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Jurisdiction B & C Orthotics & Prosthetics (O&P) POE Advisory Group Meeting Minutes – December 4, 2025

Meeting Date and Time: December 4, 2025, 11:00 am ET

Facilitator: Judie Roan, JC POE Sr. Analyst

Advisory Group Members: Aaron Sorenson, Jane Talley, Kimberly Hanson, Curt Bertram, Joyce Ardrey, Aaron Sorenson, Tom Martin, Stephanie Green, Rachel Hatty, Jim DelBianco, and Terry Bentley

Agenda:

  1. Welcome & Introductions
  2. News & Updates
  3. POE Educational Activities
  4. Feedback & Suggestions/Open Discussion
  5. Online Tools and Spotlight
  6. Meeting Adjourned
  1. Welcome & Introductions

    Judie welcomed the group to the meeting and reviewed the role of the POE AG. Judie also reminded members about the importance of completing the survey every quarter.

  2. News & Updates

    Judie reviewed recent articles and asked for comments:

    • Scoliosis Brace – Correct Coding
    • Correct Coding – Partial Hand Prostheses
    • New educational resources including "To the Point" and fact sheets
    • Medicare Participation Announcement for CY 2026: Decide by December 31

    A member asked if there were any recent changes to participation and assignment. Judie stated there haven't been any recent updates and gave a summary of participating and non-participating and assigned and non-assigned claims.

  3. POE Educational Activities

    Judie reviewed the webinar schedule.

    A member asked if POE offers education on the appeal process. Judie stated POE hosts quarterly webinars on reopenings, redeterminations, and appeals.

    A member asked if the webinar explains what to include in an appeal request. Judie said to clearly explain the reason for the appeal in the request and recommended using documentation cover sheets as needed. She also encouraged members to give feedback about webinars they attend if they want additional information included.

    Another member stated they were having issues with same/similar denials. These denials are upheld in redeterminations, but the same documentation is overturned in reconsiderations. Judie asked for examples so she can look into it further.

  4. Feedback & Suggestions/Open Discussion
    • A member stated one of their staff attended online education and found it very beneficial.
    • A member asked if CGS would be participating in the association meeting in February in Nashville. Judie stated yes, Belinda Yandell will attend and is in contact with an event coordinator.
  5. Online Tools & Spotlight
    • Judie reviewed the Physician's Corner in the Spotlight.
    • Judie asked for feedback about tools and reviewed the "To the Point" videos.

    Lastly, Judie reminded the group of the importance of completing the survey.

  6. Meeting Adjourned
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