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.

APMA is delighted to announce the launch of health insurance options for small groups. The enrollment portal is now open; submit your information now and start your new plan as early as August 1.

Thanks to advocacy efforts led by FPMA CAC Representative Mark Block, DPM, First Coast Service Options Inc. reversed a longstanding policy in an updated Local Coverage Article by allowing podiatrists to serve as providers who diagnose a non-asterisked complicating condition that qualifies a patient for routine foot care coverage.

APMA Hosts Scope-of-Practice Advocacy Summit

APMA’s Center for Professional Advocacy (CPA) hosted its Scope-of-Practice Advocacy Summit on June 17.

APMA is pleased to announce victory on HR 2545, a bill to further clarify the role of doctors of podiatric medicine in the Department of Veterans Affairs.

OSHA's new COVID-19 ETS include physician offices, hospitals, and outpatient centers, and nursing homes, among others, to protect workers in health-care settings where suspected or confirmed COVID-19 patients are treated.

APMA, PARCA Urge Biden Administration to Implement Provider Nondiscrimination Regulations

APMA and the Patient Access to Responsible Care Alliance Coalition (PARCA) wrote to the US Department of Health and Human Services, US Department of Labor, and US Department of Treasury (Departments), urging these agencies to implement protections against provider discrimination as required by the No Surprises Act as included in The Consolidated Appropriations Act, 2021.

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.

APMA supports HHS’ underlying goals of the proposed rule but raises several warning flags in its comment letter.

E/M Changes Improve Outlook for Podiatrists

CMS released the CY 2021 MPFS Final Rule on December 1. APMA is pleased to confirm that the changes to office/other outpatient E/M coding APMA advocated for will indeed take effect in 2021.

The 20th Annual CAC-PIAC Meeting will be held virtually this Saturday, December 5. This one-day event will focus on updates from policy experts in the private and public health insurance sectors, and provide attendees the opportunity to learn from each other while discussing local concerns.

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!

APMA, Coalition Partners Urge Congress to Delay AUC Program Indefinitely

APMA joins with 25 medical specialty organizations in calling on Congress to delay the implementation of the Appropriate Use Criteria (AUC) program for advanced diagnostic imaging.

NPs/PAs Can Serve as "Certifying Physician" for Therapeutic Shoes/Inserts in Some Instances

This change does not allow an NP who practices independently (without MD/DO supervision) and is not practicing “incident to” a supervising physician's authority to serve as the Certifying Physician.

APMA Addresses Onerous Chart Reviews with CMS

APMA submitted a letter to CMS urging the agency take action to reduce MAOs' medical record request burdens.

APMA Comments on Third CMS COVID-19 Interim Final Rule

APMA submitted comments to CMS on November 2 in response to the Third CMS COVID-19 Interim Final Rule with Comment Period.

The COVID-19 public health crisis is causing many families to suffer financial hardship, isolation, and stress. You can help by sharing these resources with your patients.

APMA has written to Anthem about its questions and concerns with Anthem’s "Clinical Appropriateness Guidelines for the Musculoskeletal Program, Appropriate Use Criteria: Small Joint Surgery," set to take effect November 1. APMA is also sending a joint letter with ACFAS, AOFAS, and AAOS to express our shared concerns.

GetInsulin.org is a nonprofit organization that connects individuals living with diabetes in the United States to insulin affordability options, with access to insulin matching their unique circumstances.

CPT® Changes Coming January 1, 2021

Several 2021 CPT® code set changes affect podiatrists, including changes to ultrasound, fluorescence wound imaging, arthroscopy, and significant E/M changes.

APMA expressed significant concerns with a proposed rule for payment policies revisions under the Physician Fee Schedule and Other Revisions to Part B for Calendar Year 2021, and commented on proposed changes to the Quality Payment Program (QPP).

On October 1, as part of its Continuing Resolution (HR 8337), Congress provided relief to COVID-19 Medicare Advanced and Accelerated Payment Program (AAP) loan recipients.

New Modifier 59 Tool Kit, Webinar on October 1

A Routine Foot Care and -59 and X{ESPU} Modifier Tool Kit is now available for members. You'll get a template appeal letter, articles, documentation guidelines, and more. Take advantage of these resources today!

