The 18th Annual Joint National Podiatric Carrier Advisory Committee (CAC)-Private Insurance Advisory Committee (PIAC) meeting was held on Friday, November 2, in Baltimore.
CMS released the Final Rule for the Quality Payment Program for 2019, including changes to the Merit-based Incentive Payment System (MIPS) in Year 3. While APMA is still reviewing the final rule, members should be aware of critical changes.
The 18th Annual Joint National Podiatric Carrier Advisory Committee (CAC)-Private Insurance Advisory Committee (PIAC) Representatives’ Meeting will be held this Friday, November 2, in Baltimore.
APMA has not let up its advocacy efforts in the weeks since we submitted formal written comments opposing the CMS E/M proposal in the Medicare Physician Fee Schedule (MPFS) proposed rule.
CMS has recently released a new MLN Matters Article (MM10984) on order requirements for certain DMEPOS, when the prescribing practitioner is also the supplier.
The new ICD-10 codes go into effect October 1. This year, there are a total of 473 code changes.
There’s just one week left before the final 90-day period of 2018. Have you begun fulfilling MIPS requirements for 2018? If you haven’t, you’ll need to begin October 1.
National Diabetes Education Program (NDEP) has released the update to Guiding Principles for the Care of People with or at Risk for Diabetes. This resource provides a set of 10 clinically useful principles highlighting areas of agreement in diabetes care and prevention. APMA has signed on as one of the 20 professional organizations and federal agencies supporting the use of Guiding Principles.
CMS has posted the following new MIPS resources in its Quality Payment Program (QPP) Resource Library.
APMA submitted its formal comments to CMS on September 10 in response to CMS' proposed rule for the 2019 Medicare Physician Fee Schedule. We are incredibly proud of our members’ efforts to let CMS know its proposals related to separate E/M coding for DPMs are unacceptable.
CMS is closing the opportunity to comment on its proposed changes for the 2019 Medicare Physician Fee Schedule this coming Monday, September 10. As a reminder, included among many proposed changes, CMS also included a proposal to require only podiatric physicians to use a separate set of E/M codes, which would pay significantly less. If you haven’t already utilized APMA’s eAdvocacy portal to express your opposition to this punitive proposal, we urge you to do so now.
In accordance with CPME procedures, interested individuals or institutions are invited to submit third-party comments with respect to compliance of the Midwestern University Arizona School of Podiatric Medicine in Glendale, AZ, with the standards and requirements of the council. The council will take into consideration all comments received by December 15 as part of the college’s on-site evaluation scheduled for January 22–25, 2019.
APMA submitted comments to CMS addressing CMS’s Request for Information (RFI) Regarding the Physician Self-Referral Law on August 24.
To receive your continuing education certificate of attendance and verification report, you must complete the overall meeting evaluation. Follow the below instructions to do so.
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.
As APMA has reported, CMS released its 2019 Medicare Physician Fee Schedule Proposed Rule [CMS-1693-P] that, if finalized, would require podiatrists to use different E/M codes from all other Medicare physicians. The codes would reimburse at a significantly lower rate.
CMS released the hardship exception application for MIPS-eligible clinicians for the 2018 performance period on August 8. There are three main categories of exception application types: PI Hardship Exception; Special Status Clinicians; and Extreme and Uncontrollable Circumstances.
On July 12, CMS released a proposed rule [CMS-1693-P] that, if finalized, would require podiatrists to use different E/M codes from all other Medicare physicians. The codes would reimburse at a significantly lower rate. APMA urges podiatrists, their patients, and other stakeholders to take action today to address this discriminatory and punitive proposed rule.
APMA made printable, single-page flowcharts for the most common quality measures our members might use.
CMS released the CY 2019 Medicare Physician Fee Schedule (MPFS) proposed rule last week, which also includes provisions related to the third year of the Quality Payment Program (QPP).
APMA is pleased to announce the opening of the APMA/TDI Public Health Fellowship application process for the 2019–20 academic year. The deadline for applications is September 28. Applications must be submitted by email to Carolyn G. Anderson, scientific program assistant, at email@example.com.
APMA is pleased to announce the winners of the APMA 2018 Annual Scientific Meeting Abstract Competition.
There is a new Podiatry School Student Quiz Bowl champion. Brandon Rogers from Kent State University College of Podiatric Medicine won the top prize in a raucous, energetic competition. Trent R. Brookshier (Western University of Health Sciences Collee of Podiatric Medicine) placed second and Dong Yu (Temple University School of Podiatric Medicine) claimed third.
