opposed this significant threat to longstanding VA policy and care to veterans.

The rule was in direct conflict with the Veteran’s Access, Choice, and Accountability Act of 2014. AOPA sought, received, and submitted to the VA a legal opinion highlighting the longstanding legal commitment by the VA to permit many Vets to exercise their choice for private sector care. After soliciting membership to assist in responding to this VA rule, more than 250members submitted comments through AOPAvotes, whilst AOPA also published an ad in Politico to highlight the inconsistency of the proposal with the concept of“choice” for veterans. Upwards of 80% or more of the prosthetic services are provided to veterans through private O&P practices. A shift to the delivery of care to the VA clinic would result is many millions of dollars in lost revenue. Some O&P practices rely on VA business to sustain their practice. While we await final word, we are confident that the VA rule will not go forward in any form close to what was proposed in October 2017.

OVERVIEW OF ACCOMPLISHMENTS

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CO-OP USERS DIABETIC SHOE INSERTS AOPA spent many months in 2017 and 2018 challenging CMS’s attempts to reimburse less for diabetic shoe inserts based on fabrication methods, and achieved another victory when CMS agreed to its continuation of reimbursement with the new milled from scan shoe insert codes at the same level paid for A5513. This positive outcome sets a precedent for other codes where new technology may replace older fabrication methods. Initially, Medicare was not going to cover direct milled inserts at all. This could have meant the potential loss of millions of dollars of revenue. When CMS decided to cover diabetic shoe inserts, they proposed a 14% rate reduction which would have had a significant impact on revenue, prior to AOPA’s intervention and strong advocacy.

ESSENTIAL HEALTH BENEFITS AOPA submitted comments twice to CMS expressing the need to protect orthotic and prosthetic care within the scope of essential health benefits under the Patient Protection and Affordable Care Act. First, when CMS was deciding how it would provide flexibility to states to define essential health benefits, AOPA emphasized that orthoses and prostheses must remain essential health benefits and any action by CMS that restricts or reduces access to O&P services is not in the best interest of quality patient care. Later, in 2018, we responded with similar arguments with respect to CMS’ proposal to change the definition of the term “employer” as it relates to association health plans and whether those plans would cover essential health benefits.

TECHNICAL ASSISTANCE

3,000+

Number of technical assistance calls answered for Members

QUALIFIED PROVIDER PROVISIONS – BIPA 427 Late last year, CMS announced that it had withdrawn the proposed rule that represented the first step in creating regulations that would implement the qualified provider provisions for prostheses and custom fabricated orthoses legislated in section 427 of the Benefits Improvement and Protection Act of 2000 (BIPA). While the proposed rule was far from perfect we had hoped that issues that were of significant concern to several provider groups, who viewed the proposed rule as a threat to their ability to continue to provide services within their scope of practice, could have been addressed through changes in a final rule rather than through the complete withdrawal of the proposed rule.

But within the context of last year’s changes in administration and the priority the administration placed on regulatory burdens on businesses, the opposition from several high-profile provider groups, and the restrictive language that would significantly limit certain providers from continuing to provide custom orthoses and prostheses resulted in the proposed rule’s withdrawal.

Currently, we are still without regulations to implement a law that was passed more than 18 years ago. And lack of this rule exposes the Medicare population to no regulation regarding what qualifications are required to provide custom orthotic and prosthetic services. AOPA advocates for members in every meeting and venue where we can offer our input, and we will continue to fight for members.

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OVERVIEW OF ACCOMPLISHMENTS

RESEARCH O&P research is necessary to measure patient outcomes and support reimbursement.

PROSTHETICS

2020

PROSTHETICS 2020 In the next year, AOPA will continue to ensure that prosthetics are properly positioned for the future value-driven healthcare economy with four key goals – (1) improve the future reimbursement for lower extremity prosthetics (LEP); (2) match appropriate technology to patient needs instead of payer forced lowest cost technology to all patients; (3) define new patient segments benefitting from LEP technology; and (4) separate the O&P profession from DME in the minds of payers. Current plans include further outreach to the CMS Center for Medicare and Medicaid Innovation (CMMI) relating to K-Levels.