There is currently no hard deadline for the PPP forgiveness application, but the application form expires on October 31. Contact your lender for instructions.

CMS is delaying garnishing Medicare providers’ payments related to the CARES Act Medicare Accelerated and Advance Payment Program (AAP).

Time to Focus on MIPS

October 1 marks the beginning of the final 90-day consecutive period that you can report on Promoting Interoperability and/or Improvement Activities for the MIPS 2020 performance year.

APMA Shares Support of Massachusetts Scope-of-Practice Legislation

APMA sent a letter to Massachusetts legislators on August 28 urging them to include updated podiatric scope of practice in their health-care reform legislation.

APMA submitted a letter to the medical director of Amerigroup Caritas Medicaid District of Columbia last week on behalf of members in the DC–MD–VA region who might be treating vulnerable patients covered by this plan.

Have insurance or reimbursement concerns you'd like discussed at the December 5 CAC-PIAC meeting? Let your reps know now!

Two APMA Regional Lecture Series talks will take place virtually at the TPMA Southwest Foot and Ankle LIVE Virtual Conference September 25 and 26.

Updated ABN Form—Use Mandatory as of January 1, 2021

CMS has approved and issued a new Advance Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131.

APMA Victory—AUC Implementation Delayed to 2022

APMA is pleased to announce that after multiple requests, CMS has announced it is delaying full implementation of the Appropriate Use Criteria (AUC) requirements for advanced imaging orders to 2022.

APMA is pleased to announce the winners of the 2020 Abstracts Competition!

The APMA student recruitment team participated in the National Institutes of Health’s Graduate and Professional School Fair on August 5. APMA’s recruitment resource, Step into Podiatry, was featured during the virtual event.

APMA Comments on New Noridian Routine Foot Care LCA

APMA sent comments to Noridian about its Local Coverage Article (LCA): Billing and Coding: Routine Foot Care (A57957).

APMA President Seth Rubenstein, DPM addressed the National Medical Association’s (NMA) Podiatric Medicine and Surgery Section during its virtual 2020 Annual Convention July 31-August 4. According to its website, NMA is “the collective voice of African American physicians and the leading force for parity and justice in medicine and the elimination of disparities in health.”

2021 State Advocacy Forum Headed to Atlanta

At its most recent meeting, the APMA Board of Trustees approved Atlanta as the host site for the 2021 State Advocacy Forum. Previously held in Detroit, Philadelphia, Salt Lake City, and Milwaukee, the State Advocacy Forum is conducted in a host state that is selected to recognize that state component’s exceptional accomplishments in state advocacy

On July 16, legislators introduced a bill that would expand telehealth beyond the COVID-19 pandemic by eliminating restrictions on its use in Medicare, providing a bridge for patients currently using the practices because of the crisis, and requiring a study on the use of telehealth during COVID-19.

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.

Last week, APMA submitted a letter to the National Correct Coding Initiative (NCCI) to request that an update be made to Chapter I of the NCCI Policy Manual For Medicare Services.

Last week, HHS announced additional distributions from the Provider Relief Fund to eligible Medicaid and Children's Health Insurance Program (CHIP) providers that participate in state Medicaid and CHIP programs.

APMA is pleased to provide a comprehensive compilation of information to assist members with opening their offices in a safe manner for their patients and staff.

Health Policy and Practice, Coding Committees’ Virtual Meetings

Two key APMA committees met virtually last week to discuss topics that directly impact our members as well as their patients.

PICA, in partnership with APMA, is hosting an essential webinar on Wednesday, June 10, at 8 p.m. ET: “Risk Management Strategies and Other Considerations as you Provide Care and Treatment Post COVID-19.”

In support of J. Kevin West, Esq., who wrote a letter on behalf of PICA policyholders, APMA submitted its own letter to Noridian to express our shared concerns with its policies related to the Therapeutic Shoe Program for Persons with Diabetes (TSD).

APMA submitted comments on May 25 in support of the Department of Defense’s (DOD) Interim Final Rule: TRICARE Coverage and Payment for Certain Services in Response to the COVID-19 Pandemic. APMA supported the two major changes the DOD finalized.

Are you readying to reopen or expand your practice hours as COVID-19 restrictions ease? Have questions about obligations to your employees? Reserve your spot now for APMA’s upcoming member-exclusive webinar, “Employee Issues in the Time of COVID-19.”