The competitive spirit at The National will be strong Saturday afternoon. After cheering the contestant from your alma mater at the Podiatry School Student Quiz Bowl, join APMA for the ever-popular Controversy Debates, this year pitting newer podiatrists against more established practitioners.
Health-care providers need to stay current on a variety of public heath issues, and a Friday session presented timely updates on three perennial, but hot, topics—medical marijuana, implicit bias, and physician burnout.
The surgical blitz returns today with presentations on 11 procedures, as well as on how to code for each diagnosis. “I will look at the surgical techniques speakers will be discussing and tailor my presentation around them so it is an all-encompassing session,” said Jeffrey Lehrman, DPM. “We will cover clinical and surgical aspects, but attendees also need to be able to code for the services they are performing. We hope to cover everything they need to know, from beginning to end.”
The clinical management of wounds in patients with diabetes is a priority for podiatrists, but they also must prioritize record management, especially if treatment leads to amputation. Saturday’s Breakfast Symposium will examine the medical and legal implications of diabetic ulcers and other wounds to a podiatric practice.
During a reception Thursday evening, Podiatry Management installed Daniel F. Vickers, executive director of the Podiatry Institute, and Rep. Brad Wenstrup, DPM (R-OH), into its Hall of Fame.
Saturday’s “Residents’ Program” will provide valuable non-clinical instruction and guidance for the profession’s newest podiatrists. The non-CECH session will take place at 10 a.m. in National Harbor 10–11.
Continued increases in the use of opioid medications to manage pain and the number of patients addicted to opioids are one of the greatest crises facing health-care providers today. The Alliance for Patient Access (APA) is working to reduce that trend, and the APA chair will deliver Saturday’s Plenary Lecture.
As The National winds down, Sunday morning provides attendees with an opportunity to focus on their practices, with new information about MIPS and the APMA Registry. Ira H. Kraus, DPM, immediate-past president; Dyane Tower, DPM, MPH, MS, APMA director of Clinical Affairs; and Jeffrey D. Lehrman, DPM, consultant, APMA Health Policy and Practice Department, will oversee a breakfast symposium in Potomac Ballroom A from 7–8:30 a.m.
In 2015, Congress passed the Medicare Access and CHIP Reauthorization Act (MACRA). The law replaced the much-maligned sustainable growth rate with new mechanisms for CMS to determine physician reimbursement rates. The chief determinant for many physicians is the Merit-based Incentive Payment System (MIPS). Your MIPS score during a given reporting year dictates what sort of payment you will receive in two years—a bonus, a penalty, or neutral.
On Friday, undergraduate students assembled at The National for Step into Podiatry, an event designed to introduce them to podiatric medicine and surgery as a career. The event was part of APMA’s renewed focus on student recruitment.
From toes gone wild to Lisfranc fractures to discussions of fusion versus implants for treating hallux issues, the best treatments for forefoot and midfoot surgeries were examined Thursday. “Back to Basics: Forefoot and Midfoot Surgical Techniques” featured four experienced surgeons discussing their approaches, followed by a presentation on tips for ICD-10 coding.
Podiatrists regularly treat patients with vascular disease that can lead to critical limb ischemia (CLI), but those treatments vary greatly, especially in patients with diabetes. A Friday Breakfast Symposium will focus on management of wounds and peripheral vascular disease (PVD) and include a look at a clinical trial to determine the best treatment options for patients with CLI.
For more than a year APMA has been undergoing a brand audit. The purpose of this effort is to position the association for a bright future by emphasizing its strengths and addressing its weaknesses while connecting with the newest generation of podiatrists. The process is nearly at an end, but APMA has already begun acting on the findings of the audit.
The treatment of patients with sports-related injuries and advances in the management of heel pain will be addressed in two of the sessions to be presented Friday by participating organizations.
During a celebratory opening session Thursday, Rep. Brad Wenstrup, DPM (R-OH), the first podiatrist to serve in the US House of Representatives, congratulated APMA members on the passage of the VA MISSION Act, including APMA’s VA Provider Equity Act. “This was not only about pay,” Rep. Wenstrup said, referring to the bill, which placed podiatrists in the same authority as their allopathic and osteopathic colleagues at the Veterans’ Health Administration. “It was about leadership. And it was important for our veterans. Our veterans so often have comorbidities. And that’s what we do as podiatrists.”
Several unusual conditions and treatments will be examined during Friday’s Surgical Blitz session. Nine presentations will address topics such as modes of fixation, metatarsal fractures, syndesmotic injuries, cartilage defects, subtalar dislocations, and diabetic ankle fractures.