CMS INNOVATION CENTER PROPOSAL On the heels of the remarkable results from the RAND Corporation report, Economic Value of Transfemoral Prosthetics, AOPA is working with the Center for Medicare and Medicaid Innovation on a three-part proposal that would explore the health economic benefits of allowing patients with activity level designations lower than K3 to receive microprocessor-controlled prostheses. The proposal also seeks to explore opportunities to expand prosthetists’ scope of practice on certain elements of clinical care, such as monitoring weight change, pain level, medication compliance for coordination with the patient’s primary care provider, with an incremental increase in prosthetist payment. The Center for Medicare and Medicaid Innovation, also known as the CMS Innovation Center, allows the Medicare and Medicaid programs to test models that improve care, lower costs, and better align payment systems to support patient-centered practices.

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AOPAN E T.ORG

>$500,000 RESEARCH GRANTS AWARDED

ORTHOTICS

2020 ORTHOTICS 2020 AOPA has a commitment for clinical research that can answer some of the most important and profound issues about Orthotics, via the new Orthotics 2020 program. This year, AOPA and our many partners among O&P manufacturers, patient care companies, and other entities committed to funding grants—in amounts of up to $60,000-$75,000—in four clinical areas: Osteoarthritis, Stroke, Traumatic Spinal Injuries, and Plagiocephaly. We also created a workgroup for the fifth category, Scoliosis, and developed a critical appraisal of topics and a draft RFP for this category. Stakeholder subgroups for each of the categories met in 2018 to review submissions and grant awards were announced this past summer.

AOPA is transitioning Orthotics 2020 into a vital enterprise to protect the orthotic services, upon which patients depend, from attack by payers, and to begin populating a stronger research basis around issues on the value of the orthotic services we offer to patients.

In partnership with the Center for O&P Learning & Evidence-Based Practice (COPL), AOPA awarded pilot grants for up to $15,000-$30,000 for six O&P topics in addition to Orthotics 2020 grants.

OVERVIEW OF ACCOMPLISHMENTS

LIMB LOSS AND PRESERVATION REGISTRY The National Institutes of Health (NIH) has awarded the Mayo Clinic and chief investigator, Kenton Kaufman, PhD, a five-year contract for five million dollars to develop a limb loss and preservation registry. AOPA has supported this effort since its inception through the funding of an initial exploration process and grant proposal and is committed to supporting the sustainability of the registry, moving forward.

CONSENSUS CONFERENCE ON PROSTHETIC INTERVENTION FOR TRANSTIBIAL AMPUTEES

The registry will include electronic health records of U.S. adults and children, and will begin piloting hospital data in late 2019, with the expectation of a fully-operational registry by the end of 2020. It will be the first registry of people living with limb loss and will greatly expand the knowledge base for research to improve prevention, treatment and rehabilitation for this patient population.

On September 6, 2018, O&P’s brightest minds gathered at AOPA Headquarters for a daylong consensus conference to discuss existing literature and research gaps in the topic area of prosthetic intervention for trans-tibial amputees.

The group produced an initial draft consensus statement focused on the health, economic and quality of life benefits of advanced transtibial prostheses, subject to the process of securing a final sign-off. The panel of subject area experts included Phil Stevens, MEd, CPO, FAAOP; Brian Kaluf, BSE, CP; Ken Kaufman, PhD.; Silvia Raschke, PhD; Brian J. Hafner; Jason Highsmith PhD; David Boone, PhD; Doug Smith, MD; Andreas Kannenberg, MD; Robert Gailey, PhD; Knut Lechler; Saeed Zahedi; Jim Campbell, PhD and Hangsheng Liu, PhD. A final consensus statement is expected to be issued.

OUTCOME ASSESSMENT REPORTING SYSTEM (OARS) This year AOPA worked with Dr. David Boone, MPH, PhD, and a group of computer science engineering students from the University of Washington, to develop an application that will walk a clinician through an outcome measure instrument, with written and video instructions, and create a report, which will include what the result means for the patient with references to the science supporting the measure. This report can then be printed or downloaded as a PDF for the patient’s record.

Beta-testing the Outcome Assessment Reporting System (OARS) is in the beginning stages.

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Register at bit.ly/2018billing.

RY FEBRUA

2018 18

S M T W T F S S M T W1 T2 F3 S4 1 2 3 4 5 6 7 8 9 10 11 5 6 7 8 9 10 11 12 13 14 15 16 17 18 12 13 14 15 16 17 18 19 20 21 22 23 24 25 19 20 21 22 23 24 25 26 27 28 29 30 31 26 27 28 29 30 31

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ALEN 2018 C

AOPA improves and education, research, care.

Through advocacy,orthotic and prosthetic quality access to

patient

AO PA 2018 A NNUA L REP O RT |

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9

OVERVIEW OF ACCOMPLISHMENTS

EDUCATION AOPA’s varied educational opportunities guide and support members on the path to providing exceptional patient care.

