Effective July 1, providers and suppliers are required to report the JZ modifier on all claims that bill for drugs and biologicals from single-dose containers that are separately payable under Medicare Part B when there are no discarded amounts.

Last week, APMA submitted formal comments to the Substance Abuse and Mental Health Services Administration (SAMHSA), expressing our ongoing concerns related to the DEA MATE Act, and following up our meeting on April 28.

Implementation Date for CPME 820, CPME 830, Revised Fellowship Documents

The implementation date for the revised fellowship documents, CPME 820 and 830, is July 1.

The DEA recently released a temporary rule extending COVID-19 telehealth flexibilities for the prescription of controlled substances.

You can now submit your 2023 Performance Year MIPS Extreme and Uncontrollable Circumstances (EUC) Exception application!

APMA representatives participated in the AMA/Specialty Society RVS Update Committee (RUC) meeting April 26–29 in San Diego.

APMA’s highly anticipated Spring Virtual Coding Seminar was held on Saturday, April 22.

OIG To Review Remote Patient Monitoring

The US Office of the Inspector General (OIG) has announced its plan to review Medicare fee-for-service claims and Medicare Advantage encounter data for remote patient monitoring services.

APMA Comments to NCQA on Development, Testing of Diabetic Foot Assessment, Follow-Up and Electronic Clinical Quality Measures

Last week, APMA submitted comments in response to the solicitation by Mathematica to develop and test the Diabetic Foot Assessment and Follow-Up clinical quality measure (CQM) and electronic clinical quality measure (eCQM).

Mark your calendars for APMA 2023 Advocacy Week, May 8–12, to advocate for the future of the profession.

All seven Part B Medicare Administrative Contractors have announced a multi-jurisidictional CAC meeting to discuss the evidence relating to trigger point injections.

National Public Health Week (NPHW) is April 3-9. The American Public Health Association (APHA) Foot & Ankle Health (FAH) Section is celebrating with educational webinars covering a different facet of public health each day.

Calling All Young Physicians: Apply for the 2023 Young Physician Advocate Scholarship to Attend the 2023 State Advocacy Forum in Albuquerque!

The APMA Center for Professional Advocacy (CPA) is again offering the Young Physician Advocate Scholarship for a young physician member to attend.

On Saturday, March 18, Sylvia Virbulis, DPM, was installed as APMA president by Carroll D. Kratzer, DPM.

APMA submitted to the Medicare Administrative Contractor (MAC) Workgroup its Principles of Sound Local Coverage Policies and consensus answers to questions raised by CMS and the Workgroup. APMA has been working with its Contractor Advisory Committee (CAC) Engagement Coalition to reach these consensus positions.

The team shared information and consulted with subject matter experts (including APMA’s Clinical Practice Advisory Committee [CPAC]) and partners outside the profession to ensure a comprehensive understanding of the issues at hand.

CPT codes should be selected based only upon choosing the code(s) that most accurately reflect the service(s) provided.

APMA members now have exclusive access to a new complimentary on-demand CECH course (1.0 CECH), “The Role of Podiatrists in Geriatric Falls Prevention.”

APMA is pleased to announce that podiatric physicians will soon be included in the list of covered providers for Wyoming Medicaid patients.

APMA submitted comments to CMS on February 13, expressing our significant concerns about the limitations of MIPS measures available to podiatrists.

APMA is saddened by the passing of former ACFAS Executive Director Chris Mahaffey, MS, CAE, FASAE. APMA worked with Mahaffey during his nearly two decades of service to the college and appreciates the impact he has made on our mutual members and the profession as a whole.

Be sure to read APMA's important MIPS updates and access our latest resources for members, including a webinar on February 7.

DMEPOS Updates

Check out this update and get pointers on common yet important DME related items.

Be sure to read APMA's important MIPS updates and access our latest resources for members, including a webinar on February 7.

Do you want data that can help you negotiate a higher salary in your next job or benchmark your own performance? Participate in the Medical Group Management Association’s (MGMA) 2023 Compensation and Production Survey, which launched on January 2, 2023.

Due to the efforts of APMA and other specialties and stakeholders, the Omnibus bill contains Section 4112, which provides additional support for physicians and other health-care professionals in adjusting to Medicare payment changes.

New CPT® Code Set Effective January 1, 2023

The new CPT® code set contains additions, deletions, and modifications that are pertinent to podiatrists.

APMA's strong recommendations are rooted in feedback from members about the burdens associated with updating provider directories.

APMA Meeting with CMS on Changes to Neuromuscular Ultrasound Codes

On December 6, APMA’s RUC team joined with representatives of other societies in a meeting with CMS to discuss unilateral changes to Neuromuscular (NM) Ultrasound (US) codes CPT® 78881-3.

Member Benefits: Plan Your Fall Road Trip with Avis and Budget

Enjoy the change in seasons and plan your fall getaway with savings from your APMA Avis and Budget Car Rental Savings Program.

Earn up to 8.0 CECH this weekend, and 20.25 total over the next 12 months, when you register for the APMA Coding and Clinical Education Seminar, December 3 and 4.

It’s Giving Tuesday, a worldwide day of giving created to celebrate generosity and the causes we care most about. We know that dozens, if not hundreds, of organizations are asking you for donations today. Our ask is simple—support the APMA Educational Foundation’s efforts to support others.

The APMA Legislative Committee has identified the Non-Opioids Prevent Addiction in the Nation (NOPAIN) Act, HR 3259/S 586, as a bill of interest for our members.

APMA staff is in talks with Aetna about this issue, and is currently attempting to gather helpful examples of denied claims with supportive redacted case notes to submit to Aetna.

Our partner PatientPop recently launched PatientPop Connect—a new way to easily communicate with patients how they want.

This week, APMA joined with its CGS CAC representatives in submitting comment letter to CGS MAC regarding a draft LCD and LCA related to CTPs for the Treatment of Diabetic Foot Ulcers and Venous Leg Ulcers.

Last week, APMA responded to the CMS Request for Information (RFI): Make Your Voice Heard. This RFI was seeking public input on accessing health care and related challenges, understanding provider experiences, advancing health equity, and assessing the impact of waivers and flexibilities provided in response to the COVID-19 Public Health Emergency.

CGS and Noridian Conducting DME Pre-Payment Supplier Specific Reviews

See which DME specialties for which CGS Jurisdiction B/C and Noridian Jurisdiction A/D DME MACs' Medical Review Departments are conducting pre-payment supplier-specific reviews.

2023 MIPS Webinar Series—Register Today

APMA is proud to announce the launch of its 2023 MIPS Webinar Series. The first webinar in this series, “Finalized Changes for the 2023 MIPS Performance Year,” will take place on December 6, at 8 p.m. ET, with Jeffrey D. Lehrman, DPM, hosting. Register today!

On February 28, APMA representatives will participate in a multi-jurisdictional panel to examine coverage for Remote Physiologic Monitoring (RPM) and, tentatively, Remote Therapeutic Monitoring (RTM).

As a member of APMA, you appreciate the value of research in the field of podiatric medicine. To stimulate interest in this critical area, The Podiatry Foundation has developed a request for proposals for research covering most areas of podiatry.

DMEPOS Enrollment Contractors are Changing on November 7

November 6 is the final day the National Supplier Clearinghouse (NSC) will process Medicare enrollment applications for DMEPOS suppliers. Starting November 7, two new contractors will process Medicare enrollment applications for DMEPOS suppliers.

APMA is aware of the ongoing shortages of lidocaine, and has compiled resources for members who are facing lidocaine shortages.

On October 3, APMA submitted comments to HHS and the Office of Civil Rights (OCR) in response to proposals related to Section 1557 and nondiscrimination in health programs and activities.

Members should be aware that effective October 6, health-care providers, health IT developers, and health information exchanges and networks must share all electronic health information, with some exceptions for security and privacy.

