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.
APMA President Seth Rubenstein, DPM addressed the National Medical Association’s (NMA) Podiatric Medicine and Surgery Section during its virtual 2020 Annual Convention July 31-August 4. According to its website, NMA is “the collective voice of African American physicians and the leading force for parity and justice in medicine and the elimination of disparities in health.”
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.
At its most recent meeting, the APMA Board of Trustees approved Atlanta as the host site for the 2021 State Advocacy Forum. Previously held in Detroit, Philadelphia, Salt Lake City, and Milwaukee, the State Advocacy Forum is conducted in a host state that is selected to recognize that state component’s exceptional accomplishments in state advocacy
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.
On July 16, legislators introduced a bill that would expand telehealth beyond the COVID-19 pandemic by eliminating restrictions on its use in Medicare, providing a bridge for patients currently using the practices because of the crisis, and requiring a study on the use of telehealth during COVID-19.
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.
After months of APMA's advocacy, the US Department of Homeland Security Cybersecurity & Infrastructure Security Agency (CISA) has explicitly included podiatric physicians in its definition of physicians classified as an essential critical infrastructure worker during the COVID-19 public health emergency.
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 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.
CMS announced on June 24 that any clinician "significantly impacted" by the COVID-19 public health emergency may submit an Extreme and Uncontrollable Circumstances Application to reweight any or all MIPS performance categories for the 2020 PY if they choose.
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.
APMA is pleased to announce that the joint effort we led with AAOS and AOFAS has resulted in the National Correct Coding Initiative (NCCI) correcting an erroneous NCCI edit related to CPT 28296 and CPT 28289.
CMS has approved and issued a new Advance Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131.
Looking for a way to be more involved with APMA? Submit your name for consideration to serve on an APMA committee!
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.
Congratulations to the Class of 2020 APMA/TDI Public Health Fellow, Brandon Brooks, DPM, MPH! Dr. Brooks has officially joined the ranks of APMA/TDI alumni through a virtual ceremony held by The Dartmouth Institute on Friday, June 12.
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.
Congress recently passed new flexibilities for recipients receiving funds via the Paycheck Protection Program.
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.
Last week, APMA submitted a letter to Department of Health and Human Services’ Secretary Alex Azar regarding the inability of our members who are acknowledged as eligible recipients for funds from the HHS Provider Relief Fund, but through some oversight on the backend, did not receive any monies from the first distribution.
Two key APMA committees met virtually last week to discuss topics that directly impact our members as well as their patients.
The Step into Podiatry website has had more than 136,000 pageviews since its launch in January, and during the COVID-19 public health crisis, the site has hosted several webinars to help potential applicants connect with current students and admissions administrators.
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 recent weeks, our country has been reminded that we have much work to do to overcome racism and hate. The American Podiatric Medical Association—its leaders, staff, and members—unequivocally condemns all acts of racism and violence.
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).
The US Small Business Administration (SBA), in partnership with the Department of the Treasury, issued an interim final rule (IFR) with comment period last week, addressing loan forgiveness requirements for the Paycheck Protection Program. This new rule is effective immediately.
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.
The Journal of the American Podiatric Medical Association (JAPMA) website got a facelift! You are required to reset your password to access the journal now that the new site is live.
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 is working closely with the American Academy of Dermatology (AAD) on its established COVID-19 registry, www.aad.org/covidregistry. APMA encourages its members to report cases of lesions on the feet associated with COVID-19 through this HIPAA-compliant, IRB-approved registry because it could have strategic benefits for our profession.
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.
Did you know there is a simple way for you to help reinforce APMA’s initiatives? Visit www.apma.org/eAdvocacy and voice your support for APMA's legislative priorities.
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.
If you missed it live on April 25, you can now purchase a recording of the four-hour Virtual Coding Seminar. Topics covered include upcoming E/M coding changes, telemedicine coding, and ICD-10 updates.
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.
APMA, with Hart Health Strategies, has two new webinars addressing the Payroll Protection Program (PPP) and Medicare Provider Relief Funds. And you'll find new Provider Relief Funds resources at www.apma.org/covid19.
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.