AOPA provides face to face and distance learning opportunities in educational presentations at the Annual National Assembly, AOPA’s coding and billing seminars, and online education through AOPAversity. But in addition to these opportunities, we continue to make advances with platforms such as the AOPA Co-OP, a reimbursement, coding and policy resource. This members-only online resource serves as a collection of concise, but detailed information with links to supporting documentation about the topics most important to our members. The platform’s key subject areas include Medicare, Medicaid, VA, DOD, Commercial Payors, Data/ Evidence, Compliance, State Matters, Good Practices and Trending Topics. The crowdsourcing component of this project allows AOPA to garner the vast knowledge

SPEAKERS

CODING & BILLING SEMINARS

277

Number of Coding & Billing Seminar Attendees at Four Locations

and experience of the membership body, vet that information and provide updates to the Co-OP on a regular basis. Members find that they save time finding the right answers and documentation and are better equipped with the knowledge to be a better patient advocate.

EXHIBITORS

202 139

PRESENTATIONS

68

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16

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AO PA 20 18 ANNUAL R EP ORT |

AOPAN E T.ORG

Business

27

8 #AOPA201

Prosthetic & Orthotic

OVERVIEW OF ACCOMPLISHMENTS OVERVIEW

MOBILITY SAVES Mobility Saves remains our ongoing campaign, which continues to grow on social media, with more than 21,200 “likes” on Facebook “likes” on Facebook, 2,500 Twitter followers, and 160 connections on LinkedIn. The emphasis of the campaign and website has been on the addition of new content, including videos, blog posts, and infographics and support documents for research projects like Dobson DaVanzo and RAND which AOPA has commissioned and/or conducted.

21,200

117

LEADERSHIP CONFERENCE

This year, we held our third Leadership Conference with featured presentations from Alison Cernich, PhD, Bill Stainton, and former Congressman Jason Altmire. Attendance this year included owners, CEOs, COOs, and other senior leadership of AOPA member companies. Dedicated O&P professionals took a weekend to share their thoughts, ideas and often terrific solutions about O&P’s future.

Leadership Forum Attendees

O&P POLITICAL ACTION COMMITTEE This year’s PAC fundraiser event had the theme of “Party with a Purpose.” Last year’s Prohibition-themed evening was such a success that we decided to go back in time once again—this year we celebrated the 1970s with a night filled with food, disco tunes, dancing, sunset harbor views, and much more!

By supporting the PAC, members make it possible for us to support and promote the legislators who have played such important roles as O&P allies on the Hill.

From Rep. Roskam, Rep. Bishop, and Sen. Cardin, to those who have helped in the efforts this past year on matters such as recognizing the notes of orthotists and prosthetists as well as supporting H.R. 4772 and H.R. 2599, including Reps. Glenn Thompson (R-PA), Mike Thompson (D-CA), Peter King (R-NY), Dutch Ruppersberger (D-MD), Erik Paulsen (R-MN), Brett Guthrie (R-KY), Michael Kelly (R-PA), Kevin Brady (RTX), and Richard Neal (D-MA) and Senators Chuck Grassley (R-IA), Mark Warner (D-VA), Bill Cassidy (R- LA), Orrin Hatch (R-UT), Ron Wyden (D-OR), and Tammy Duckworth (D-IL).

POLICY FORUM Ninety-Six O&P professionals and patients visited Capitol Hill during AOPA’s 2018 Policy Forum and met with their Representatives and Senators. Attendees encouraged lawmakers to support the Medicare O&P Improvement Act. While the clinical notes provision was one part of the bill and was part of a Bipartisan Budget Act of 2018, seven provisions remain that have not been enacted. Attendees also requested support for additional funding for O&P research

and education, expressed the importance of veterans’ choice, and took the opportunity to share other issues facing their patients and their businesses. The impact of these visits is not always immediate, but the cumulative effect of hearing from patients, clinicians, manufacturers, and AOPA and other O&P organizations is how we get lawmakers to share our concerns and recognize our responsibility in the rehabilitative process.

This is the premier opportunity in our field each year to hear and see first-hand where these important issues and processes stand and what we need for our patients.

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OVERVIEW OF ACCOMPLISHMENTS

$63,540

O&P PAC DONATIONS

94

HEALTHCARE COMPLIANCE & ETHICS WEEK

Left to right, MN delegation in front of Senator Klobuchar’s office—Lindsey Kline, MPO student; Patrick, MPO; Kevin Hines, CPO; Teri Kuffel, JD.