Many upcoming ICD-10 changes are relevant to podiatry. Register now for APMA's upcoming webinar on these changes.

One Week Left to Apply for the APMA/TDI Public Health Fellowship!

This is your last chance to apply for the APMA/TDI Public Health Fellowship for the 2023-2024 academic year! The deadline to submit your application is this Friday, September 23.

The APMA Educational Foundation is proud to announce this year’s student scholars. A total of $428,000 was awarded to 208 third- and fourth-year students from the nine accredited colleges of podiatric medicine.

Coming This Week: Announcement of the 2022 APMA-PICA Full Tuition Scholar

Watch your inbox later this week as the APMA Educational Foundation will announce the recipient of the second-annual APMA-PICA Full Tuition Scholarship.

APMA submitted comments in response to the CMS’ proposed changes to the Medicare Physician Fee Schedule and the Quality Payment Program for 2023.

CMS' roadmap states there will be a 60-day notice before the end of the PHE. Providers should begin preparing for the end of PHE flexibilities, however, CMS has stated that some measures will remain in the hope of promoting innovation and advancing health equity.

With the help of APMA's advocacy efforts, the process by which Hospital Inpatient and Observation Care, Consultation, Nursing Facility, and Home or Residence E/M service levels are selected will change, effective January 1, 2023.

CPME is aware of the recent announcements by the American Board of Podiatric Medicine to offer a Certificate of Added Qualification (CAQ) in podiatric surgery. CPME does not recognize or approve any CAQs within its current policies and procedures for board recognition. CAQs are not equivalent to certification, and they cannot lead to certification in any specific content area.

Last week, APMA submitted its proposal to the Office of the Assistant Secretary for Health’s (OASH) request for Comprehensive Diabetic Lower Extremity Exam (CDLEE) service, which would help with prevention of diabetes-related lower extremity complications.

Furthering APMA’s ongoing commitment to student recruitment and to creating a sustainable pool of podiatric medical student applicants, APMA staff and member volunteers will host a Step into Podiatry career event Friday at The National. The four-hour student recruitment event will feature Q&A sessions with practicing podiatrists and podiatric medical students, meetings with the colleges of podiatric medicine, as well as a tour of the exhibit hall. The event ends with a hands-on cadaveric suture workshop.

In a new addition to The National, this year APMA is partnering with the American Board of Podiatric Medicine (ABPM) to present an Educators’ Forum. The two-part forum spans four hours Friday afternoon and is perfect for residency directors and anyone involved in postgraduate training. The goal: to modernize the educational experience for podiatric residents.

The five-year mortality rate for critical limb ischemia (CLI) is higher than for many types of cancers.1 With diabetes and chronic kidney disease on the rise, CLI is also on the rise, and many patients are presenting with more severe disease than in years past, making it more important than ever for podiatric physicians to develop a close working relationship with their colleagues in interventional radiology.

The program at The National is once again split into two convenient tracks, one covering medical topics and the other covering surgical topics. Thursday’s surgical track focuses on a challenge every surgeon will face: complications. The National Today spoke with track leader and moderator Patrick Burns, DPM, to learn more about what attendees can expect.

APMA and AADA Comment on FCSO Surgical Nail Changes

On July 22, APMA and the AADA submitted comments to Novitas and First Coast Service Options, Inc. (FCSO) to express their displeasure at the changes in the Surgical Treatment of Nails Policy in Billing and Coding Article A52998 (Novitas) and A57666 (FCSO).

APMA is proud to share that the roster for the 2022–23 Diversity, Equity, and Inclusion (DEI) Committee has been approved by the APMA Board of Trustees. Please join us in congratulating the following individuals on their appointment to the committee.

In the 2023 Medicare Physician Fee Schedule Proposed Rule, CMS is proposing to change the reimbursement model for skin substitute services in the private office setting. APMA is continuing to review the proposal and preparing to advocate for members.

APMA Continues to Address CAC Engagement with MAC Workgroup

On July 11, APMA and a small group from its CAC engagement coalition held an initial call with a group of Medicare Administrative Contractor (MAC) Carrier Medical Directors (CMDs).

APMA is thrilled to announce additional relief for Provider Relief Fund (PRF) recipients who were unable to report but returned funds they received before the Human Resources and Services Association (HRSA) created a process to report late, due to fears of additional penalties.

Comprehensive Error Rate Testing (CERT) Webinar on Surgical Dressings

A recent Comprehensive Error Rate Testing (CERT) program webinar reviewed CERT data on surgical dressings, revealing a 70-percent error rate in this category. Insufficient documentation is the most common reason for error.

APMA is hopeful the HRSA will assist vulnerable members and re-issue returned funds that were so desperately needed.

APMA's Public Health and Preventive Podiatric Medicine Committee originated a number of important points for the National Academy of Medicine's (NAM) consideration related to residency culture, resilience and mental health resources, reducing administrative burdens, and allowing providers to practice at the top of their training/education/licensure.

APMA, Stakeholders Support CAC Reps in Comments to Novitas, First Coast on Skin Substitute Draft LCDs and LCAs

In their comment letter, APMA, ASPS, and ASSH underscored the medical, social, psychological, and financial burdens that chronic wounds present for patients and health-care systems, and took particular exception to limitations on the number of applications of CTPs, required use of RT or LT Modifier, and the incomplete set of included ICD-10 codes.

APMA Responds to AHRQ's Patient-Centered Outcomes Research Trust Fund (PCORTF) investments

Last week, APMA submitted a response to the Agency for Healthcare Research and Quality’s (AHRQ) request for input on its proposed strategic framework for AHRQ's Patient-Centered Outcomes Research Trust Fund (PCORTF) investments.

APMA is very pleased to announce that the HRSA is accepting Requests to Report Late Due to Extenuating Circumstances for Reporting Period 2 through Wednesday, May 18, for PRF recipients who were unable to report during Reporting Period 2 because of extenuating circumstances. Providers must submit their request no later than 11:59 p.m. EDT. HRSA initially took this action after hearing from APMA and other member associations, whose members expressed serious concerns about the Period 1 funding they received being recouped despite good faith intents to report and the impact it would have on their practices.

APMA, AADA, ASPS, and ASSH Support CAC Representatives in Comments to Palmetto on Draft Surgical Nail LCDs

Last week, APMA collaborated with AADA, ASPS, and ASSH on submission of comment letters to Palmetto Medicare Administrative Contractor (MAC) regarding draft Local Coverage Determinations related to surgical treatment of nails that were issued earlier in the year.

The American Podiatric Medical Association (APMA) is pleased to expand its partnership with NextGen® Healthcare (Nasdaq: NXGN), a leading provider of cloud-based, ambulatory-focused technology solutions. NextGen Healthcare is a founding partner of the APMA Registry, and NextGen® Office is a preferred electronic health record (EHR) system for APMA members.

APMA Collecting Evidence to Contest Proposed Skin Substitute Polices

APMA and other stakeholders plan to submit comments contesting proposed skin substitute policies from Novitas and First Coast Part B Medicare Administrative Contractors (MACs).

MIPS eligible members may now apply to reweight any or all MIPS performance categories if they have been affected by extreme and uncontrollable circumstances. The application deadline has been updated to March 3.

APMA encourages members to get involved in this important initiative.

Take APMA Practice Survey, Win Prizes

APMA is conducting its practice survey. Your responses to this important survey will help us to provide accurate information when speaking with regulators, lawmakers, health-care agencies, and other podiatry influencers. The results can also help you negotiate salary and benefits for yourself or your staff.

APMA is deeply saddened to share the news that former Deputy Executive Director and COO Jay Levrio, PhD, has passed away. Dr. Levrio died peacefully, surrounded by his family, on April 30.