Four Friday workshops will give attendees hands-on experience in new procedures on cadavers, an opportunity to sharpen skills using established techniques, and information about new approaches to a variety of conditions treated by podiatrists.
The importance of thorough dermatologic examinations and the use of the correct biopsy techniques by podiatrists when needed will be explored during Thursday’s Plenary Lecture, “Common Lower Extremity Skin Lesions and Soft Tissue Masses—Diagnosis and Treatment Options.” Jeffrey D. Lehrman, DPM, medical director of the Crozer Center for Wound Healing in Springfield, PA, and chair of the Board of Directors of the American Society of Podiatric Surgeons, will use examination photos to help demonstrate the importance of not overlooking lesions or growths on the lower extremities.
Diagnosing dermatologic conditions on the lower extremities can be challenging because many conditions look alike. Two speakers at Thursday’s Breakfast Symposium will explain their tips for diagnosing and managing a variety of common and unusual conditions and explore new technology for an old problem.
Have you ever wished there was a podiatry superstore, a single place you could go to take care of all your practice needs? Well it turns out there is one, and it is the exhibit hall here at The National. Following this morning’s opening session, come to the exhibit hall grand opening! The expansive exhibit hall at The National features nearly 200 exhibitors ready to fill your every need. Dermatologics, orthotics, surgical tools, diagnostics … if you need it to run a podiatry practice, you will find it here!
The 2018 Annual Scientific Meeting (The National) will officially kick off this morning with an opening address by Rep. Brad Wenstrup, DPM (R-OH), the first podiatrist to serve in the US House of Representatives.
Amputations and complex treatments are common for patients who have diabetes or Charcot deformities, but better options and outcomes are available. Podiatric physicians will explore those options today during Track 1: Limb Preservation. Presentations will cover guidelines for treating osteomyelitis, including antibiotics; the importance of being flexible in managing Charcot deformity; the potential of using thermal imaging; and consideration of a patient’s lifestyle when choosing a treatment option.
You have committed to the must-attend meeting for every podiatrist; now make the most of your time at The National with the must-download app for every attendee. Search for the APMA Meetings app in the iTunes store for IOS devices or the Google Play store for Android devices. If you are a returning attendee, you are all set! Just select this year’s meeting in the app.
Career awareness and student recruitment have become hot-button issues for the profession of podiatry in recent years as applications to the nine colleges of podiatric medicine have dipped below acceptable levels.
Welcome to the APMA 2018 Annual Scientific Meeting (The National). The National is truly the must-attend event for every podiatrist. From workshops, to surgical blitzes, to expert practice advice, to specialized topics from participating organizations, The National covers the entire spectrum of foot and ankle care.
If you participated in the Merit-based Incentive Payment System (MIPS) in 2017, your MIPS final score and performance feedback are now available for review on the Quality Payment Program website.
APMA submitted comments to CMS on June 29 in response to a call for 2019 measures for the Promoting Interoperability (PI), formerly Advancing Care Information, performance category.
The APMA Educational Foundation is now participating in AmazonSmile, a program in which the online retailer, Amazon.com, donates 0.5 percent of the price of eligible smile.amazon.com purchases to the foundation.
APMA submitted comments to CMS on May 24 in response to a request for information (RFI) on direct provider contracting (DPC) models.
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.
Leaders from the American Academy of Orthopaedic Surgeons, the American College of Foot and Ankle Surgeons, the American Orthopaedic Foot & Ankle Society, and the American Podiatric Medical Association came together in Chicago on April 11 for a first-of-its-kind meeting of a Joint Task Force of Orthopaedic Surgeons and Podiatric Surgeons.
Blue Cross Blue Shield of Michigan (BCBSMI) will rescind its proposed -25 Modifier payment adjustment for evaluation and management services. BCBSMI announced that after hearing from many stakeholders, including the Michigan Podiatric Medical Association (MPMA) and other physician groups, it decided not to move forward with this policy.
APMA submitted comments to CMS on May 21 regarding its proposed rule, Methods for Assuring Access to Covered Medicaid Services-Exemption for States with High Managed Care Penetration Rates and Rate Reduction.
APMA’s Coding Committee and Health Policy and Practice Committee met for their annual in-person committee meetings to discuss ongoing reimbursement issues and set their committee agendas for the 2018–19 program year.
APMA wishes to congratulate Connecticut Podiatric Medical Association (CPMA) for passage of legislation that updated the Connecticut scope-of-practice law to remove barriers for podiatrists to surgically treat the ankle.