AOPA sponsored its 2nd annual Healthcare Compliance & Ethics Week on November 4-10 with scheduled educational webinars, daily compliance tips, and daily questions that allow companies to win daily prizes, including office packs, cash prizes, and resource guides.

Resources, including free webinars were available for the 2018 celebration.

O&P PAC DONORS

Corporate Compliance & Ethics Week is an initiative of the Health Care Compliance Association. 2017 was the first year AOPA partnered with HCCA to celebrate Healthcare Compliance & Ethics Week with its members. HCCA is a member-based association for compliance professionals in the healthcare provider field.

NONDISCRIMINATION/ ANTI-HARASSMENT IN THE WORKPLACE In response to increasing awareness of issues involving harassment in the O&P profession, and after developing its own Nondiscrimination/AntiHarassment in the Workplace policy, AOPA has endorsed an Open Letter on Harassment drafted by members of the O&P Alliance, which include AOPA, AAOP, NAAOP, ABC, BOC and NCOPE. AOPA believes that the best defense against harassment is prevention and will increase its efforts to offer resources and education focused on providing safe environments for employees, to minimize offensive behavior and prevent future harassment in the workplace.

$12,720 CAPITAL CONNECTION DONORS FROM 61 DONORS

12

AO PA 20 18 ANNUAL R EP ORT |

AOPAN E T.ORG

WRAP UP

AOPA’s Board members, volunteer leaders and staff are committed to helping members solve today’s challenges and safeguarding the future of O&P businesses. We thank each member for supporting AOPA in 2018. The support of AOPA membership has made the many successes of this year possible.

AMERICAN ORTHOTIC & PROSTHETIC ASSOCIATION

COMMUNITY As an Association member, you are part of a global community.

10

COUNTRIES REPRESENTED IN MEMBERSHIP

(Australia, Canada, France, Germany, Mexico, Spain, Sweden, Taiwan, United Kingdom, and USA including Puerto Rico)

Canada USA Mexico

Sweden United Kingdom Germany France Spain

Puerto Rico

Taiwan

Australia

1,979

TOTAL AOPA MEMBER LOCATIONS IN 2018

539

1,296

Patient Care Facility

4

Research/Education

18

Affiliate

18

Other

International

104

Supplier

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13

2018 AOPA VOLUNTEER

LEADERSHIP AS WE REFLECT ON THE ACCOMPLISHMENTS OF 2018, we acknowledge and thank a diverse group of members and experts who volunteer their time and energy to serve on committees that are the backbone of AOPA’s activities throughout the year.

2018 AOPA BOARD OF DIRECTORS Officers

Jim Weber, MBA President

Chris Nolan President-Elect

Jeffrey Lutz, CPO Vice President

Michael Oros, CPO, LPO FAAOP, Immediate Past-Past President

Jeff Collins, CPA Treasurer

David A. Boone, BSPO MPH, PhD Clinical Director

Jeffrey M. Brandt, CPO Director, 6-30 Facilities

Mitchell Dobson CPO, FAAOP Director, 31+ Facilities

Traci Dralle, CFm At-Large Director

Teri Kuffel, JD Director, 1-5 Facilities

Dave McGill At-Large Director 2

Rick Riley, Director Supplier Director 2

Bradley N. Ruhl Supplier Director 1

Board Members

14

AO PA 20 18 ANNUAL R EP ORT |

AOPAN E T.ORG

VOLUNTEER LEADERSHIP

Stream Leaders

Stream 1 (Patient Registry) Kenton Kaufman, PhD Stream 2 (Outcomes) David Boone, MPH, PhD Stream 3 (Comparative Effectiveness) Jeffrey Lutz, CPO Stream 4 (Communications) Traci Dralle, CFm Stream 5 (Co-OP) Michael Oros, CPO, LPO, FAAOP Dave McGill, JD Elizabeth Ginzel, MHA, CPO Mitchell D. Dobson, CPO, FAAOP Stream 6 (Membership) Jim Weber, MBA

Mobility Saves Marketing Committee Traci Dralle, CFm, Chair Jeff Collins Jeff Erenstone, CPO

O&P Political Action Committee

Rick Fleetwood, MBA, Chair

Coding & Reimbursement Committee

Mitchell D. Dobson, CPO, FAAOP Curt Bertrum, CPO, FAAOP Bill Beiswenger, CPO Brian L. Gustin, CP Dennis E. Ebbing, CPO Pam Lupo, CO Jonathan M. Naft, CPO Mark A. Porth, CPO, FAAOP