On April 18, APMA submitted a response to the Center for Medicaid and CHIP Services (CMCS) in their response to CMS’ request for information (RFI) on Access to Care and Coverage for People Enrolled in Medicaid and CHIP.

APMA Supports Patient Reported Outcome-Based Performance Measure

On April 11, APMA provided comments to CMS and the Yale New Haven Health Services Corporation Center for Outcomes Research and Evaluation regarding the development of a measure focusing on patient receipt of key information related to recovery from an outpatient surgery or procedure.

National Stakeholder Webinar with CMS Administrator on April 26

CMS stakeholders and partners are invited to join the CMS Administrator Chiquita Brooks-LaSure and her leadership team, who will provide updates on the CMS Strategic Vision and key accomplishments during the first quarter of 2022.

APMA Communicates with Palmetto About Proposal

APMA is in contact with Palmetto about this proposal and is collaborating with the APMA Carrier Advisory Committee (CAC) representatives of the involved states to contest this proposal.

Complete the application today and receive financial aid for the 2022–2023 academic year.

It’s officially Foot Health Awareness Month! We hope you will take part in our Today’s Podiatrist Keeps Kids Active campaign and help us educate parents and caregivers about kids’ foot health and the important role podiatrists play in keeping kids active.

As the only organization lobbying for podiatrists and their patients on Capitol Hill, APMA goes above and beyond in its legislative advocacy efforts to ensure your priorities are represented. As part of our commitment to advocacy, APMA will host the 2022 APMA Virtual Legislative Conference and Advocacy Week on April 27.

Updated Guidance on Coding and Billing for Custom Fabricated Orthotics

Guidance regarding coverage, coding, and documentation requirements for DME for Medicare beneficiaries can usually be found on the website of your DMEMAC, and through the DME PDAC DMECS system.

On March 25, APMA responded to the ONC's Request for Information: Electronic Prior Authorization Standards, Implementation Specifications, and Certification Criteria.

APMA signed on to the Patient Access to Responsible Care Alliance (PARCA) letter thanking the Departments of Health and Human Services, Treasury, and Labor for holding a listening session on the issue of provider nondiscrimination.

APMA has updated its HIPAA manuals effective January 2022. The APMA HIPAA Privacy Manual was updated to reflect the new Information Blocking Rule provisions.

APMA Asks MACs to Cease Adverse Actions on Amniotic Injections and Provide Clarification

On March 11, APMA sent a request to all Part B Medicare Administrative Contractors (MACs) about its concerns with their announcement in late February that Medicare does not cover manipulated amniotic and/or placental tissue biologics for injections to treat illness for claims with dates of services on or after December 6, 2019.

APMA is pleased to announce victory on HR 2545, a bill to amend title 38, United States Code, to further clarify the role of doctors of podiatric medicine in the Department of Veterans Affairs. The bill was signed by the president today. This win is yet another example of APMA’s tireless effort to protect and defend podiatric medicine.

At the 2022 APMA House of Delegates meeting (HOD) in Washington, DC, Legislative Advocacy Committee Chair and Trustee William S. Long, DPM, gave attendees a report on the status of APMA's federal legislative advocacy efforts.

At the 2022 House of Delegates meeting, APMA Director of Communications and Marketing Peggy Tresky, MA, and Associate Director of Young Physicians and Students Tiffany Kildale updated delegates on the more than 18 million prospective students reached through the Step Into Podiatry campaign and the long-term implications of the campaign for applications.

On Saturday, March 12, Laura J. Pickard, DPM, was installed as APMA president by APMA Past President Kathleen M. Stone, DPM.

Last week, APMA met with its private insurance consultant to review activities regarding its private insurance advocacy and in line with our APMA strategic goals.

The Board of Directors of the American College of Podiatric Medicine (ACPM) would like to re-introduce you to this organization.

Introducing Dr. Camille Ryans, APMA/TDI Public Health Fellow

APMA is pleased to announce that Camille Ryans, DPM, has been selected as the APMA/TDI Public Health Fellow for the 2022–2023 academic year.

HHS, through the HRSA, released an additional $560 million in Provider Relief Fund Phase 4 General Distribution payments to more than 4,100 providers last week.

Claims processed and paid for dates of service on or after December 6, 2019, will be adjusted and payment will be recouped. Impacted providers will receive an overpayment demand letter identifying the amount of the overpayment.

APMA Leads Multispecialty Effort to Address LCD/LCA Changes, CAC Process

APMA and a coalition of medical societies met with CMS to reinforce their concerns regarding the Carrier Advisory Committee (CAC) process, and Local Coverage Determinations (LCDs) and Articles (LCAs).

APMA has again partnered with the Medical Group Management Association (MGMA) to encourage our members to participate in MGMA’s 2022 Provider Compensation and Production Survey.

APMA works tirelessly to advocate for the podiatry profession. Over the past year, APMA has been successful in ensuring podiatrists receive equitable reimbursement and patients have full access to care provided by podiatrists. Take a closer look at our recent successes.

Providers who received one or more general and/or targeted PRF payments exceeding $10,000, in the aggregate, from July 1, 2020, to December 31, 2020, must report on their use of funds in Reporting Period 2, no later than March 31, 2022.

APMA Signs on to PARCA Letter Addressing No Surprise Act Burdens

This week, APMA and other organizations signed on to a letter to HHS from the Patient Access to Responsible Care Alliance (PARCA), voicing concerns with the regulations implementing the No Surprises Act requirement to provide Good Faith Estimates (GFE) to uninsured or self-pay patients.

DME Resources and DME MAC Registration

APMA is aware its members have experienced issues in registering or renewing access to their Durable Medical Equipment (DME) Medicare Administrative Contractor (MAC) web portals due to changes that the CGS DME MAC (DME Jurisdictions B and C) has recently implemented. APMA recommends that members become familiar with the resources that their DME MACs provide and sign up for available DME MAC email distribution lists and webinars.

Surprise Medical Billing Resources for Physician Practices; Attend Webinar

Learn about this recently implemented law and attend a webinar on January 11.

The Provider Relief Fund Reporting Portal is open for report completion or (re)submission for Reporting Period 1 through December 20. Also, more than 69,000 providers in the US and its territories, will receive Phase 4 payments starting by December 17.

If you haven’t contributed yet, you can still make your investment in the future of podiatry and give today! Deckers X Lab will continue to donate one pair of shoes for each gift made through December 31!

APMA Expresses Concerns About Rules Related to No Surprise Billing Statute

On December 6, APMA submitted comments to HHS, DOL, and the Treasury expressing significant reservations related to the second interim final rule issued implementing the No Surprises Act.

DME MAC Jurisdiction Alert: CGS Providers

CGS DME MAC Jurisdiction B and Jurisdiction C recently updated its DME provider portal, currently MyCGS v7.2.

Diabetes Posters for Your Office Now Available

As part of our November Diabetes Awareness Month public education campaign, APMA has produced an eye-catching poster perfect for your waiting room or exam rooms.

Do you need to earn a few more credits before the end of the year and have some free time this weekend? Check out APMA’s Online CECH library! We are currently offering a variety of free and member-discounted courses covering a wide range of topics.

APMA is still in the process of reviewing the rules issued by CMS and OSHA. However, APMA addresses two of members' FAQs.

ABFAS Transitions to Continuous Certification in January

Launching in January 2022, the new program LEAD: Longitudinal Education and Assessment for Diplomates will replace ABFAS’ traditional, once-every-ten-years recertification and self-assessment examinations.

The 21st Joint National Carrier Advisory Committee and Private Insurance Advisory Committee Representatives’ Meeting (CAC-PIAC) will be held this Friday, November 12, in Alexandria, VA, and online.

APMA's 2021 Diabetes Campaign, "Es Hora," Focuses on Hispanic Males

November is Diabetes Awareness Month, and APMA’s Communications Committee is launching a new public education campaign designed to reach one of our most at-risk patient populations: Hispanic males. The campaign, “Es Hora,” offers a wealth of educational materials for you to use in your practice.