APMA congratulates the South Carolina Podiatric Medical Association (SCPMA) on the passage of H 3622, an updated podiatry scope-of-practice act to allow doctors of podiatric medicine to medically and surgically treat the ankle.
APMA submitted a request to CMS on May 1 to limit the 2018 Quality Measure reporting period to any 90-day period in the 2018 calendar year. This request was made for several reasons.
As a member of AMA and its Medical Specialty Society -25 Modifier coalition, APMA continues to fight private insurance policies that unduly reduce reimbursement for physicians.
APMA awarded SCPMA a Center for Professional Advocacy Financial Assistance grant last week to help South Carolina podiatrists with the scope legislation that would update the scope-of-practice to include the ankle.
The APMA Registry is now ready to accept 2018 MIPS reporting data. If you have not used the registry before, get started at the APMA Registry Sign Up Portal. The registry is free to use and allows all APMA members to complete their ACI and CPIA attestations for the MIPS 2018 reporting year.
The low-volume threshold for MIPS participation changed for the 2018 reporting period. CMS released a MIPS Participation Lookup Tool on April 6 that allows you to easily check your 2018 eligibility.
Palmetto GBA, the Medicare Administrative Contractor for Jurisdictions J and M, issued a notice that the “routine foot care service edit, based on the Routine Foot Care Local Coverage Determination (LCD), L37643, has been editing incorrectly and only allowing one CPT/HPCPS code identified in the LCD per patient, per claim.”
The South Carolina Podiatric Medical Association (SCPMA) scored a major victory on April 4 when its legislation to expand the scope of practice within the state to include the ankle (H 3622) received a second reading in the state House of Representatives. During the second reading, it was voted forward by a vote of 71–42.
APMA members should be alert to CMS rolling out its new Medicare card program. Patients began receiving these cards with the new Medicare Beneficiary Identifier (MBI) on April 1.
APMA congratulates the Wisconsin Podiatric Medical Association (WPMA) on its recent legislative success.
As Congress works to avert a government shutdown, APMA continues its efforts to move its legislation forward.
APMA is very pleased to announce that after much advocacy by APMA and the American Orthotic and Prosthetic Association (AOPA), diabetic shoe inserts fabricated using scanning devices will be reimbursed the same as those inserts made over a positive model of the patient’s foot, effective April 1, using a temporary HCPCS code, K0903.
Many awards were presented at the APMA House of Delegates meeting in Washington, DC.
On Sunday, March 18, Dennis R. Frisch, DPM, was installed as president of APMA by Ross A. Taubman, DPM. Dr. Frisch addressed the house, outlining APMA’s accomplishments and his goals for the coming year. He promised to devote his energy toward moving forward together as well as the importance of APMA membership.
The 98th APMA House of Delegates (HOD) meeting convened yesterday 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.
Dr. Kraus enumerated a long litany of accomplishments on behalf of members, including passage of legislation in the House of Representatives, major regulatory wins, development of a data registry, the launch of a new website, a massive and growing volume of media coverage, support of hundreds of students through APMA Educational Foundation scholarships, and many more.
The APMA House of Delegates took time on Saturday to honor the memory of noted coding expert and APMA consultant Harry Goldsmith, DPM, of California, who passed away on February 7.
APMA submitted comments to CMS On March 6 on its ongoing development of a quality measure addressing hospital treatment of pressure ulcers in hospital settings.
It’s already March! Have you checked out the 2018 MIPS Performance Year Resource Page recently? On it, members will find all the information they need to select the measures they would like to report or attest to for the 2018 MIPS Performance Year, for the three performance categories (Quality, Improvement Activities, and Advancing Care Information) that eligible clinicians must submit data or attest to, as well as information on the new cost performance category.
APMA submitted four proposed improvement activities to CMS for the 2019 MIPS Performance Year on March 1. APMA also submitted comments to CMS on March 5 addressing CMS’ notice of changes to the 2019 Medicare Advantage (MA) Capitation Rates, Part C and Part D payment policies.
APMA is pleased to announce that Anthem is no longer proceeding with its proposal to reduce payment for Evaluation and Management (E/M) Services reported with CPT modifier 25.
If you currently have fewer than 500 appeals pending at the Office of Medicare Hearing and Appeals (OMHA) and the Medicare Appeals Council at the Departmental Appeals Board, you may be eligible for a limited settlement agreement option for resolution to settle the portion of your pending appeals that have total billed amounts of $9,000 or less per appeal in exchange for timely partial payment of 62 percent of the net Medicare-approved amount.