Did you miss the Virtual Coding Seminar on April 25? A recording will be available for purchase soon with access to all related materials. If you attended the live event, you should have received an email on Friday with information on how to access the recording and how to submit your seminar evaluation to receive your educational credit.
Last week HHS announced additional plans for distributing funds from the CARES Act Provider Relief Fund. Approximately $10 billion was scheduled to be released on April 24 to providers who have already shared key data with HHS.
The APMA Board of Trustees recently voted to endorse a website devoted to care for the diabetic foot in the context of COVID-19.
CMS announced on April 26 its decision to reevaluate the amounts that will be paid under the Accelerated Payment Program and to suspend its Advance Payment Program to Part B suppliers.
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.
APMA Coding Resource Center (CRC) subscribers will see exciting changes when they log in to their accounts this week.
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.
BuckheadFMV is conducting a survey on physician call coverage compensation practices and is looking to obtain data specific to doctors of podiatric medicine along with other physicians.
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.
On April 10, 2020, the Department of Health and Human Services (HHS) began distributing the initial $30 billion in relief funding to Medicare fee-for-service (FFS) facilities and providers in support of the national response to COVID-19. Some providers have already received payments from this initial distribution. These are grants, not loans, and do not have to be repaid.
CMS has re-opened the 2019 extreme and uncontrollable circumstances application.
APMA has been working hard to ensure our members are seen, heard, and represented as various government agencies work to address the ongoing COVID-19 pandemic. Last week, APMA advocated for members via several key mechanisms.
APMA 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.
APMA has recorded two new special podcasts for members.
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.
The WHO has declared the outbreak of respiratory disease caused by a novel coronavirus a pandemic. As organizations, including APMA, cancel events and governments take steps to flatten the curve of the outbreak, many podiatrists are searching for answers about how to address COVID-19 in their practices. APMA is here to help.
During the COVID-19 Public Health Emergency, there are four non-face-to-face service types podiatrists can provide to most patients. A provider’s ability to employ these services may differ based on the patient’s insurance and state licensure.
The Small Business Administration (SBA) released an interim final rule on April 2 addressing the Paycheck Protection Program (PPP), a new SBA loan option created under the Coronavirus Aid, Relief, and Economic Security (CARES) Act.
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.
APMA is working hard to make sure members have access to the most up-to-date information on recent changes to how and what services podiatric physicians can provide to patients via non face-to-face services. As of March 30, the biggest changes for Medicare and Medicare Advantage patient billing are the following.
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 announced an expansion of its accelerated and advance payment program for Medicare participating health-care providers and suppliers to ensure they have the resources needed to combat the 2019 Novel Coronavirus (COVID-19). This program expansion includes changes from the recently enacted Coronavirus Aid, Relief, and Economic Security (CARES) Act.
Congress and the administration have heard from medical practices nationwide about the substantial impact of COVID-19 on their businesses. APMA’s partner, Capitol Hill Consulting Group, has created a summary of provisions in the Coronavirus Aid, Relief, and Economic Security (CARES) Act that may have an impact for our member physicians.
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.
For the latest COVID-19 guidance and updates from CPME, visit www.cpme.org.
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 places the highest value on the health and wellbeing of its members and staff. In light of new developments in the rapidly evolving COVID-19 outbreak, the APMA Board of Trustees has voted to cancel the 2020 House of Delegates meeting scheduled for March 13–16 in Washington, DC, and The Coding Seminar, scheduled for March 28 in Dallas.
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 held a conference call with representatives from CMS on February 11 to further discuss our members’ ongoing issues with CMS’ Appropriate Use Criteria (AUC) Imaging Requirements program. Read on and take our Clinical Decision Support Mechanism (CDSM) survey.
RIPMA was recently awarded an APMA CPA Assistance Grant to help obtain a legal opinion related to a hospital discrimination issue.
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.
APMA submitted formal comments to CMS and the Office of Inspector General (OIG) on December 20 regarding proposed rules addressing the Physician Self-Referral Law (also known as Stark) and the federal Anti-Kickback Statute.
APMA sent a letter to CMS on December 23, outlining its significant concerns related to the Advanced Use Criteria (AUC) Imaging Requirements for which compliance officially started on January 1, 2020.