Since the February 2021 postponement of the Part II CSPE, the NBPME has established an investigation by the board to review options and ensure pathways for progression and licensure for its students and residents, while maintaining the trust earned from patients, the public, licensing authorities, and others that DPM graduates have the requisite skills.

The APMA Educational Foundation is pleased to announce the recipients of the PICA Distinguished Scholar Award. One student from each of the nine colleges of podiatric medicine was selected for the prestigious $500 award.

“Disaster Medicine: Sepsis” is a free online training module for health-care providers, available through the Sepsis Alliance Institute.

APMA Submits Testimony in Support of Massachusetts Scope-of-Practice Legislation

APMA President Jeffrey DeSantis, DPM, submitted written testimony to the Massachusetts Legislature’s Joint Committee on Public Health in support of legislation (HR 2270/S 1510) to modernize the Massachusetts scope of practice for podiatrists to include the foot, ankle, and lower leg.

Most affected clinicians will see a modest increase in their quality performance category score and MIPS final score. CMS has extended the targeted review deadline to November 29.

Many changes are relevant to podiatry. Register now for APMA's upcoming webinar on these changes.

MIPS Final 90-day Period, COVID Exception Available

For those who are reporting or plan to report MIPS Improvement Activities (IA) and/or Promoting Interoperability (PI) measures, the final continuous 90-day performance period of 2021 starts October 3.

APMA Comments on CY 2022 Hospital Outpatient Prospective Payment System Proposed Rule

APMA focused its comments specifically on beneficiaries with larger wounds and ulcers and assignment of the skin substitute application codes for larger wounds to specific APC groups due to cost issues.

APMA Trustee Patrick A. DeHeer, DPM, presented a clinical case to CMS’ ICD-10 Coordination and Maintenance Committee on September 15 regarding APMA’s request for changes to ICD-10 terminology for progressive collapsing foot deformity (PCFD).

APMA is pleased to announce that it has joined the “We Can Do This” campaign as a member of the COVID-19 Community Corps. The campaign is part of the Department of Health and Human Services’ (HHS) efforts to provide reliable and accessible information to the public about COVID-19 and the COVID-19 vaccine.

The Biden Administration has announced it "will require COVID-19 vaccination of staff within all Medicare and Medicaid-certified facilities," and that this requirement would apply to "clinical staff, individuals providing services under arrangements, volunteers, and staff who are not involved in direct patient, resident, or client care."

APMA Comments on Surprise Billing Rule

Last week, APMA submitted comments to the Departments of Health and Human Services, Labor, and Treasury in response their Surprise Billing; Part I interim final rule with comment (IFC).

Join APMA and its Public Health and Preventive Podiatric Medicine Committee (PHPPMC), in promoting suicide awareness and prevention this month.

The Provider Relief Fund (PRF) reporting deadline for those who received funds in the first period (April 10–June 30, 2020) is September 30, via the PRF Reporting Portal.

To view your final score, log in to the QPP website.

Thanks to the support for our hybrid race, the 2021 Team APMA 5K Run/Walk raised more than $9,500 for the APMA Educational Foundation!

Looking for a way to be more involved with APMA? Submit your name by September 1 for consideration to serve on an APMA committee.

APMA is pleased to announce the winners of the Abstract Competition at The National 2021!

The APMA Meetings app is the most convenient way to navigate The National this year.

Welcome to the APMA 2021 Annual Scientific meeting (The National)! Whether you’re joining us in Denver or online, we’re excited to share this premier foot and ankle meeting with you. Read on for more about what to look forward to!

Last week, APMA, AOFAS, AAOS, and AOA wrote a letter requesting that CMS follow through with its previous commitment to increase the MUE for CPT 28300 from one to two.

As a result of APMA's advocacy efforts, Anthem has agreed to revise its policy and follow current NCCI policy, addressing denials of properly coded at-risk foot care claims.

APMA Advocates for L3000 Coding Change

APMA collaborated with PFA and AOPA during the July 8 CMS HCPCS Panel Meeting to request that the descriptor for HCPCS code L3000 be changed.

APMA Submits Telehealth Recommendations to AHRQ

Last week, APMA submitted comments to the Agency for Healthcare Research and Quality (AHRQ),in response to the agency’s request for information on the impact of telehealth during the COVID-19 pandemic.

CMS updated its COVID-19 Accelerated and Advance Payment (CAAP) Repayment & Recovery FAQs on June 24.

HHS, Labor, and Treasury Release Surprise Medical Billing Rule, APMA to Comment

On July 1, the Departments of Health and Human Services (HHS), Labor (DOL), and Treasury (and the Office of Personnel Management [OPM] for purposes of federal employee health plans), released the first in a series of rules implementing the No Surprises Act passed in late 2020 to address surprise billing.

Revisions to CPME Documents: Comment Period Closes August 20

In 2019, the DOE engaged in negotiated rulemaking around several issues and finalized revisions to regulations in July 2020. The council has incorporated these changes to comply with the new regulations within CPME 120 and CPME 130.

2021 State Advocacy Forum Young Physician Advocate Scholarship

APMA is excited to announce Courtney McClurkin, DPM, of Dallas as this year’s Center for Professional Advocacy Young Physician Advocate Scholarship recipient.

The CMS contractor that issues Comparative Billing Reports (CBRs) has announced a new CBR related to services provided by orthoses referring providers. A related webinar is scheduled for July 14.

The US Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA), released revised reporting requirements for recipients of Provider Relief Fund (PRF) payments on June 11.

The APMA Educational Foundation is thrilled to announce 15 outstanding podiatric medical students have been awarded travel scholarships to attend the APMA 2021 Annual Scientific Meeting (The National), July 29–August 1 in Denver!

Last week, CMS announced the 2021 PY PI Hardship Exception and other EUCs exception applications are now open, and the 2020 PY Cost performance category has been reweighted to 0.

The Joint Task Force of Orthopaedic and Podiatric Surgeons has endorsed a white paper and submitted a resolution for consideration at the June 2021 Special Meeting of the AMA House of Delegates.

At its April 24 meeting, the Council on Podiatric Medical Education reviewed Draft 1 documents of CPME 320 and CPME 330, along with comments from the community of interest.

Podiatric medical residents could benefit from wellness programs to improve their well-being according to a study published in JAPMA.

APMA is hopeful its feedback will result in a shift toward patient-focused versus provider-centric, and burden reduction.

Read about APMA's efforts to be more diverse and inclusive.

Biden Signs Bill Delaying Medicare Sequester Cuts Through End of 2021

President Joe Biden has signed into law legislation that will delay resumption of Medicare sequestration cuts through 2021.

APMA’s ambitious legislative efforts continue with the introduction of HR 2545, to clarify the role of doctors of podiatric medicine in the Department of Veterans Affairs, and for other purposes.

APMA Meets with Novitas and FCSO to Address Ongoing 3051F/3052F Denials

Novitas and FCSO acknowledged the ongoing issue and the mystery behind the codes not being accepted while the same codes are noted in the measure specifications for 2021.

APMA held another successful virtual Coding Seminar this past Saturday, April 10. Attendees should be able to access recordings of the presentations in the next few weeks.

Last week, APMA kicked off its 2021 Foot Health Awareness Month campaign, Today’s Podiatrist Keeps America Active. The campaign is designed to speak to the athlete in everyone with information about proper foot health for athletes and the role podiatrists play in sports medicine.

21st Century Cures Act Information Blocking Requirements Update

APMA has worked with its Hart Health Strategies consultants to provide an updated resource for members on their obligations under the 21st Century Cures Act as it relates to information blocking.