Veterans Affairs Committee

Operating Performance Survey Committee

Jeffrey Brandt, CPO, Chair Mark Brady Michael Becher, Industry Insights Mark Ford Elizabeth Ginzel, MHA, CPO Michael Oros, CPO, FAAOP Jim Weber, MBA  

2018 AOPA National Assembly Planning Committee

Teri Kuffel, JD, Co-Chair Rick Riley, Co-Chair Jeff Brandt, CPO Cindy Doucet Traci Dralle, CFm Jeff Erenstone, CPO Elizabeth Ginzel, MHA, CPO George Gondo, MA Kimberly Hanson Jason Highsmith, DPT, PhD, CP, FAAOP Dennis Janisse, CPed Erick Janisse, CO, CPed Andreas Kannenberg, MD, PhD Tyler Klenow, MSOP, CPO, LPO, CPT Geza Kogler, PhD Eileen Levis Karen Lundquist, MBC Pam Lupo, CO Brad Mattear, CPA, Cfo David McGill Michael Oros, CPO, LPO, FAAOP Kristen Pierson Silvia Raschke, PhD Brian Stroup Jim Weber, MBA

Clinical Sessions Workgroup

Michael Oros, CPO, LPO, FAAOP, Co-Chair Silvia Raschke, PhD, Co-Chair George Gondo, MA Jason Highsmith, DPT, PhD, CP, FAAOP Andreas Kannenberg, MD, PhD Tyler Klenow, MSOP, CPO, LPO, CPT Geza Kogler, PhD

Business Sessions Workgroup

Eileen Levis, Chair Elizabeth Ginzel, MHA, CPO Kimberly Hanson Teri Kuffel, JD Pam Lupo, CO David McGill Michael Oros, CPO, FAAOP James Weber, MBA

Professional Women in O&P Assembly Workgroup Pam Lupo, CPO, Chair Elizabeth Ginzel, MHA, CPO Teri Kuffel, JD Kristen Pierson

Orthotics 2020 Medical Advisory Board Alberto Esquenazi, MD Alan W. Davis, MD John R. Fish, MD

Prosthetics 2020 Medical Advisory Board Kenton Kaufman, PhD Douglas G. Smith, MD Michael Jaff, DO Paul F. Pasquina, MD

Steering Committee

Michael Oros, CPO Andreas Kannenberg, MD, PhD James Campbell, PhD, CO, FAAOP David Moser, PhD, Beng, BSc, MIET Jim Colvin Kim DeRoy Maynard Carkhuff Sam Liang, MBA Michael Oros, CPO, LPO, FAAOP Andreas Kannenberg, MD, PhD David Moser, PhD, BEng, BSc, MIET Thomas Fise, JD James Weber, MBA Saeed Zahedi, PhD

Jeffrey Lutz, CPO Dennis Clark, CPO Don Hardin Frank Snell, CPO, FAAOP Tom Watson, CPO

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2018 AOPA FINANCIAL

HIGHLIGHTS How are my membership dues invested?

SOURCES OF REVENUE, 2018 Insurance

Seminars Other

The financial decisions AOPA makes are rooted in how best to put dues and all other revenue sources to work in ways that will continue to deliver value for AOPA members. Your dues dollar in 2018 was allocated as follows:

Advertising, Publications, Merchandise

Investment

2%

6%

3%

10%

31%

Assembly

7%

FOR EVERY $1 IN DUES: $.35 provided member services, such as education, assembly, and publications

39% Dues

$.17 was put towards government relations/ reimbursement services/advocacy $.17 provided for organizational governance and research

EXPENSE BY FUNCTION, 2018

$.21 provided for general administration

Other

$.10 other 10%

Administration

35%

21%

17% Governance & Research

16

AO PA 20 18 ANNUAL R EP ORT |

AOPAN E T.ORG

Membership Services

17% Government Relations

FINANCIAL HIGHLIGHTS

STATEMENT OF ACTIVITIES

STATEMENT OF FINANCIAL POSITION

Year ending 11/30/2018

Year ending 11/30/2018

2018

REVENUE

2018

ASSETS

Membership Dues

$2,172,306

Cash and cash equivalents

Assembly Advertising Insurance Admin fees Seminars Publications

1,721,508 467,808 141,312 332,932 51,697

$1,983,019

Accounts receivable

381,716

Investments

8,043,392

Due from affiliate organizations

47,730

Prepaid expenses and other assets

180,179

Sponsorships

24,600

Property and Equipment at Cost

Other Income

122,762

Contributions

34,370

Furniture, equipment and leasehold improvements

803,544 (735,991)