APMA submitted comments to CMS in response to CMS’ interim final rule on flexibilities for physicians and other providers during the COVID-19 public health emergency.

HHS released new guidance in the past week addressing continued questions about the provider relief fund general distribution. These updates addressed a number of topics relevant to podiatrists.

CPME has developed a petition form to be completed and submitted by the residency director by May 31 for residents who will not meet the MAV/rotation requirements, but who have demonstrated competence through alternative means, as referenced in the CPME Statement on COVID-19 and Minimum Activity Volume (MAV) published on March 30.

The APMA Online CECH series continues this week with “Juvenile Hallux Valgus.” Members can earn up to 1.0 CECH for attending. APMA Trustee Patrick DeHeer, DPM, will lecture on juvenile hallux valgus. Registration is also open for week 4.

In the past week, the Small Business Administration (SBA), US Treasury, and IRS have released more rules and guidance on the PPP, and CMS issued a new interim final rule with comment period that, among other changes, increases the reimbursement for telephone-only teleheath visits.

DPMs May Order Non-Invasive Vascular Arterial Studies for TRICARE Patients

The TRICARE administrator for the West Region now permits DPMs to order non-invasive vascular or arterial studies for TRICARE beneficiaries.

The APMA Board of Trustees recently voted to endorse a website devoted to care for the diabetic foot in the context of COVID-19.

With Congress approving an additional $310 billion last week for the Paycheck Protection Program (PPP), the Small Business Administration (SBA) resumed the program on Monday, April 27. APMA, with Hart Health Strategies, recorded another webinar to help members understand the program and recent updates.

The CARES Act Provider Relief Fund Payment Attestation Portal is now open. Providers who received a payment from the initial $30 billion general distribution must sign an attestation confirming receipt of the funds and agree to the terms and conditions within 30 days of payment.

APMA highlights the work our members are doing, not only to keep patients out of the overburdened hospitals, but also to care for patients on the frontlines.

CMS has re-opened the 2019 extreme and uncontrollable circumstances application.

APMA previously announced an economic relief plan for its members impacted by COVID-19. In light of new legislation enacted by the federal government, as well as members' demonstrated needs and the input of our state components, APMA is adjusting its response.

If you were unable to join last week’s webinar, “How Your Practice Can Survive COVID-19,” which addressed the various financial resources and loans available to small businesses, it is now posted for you to watch at your convenience.

During the COVID-19 Public Health Emergency, there are four non-face-to-face service types podiatrists can provide to most patients. A provider’s ability to employ these services may differ based on the patient’s insurance and state licensure.

Last week, the US Department of Labor’s Wage and Hour Division (WHD) published more guidance on the new FMLA benefits under the Families First Coronavirus Response Act (FFCRA), which went into effect on April 1.

Last week, APMA submitted comments to both CMS and the Department of Labor (DOL). In both comments, APMA explicitly asked for additional regulatory relief, given the national public health crisis (www.apma.org/commentletters).

CMS released its “Frequently Asked Questions on Medicare Provider Enrollment Relief related to COVID-19” on March 22, which includes the toll-free hotlines available to provide expedited enrollment and answer questions about COVID-19 enrollment requirements.

In consideration of the current COVID-19 pandemic, APMA has made the decision to cancel The Coding Seminar, scheduled for March 28 in Dallas.

APMA Comments on CMS’ Advance Notice on Medicare Part C

APMA submitted its comments to CMS on March 6 in response to CMS’ Advance Notice of Methodological Changes for Calendar Year (CY) 2021 for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies.

APMA Responds to CMS Request for Feedback on CMS

APMA once again informed CMS that over the past several years, state law has been amended to clearly permit podiatric physicians and surgeons to supervise physician assistants (PAs), and more.

WPS Wound Care LCD Victory

APMA is thrilled to announce a recent victory with a formal reconsideration request to Wisconsin Physicians’ Services (WPS) to correct its problematic Wound Care Local Coverage Determination (LCD).

Calling all WPS Member States!

If you are a member practicing in Indiana, Iowa, Kansas, Michigan, Missouri, or Nebraska, be on the lookout for an action alert from your state component!