CMS Instructs MACs to Hold Claims as of April 1 - Pending Extension of Sequester Suspension

In anticipation of possible Congressional action to extend the 2-percent sequester reduction suspension, CMS instructed the Medicare Administrative Contractors (MACs) to hold all claims with dates of service on or after April 1, 2021, for a short period without affecting providers’ cash flow.

PPP Extended—Apply by May 31

APMA is pleased to announce the Senate passed a two-month extension of the Paycheck Protection Program (PPP) last week.

In a letter addressed to President Joe Biden, APMA urged the president and his administration to take several significant regulatory and administrative actions to lessen paperwork burdens, promote ready access to foot and ankle care, and reduce longstanding health disparities.

The 2021 Highlighting Your Heroes Campaign is Here!

The APMA Educational Foundation kicked off its 2021 Annual Giving Campaign at the APMA 2021 House of Delegates meeting this weekend, with the theme “Highlighting Your Heroes.”

APMA continues to urge HHS to authorize DPMs as vaccinators without limitations and recommendeds that podiatric medical students be added to the list of qualified individuals who can serve as vaccinators.

The specialty societies addressed problems with Anthem/AIM’s process for obtaining prior authorizations, including requesting a peer-to-peer review. AIM acknowledged these problems and assured us they resolved them.

Interim Final Rule Implements PPP Loan Changes

SBA released an interim final rule with updated provisions, which, unless otherwise specified, are effective as of March 4.

CPME Responds to COVID-19’s Impact on Residencies

Recognizing the continued impact COVID-19 is having on residency training programs, the council has decreased required MAV by 15 percent, waived diversity requirements for 2021 residency graduates, and approved a petition to allow programs flexibility to provide alternative clinical experiences.

If applicable, please take the short surveys to ensure podiatrists are well represented. Participants will receive survey results.

APMA Coding Consultant Jeffrey D. Lehrman, DPM, has created a brief webinar on what to do in 2021 to avoid a penalty in 2023.

APMA encourages members to take MGMA’s 2021 Provider Compensation and Production Survey.

APMA Educational Foundation Names PICA Distinguished Scholar Award Recipients 

One student from each of the nine colleges of podiatric medicine was selected for the prestigious $5,000 award.

HHS has delayed Provider Relief Fund (PRF) Reporting, but recipients of PRF payments exceeding $10,000 in aggregate must register in the PRF Reporting Portal. There is currently no portal registration deadline.

Register to view the recording from last week's live APMA Coding Seminar at NYSPMA’s 2021 Clinical Conference and take an assessment test to earn up to 6.5 CECH (DPMs) or 6.5 CME (podiatric medical assistants).

As previously reported, APMA wrote a letter to the National Governors Association recommending that states authorize podiatric physicians to prescribe and administer the COVID-19 vaccine. Over the past month, APMA has worked with its state components societies to reach out to state policymakers.

APMA Comments to CMS on NCD for Autologous Blood-Derived Products for Chronic Non-Healing Wounds

APMA recommended deleting the language in the NCD stating autologous PRP is non-covered when used for the treatment of “chronic, non-healing, cutaneous wounds.”

Coding Updates: Postoperative Global Period Changes for Two Codes, New CRC Tools

Effective January 1, postoperative global periods for CPT® 28820 (Amputation toe, MPJ) and CPT® 28825 (Amputation toe, IPJ) have changed to zero days.

Stay up-to-the-minute on research; learn how to get alerted to new JAPMA content.

The Coding Resource Center (CRC) will undergo a security upgrade on Thursday, January 14, at 12 p.m. ET. After the upgrade is complete, you will use your APMA user ID and password (i.e., your APMA.org log-in info) to access the site.

APMA is pleased to announce the Call for Oral/Poster Abstracts for the APMA 2021 Annual Scientific Meeting (The National) in Denver, July 29–August 1.

HHS is requiring providers who received more than $10,000 in combined monies from any PRF distribution to report via the portal.

The end of 2020 was a busy time for member advocacy! APMA submitted comments to HHS, CMS, and OASH.

Congress and the administration have heard from medical practices nationwide about the substantial impact of COVID-19 on their businesses. Read more about the impact of the Coronavirus Aid, Relief, and Economic Security (CARES) Act, as well as COVID-relief legislation passed as part of the Consolidated Appropriations Act of 2021, that may have an impact for our member physicians.

APMA’s DME Workgroup coordinator Paul Kesselman, DPM, presented during the Healthcare Common Procedure Coding System (HCPCS) Public Meeting on December 21 to support APMA’s request.

Citing a 26.3-percent improper payment rate for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS), the contractor for CMS that issues Comparative Billing Reports (CBRs) announced a new CBR for “Orthoses Referring Providers.”

CMS has posted MIPS 2021 eligibility, APMA has launched its 2021 MIPS Resource Page, and is offering many webinars about the 2021 PY.

On December 21, APMA will participate in CMS’s Virtual Public Meetings for new public request for revisions to the Healthcare Common Procedure Common Procedure Coding System (HCPCS).

HHS updated its Provider Relief Fund (PRF) FAQs again, offering guidance for providers whose total payments from the distributions under this fund exceed the 2 percent of total patient revenue for the tax year submitted.

Small-Group Health Plan Update

We look forward to delivering an outstanding benefit of your membership in APMA and your state organization.

Participating in MIPS 2020 PY? Apply now for a 2020 MIPS PI performance category hardship exception application. Conditions apply; deadline is December 31.

This year, podiatric medical students have been particularly impacted by changes in academic structure, employment opportunities, and financial stability. By donating today, you are supporting APMA’s effort to ease the financial burden of medical school on podiatry students.

Share these affordable insulin prescription purchase options with your patients today.

APMA Meets with HealthNet Federal Services to address Problematic Policy

APMA met with HeathNet Federal Services (HNFS), the TRICARE Administrator for the West Region, to address denials for non-invasive vascular diagnostic studies.

CECH certificates and new "Coding Documentation Series" webinar dates are now available!

Deadline Extended to December 15: Take the -25 and -59 Modifier Issues Member Survey

As part of the ongoing work of the -25 and -59 modifier workgroups, APMA has created a member survey to help identify which payers are engaging in which denial patterns.

Procedure status "B" assigned to the CPT® code that accounts for extra provisions to ensure patient and provider safety during a public health emergency.

APMA Comments on CMS and NQF Proposed Rules

APMA recently submitted comments to CMS and the National Quality Forum (NQF), addressing CMS’ proposed Medicare Coverage of Innovative Technology (MCIT) pathway and best practices for EHR data quality.

APMA, Coalition Urge Congress to Prevent Medicare Payment Cuts

APMA, with its MD/DO coalition partners, is advocating to urge Congress to stop physician payment cuts. In response to these efforts, bipartisan legislation was introduced last week.

21st Century Cures Act and Information Blocking—What You Need to Know

APMA has created a resource page to help providers understand the changes coming with two final rules with provisions of the 21st Century Cures Act, and what compliance concerns might arise.

CY2021 MPFS and Budget Neutrality

APMA has created a fact sheet addressing members’ and state components’ concerns over the proposed decrease to the conversion factor for the Medicare Physician Fee Schedule (MPFS) and its impact on your reimbursement.

The Center for Lower Extremity Ambulatory Research (CLEAR) is recruiting diabetic participants for two online survey-based studies on physical activity and the diabetic foot.

The portal for applications for Phase 3 of the General Distribution from the CARES Act Provider Relief Fund (PRF) is open. Hurry! The deadline to apply is November 6!

Every year, a new ICD-10-CM code set is released and takes effect October 1. This year, there are 490 total additions, 58 deletions, and 47 revisions. Many of the new codes are pertinent to most podiatric practices.

HHS updated its timeline for clinicians who received more than $10,000 in Provider Relief Fund general and targeted distributions.