Effective January 1, 2020, the DME MACs have changed the requirement for a “Detailed Written Order” to a requirement for a “Standard Written Order.”
Congratulations to Chia-Ding (JD) Shih, DPM, MPH, MA, recipient of the Wound Care Podiatrist Scholarship for the Annual Symposium on Advanced Wound Care (SAWC) Spring meeting, May 13–17 in San Diego.
The MIPS 2019 Performance Year (PY) reporting window has opened. If you signed up to use the APMA MIPS app, make sure your data is uploaded and/or selected in the app.
Do you want data to help you negotiate a higher salary in your next contract negotiation or job? Do you want data to help you benchmark your own performance? Then you should participate in the 2020 MGMA Compensation and Production Survey, which is now open for participation!
What do you prescribe for postoperative pain? Help APMA Public Health Fellow Brandon Brooks, DPM, complete his capstone project at the Dartmouth Institute for Health Policy & Clinical Practice by taking a brief survey.
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).
View recording of APMA’s webinar on Part B Medicare Annual Data (BMAD): 2019 BMAD Presentation of the 2018 Medicare Part B Data for Podiatry, presented by David Freedman, DPM, on December 5.
CMS will require all claims submitted on or after January 1, 2020, to use the Medicare Beneficiary Identifier (MBI), even for services provided before January 1, 2020. With a few exceptions, Medicare will reject claims submitted with Health Insurance Claim Numbers (HICNs) and all eligibility transactions you submit with HICNs.
Beginning January 1, 2020, anyone ordering advanced diagnostic imaging (MRI, CT, or nuclear studies) for a Medicare Part B outpatient must first consult Appropriate Use Criteria (AUC) using a Clinical Decision Support Mechanism (CDSM).
The APMA Center for Professional Advocacy (CPA) is delighted to announce that 10 state components will receive an Innovation Grant in 2020. These grants are designed to help state components with their scope-of-practice and physician definition advocacy efforts and their efforts to educate and build relationships with MD/DOs, policymakers, and payers.
APMA submitted on comments last week to CMS in response to its Request for Information on the Future of Program Integrity.
APMA Clinical Affairs Director Dyane Tower, DPM, MPH, MS, testified before the Massachusetts legislature’s Joint Committee on Public Health last week in support of legislation to modernize the podiatric scope-of-practice statute.
Want data that can help you negotiate a higher salary in your next job or benchmark your own performance? Register today for the upcoming lunch-and-learn webinar, “2020 MGMA Compensation Surveys—Are You Ready?” on December 12 at 2 p.m. ET.
The 19th Annual CAC-PIAC Meeting took place on Friday, November 15, in Alexandria, VA. The one-day event featured key industry speakers and provided attendees the opportunity to learn from each other while discussing local concerns. Check out a summary from APMA President David G. Edwards, DPM
APMA submitted comments to Wisconsin Physicians’ Services (WPS) on November 8 in response to its proposed Draft Wound Care Local Coverage Determination (LCD) DL37228. This draft LCD, as written, would continue to not provide coverage for debridement of Stage II pressure ulcers or chronic diabetic foot ulcers, unless neuropathy and/or neuroischemia were present, and chronic non-pressure ulcers with tissue severity of "Limited to Breakdown of Skin."
In support of a recommendation from the APMA Board of Trustees and Council on Podiatric Medical Education, the 2019 APMA House of Delegates approved a resolution calling for a Blue Ribbon Panel to review and study the history, traditions, and current circumstances associated with the recognition of special areas of practice and recognition of certifying boards.
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!
Be sure to sign up for the APMA Registry/APMA MIPS app by December 13 if you plan to report for the 2019 MIPS performance year. Not registered yet? Visit www.apma.org/mipsapp now to learn how to sign up for an APMA Registry account.
APMA’s Center for Professional Advocacy (CPA) and the Maryland Podiatric Medical Association (MPMA) hosted Maryland Delegate Ariana Kelly (District 16) at APMA headquarters on October 10 to discuss important issues affecting the podiatric medical profession that are before her subcommittee.
