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.

APMA Continues Advocacy Efforts on LCD/LCA Review and CAC Process

In furtherance of APMA’s advocacy efforts related to Carrier Advisory Committee (CAC), APMA will meet with CMS on May 18 to receive updates on various LCD/LCA topics.

Make the most of your membership with APMA Engage, your new essential app. Now available for iOS and Android devices.

In conjunction with APMA’s Health Policy and Practice committee meetings, APMA held its annual DME Stakeholder meeting virtually on May 11.

MAO Denials of Prior Authorization Requests Raise Concerns About Beneficiary Access to Medically Necessary Care

According to a recent report from the Department of Health and Human Services’ (HHS) Office of Inspector General (OIG), Medicare Advantage Organizations (MAOs) sometimes delayed or denied Medicare Advantage beneficiaries' access to services, even though the requests met Medicare coverage rules.

With a commitment to continuous innovation, APMA's trusted partner, PatientPop, delivers an all-in-one technology platform that eases and enhances every step of the patient journey, from online search to ongoing post-visit connections.

The Spring Virtual Coding Seminar held on April 23 was a major success. APMA is proud to have once again been able to hold another informative coding course for its participants.

APMA Continues Efforts to Contest Proposed Palmetto Policy

Part B Medicare Administrative Contractor (MAC) Palmetto GBA (AL, GA, NC, SC, TN, VA, and WV) has proposed a policy that, if finalized, would limit the frequency of toenail avulsion and permanent toenail excision procedures.

APMA Working to Challenge Proposed Skin Substitute Policy

Two weeks ago, Novitas and First Coast Part B Medicare Administrative Contractors (MACs) released proposed skin substitute policies that, if finalized, would limit skin substitute application to two applications within an episode of skin replacement surgery for wound care.

Are you prepared for lift-off? APMA has partnered again with MGMA for its Cost and Revenue and Practice Operations Surveys, now open to all health-care professionals.

APMA is pleased to announce that we have awarded more than 50 scholarships for student membership to the American Public Health Association (APHA) Foot and Ankle Health Section in 2022.

APMA is aware of an abstract presented at the 2021 meeting of the American Orthopaedic Foot and Ankle Society, which compares outcomes of surgery performed by podiatrists and orthopedic surgeons. While the abstract of this study was published in Foot and Ankle Orthopaedics, the paper in its entirety has not been published, nor to our knowledge has it been accepted for publication by a peer-reviewed journal. It has also been pulled from presentation at future meetings due to problems with the study.

Since the last APMA update on this subject, all seven Part B Medicare Administrative Contractors (MACs) have removed the guidance that they would be denying claims for amniotic injections for musculoskeletal conditions effective March 16, and recouping payment for claims going back to December 6, 2019.

ABFAS and ABPM are to be commended for their commitment to student recruitment, and their continued investment in the future of the profession.

On March 31, APMA sent a formal request to the Health Resources and Services Administration (HRSA) to reopen the Reporting Period for at least 60 days to applicable Provider Relief Fund (PRF) recipients who did not successfully report via the HRSA PRF Reporting Portal by the November 30, 2021, deadline.

It is with profound sadness that we share the news that Kevan Kreitman, DPM, speaker of the APMA House of Delegates, passed away suddenly this week. Dr. Kreitman will be deeply missed by a grateful profession.

The APMA Educational Foundation thanks its donors leading up to and during the 2022 House of Delegates meeting in Washington, DC.

During the recent APMA House of Delegates, William Long, DPM, Chair of APMA’s Diversity, Equity, and Inclusion (DEI) Task Force, presented the final report to the house detailing the efforts of the Task Force during the past year.

The following alert is offered to provide risk advice to podiatrists. In the past five years, podiatric physicians have seen great patient benefits from the emerging use of amniotic fluid injections to treat musculoskeletal conditions, such as plantar fasciitis and tendonitis. Despite these benefits, the FDA has recently stated that it has not approved the use of such products and that further study is needed. On February 28, all Medicare Administrative Contractors (MACs) announced that they would be denying claims for amniotic fluid injections.

The APMA Educational Foundation kicked off its annual giving campaign during the 2022 House of Delegates meeting in Washington, DC.

APMA held its annual election for officers and trustees on March 13, during the 2022 House of Delegates. Get the results!

At the 2022 APMA House of Delegates meeting (HOD) in Washington, DC, various leaders participated and led discussions on various important topics in a Townhall Forum.

The APMA House of Delegates meeting is an opportunity not only to come together to create policy and priorities for the association, but also to celebrate the outstanding work of APMA members. During the meeting Saturday, several awards were presented.

The APMA House of Delegates convened in person in Washington, DC, on Saturday. Guest speakers addressed the house, bearing greetings from our physician peers and messages of thanks for the work of the house.

Last week, APMA submitted comments on two proposed rules related to the Medicare Advantage program.

APMA is proud to introduce Ortho Dermatologics, maker of JUBLIA®, as the 2022 sponsor of APMA Weekly Focus. Ortho Dermatologics is a Corporate Partner of APMA that has supported many initiatives for APMA members, including both CECH and non-CECH educational programs over the past decade.