APMA members are encouraged to apply for the Ralph and Melissa Daniel Young Physician Nail Merit Award.
The Independent Payment Advisory Board (IPAB) has been repealed—an action long sought by APMA and other patient and physician groups—as a result of the two-year budget agreement signed into law Friday, February 9.
If you have fewer than 500 appeals currently pending at the Office of Medicare Hearing and Appeals (OMHA) and the Medicare Appeals Council (Council) at the Departmental Appeals Board, you may be eligible for a limited settlement agreement option for resolution to settle the portion of your pending appeals that have total billed amounts of $9,000 or less per appeal in exchange for timely partial payment of 62 percent of the net Medicare-approved amount.
MIPS eligible clinicians can now view performance scores for 2017 claims data.
Be sure to register for the second bylaws webinar, scheduled for Monday, February 26 at 8 p.m. EST.
Critical deadlines for MIPS Performance Year 2017, as well as the Medicare EHR Incentive Program 2018 adjustments are approaching.
APMA submitted comments on January 22 to the Department of Defense in response to its review of existing TRICARE regulations.
The Medicare Administrative Contractor (MAC) for Jurisdiction J (Tennessee, Alabama, and Georgia) is transitioning from Cahaba to Palmetto. The Part A transition went into effect January 26.
The latest draft of the proposed modifications to the APMA Bylaws is available at www.apma.org/hod.
APMA provides tangible benefits for your dues dollars, but your association’s advocacy efforts also save you thousands of dollars—if not more—each year. Just two of APMA’s recent initiatives have saved members more than $100 million.
APMA submitted a comment letter on Monday, January 16, in response to the CMS proposed rule on possible policy and technical changes to the Medicare Advantage program.
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.
APMA has been advocating to CMS for the revision of recently issued NCCI guidance, as it relates to the -59 modifier and coding for CPT 11055 and 11720.
The performance period for MIPS in 2018 started on January 1. The 2018 performance period for eligible clinicians (those who see more than 200 Medicare Part B patients a year and have more than $90,000 in Medicare Part B allowable charges) is as follows: 12 months for the Cost and Quality performance categories; and 90 days for the ACI and CPIA performance categories.
If you registered to use the APMA Registry for the 2017 performance year, you will receive instructions regarding login and use of the registry shortly. We continue to process business associate/data use agreements and will let you know if we need further information from you. You have until March 24, 2018, to use the APMA Registry to attest to CPIA and ACI measures.
All resolutions for consideration at the 2018 House of Delegates (HOD) meeting this March must be submitted to APMA Executive Director and CEO James R. Christina, DPM, by January 18. Resolutions Preparation Guidelines are available on the HOD page.
Happy New Year! APMA would like to share with you some of the highlights of 2017 and how we delivered on our commitment to members. Read on for some of your association’s most significant accomplishments on your behalf.
Effective January 1, 2018, Medicare claims for X-rays taken using computed radiography/cassette-based imaging must include modifier “FY” and a 7-percent reduction in reimbursement will be applied to the technical component (and the technical component of the global fee) from 2018–22, and the reduction will increase to 10 percent in 2023. For purposes of this provision, computed radiography (CR) is defined as “Cassette-based imaging utilizing an imaging plate to create the image involved.”
As a reminder, the 2017 MIPS Performance Period ends on December 31, 2017. If you have not yet done anything for MIPS in 2017, do not worry. You can still easily avoid a penalty in 2019.
APMA and AOPA submitted a joint letter on December 5 to CMS expressing concern regarding the proposed changes to the DMEPOS Quality Standards, specifically on the changes that address custom fabricated shoe inserts for diabetic patients.
Friday December 15 is the deadline for you to sign up and complete all of the forms if you plan to use the registry to submit MIPS components (for most, that means ACI and/or CPIA) for performance year 2017.
In a major development for APMA's VA Provider Equity Act, the bill was adopted Wednesday as an amendment to the bipartisan Senate Caring for our Veterans Act of 2017, legislation that would renew funding for the program that allows veterans to receive health care at non-VA facilities when appropriate care is not readily accessible at a local VA facility.
APMA wants members to be aware of important deadlines in effect for candidates who completed a Council on Podiatric Medical Education (CPME)-approved residency of fewer than three years in duration but are not yet certified by the American Board of Foot and Ankle Surgery.
APMA submitted comments to CMS addressing the ongoing field-testing of episode-based cost measures for MIPS physicians.