Are the costs of health insurance draining your wallet? APMA has a brand new, member-exclusive benefit designed for you. APMA’s health insurance solutions can help cut your practice’s health-care costs by a whopping 15 to 30 percent, and there are options available for practices of any size.

Hurry! Register online for the must-attend meeting for every podiatrist now through July 3.

CMS Responds to APMA’s Concerns on LCD, CAC Process Changes, TSD Requirements

APMA met with CMS on June 6 to voice concerns about changes to Local Coverage Determination (LCD) and Carrier Advisory Committee (CAC) processes. APMA also continued to lobby for administrative simplification of the Medicare Therapeutic Shoes for Patients with Diabetes (TSDs) program, as it aligns with CMS' Patients over Paperwork and provider burden reduction initiatives.

The US Department of Defense (DoD) released a proposed rule on April 8 allowing podiatrists to prescribe physical therapy or occupational therapy (OT/PT) services under the TRICARE program.

On Sunday, March 17, David G. Edwards, DPM, was installed as APMA president by Mark F. Rogers, DPM. Dr. Edwards stated that his vision for the coming year is tied to the pioneering spirit of our country that is embodied in the profession.

CMS Releases FAQ, Additional Resources on 2019 MIPS Medicare Payment Adjustment

The Centers for Medicare and Medicaid Services (CMS) has posted a new Merit-based Incentive Payment System (MIPS) resource to the Quality Payment Program (QPP) Resource Library to answer questions and provide additional resources on 2019 payment adjustments.

Coding Alert—Dispensing Bilateral DME Items

The coding guidance that exists when dispensing bilateral DME items is changing, effective March 1, 2019. This change applies to ankle-foot orthoses, knee-ankle-foot orthoses, lower limb prostheses, surgical dressings, orthopedic footwear, and therapeutic shoes for persons with diabetes.

Since last November, APMA has been working with our Novitas Carrier Advisory Committee (CAC) representatives to clarify problematic language in Novitas’ Mycotic Nail Debridement Local Coverage Determination (LCD). As a result of the work of APMA and the CAC representatives, Novitas has changed the language, releasing a new LCD with an effective date of August 16, 2018. Under this new LCD, if the patient qualifies under “mycotic nail debridement” and debridement is performed without concomitant pharmacologic therapy, mycologic confirmation is expected.

President Trump has signed the John S. McCain III, Daniel K. Akaka, and Samuel R. Johnson VA Maintaining Internal Systems and Strengthening Integrated Outside Networks Act of 2018, or MISSION Act.

Wisconsin to Allow Podiatrists to Supervise Physician Assistants

APMA congratulates the Wisconsin Podiatric Medical Association (WPMA) on its recent legislative success.

Many awards were presented at the APMA House of Delegates meeting in Washington, DC.

APMA is deeply saddened by the passing on February 7 of Harry Goldsmith, DPM, after a battle with cancer. Dr. Goldsmith was a noted coding expert and a consultant to the APMA Health Policy and Practice department. His vast knowledge of coding was instrumental in the development and evolution of the APMA Coding Resource Center, and he supported APMA’s RUC and CPT initiatives, committee activities, and other efforts.

Critical deadlines for MIPS Performance Year 2017, as well as the Medicare EHR Incentive Program 2018 adjustments are approaching.

Attention Young Physicians: Don’t Miss This Advocacy Overview Designed Just for You

APMA is offering a special advocacy opportunity designed specifically for young physicians: the CEO Briefing. Space is limited, so you’re encouraged to register early.

Two new rules published November 2, 2017, by CMS will affect podiatrists' payments in 2018 and 2020.

Share Feedback on Proposed Bylaws Changes

APMA's Bylaws and Procedures Committee has drafted proposed changes to the bylaws, which would be considered by the 2018 House of Delegates and enacted by procedures modifications at the 2019 House of Delegates meeting. APMA is seeking feedback from members on these proposed changes. Feedback is due November 30, 2017.

APMA is saddened to announce that Past President Jerry D. Brant, DPM, passed away September 17 after a battle with pancreatic cancer.

VA Provider Equity Act Passes in House

The VA Provider Equity Act (HR 1058) was passed unanimously in the House on July 24. The APMA-crafted legislation aims to resolve ongoing recruitment and retention issues for podiatrists employed by the Veterans Health Administration (VA).