Stay On Top of Shifting COVID-19 Compliance Deadlines With New Resource Page

APMA created www.apma.org/COVID19Deadlines, where you can check for updated deadlines and get a direct link to the corresponding programs.

Recent -25 Modifier Denials and Reimbursement Reductions

As a reminder, the 25 modifier is used when a significant, separately identifiable E/M service by the same physician occurs on the same day of the procedure or other service.

APMA Advocates for the Profession at NCSL Virtual Meeting

APMA’s Center for Professional Advocacy will participate in the NCSL's virtual meeting, Base Camp, to help state legislators better understand DPMs' education and training, and the value the profession provides to patients and the health-care system.

Residents on Front Lines of COVID-19 Health Crisis

Read an excerpt from the forthcoming APMA News interview with two Massachusetts residents deployed to care for COVID-19 patients.

APMA thanks participants in this year’s Virtual Team APMA Run/Walk. See the winners in each event category!

The IRS recently released Notice 2020-32 stating that if a PPP recipient uses those PPP funds toward expenses that would otherwise be deductible, those expenses will no longer be deductible.

If you enjoyed the Ask the Experts sessions last week, don't miss these upcoming coding education opportunities!

APMA submitted comments to the CMS Office of Burden Reduction and Health Informatics on July 29 requesting further regulatory burden relief.

The Small Business Association opened the PPP Forgiveness Platform and began accepting lender submissions on August 10. Check with your lender for details.

Access 2019 MIPS Performance Feedback and Final Score, Request Targeted Review

CMS has released 2019 MIPS performance feedback and final scores. View yours and/or request a targeted review by October 5 on the Quality Payment Program website.

HHS has reopened the Phase 1 General Distribution Application portal. Medicare providers who missed the opportunity to apply before may apply August 10–28. Remember to apply for the Medicaid/CHIP Provider Relief Fund tranche by August 28.

CY 2021 MPFS Proposed Rule APMA Notes Key Proposals

CMS released its CY 2021 Physician Fee Schedule Proposed (MPFS) Rule, which includes proposed changes to the Quality Payment Program (QPP) for 2021 on Monday, August 3. APMA is reviewing the rule and plans to comment.

Students, friends, and family took part in APMA’s Student Advocacy Week this year, generating 11,626 letters to Congress and posts to social media on multiple issues facing the profession.

APMA -59 Modifier Workgroup Plans Strategy 

Your APMA Health Policy and Practice Committee’s -59 Modifier Workgroup held its first conference call in July 15 to develop education and advocacy strategy. The workgroup was formed during last month’s Health Policy and Practice Committee Meeting.

After months of APMA's advocacy, the US Department of Homeland Security Cybersecurity & Infrastructure Security Agency (CISA) has explicitly included podiatric physicians in its definition of physicians classified as an essential critical infrastructure worker during the COVID-19 public health emergency.

APMA stands in solidarity with our Black members, leaders, and patients. We want them to know that Black lives do matter. Recent discussions have resulted in new ideas about how to advance APMA’s commitment to ending health-care disparities and how to promote inclusivity and diversity. Among these ideas are several that APMA plans to pursue in the coming months.

CMS announced on June 24 that any clinician "significantly impacted" by the COVID-19 public health emergency may submit an Extreme and Uncontrollable Circumstances Application to reweight any or all MIPS performance categories for the 2020 PY if they choose.

NCCI Erroneous Edit Correction Victory

APMA is pleased to announce that the joint effort we led with AAOS and AOFAS has resulted in the National Correct Coding Initiative (NCCI) correcting an erroneous NCCI edit related to CPT 28296 and CPT 28289.

Congratulations to the Class of 2020 APMA/TDI Public Health Fellow, Brandon Brooks, DPM, MPH! Dr. Brooks has officially joined the ranks of APMA/TDI alumni through a virtual ceremony held by The Dartmouth Institute on Friday, June 12.

Congress recently passed new flexibilities for recipients receiving funds via the Paycheck Protection Program.

Last week, APMA submitted a letter to Department of Health and Human Services’ Secretary Alex Azar regarding the inability of our members who are acknowledged as eligible recipients for funds from the HHS Provider Relief Fund, but through some oversight on the backend, did not receive any monies from the first distribution.

The Step into Podiatry website has had more than 136,000 pageviews since its launch in January, and during the COVID-19 public health crisis, the site has hosted several webinars to help potential applicants connect with current students and admissions administrators.

In recent weeks, our country has been reminded that we have much work to do to overcome racism and hate. The American Podiatric Medical Association—its leaders, staff, and members—unequivocally condemns all acts of racism and violence.

The US Small Business Administration (SBA), in partnership with the Department of the Treasury, issued an interim final rule (IFR) with comment period last week, addressing loan forgiveness requirements for the Paycheck Protection Program. This new rule is effective immediately.

The Journal of the American Podiatric Medical Association (JAPMA) website got a facelift! You are required to reset your password to access the journal now that the new site is live.

APMA is working closely with the American Academy of Dermatology (AAD) on its established COVID-19 registry, www.aad.org/covidregistry. APMA encourages its members to report cases of lesions on the feet associated with COVID-19 through this HIPAA-compliant, IRB-approved registry because it could have strategic benefits for our profession.

Did you know there is a simple way for you to help reinforce APMA’s initiatives? Visit www.apma.org/eAdvocacy and voice your support for APMA's legislative priorities.

APMA met with CMS on November 12 to discuss ongoing frustrations with the revised release and review process for LCDs and LCAs, and the roles of CAC representatives under the 21st Century Cures Act.

If you missed it live on April 25, you can now purchase a recording of the four-hour Virtual Coding Seminar. Topics covered include upcoming E/M coding changes, telemedicine coding, and ICD-10 updates.

APMA, with Hart Health Strategies, has two new webinars addressing the Payroll Protection Program (PPP) and Medicare Provider Relief Funds. And you'll find new Provider Relief Funds resources at www.apma.org/covid19.

Did you miss the Virtual Coding Seminar on April 25? A recording will be available for purchase soon with access to all related materials. If you attended the live event, you should have received an email on Friday with information on how to access the recording and how to submit your seminar evaluation to receive your educational credit.

Last week HHS announced additional plans for distributing funds from the CARES Act Provider Relief Fund. Approximately $10 billion was scheduled to be released on April 24 to providers who have already shared key data with HHS.

CMS announced on April 26 its decision to reevaluate the amounts that will be paid under the Accelerated Payment Program and to suspend its Advance Payment Program to Part B suppliers.

Exciting New Features in APMA Coding Resource Center

APMA Coding Resource Center (CRC) subscribers will see exciting changes when they log in to their accounts this week.

Take the Physician Call Coverage Compensation Survey

BuckheadFMV is conducting a survey on physician call coverage compensation practices and is looking to obtain data specific to doctors of podiatric medicine along with other physicians.

On April 10, 2020, the Department of Health and Human Services (HHS) began distributing the initial $30 billion in relief funding to Medicare fee-for-service (FFS) facilities and providers in support of the national response to COVID-19. Some providers have already received payments from this initial distribution. These are grants, not loans, and do not have to be repaid.

APMA has been working hard to ensure our members are seen, heard, and represented as various government agencies work to address the ongoing COVID-19 pandemic. Last week, APMA advocated for members via several key mechanisms.

APMA has recorded two new special podcasts for members.

The COVID-19 public health emergency continues to pose new and unprecedented challenges for our health-care system and individual physicians and practices. APMA is here to help its members navigate these difficult times and continue to deliver the highest-quality foot and ankle care to patients.

The Small Business Administration (SBA) released an interim final rule on April 2 addressing the Paycheck Protection Program (PPP), a new SBA loan option created under the Coronavirus Aid, Relief, and Economic Security (CARES) Act.

APMA is working hard to make sure members have access to the most up-to-date information on recent changes to how and what services podiatric physicians can provide to patients via non face-to-face services. As of March 30, the biggest changes for Medicare and Medicare Advantage patient billing are the following.