Two CPME-Nominated Residents to Serve on NCICLE Learner Advisory Group with MDs, DOs

As an NCICLE member, CPME was given the opportunity to nominate a resident or fellow to represent podiatry on a newly formed NCICLE Learner Advisory Group. CPME nominated two podiatric residents for this group. Drs. Lindsay Short and Thomas Poynter were chosen to serve on the advisory group and they will join MD and DO residents and fellows to discuss current trends, challenges, and opportunities to improve the clinical learning environment from the perspective of a resident.

CMS released updated 2022 MIPS Quality Measure Benchmarks to include data from opt-in eligible clinicians and groups that elected to opt-in to MIPS.

Podiatry Nail Debridement and E/M Services: Comparative Billing Report

CMS recently announced in its MLNConnect Newsletter that it will soon issue a comparative billing report (CBR) on Medicare Part B claims for podiatry nail debridement and evaluation and management services.

Essentials Bundle Provides Discount on Six On-Demand Courses

If you have a need for CECH or are looking for a way to meet specific licensure requirements, check out APMA's Essentials Bundle, a collection of six, 1.0 CECH courses on a variety of non-clinical subjects frequently required for state licensure.

The APMA Board of Trustees held its winter meeting this weekend and heard reports from a variety of organizations and committees.

APMA’s comments addressed the proposed network adequacy reviews, as well as equalizing cost sharing on specialty care for patients with diabetes.

APMA Advocates for Strong Provider Nondiscrimination Rules

Dr. Pickard urged the departments to implement regulations that comply with congressional intent and prohibit health plans from discriminating against providers acting within the scope of their licensure.

Parity Project Final Report Released

APMA hired Lynn Curry, PhD, owner and chief consultant with CurryCorp, in the fall of 2021 to collect member stakeholders' perspectives on achieving physician parity. Dr. Curry's findings on the issue of parity are available, along with our response.

Guidance for Billing for Non-Covered Services Under Medicare Advantage Plans

Recently, APMA members have asked about the rules around billing for non-covered services under Medicare Advantage. To help members understand CMS rules and comply, APMA has drafted guidance and posted a brief video.

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

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.

This legislation, among other things, prevents the looming fiscal cliff in Medicare reimbursement for physicians.

APMA congratulates Bausch Health Companies Inc. and its dermatology business, Ortho Dermatologics, one of the largest prescription dermatology health-care businesses, on receiving the APMA Seal of Approval for JUBLIA® (efinaconazole) Topical Solution, 10%, a treatment for onychomycosis, a fungal infection of the toenails.

APMA, ACFAS, AAOS, and AOFAS recently held a call with Anthem and its contractor, AIM, to discuss their new Site of Care review initiative.

2022 Innovation Grants are Awarded to Eight States; CPA Assistance Grants

APMA is excited to announce it has awarded 2022 Innovation Grants to eight state components! These grants help state components with advocacy and their efforts to educate and build relationships with MD/DOs, policymakers, and payers.

Doctors and Clinicians Preview Period is Now Open

You can now preview your 2020 Quality Payment Program (QPP) performance information. The Preview Period will close on December 14 at 8 p.m. ET (5 p.m. PT).

Submit your proposal by December 10 to be a part of the can’t-miss event for every podiatrist in Orlando, FL, July 28–31.

More than 70 member volunteers came together for the 21st Annual Carrier Advisory Committee and Private Insurance Advisory Committee (CAC-PIAC) Representatives Meeting on November 12, in Alexandria, VA, and online.

Last week, CMS released the CY 2022 Medicare Physician Fee Schedule (MPFS) Final Rule. APMA is currently reviewing the rule and will provide full analysis soon and comment as necessary.

Last week, the Biden administration released two rules related to mandatory vaccination against COVID-19: A CMS Omnibus COVID-19 Health Care Staff Vaccination Interim Final Rule with Comment Period, and an OSHA Emergency Temporary Standard for COVID-19 Vaccination and Testing.

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.

APMA/TDI Public Health Fellowship: Call for Applicants

APMA is pleased to announce it is now accepting applications for the APMA/TDI Public Health Fellowship, 2021–22 academic year. Learn more and apply by September 25.

In light of states reopening regardless of the ongoing public health emergency status, CMS expects to resume audits on August 3, as related to its program integrity efforts.

APMA Congratulates GPMA on Advocacy Win

APMA extends its congratulations to the Georgia Podiatric Medical Association (GPMA) on its legislative victory to modernize the state scope-of-practice law. Georgia House Bill 932 allows podiatrists to form professional corporations with MDs and DOs and removes antiquated language.

Following an initiative led by Maryland and DC region CAC Representative David Freedman, DPM, Novitas has updated its procedure file to allow payment to all podiatrists for three codes for which it previously denied payment.

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 main non-face-to-face service types podiatrists can provide. A podiatrist’s ability to employ these services and be reimbursed for these services may differ based on the patient’s insurance and state licensure. Always check with payer and state licensure guidelines before providing any service.

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.