Two new rules published November 2, 2017, by CMS will affect podiatrists' payments in 2018 and 2020.
A new set of FAQs addresses the MIPS quality payment program. It is available on the MACRA resource page, along with other valuable MACRA-related tools.
APMA'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 celebrated a major advocacy victory this week when CMS withdrew proposed rule CMS-6012-P, which would have required previously exempted, qualified practitioners including podiatrists to obtain additional certification and licensing to furnish and fabricate orthotics and prosthetics.
APMA is saddened to announce that Past President Jerry D. Brant, DPM, passed away September 17 after a battle with pancreatic cancer.
APMA staff and members from the Massachusetts Podiatric Medical Society (MPMS) recently attended the National Conference of State Legislatures (NCSL), August 6–9 in Boston. NCSL is a bipartisan organization that serves the legislators and staffs of the nation's 50 states, commonwealths, and territories.
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).
Attendees at The National can choose from four workshops to enhance their education experience in Nashville.
The National is an incredible event for early-career physicians. Consider these numbers ...
Join the AACPM DPM Mentor Network to help ensure a bright future for podiatry.
APMA Executive Director and CEO James R. Christina, DPM, explains how to avoid a MIPS penalty.
The APMA House of Delegates secured PICA’s $25,000 matching grant by raising more than $100,000 at the house. Visit www.apma.org/donate and donate today to support our students.
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.
The 97th APMA House of Delegates (HOD) meeting convened yesterday in Washington, DC.
Ira Kraus, DPM, was installed as the president of APMA on Sunday, March 19, by APMA Past President Michael J. King, DPM.
APMA President R. Daniel Davis, DPM, presented Timothy Tillo, DPM, with the Distinguished Service Citation on Saturday at the 97th Annual APMA House of Delegates meeting in Washington, DC.
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!
As previously reported, APMA has been working over the past year and half to resolve APMA members’ ongoing issues with Humana Medicare Advantage plans’ blanket denials of at-risk foot care claims with the -59 modifier.
Going to the 2017 NYSPMA Clinical Conference this week and/or weekend? Stop by APMA’s booth, #1515!
Social media has woven its way into every part of our lives, including health care. According to MediaBistro.com, 40 percent of those surveyed reported information they see via social media impacts how they handle their health. How are you using social media to help promote your practice?
HMP Communications (HMP) and the North American Center for Continuing Medical Education (NACCME), executors of the annual Symposium on Advanced Wound Care (SAWC) Spring and Fall meetings, are again offering a Wound Care Podiatrist Scholarship. The scholarship is open to any APMA member who has demonstrated exceptional clinical skills and an intense dedication to caring for patients with wounds.
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).
Practicing medicine today is so extremely challenging that we often spend a lot of energy focusing on all that is wrong with our current health-care delivery system.
The National Board of Podiatric Medical Examiners (NBPME) commissioned a practice analysis study to update the Part I & II Examinations.
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.
APMA is pleased to report a recent advocacy win for podiatric physicians with HealthHelp.
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.
APMA's Diabetes Campaign, "Diabetes: A Path to Poor Circulation?", is up and running.
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.
Notice to members during Hurricane Matthew 2016.
When ICD-10 was adopted on October 1, 2015, CMS instructed Medicare contractors to not deny claims billed under the Part B physician fee schedule through either automated medical review or complex medical record review based solely on the specificity of the ICD-10 diagnosis code as long as the provider used a valid code from the correct family. This policy will end on October 1, 2016.
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.
CMS announced today that it will allow physicians participating in MACRA’s Quality Payment Program four options to comply with the first year of the law and avoid penalties. APMA, along with other physician specialties, have called on CMS to delay implementation and provide more flexibility in the program.
You can now view many of the lectures from The National 2016.
APMA submitted comments on the proposed rule by CMS and the Office of Medicare Hearings and Appeals (OMHA) on Monday, August 29.
Visit the APMA Coding Resource Center now and experience the site's first major redesign since its 2009 launch.
The Private Insurance Resource Guide (PIRG) is an online, detailed guide just for members on elements of insurance related to the practice of podiatry.
Online library of lectures on topics especially for residents. Free for members. Subscription required.
The 2015 Physician Quality Reporting System (PQRS) feedback reports will be available in September for individual eligible professionals (EPs) and PQRS group practices. The 2015 Annual Quality and Resource Use Reports (QRURs) will also be available in September for groups with two or more EPs and solo practitioners.
Members, take advantage of our resources!
APMA presented on social media to a standing room only crowd.
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.
Don't miss a thing at The National with our meetings app.