Investment Earnings

378,085

Less Accumulated depreciation

Net assets released from restriction

105,562

Property and Equipment, Net

Total Revenue (100%)

EXPENSES

$5,552,942

$10,703,589

2018

LIABILITIES AND NET ASSETS

$2,016,295

Accounts payable and accrued expenses

Program Services Membership Services

Total Assets

Gov’t Relations/Reimb. Services

996,822

Governance/Research

979,440

Support Services Other

598,766

General & Administrative

1,196,211

$953,638 731,935

Deferred dues revenue

822,051

Deferred meeting revenues and other

500,462

$5,787,534

Total Current Liabilities

Change in unrestricted net assets

($1,070,225)

Long-term Liabilities

488,108

Deferred rent liability

Total Change in net assets

2018

Accrued payroll and related liabilities

Total Expenses (100%)

Change in temporarily restricted net assets

67,553

$3,008,086

$42,014

($582,117) Total Liabilities Unrestricted net assets

Net Assets, beginning of year

$8,235,606

Net Assets, end of year

$7,653,489

6,635,425

Temporarily restricted net assets

927,122

Permanently restricted net assets

90,942

Total net assets

7,653,489

Total Liabilities and Net Assets

$10,703,589

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2018 AOPA

SPECIAL ACKNOWLEDGMENTS THANK YOU TO OUR SPONSORS AND STRATEGIC PARTNERS We especially thank the following companies who provided financial support for AOPA meetings, programs, and the O&P Almanac throughout the year.

2018 NATIONAL ASSEMBLY SPONSORS Double Diamond Sponsor

PROSTHETICS

2020

PROSTHETICS 2020 SPONSORS

Diamond Sponsors

Scheck & Siress

Prosthetics. Orthotics.

Platinum Sponsors

ORTHOTICS

2020 Gold Sponsors

www.bocusa.org

Silver Sponsors

Supporting Sponsors Amfit Apis Footwear Co. Aspen Medical Products Becker Orthopedic Appliance Co. Cascade Dafo Cascade Orthopedic Supply Inc. Click Medical Coapt LLC

18

College Park Industries Comfort Products Inc. Fillauer KISS Technologies LLC LegWorks MD Orthopaedics Inc. Naked Prosthetics O&P Almanac OPAI

AO PA 20 18 ANNUAL R EP ORT |

AOPAN E T.ORG

PEL ProsFit Technologies JSC. Pro-Tech Orthopedics Protosthetics SPS Surestep Tamarack Habilitation Technologies Inc. Townsend Design / Thuasne USA

ORTHOTICS 2020 SPONSORS

SPECIAL ACKNOWLEDGMENTS

2018 POLICY FORUM SPONSORS

AWARD

WINNING

EXCELLENCE 2018 GRAPHIC DESIGN USA HEALTH+WELLNESS DESIGN AWARD

2018 O&P ALMANAC ADVERTISERS Advertisers in more than 3 issues in 2018 American Board for Certification ABCOP – American Board for Certification in Orthotics, Prosthetics & Pedorthics Inc. Allard USA Inc. ALPS Amfit Inc. Anatomical Concepts Inc. Cailor Fleming Insurance Cascade DAFO Inc. College Park Industries Coyote Design & Mfg. Inc. Custom Composite Fabtech Systems LLC Ferrier Coupler Inc.

AOPA SUPPLIER PLUS PARTNERS

Fillauer Flo-Tech O&P Systems LLC Hersco Naked Prosthetics Össur Americas Inc. Ottobock Spinal Technology Inc. Surestep

AO PA 2018 A NNUA L REP O RT |

AO PA N E T. O R G

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2018 AOPA

AWARD RECIPIENTS Lifetime Achievement Award

Ralph R. “Ronney” Snell, CPO, FAAOP, Legislative Advocacy Awards Denise Hoffmann

C. Michael Schuch, CPO, FAAOP, FISPO (deceased)

Pam Lupo, CO

The Sam E. Hamontree, CP(E), Business Education Award Lesleigh Sisson, CFom, “Top 10 Ways to Get and Keep Your Money”

