Nearly 70 podiatrists, APMA staff members, and industry experts participated in the 20th Annual Carrier Advisory Committee (CAC) and Private Insurance Advisory Committee (PIAC) Meeting on Saturday, December 5. The CAC and PIAC representatives are your component-level experts on carrier- and plan-specific insurance and reimbursement issues. The meeting was led by CAC-PIAC chair Sarah Whittaker, DPM, and held virtually due to the ongoing COVID-19 public health crisis.
Attendees gained insight on a range of issues, including the CY 2021 Medicare Physician Fee Schedule Final Rule, LCD development and reconsideration, DME, and Medicare Advantage plans. Additionally, participants received an update from two APMA working groups addressing payer denials or reimbursement reductions when the –25 modifier or the –59 modifier is appended to a claim.
As with traditional in-person CAC-PIAC meetings, attendees spent time in breakout groups to discuss regional concerns. This key feature allows representatives to share experiences and collaborate on solutions to common issues.
During the meeting, Andy Bhatia, DPM, was recognized as the “CAC-PIAC Representative of the Year.” Dr. Whittaker was elected to serve a second year as chair.
Your CAC-PIAC representatives are tasked with taking the information they learned during the meeting back to you and your component. Pay attention to your APMA publications for more information, as well, about the –25 modifier and -59 modifier work groups. Additionally, attend three upcoming APMA webinars to learn more about E/M changes, PY 2020 MIPS updates, and 2021 coding changes.