APMA Executive Director and CEO James R. Christina, DPM, explains how to avoid a MIPS penalty.

John Evans, DPM, was honored with the Award of Excellence on Sunday, March 19. Dr. Evans was nominated by Crystal Holmes, DPM, president of the Michigan Podiatric Medical Association.

Ira Kraus, DPM, was installed as the president of APMA on Sunday, March 19, by APMA Past President Michael J. King, DPM.

2017 State Advocacy Forum Registration Open, YP Scholarships

Have you registered for the 2017 State Advocacy Forum, May 12–13 in Salt Lake City? APMA will award three scholarships to young physicians to attend!

Going to the 2017 NYSPMA Clinical Conference this week and/or weekend? Stop by APMA’s booth, #1515!

APMA MACRA Comment Letter

APMA submitted comments to CMS on December 19 regarding the finalized rule for the Medicare Quality Payment Programs, the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Model (APMs).

APMA’s Center for Professional Advocacy Sponsors Scope of Practice Advocacy Initiatives

APMA’s Center for Professional Advocacy (CPA) sponsored a Scope of Practice Advocacy Summit on December 5 for state component leaders in states that have been unable to update their scope of practice laws to include the ankle and its governing and related structures.

2017 Medicare Physician Fee Schedule Released

CMS has released the final CY 2017 Medicare Physician Fee Schedule. APMA will review the information during this weekend's 16th Annual Joint CAC-PIAC Meeting.

This morning, CMS announced the final rule implementing the Merit-Based Incentive Payment System (MIPS) and Advanced Alternative Payment Model (APM) provisions in MACRA, which are collectively known as the Quality Payment Program.

New FAQs on Final 1557 Notice Requirements Now Available

In response to a number of questions and feedback from members, APMA has created an FAQ page, with a printable PDF version, for the final section 1557 notification. View the document today to prepare your office for the October 16 compliance deadline.

Accessing Lectures from The National 2016

You can now view many of the lectures from The National 2016.

Visit the APMA Coding Resource Center now and experience the site's first major redesign since its 2009 launch.

Online library of lectures on topics especially for residents. Free for members. Subscription required.

Members, take advantage of our resources!

CMS Releases 2017 MPFS Proposed Rule

CMS released the CY 2017 Medicare Physician Fee Schedule (MPFS) proposed rule last week. APMA is currently in process of evaluating the rule’s impact on our members.

APMA is pleased to announce that Dyane Tower, DPM, will join the APMA staff as the new director of Clinical Affairs in early October.

EIDM SO, Individual Practitioners, Must Recertify by June 30

EIDM users must recertify their accounts annually. This year, the EIDM Security Official (SO) or Individual Practitioner must recertify by Thursday, June 30.

APMA Coding Committee Convenes This Week

The APMA Coding Committee will meet on Friday, June 3, to discuss hot topics in coding, including ICD-10, X modifiers, global day post-op evaluations, and CPT updates.

Humana and Cigna Coverage Policies Corrected

APMA is pleased to report two recent reimbursement victories with Humana and Cigna.

The APMA Coding Resource Center (CRC) is the single best foot and ankle coding tool available, customized to meet your needs as a foot and ankle specialist. Look for new design and better loading speeds this summer.

APMA is evaluating the proposed rule from CMS on physician payment reform.

APMA Working to Protect Members from X-Ray Reimbursement Reduction

Recently, a number of APMA members have expressed concerns to APMA on the possible reduction in reimbursement they might face, under the Medicare film/cassette imaging service payment reduction provision in the 2016 Consolidated Appropriations Act.

APMA Takes Action on Student Recruitment Concerns

Strong concerns about student recruitment—specifically, a low applicant pool—were raised at the APMA House of Delegates meeting in March.

Paul Kinberg, DPM, was honored with the Award of Excellence on Sunday, March 20. Dr. Kinberg was nominated by Leslie Campbell, DPM. The award is presented to members in good standing in recognition of outstanding national accomplishments in scientific, professional, or civic endeavors. Nominees must have demonstrated outstanding service to APMA.