Thranhardt Awards Tiffany Graham, MSPO, CPO, LPO, Significant Factors Influencing the Effectiveness of Cranial Remolding Orthoses in Infants with Deformational Plagiocephaly Brian Kaluf, BSE, CP, FAAOP, Comparative Effectiveness of Microprocessor and Energy Storing Prosthetic Ankles

Schuch family

Edwin and Kathryn Arbogast Award sponsored by WillowWood

Katherine Ching, An Analysis of Internal Consistency within OPUS in Upper-Extremity, University of Pittsburgh

Otto and Lucille Becker Award sponsored by Becker Peter Zenger, Self-Efficacy Related to Education Level in O&P, University of Pittsburgh

AOPA STAFF Thomas F. Fise, JD, Executive Director

Ryan Gleeson, CMP, Assistant Manager, Meetings

Eve Lee, MBA, CAE, Executive Director

Betty Leppin, Manager of Membership and Operations

Donald J. DeBolt, Chief Financial Officer

Joseph McTernan, Director of Coding Reimbursement, Programming and Education

Tina M. Carlson, CMP, Chief Operating Officer

20

Kristen Bean, Membership and Meetings Coordinator

Yelena Mazur, Communications Specialist

Devon Bernard, Assistant Director of Coding Reimbursement, Programming and Education

Ashlie White, Director of Strategic Alliances

AO PA 20 18 ANNUAL R EP ORT |

AOPAN E T.ORG

Kelly O’Neill, CEM, Manager of Membership and Meetings

EDUCATION & CE OPPORTUNITIES

COMMUNICATIONS

ADVOCACY

2019 AOPA Resource Guide Topic (alpha)

Description

AOPA Co-OP

An online reimbursement, coding and policy resource tool

How to Access www.aopanet.org/resources/co-op

AOPAversity Online

Earn CE credits, watch online videos and take quizzes for ABC and BOC pre-approved credits.

www.AOPAnetonline.org/aopaversity

AOPAvotes.org

Advocacy resource for legislative contacts, model letters and information on O&P legislative proposals

www.AOPAVotes.org

Policy Forum

Held in DC each spring to inform, educate, and build relationships with Congress on key O&P legislation.

www.AOPAnet.org/legislative-regulatory/2019-policy-forum

O&P PAC and Capital Connection

Financial support for AOPA’s government relations program

For information, visit bit.ly/oandppac.

Apparel Program

Save on customizable polos, scrub tops and lab coats

www.iconscrubs.com ACCESS CODE: icon-aopa

Bookstore Publications Products to help you with coding & billing e.g. annual Illustrated Guide, Coding Pro & Quick coder

www.AOPAnetonline.org/store Enter your user name and password for member discounts

Coding, Billing & Audit Guidance

Get one on one assistance & answers to your regulatory, coding, billing & audit questions

Phone: 571-431-0876 Email: dbernard@AOPAnet.org or jmcternan@AOPAnet.org

O&P Almanac

Monthly magazine

Available at www.AOPAnet.org/publications/op-almanac-magazine/

O&P News

Online magazine

AOPA’s Take Blog AOPA 365 APP

Where to go for late breaking news and info

Sign up at bit.ly/OPNsubscribe AOPA’s

Take AOPA app

Register free online to get email notification of updates at AOPAStake.org

Mobile APP for smartphones and tablets FREE 365 Bi-weekly online newsletter

Search keyword AOPA365 in Apple or Google Stores

Social Media

Connect with AOPA on social media to learn about special news and events

YouTube: www.youtube.com/user/AOPAnet LinkedIn: www.linkedin.com/company/1065340?trk=tyah Facebook: www.facebook.com/AmericanOandP Twitter: twitter.com/AmericanOandP Instagram: Instagram/American.OandP

Business Certificate Program

Continuing education program in areas of finance, marketing, business operations, reimbursement policies and management for O&P businesses.

www.AOPAnet.org/education, under the education tab

Coding & Billing Seminars

Mastering Medicare: Coding & Billing course offered four times per year across the country for O&P practitioners and office staff, 14 CEs awarded at completion of 2-day course.

www.AOPAnet.org/education/coding-billing-seminar

Health Care Compliance & Ethics Week

Held in November, focusing on compliance and ethics within your company using free webinars, white papers, games, quizzes, and more.

Visit bit.ly.com/aopaethics for resources available throughout the year.

AOPA in Advance SmartBrief

Sign up your member profile at www.AOPAnetonline.org/profile.

Access previous issues “archives” under the publications tab

Leadership Conference Meeting by invitation for owners and senior executives of AOPA

By invitation only. Contact RGleeson@aopanet.org for more information.