APMA is pleased to announce that Dyane Tower, DPM, will join the APMA staff as the new director of Clinical Affairs in early October.
APMA submitted comments to CMS on June 27 addressing concerns with the proposed rule implementing the new Merit-Based Incentive Payment System (MIPS) and Alternative Payment Models (APMs) established by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).
EIDM users must recertify their accounts annually. This year, the EIDM Security Official (SO) or Individual Practitioner must recertify by Thursday, June 30.
CMS invites the public to join an upcoming listening session on June 8, 12-1 p.m. EDT, to learn more about the Resource Use performance category, part of the Merit-Based Incentive Payment System (MIPS) proposed in the recently released MACRA Notice of Proposed Rulemaking (NPRM).
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.
Join CMS for a webinar on the comparative billing report on Podiatry: Nail Debridement and Evaluation and Management (E/M) Services (CBR201608), Wednesday, June 22, from 3–4:30 p.m. EDT.
APMA is pleased to report two recent reimbursement victories with Humana and Cigna.
Get five key lessons from this unique event, and watch for details about future PM Expo dates.
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’s legislation to recognize podiatrists as physicians within the Veterans Health Administration—the VA Provider Equity Act—is in danger of failing after being left out of the Senate’s VA omnibus bill, the Veterans First Act.
APMA is evaluating the proposed rule from CMS on physician payment reform.
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.
Help a student out today at www.apma.org/donate.
Strong concerns about student recruitment—specifically, a low applicant pool—were raised at the APMA House of Delegates meeting in March.
APMA sponsored a briefing on Capitol Hill underscoring for legislators and staffers the critical importance of podiatrists in diabetic limb salvage and promoting the Helping Ensuring Life- and Limb-Saving Access to Podiatric Physicians (HELLPP) Act.
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.
The APMA House of Delegates took time on Saturday to honor the memory of past Delegate Oliver “Ollie” Foster, DPM, of California, who passed away last week. The APMAPAC Kaplan-Clarke-Foster Practice Management Seminar is named in honor of Dr. Foster, who was an avid supporter of the PAC.
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.
Former APMA Executive Director and CEO honored at 2016 APMA House of Delegates meeting.
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.
APMA President Phillip E. Ward, DPM, honored Dyane Tower, DPM, MPH, MS, with the Rising Star Award on Saturday.
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.
APMA members describe what they take back to their practice after attending The National.
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 Executive Director and CEO James R. Christina, DPM, invites you to attend The National 2016.
APMA Director of Young Physicians’ Programs Nichol Salvo, DPM, testified on behalf of APMA before the US House Veterans Affairs Committee, Subcommittee on Health, last week. Her focus was on how disparity within the VA hinders recruitment and retention of podiatrists.
SGR reform has now cleared the Senate after passing in the House nearly two weeks earlier. President Obama is expected to sign the legislation into law soon.
Americans may be ready to resume walking, running, and other outdoor sports this spring, but are their feet?
APMA’s 95th House of Delegates meeting convened in Washington, DC, on Saturday, March 21.
The 95th APMA House of Delegates (HOD) meeting convened yesterday in Washington, DC.
Frank Spinosa, DPM, presented his President’s Award to James A. Lamb, retired executive director of the American Board of Foot and Ankle Surgery (ABFAS), in recognition of his 18-year tenure at ABFAS and his many contributions to the profession.
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.
APMA is pleased to announce that James R. Christina, DPM, has been confirmed as its new executive director and CEO. Dr. Christina was selected after a lengthy national search process conducted by JDG Associates executive search firm and confirmed by the House of Delegates today during its annual meeting.
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.
Several podiatrists from different states alerted APMA last week that they have been victims of tax scams and possible identify theft. After further research by APMA, it appears that the same or similar tax scam schemes have targeted all types of medical providers.
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.
To enhance the already robust selection of tracks available through the educational program at The National, this year attendees will be able to receive additional focused knowledge through small group discussions hosted by APMA affiliates on Friday, July 24, from 1:30–5:30 p.m. The group discussions are designed for more intimate learning than general lectures and explore topics of specific interest to the affiliate host.
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.
The National Academies of Practice (NAP) is seeking nominations for deserving individuals to be inducted within its ranks. NAP is dedicated to affordable, accessible, coordinated quality health care for all. NAP believes that health-care practice that has an interprofessional foundation and addresses a person as a whole provides better health care and better preventive care.
CPME has approved new residency positions and a new residency program.
