September 29-20, 2023
The River Club

Integrating the Osteopathic Approach in Medicine



As the official website of the Idaho Osteopathic Physicians Association, we

provide members with timely updates about important issues in medicine.  IOPA provides a wide variety of Category 1A CME opportunities (including hands-on workshops) in Idaho each year.  We also work closely with state and national organizations (such as the AOA, AMA, ACGME and medical schools) to protect the interests of physicians in Idaho.



Please JOIN IOPA so that we can continue to integrate the osteopathic approach in Idaho and support our physician community!

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IOPA wants to extend congratulations to Suzanne Fredrick, Executive Director of the Idaho Osteopathic Physicians Association for being selected as the 2022 recipient of the American Osteopathic Association's Bob E. Jones CAE Award in recognition of her leadership and tremendous contributions toward advancing osteopathic medicine!

"Suzanne has dedicated the last 13 years of her distinguished healthcare career working to advance the osteopathic medical profession in multiple communities. As the Executive Director of the Idaho Osteopathic Physicians Association since 2008 and the Kentucky OsteopathicMedical Association since 2017, she has expertly represented the interests of osteopathic physicians, residents, and students through exceptional efforts to ensure patients can access high quality osteopathic medical care. Her involvement in the Association of Osteopathic State Executive Directors (AOSED) ensured affiliate representation on various AOA Bureaus, Councils, and Committees, including the AOA’s Bureaus of Affiliate Relations, Business Affairs, and Osteopathic Education. Her leadership with AOSED includes serving as President (2017-2018) and extending her terms following the passing of the former AOSED President Pete Wertheim. Her knowledge of state political environmental issues made her instrumental in the founding and development of the Idaho College of Osteopathic Medicine in 2016. In addition, she has dedicated her time to philanthropic efforts, including physician recruitment work in South Africa. Her impact on the osteopathic profession can be measured in the physicians and state affiliate executives she has engaged and mentored over the course of her career."

Suzie was recognized during the AOA House of Delegates Annual Meeting in July  for this well-deserved recognition. 

Important AOA/Insurance and Billing UPDATE!

AOA Physician Services has learned that Cigna is re-releasing its policy to require the submission of medical records with all Evaluation and Management (E/M) claims with CPT 99212-99215 and modifier 25 when a minor procedure is billed. The updated Cigna policy is scheduled to become effective nationwide on May 25, 2023. We have been in contact with Cigna and expressed our concerns and displeasure. According to the policy, documentation can be sent in via fax or email (make sure the email is encrypted since it has PHI). Cigna is not providing any way to submit the documentation with the electronic claims. The actual policy is located behind the firewall.  Once we have a copy of we will send out as well update and post on our Private Payer Advocacy page.


Our belief is that Cigna will not be able to match the documentation with each claim, properly audit the documentation and pay the claims within your state's timely payment period.  Please encourage your members that if Cigna does not pay within your state's timely payment law, to file a complaint with your state insurance commissioner! 


Help us hold Cigna's feet to the fire for timely payment with this absurd review of documentation! Please direct any questions to

Cynthia (Cindy) Penkala CMM, CMPE,CMSCS,CPOM

Senior Director, Physician Services

Physician Services


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