CMS announced an expansion of its accelerated and advance payment program for Medicare participating health-care providers and suppliers to ensure they have the resources needed to combat the 2019 Novel Coronavirus (COVID-19). This program expansion includes changes from the recently enacted Coronavirus Aid, Relief, and Economic Security (CARES) Act.

For the latest COVID-19 guidance and updates from CPME, visit www.cpme.org.

APMA places the highest value on the health and wellbeing of its members and staff. In light of new developments in the rapidly evolving COVID-19 outbreak, the APMA Board of Trustees has voted to cancel the 2020 House of Delegates meeting scheduled for March 13–16 in Washington, DC, and The Coding Seminar, scheduled for March 28 in Dallas.

RIPMA Awarded Advocacy Grant

RIPMA was recently awarded an APMA CPA Assistance Grant to help obtain a legal opinion related to a hospital discrimination issue.

Important DME MACs Requirement Change

Effective January 1, 2020, the DME MACs have changed the requirement for a “Detailed Written Order” to a requirement for a “Standard Written Order.”

In support of a recommendation from the APMA Board of Trustees and Council on Podiatric Medical Education, the 2019 APMA House of Delegates approved a resolution calling for a Blue Ribbon Panel to review and study the history, traditions, and current circumstances associated with the recognition of special areas of practice and recognition of certifying boards.

APMA Comments on CMS’ Proposed Rules

APMA submitted three formal comment letters to CMS on September 27 in response to its CY 2020 Medicare Physician Fee Schedule (MPFS), Outpatient Prospective Payment System (OPPS), and the End-Stage Renal Disease/Durable Medical Equipment, Orthotics, Prosthetics, and Supplies (ESRD/DMEPOS) Proposed Rules.

APMA Advocates for Podiatrists on Falls Prevention to the US Senate Committee

APMA submitted comments on falls and fall-related injuries to the US Senate Special Committee on Aging on June 26. Falls are the leading cause of fatal and nonfatal injuries among older adults, as the committee mentioned in its call for comments.

APMA Urges CMS, ONC to Move Cautiously on Interoperability Proposed Rule

APMA submitted supportive, but cautionary, comments to CMS and the Office of the National Coordinator for Health Information Technology on June 3 related to proposed changes to interoperability requirements.

APMA News is pleased to invite members to be featured in our 10 Questions column, which runs on the back page of each issue of the magazine. Contact Aimee Condayan for details.

Director, Legislative Advocacy and APMAPAC, Benjamin J. Wallner, was awarded the PAC Chair Award on Monday.

APMA hosted leaders from AAOS, ACFAS, and AOFAS last week for a joint task force meeting to address mutual concerns and priorities for orthopaedic and podiatric surgeons.

Same or Similar AFO Denials Explained, What to Do About It

The DME MACs have recently begun strictly enforcing a long-existing policy, “Same and Similar.” This has resulted in suppliers more frequently receiving denials for DME, indicated on EOBs with reason code “M3.”

To receive your continuing education certificate of attendance and verification report, you must complete the overall meeting evaluation. Follow the below instructions to do so.

The APMA Educational Foundation is now participating in AmazonSmile, a program in which the online retailer, Amazon.com, donates 0.5 percent of the price of eligible smile.amazon.com purchases to the foundation.

Physicians Continue to Fight -25 Modifier Reimbursement Policies

As a member of AMA and its Medical Specialty Society -25 Modifier coalition, APMA continues to fight private insurance policies that unduly reduce reimbursement for physicians.

A5513 and K0903 Victory!

APMA is very pleased to announce that after much advocacy by APMA and the American Orthotic and Prosthetic Association (AOPA), diabetic shoe inserts fabricated using scanning devices will be reimbursed the same as those inserts made over a positive model of the patient’s foot, effective April 1, using a temporary HCPCS code, K0903.

On Sunday, March 18, Dennis R. Frisch, DPM, was installed as president of APMA by Ross A. Taubman, DPM. Dr. Frisch addressed the house, outlining APMA’s accomplishments and his goals for the coming year. He promised to devote his energy toward moving forward together as well as the importance of APMA membership.

The APMA House of Delegates took time on Saturday to honor the memory of noted coding expert and APMA consultant Harry Goldsmith, DPM, of California, who passed away on February 7.

House of Delegates Bylaws Webinars

The latest draft of the proposed modifications to the APMA Bylaws is available at www.apma.org/hod.

APMA has been advocating to CMS for the revision of recently issued NCCI guidance, as it relates to the -59 modifier and coding for CPT 11055 and 11720.

New MIPS FAQs Available on APMA.org

A new set of FAQs addresses the MIPS quality payment program. It is available on the MACRA resource page, along with other valuable MACRA-related tools.

APMA celebrated a major advocacy victory this week when CMS withdrew proposed rule CMS-6012-P, which would have required previously exempted, qualified practitioners including podiatrists to obtain additional certification and licensing to furnish and fabricate orthotics and prosthetics.

APMA staff and members from the Massachusetts Podiatric Medical Society (MPMS) recently attended the National Conference of State Legislatures (NCSL), August 6–9 in Boston. NCSL is a bipartisan organization that serves the legislators and staffs of the nation's 50 states, commonwealths, and territories.

Join the AACPM DPM Mentor Network to help ensure a bright future for podiatry.

The APMA House of Delegates secured PICA’s $25,000 matching grant by raising more than $100,000 at the house. Visit www.apma.org/donate and donate today to support our students.

The 97th APMA House of Delegates (HOD) meeting convened yesterday in Washington, DC.

APMA President R. Daniel Davis, DPM, presented Timothy Tillo, DPM, with the Distinguished Service Citation on Saturday at the 97th Annual APMA House of Delegates meeting in Washington, DC.

APMA Demands Humana End Denial of At-Risk Foot Care Claims with -59 Modifier

As previously reported, APMA has been working over the past year and half to resolve APMA members’ ongoing issues with Humana Medicare Advantage plans’ blanket denials of at-risk foot care claims with the -59 modifier.

Social media has woven its way into every part of our lives, including health care. According to MediaBistro.com, 40 percent of those surveyed reported information they see via social media impacts how they handle their health. How are you using social media to help promote your practice?

Practicing medicine today is so extremely challenging that we often spend a lot of energy focusing on all that is wrong with our current health-care delivery system.

HealthHelp DiagnosticSite Issues Resolved

APMA is pleased to report a recent advocacy win for podiatric physicians with HealthHelp.

APMA's Diabetes Campaign, "Diabetes: A Path to Poor Circulation?", is up and running.

When ICD-10 was adopted on October 1, 2015, CMS instructed Medicare contractors to not deny claims billed under the Part B physician fee schedule through either automated medical review or complex medical record review based solely on the specificity of the ICD-10 diagnosis code as long as the provider used a valid code from the correct family. This policy will end on October 1, 2016.

CMS announced today that it will allow physicians participating in MACRA’s Quality Payment Program four options to comply with the first year of the law and avoid penalties. APMA, along with other physician specialties, have called on CMS to delay implementation and provide more flexibility in the program.

APMA Responds to Proposal to Fix Medicare Appeals Backlog

APMA submitted comments on the proposed rule by CMS and the Office of Medicare Hearings and Appeals (OMHA) on Monday, August 29.

Private Insurance Resource Guide (PIRG)

The Private Insurance Resource Guide (PIRG) is an online, detailed guide just for members on elements of insurance related to the practice of podiatry.

2015 PQRS Feedback Reports, Annual Quality and Resource Use Reports Available Soon

The 2015 Physician Quality Reporting System (PQRS) feedback reports will be available in September for individual eligible professionals (EPs) and PQRS group practices. The 2015 Annual Quality and Resource Use Reports (QRURs) will also be available in September for groups with two or more EPs and solo practitioners.