National Assembly

O&P Industry’s largest meeting with education and exhibits. Get continuous updates on speakers, online registration, and events.

Typically more than 30 CEs in multiple disciplines are available for attending the annual National Assembly meeting.

www.AOPAnet.org

O&P Almanac Quizzes

1.5 CEs awarded for Reimbursement Page & Compliance Corner articles

www.AOPAnet.org/publications/op-almanac-magazine/quiz-archive

Online Learning Videos

CEs available for online videos for multiple disciplines

www.AOPAnet.org/education

Webinars

One hour webinars on the 2nd Wednesday of each month on a business related topic. Members $99, Nonmembers $199; 1.5 CEs. Buy 10 get 2 free.

www.AOPAnet.org/education Enter “member” in promo code box and click APPLY to change price to $99.

Webcasts

2 webcast series on Practice Management and Mastering Medicare: Coding & Billing Basics and Principles; 1.5 CEs available for each module

www.AOPAnet.org/education

Job Board

Job and resume postings for employers and employees

jobs.AOPAnet.org, create account

Insurance

Member savings of 10% or more for professional & general liability, worker’s comp, property, umbrella and auto with Cailor Fleming Ins.

Call 800-796-8495 or visit: www.cailorfleming.com/specialty/orthotics-prosthetics-insurance

LCodeSearch.com

Members-only resource for matching LCodes with O&P products

Register for an account at www.LCodeSearch.com

Membership Renewal & Profile Update

Pay your membership dues online, update contact information, edit employee names and preferences

www.AOPAnetonline.org/profile Input user name and password to submit payment or to update contact info, employees listed, emails, etc.

Mobility Saves

Communications tool for patients, providers, insurance companies and policy makers showing how O&P provides cost-saving care

www.mobilitysaves.org

Operating Performance & Compensation Benchmarking Survey

Operating performance survey conducted annually; compensation & benefits survey conducted biannually. Survey participation FREE for members who also receive final report and detailed company report comparing their results to all participants.

Prosthetics 2020 Orthotics 2020

Industry funded projects to shape the future of the orthotics and prosthetics profession through evidence, outcomes and research

www.AOPAnet.org/prosthetics-2020

UPS Discounts

Save on select shipping options. Sign up for new account or add onto existing account.

Savewithups.com/aopa

member companies to discuss future trends and policies.

The Source for Orthotic & Prosthetic Coding

Final published reports available for sale in AOPA bookstore. www.AOPAnetonline.org/ store, to purchase published reports. Contact bleppin@AOPAnet.org for more information.

PROSTHETICS

ORTHOTICS

2020 2020

American Orthotic & Prosthetic Association 330 John Carlyle St., #200 Alexandria, VA 22314 Phone: 571-431-0876 Fax: 571-431-0899 www.AOPAnet.org info@AOPAnet.org

2019 CALENDAR OF EVENTS 2019 Events JANUARY 5-7 | Leadership Conference, Palm Beach, FL

2019 Mastering Medicare: Essential Coding & Billing Techniques Seminars

MAY 7-8 | Policy Forum Washington, DC NOVEMBER 3-9 | Healthcare Compliance & Ethics Week

AOPA Celebrates Healthcare Compliance & Ethics Week November 3-9, 2019

JUNE 3-4: Indianapolis

2019 Webinars January 9: Understanding the Knee Orthoses Policy February 13: Patient Outcomes: Best Practices & How To Use Them

AOPA NATIONAL ASSEMBLY

March 13: Advanced Beneficiary Notice: Get To Know the ABN Form

San Diego Convention Center, San Diego,California

SEPT 25-28, 2019

April 10: Shoes, External Breast Prostheses, Surgical Dressings, and Other Policies May 8: Are You Compliant? Know the Supplier Standards June 12: Documentation— Understanding Your Role July 10: T.P.E.—Get To Know the Program & What the Results Are Telling You August 14: Are You Ready for the Worst?

Contingency Planning September 11: Veteran Affairs Updates: Contracting, Special Reports, and Other News October 9: Performance Reviews: How is Your Staff Doing?

November 13: The Holiday Season—How To Provide Compliant Gifts

W WW.AO PANET. O RG

AOPA National Assembly

December 11: New Codes for 2020, Other Updates, and Yearly Round-Up

For more information, visit www.AOPAnet.org

SEPT 9-12, 2020 | AOPA National Assembly Las Vegas, NV Mandalay Bay SEPT 9-12, 2021 | AOPA National Assembly Boston, MA