O&P INsight Events

This webinar provides O&P clinicians and administrative teams with the comprehensive knowledge and actionable strategies needed to navigate reimbursement for the Agilik™Smart Orthosis.

Attendees will gain a thorough understanding of the Agilik Smart Orthosis—its clinical applications, therapeutic benefits, and documentation requirements—empowering them to develop clear, defensible, and medically necessary justification for prior authorizations and appeals.

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Navigating Reimbursement for the Agilik™ Smart Orthosis
An in-depth overview of current reimbursement pathways, payer expectations, and best practices for maximizing approval success.

Documentation Excellence
How to craft strong, evidence‑based documentation that clearly demonstrates medical necessity and aligns with payer criteria.

Policy Change & Medical Necessity
Guidance on responding to evolving policy landscapes, addressing common denial rationales, and framing appeals effectively.

Live Q&A
An opportunity to ask questions, clarify requirements, and discuss real‑world scenarios with our experts.

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This webinar provides O&P clinicians and administrative teams with the comprehensive knowledge and actionable strategies needed to navigate reimbursement for the Agilik™Smart Orthosis.

Attendees will gain a thorough understanding of the Agilik Smart Orthosis—its clinical applications, therapeutic benefits, and documentation requirements—empowering them to develop clear, defensible, and medically necessary justification for prior authorizations and appeals.

‍

Navigating Reimbursement for the Agilik™ Smart Orthosis
An in-depth overview of current reimbursement pathways, payer expectations, and best practices for maximizing approval success.

Documentation Excellence
How to craft strong, evidence‑based documentation that clearly demonstrates medical necessity and aligns with payer criteria.

Policy Change & Medical Necessity
Guidance on responding to evolving policy landscapes, addressing common denial rationales, and framing appeals effectively.

Live Q&A
An opportunity to ask questions, clarify requirements, and discuss real‑world scenarios with our experts.

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Securing reimbursement for advanced medical technologies such as the Myomo MyoPro powered orthosis requires a strong understanding of payer requirements, documentation best practices, and the evolving landscape of medical‑necessity policy. This webinar is designed to equip clinicians, case managers, and billing/reimbursement professionals with practical, actionable guidance to successfully navigate the reimbursement process for the MyoPro device.

Learning Objectives

Understand the Reimbursement Landscape

Describe the current reimbursement pathway for the MyoPro device across Medicare, Medicaid, and commercial payers.

Identify key coverage criteria and common payer documentation requirements.

Create Documentation That Demonstrates Medical Necessity

Develop clear, comprehensive clinical documentation that supports functional need, safety, and patient goals.

Apply best‑practice language and measurable outcomes to strengthen medical‑necessity justification.

Integrate therapist evaluations, physician notes, and supportive evidence into a unified documentation package.

Navigate Audits and Denials

Learn strategies on how to respond to prior authorization or post payment denials.

Guidance on varying audits related to MyoPro and how to respond.

Join us for a comprehensive review of the 2026 Q1 industry updates, including changes to HCPCS codes, Medical Policies, and new modifiers. We’ll also share a curated list of clinical documentation best practices, reduce common documentation errors, and prevent claim denials or recoupments.

Industry Updates (20 minutes)

• New and updated 2026 Q1 HCPCS codes
• Recent Medical Policy changes
• Introduction and clarification of new modifiers
• Key impacts on billing and reimbursement workflows

Clinical Documentation Best Practices (20 minutes)

• Common documentation pitfalls leading to denials or recoupments
• Tips for strengthening documentation completeness and accuracy
• Best practices for supporting medical necessity
• Strategies to improve audit readiness

Questions & Resources (20 minutes)

• Live Q&A
• Access to handouts, reference materials, and ongoing support resources

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Over the past four months, several important industry updates have emerged that may directly influence your business—ranging from coding revisions to policy changes. Join us for the Q1 Topics to Thrive webinar, where we will walk through the most impactful developments and what they mean for your organization.

During this session, we’ll cover key updates including recent HCPCS coding changes, the introduction of a new Medicare modifier, evolving Prior Authorization requirements, and important Knee Orthosis medical policy revisions. You’ll gain clarity on what’s changing, why it matters, and how to prepare.

Agenda

• Coding Updates – 15 minutes
• Medical Policy Updates – 15 minutes
• Industry Updates – 15 minutes
• Questions & Resources – 15 minutes

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