APMA presented on social media to a standing room only crowd.

Don't miss a thing at The National with our meetings app.

APMA Chides CMS for MACRA Proposed Implementation Timeframe; Calls for more Flexibility

APMA submitted comments to CMS on June 27 addressing concerns with the proposed rule implementing the new Merit-Based Incentive Payment System (MIPS) and Alternative Payment Models (APMs) established by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).

CMS Webinar on Resource Use Performance Category

CMS invites the public to join an upcoming listening session on June 8, 12-1 p.m. EDT, to learn more about the Resource Use performance category, part of the Merit-Based Incentive Payment System (MIPS) proposed in the recently released MACRA Notice of Proposed Rulemaking (NPRM).

Join CMS for a webinar on the comparative billing report on Podiatry: Nail Debridement and Evaluation and Management (E/M) Services (CBR201608), Wednesday, June 22, from 3–4:30 p.m. EDT.

Five Practice Management Lessons from Inaugural PM Expo

Get five key lessons from this unique event, and watch for details about future PM Expo dates.

APMA’s legislation to recognize podiatrists as physicians within the Veterans Health Administration—the VA Provider Equity Act—is in danger of failing after being left out of the Senate’s VA omnibus bill, the Veterans First Act.

Help a student out today at www.apma.org/donate.

APMA sponsored a briefing on Capitol Hill underscoring for legislators and staffers the critical importance of podiatrists in diabetic limb salvage and promoting the Helping Ensuring Life- and Limb-Saving Access to Podiatric Physicians (HELLPP) Act.

The APMA House of Delegates took time on Saturday to honor the memory of past Delegate Oliver “Ollie” Foster, DPM, of California, who passed away last week. The APMAPAC Kaplan-Clarke-Foster Practice Management Seminar is named in honor of Dr. Foster, who was an avid supporter of the PAC.

Former APMA Executive Director and CEO honored at 2016 APMA House of Delegates meeting.

APMA President Phillip E. Ward, DPM, honored Dyane Tower, DPM, MPH, MS, with the Rising Star Award on Saturday.

APMA members describe what they take back to their practice after attending The National.

APMA Executive Director and CEO James R. Christina, DPM, invites you to attend The National 2016.

APMA Director of Young Physicians’ Programs Nichol Salvo, DPM, testified on behalf of APMA before the US House Veterans Affairs Committee, Subcommittee on Health, last week. Her focus was on how disparity within the VA hinders recruitment and retention of podiatrists.

Americans may be ready to resume walking, running, and other outdoor sports this spring, but are their feet?

The 95th APMA House of Delegates (HOD) meeting convened yesterday in Washington, DC.

On Sunday, Phillip E. Ward, DPM, was installed as president by his daughter Meredith Ward, DPM. Dr. Ward addressed the House of Delegates and shared his goals for his presidency.

On March 19 leaders in the US House of Representatives and the US Senate released bipartisan, bicameral legislation to replace the broken Medicare Sustainable Growth Rate (SGR) formula with an improved payment system that rewards quality, efficiency, and innovation. The bipartisan, bicameral bill seeks to end the cycle of annual ‘doc fix’ crises that have created uncertainty for millions of Medicare providers and beneficiaries for more than a decade and also create a system that promotes higher quality care for America’s seniors.

HR 1221/S 626, The Helping Ensure Life- and Limb-Saving Access to Podiatric Physicians (HELLPP) Act, was introduced to the 114th Congress on March 4 by US Sens. Chuck Grassley (R-IA) and Charles Schumer (D-NY) in the Senate and US Reps. Renee Ellmers (R-NC) and Diana DeGette (D-CO) in the House. The bipartisan HELLPP Act includes multiple comprehensive reforms that will enable podiatric physicians to continue to save lives, limbs, and health-care dollars. The net result of implementing these common-sense provisions would be significant improvements to patient access to quality foot and ankle care and tremendous savings for the Medicaid and Medicare programs.

Medicare Alternative Payment Models: ACOs and Bundled Payments

APMA recently submitted a comment letter to CMS on the policies outlined in the Medicare Shared Savings Program (MSSP) Accountable Care Organizations (ACOs) proposed rule. Concerns expressed include podiatric physician participation in ACOs and Medicare beneficiaries’ right to receive care outside of an ACO.

CPME has approved new residency positions and a new residency program.

Volunteers Sought for ICD-10 End-to-End Testing in Spring; Applications Due January 21

A second sample group of providers will have the opportunity to participate in ICD-10 end-to-end testing with Medicare Administrative Contractors (MACs) and the Common Electronic Data Interchange (CEDI) contractor April 26–May 1.

APMA requests submissions from members who are interested in presenting a lecture(s) at the APMA 2015 Annual Scientific Meeting (The National), July 23–26 in Orlando, FL.

APMA Submits Comments on the Discussion Draft of Protecting the Integrity of Medicare Act of 2014

APMA submitted a comment letter to CMS on its proposed rule for the Medicare Physician Fee Schedule (MPFS) for CY 2015 on August 29. Under the MPFS proposed rule, podiatrists on average should expect to see no change to their estimated total allowed charges in 2015.

Clarification on Physician Supplier Requirements for Hours of Operation, Beneficiary Copies of Supplier Standards

APMA’s DME Workgroup recently obtained clarification concerning the requirements for posting and maintaining hours of operation for DME physician suppliers.

The National will have two opportunities for attendees to gain hands-on training from renowned experts with an ultrasound workshop and ankle arthroscopy workshop. Attendance is limited, so register today!

APMA Comments on FTC’s Health-Care Competition Notice

In February, the Federal Trade Commission (FTC) published a notice on health-care competition. APMA submitted a comment letter in response to this FTC notice last week. It addressed the education, training, and experience of podiatrists, as well as scope of practice laws and other legislative and regulatory restrictions that do not reflect the advancement of podiatric medicine and the value of care by podiatrists.

APMA’s 94th House of Delegates meeting today welcomed several special guests to the meeting.

Frank Spinosa, DPM, was installed as APMA president at the 2014 House of Delegates.

APMA President Matthew Garoufalis, DPM, honored US Rep Brad Wenstrup, DPM (R-OH), during the 2014 APMA House of Delegates meeting with the President's Award in honor of Dr. Wenstrup's outstanding achievements.

Comedian Greg Schwem will be the opening speaker for the APMA 2014 Annual Scientific Meeting in Honolulu, July 24-27.

Participate in PQRS in 2013 or Lose Money in 2015

Participate in PQRS by December 31, 2013, or your Medicare Part B payments will decrease by 1.5 percent in 2015. Participation is easy; follow these steps to ensure you don't lose money.

APMA Opposes CMS’ Omission of CPME from Sunshine Act Reporting Exemption

APMA is strongly opposed to CMS’ arbitrary omission of CPME from a list of accrediting and certifying entities under a Physician Payment Sunshine Act (PPSA) regulation that exempts indirect payments made to speakers at accredited or certified continuing medical education (CME) programs from reporting requirements.

Comedian Jerry Seinfeld shares his story of how an APMA member podiatrist ended his 30-year struggle with heel pain.

AACPM and CPME Respond to Need for Additional Residency Positions

Learn how APMA and CPME are working to address the podiatric residency shortage.

Due to partisan gridlock in Washington, D.C., the federal government will encounter an automatic budget "sequester" starting March 1, 2013. Learn more about how these budget cuts will impact APMA members and podiatric physicians.

In a landslide victory, Brad Wenstrup, DPM, has won the Ohio second district congressional race by a 59-41 percent vote. Dr. Wenstrup is the first ever podiatrist to be elected to the US House of Representatives and APMA congratulates him on this victory.

The Society for Vascular Surgery has approved membership for podiatrists in the same category as other physicians who are not vascular surgeons.