APMA President Phillip. E. Ward, DPM, presented APMA Past President Joseph Caporusso, DPM, with the Distinguished Service Citation on Saturday at the 96th Annual APMA House of Delegates in Washington, DC.

On Sunday, March 20, R. Daniel Davis, DPM, was installed as president of APMA by Marc Lederman, DPM. Dr. Davis addressed the house, outlining APMA’s accomplishments and his goals for the coming year. He promised his high energy and passion for podiatry as the cornerstone of his presidency.

For those podiatrists looking for more in-depth learning than a standard lecture when they attend a foot and ankle conference, The National offers three hands-on workshops.

Deadline to Register with Specialty Registry February 29

Registry reporting remains a significant aspect of the CMS EHR Incentive Program and Physician Quality Reporting System (PQRS), and will continue to be into the future with the Merit-based Incentive Payment System. In order to meet meaningful use requirements (Objective 10 Measure 3) eligible professionals must submit their intent or connect to a specialty registry by today, February 29.

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.

DME MACs Delay Implementation of PCD LCD

DME Medicare Administrative Contractors (MAC) published a notice stating that all four jurisdictions would be delaying implementation of recently finalized local coverage determinations (LCD) for pneumatic compression devices (PCDs). The scheduled effective date was November 1. DME MACs have not published a future effective date. These LCDs would have prevented podiatric physicians from prescribing PCDs regardless of the scope of practice in their respective states. The current LCD and related policy article will remain in effect.

Kyle Bruce, DPM, is APMA's newest public health fellow. Applications for the 2015&#*8211;2016 fellowship are due November 7.

APMA Submits Comments on the Medicare Physician Fee Schedule for CY 2015 Proposed Rule

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.

APMA Continues Lobbying for VA Parity

APMA has aggressively lobbied Congress to resolve the ongoing pay disparity faced by podiatrists employed by the Department of Veterans Affairs (VA). Now, we need our members to take the torch and continue to advocate while Congress is on recess.

CMS Proposed Rule on Meaningful Use Reporting in 2014

CMS and the Office of the National Coordinator (ONC) released a notice of proposed rulemaking (NPRM) on May 20 that would allow providers participating in the EHR Incentive Programs (meaningful use) to use the 2011 Edition of certified electronic health record technology (CEHRT) for calendar and fiscal year 2014.

Several key initiatives were addressed at the 94th House of Delegates.

APMA Executive Director and CEO Glenn B. Gastwirth, DPM, announced that he will extend his commitment to APMA by a year. In December 2013, Dr. Gastwirth announced plans to retire in May 2015.

APMA Executive Director and CEO Glenn B. Gastwirth, DPM, presented his Executive Director's Award to Merz North America during the 2014 APMA House of Delegates meeting.

Compromise SGR Overhaul Bill: An Opportunity for Podiatric Medicine

HELLPP Act language that was included in Senate Medicare SGR reform bill was dropped in the compromise bill, but there is still opportunity for podiatric medicine in other legislation.

APMA Meets with CMS Regarding Sunshine Act Reporting Exemption

APMA and the American College of Foot and Ankle Surgeons met with representatives of the CMS Center for Program Integrity and Office of Legislation, and Congressman Danny Davis (D-IL) last Tuesday about the Physician Payment Sunshine Act (PPSA) in the congressman’s office.

New APMA Medicare Provider and DMEPOS Supplier Revalidation Resource

APMA’s Health Policy and Practice department introduces a new resource for Medicare provider and DMEPOS supplier revalidation.

A new proposed rule from the Department of Defense would allow podiatrists to prescribe and dispense durable medical equipment (DME). This is a regulation APMA has sought to change for more than five years.

Matthew G. Garoufalis, DPM shares his thoughts on what APMA members can do to help address the podiatric residency shortage.

Town-Hall Meeting Considers Future of HOD

The House of Delegates heard from a task force that has been considering the future of the house and potential changes to the governing body of the association and its meetings.

APMA Meets with NHSC, Discusses Underserved Patient Care

APMA recently held a productive meeting with the National Health Service Corps (NHSC) within the Health Resources and Services Administration (HRSA).

APMA is pleased to announce the winners of the 2012 APMA Annual Scientific Meeting Abstract Competition. First place winners receive $1000, second place winners receive $500, and third-place winners receive $250.

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