Dozens of young physicians came to Nashville, TN, last weekend for leadership training and networking at the 2019 Young Physicians’ Institute (YPI).
APMA submitted three formal comment letters to CMS on September 27 in response to its CY 2020 Medicare Physician Fee Schedule (MPFS), Outpatient Prospective Payment System (OPPS), and the End-Stage Renal Disease/Durable Medical Equipment, Orthotics, Prosthetics, and Supplies (ESRD/DMEPOS) Proposed Rules.
The new ICD-10 code set takes effect October 1, with 273 additions, 21 deletions, and 30 revisions. APMA has lists and a coding webinar to help members with this transition.
APMA submitted comments to CMS on September 13 in response to its proposed changes to the Medicaid program.
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.
CMS released its 2020 Medicare Physician Fee Schedule (MPFS) Proposed Rule on July 29. In response, APMA submitted initial comments on September 9, and signed on to the Surgical Coalition's joint letter submitted on August 15.
In support of a recommendation from the APMA Board of Trustees and CPME, the 2019 APMA House of Delegates approved a resolution directing APMA to convene a Blue Ribbon Panel to review and study the history, traditions, and current circumstances associated with the recognition of special areas of practice and recognition of certifying boards.
Be sure to read CMS' 2020 Quality Payment Program Proposed Rule Overview Fact Sheet and register for APMA's webinar, tonight, August 20, at 8 p.m. EDT: "Proposed Changes for MIPS: Year 4 (2020 Performance Year)." Jeffrey Lehrman, DPM, will present and discuss how the MPFS proposed rule may affect the 2020 performance year.
CMS opened the hardship exception application for MIPS-eligible clinicians for the 2019 performance year last week. Your practice is eligible for an exception if you meet any of the following specified reasons.
Component leaders representing nearly 30 states discussed recent successes and shared useful strategies with each other this past weekend at the APMA Center for Professional Advocacy’s biennial State Advocacy Forum, held this year in Milwaukee.
Complete the overall meeting evaluation to receive your CECH report. Read on to find out how.
APMA talked to legislators about the need for states to pass laws commensurate with the education, training, and experience of podiatrists, especially in states that limit the practice of podiatric medicine to the foot. APMA also discussed the value of podiatric medicine and the cost-savings podiatrists provide to state health-care financing systems, and more.
APMA state component leaders are coming together this week for the biennial State Advocacy Forum, August 16–17 in Milwaukee.
APMA submitted comments on falls and fall-related injuries to the US Senate Special Committee on Aging on June 26. Falls are the leading cause of fatal and nonfatal injuries among older adults, as the committee mentioned in its call for comments.
Hurry! Register online for the must-attend meeting for every podiatrist now through July 3.
APMA submitted supportive, but cautionary, comments to CMS and the Office of the National Coordinator for Health Information Technology on June 3 related to proposed changes to interoperability requirements.
APMA News is pleased to invite members to be featured in our 10 Questions column, which runs on the back page of each issue of the magazine. Contact Aimee Condayan for details.
Director, Legislative Advocacy and APMAPAC, Benjamin J. Wallner, was awarded the PAC Chair Award on Monday.
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.
APMA hosted leaders from AAOS, ACFAS, and AOFAS last week for a joint task force meeting to address mutual concerns and priorities for orthopaedic and podiatric surgeons.
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.
The DME MACs have recently begun strictly enforcing a long-existing policy, “Same and Similar.” This has resulted in suppliers more frequently receiving denials for DME, indicated on EOBs with reason code “M3.”
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.
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.
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.
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.
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 congratulates the Wisconsin Podiatric Medical Association (WPMA) on its recent legislative success.
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.
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.
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.
Critical deadlines for MIPS Performance Year 2017, as well as the Medicare EHR Incentive Program 2018 adjustments are approaching.
The latest draft of the proposed modifications to the APMA Bylaws is available at www.apma.org/hod.
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.
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).
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?
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.
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.
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.
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.
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.
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 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.
Did you miss last week’s lunch-and-learn webinar with MGMA, covering how to participate in the upcoming MGMA compensation, cost/revenue, and practice operations surveys? Watch the recorded webinar now!