A second sample group of providers will have the opportunity to participate in ICD-10 end-to-end testing with Medicare Administrative Contractors (MACs) and the Common Electronic Data Interchange (CEDI) contractor April 26–May 1.
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.
The 2014 APMA Young Physicians’ Institute (YPI) took place October 10–12 in Franklin, TN, at the headquarters of the Podiatry Insurance Company of America (PICA). During the three day meeting, more than 50 young physicians, residents, podiatric medical students, and APMA Trustees gathered for leadership training, practice management advice, and networking.
APMA requests submissions from members who are interested in presenting a lecture(s) at the APMA 2015 Annual Scientific Meeting (The National), July 23–26 in Orlando, FL.
Kyle Bruce, DPM, is APMA's newest public health fellow. Applications for the 2015*8211;2016 fellowship are due November 7.
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 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’s DME Workgroup recently obtained clarification concerning the requirements for posting and maintaining hours of operation for DME physician suppliers.
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.
The National will have two opportunities for attendees to gain hands-on training from renowned experts with an ultrasound workshop and ankle arthroscopy workshop. Attendance is limited, so register today!
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.
In February, the Federal Trade Commission (FTC) published a notice on health-care competition. APMA submitted a comment letter in response to this FTC notice last week. It addressed the education, training, and experience of podiatrists, as well as scope of practice laws and other legislative and regulatory restrictions that do not reflect the advancement of podiatric medicine and the value of care by podiatrists.
Several key initiatives were addressed at the 94th House of Delegates.
APMA’s 94th House of Delegates meeting today welcomed several special guests to the meeting.
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.
Frank Spinosa, DPM, was installed as APMA president at the 2014 House of Delegates.
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.
APMA President Matthew Garoufalis, DPM, honored US Rep Brad Wenstrup, DPM (R-OH), during the 2014 APMA House of Delegates meeting with the President's Award in honor of Dr. Wenstrup's outstanding achievements.
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.
Comedian Greg Schwem will be the opening speaker for the APMA 2014 Annual Scientific Meeting in Honolulu, July 24-27.
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.
Participate in PQRS by December 31, 2013, or your Medicare Part B payments will decrease by 1.5 percent in 2015. Participation is easy; follow these steps to ensure you don't lose money.
APMA’s Health Policy and Practice department introduces a new resource for Medicare provider and DMEPOS supplier revalidation.
The Physician Payment Sunshine Act (OPEN PAYMENTS), section 6002 of the Affordable Care Act, requires drug, medical device, biological, and medical supply manufacturers to publicly report to CMS payments and other transfers of value made to physicians, including podiatrists.
APMA is strongly opposed to CMS’ arbitrary omission of CPME from a list of accrediting and certifying entities under a Physician Payment Sunshine Act (PPSA) regulation that exempts indirect payments made to speakers at accredited or certified continuing medical education (CME) programs from reporting requirements.
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.
Beginning this Thursday, August 1, the Physician Payment Sunshine Act (PPSA), a section of the Affordable Care Act, requires manufacturers of drugs, devices, biologicals, or medical supplies to start collecting data consisting of payments and other transfers of value made to physicians, including podiatrists.
Comedian Jerry Seinfeld shares his story of how an APMA member podiatrist ended his 30-year struggle with heel pain.
Matthew G. Garoufalis, DPM shares his thoughts on what APMA members can do to help address the podiatric residency shortage.
Learn how APMA and CPME are working to address the podiatric residency shortage.
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 has answered frequently asked questions (FAQs) about the Physician Payment Sunshine Act (PPSA). PPSA requires drug, medical device, biological, and medical supply manufacturers to disclose to CMS certain payments and other transfers of value made to physicians, including DPMs.
Due to partisan gridlock in Washington, D.C., the federal government will encounter an automatic budget "sequester" starting March 1, 2013. Learn more about how these budget cuts will impact APMA members and podiatric physicians.
APMA alerts podiatrists that CMS published the final rule implementing the Physician Payment Sunshine Act (PPSA) on February 8.
APMA recently held a productive meeting with the National Health Service Corps (NHSC) within the Health Resources and Services Administration (HRSA).
In a landslide victory, Brad Wenstrup, DPM, has won the Ohio second district congressional race by a 59-41 percent vote. Dr. Wenstrup is the first ever podiatrist to be elected to the US House of Representatives and APMA congratulates him on this victory.
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.
APMA responds to the Supreme Court's ruling upholding most of the Affordable Care Act.
The Society for Vascular Surgery has approved membership for podiatrists in the same category as other physicians who are not vascular surgeons.