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MIPS Exceptions Available for Practices Impacted by Change Healthcare Cyberattack, Hurricanes
November 25, 2024

MIPS Exceptions Available for Practices Impacted by Change Healthcare Cyberattack, Hurricanes

Providers impacted by the Change Healthcare cyberattack may apply for a hardship exception from MIPS participation in 2024. Additionally, CMS is applying an automatic 2024 MIPS exception to certain MIPS-eligible clinicians impacted by Hurricanes Milton, Helene, and Francine.


CAC, PIAC Representatives Discuss Reimbursement Concerns
November 18, 2024

CAC, PIAC Representatives Discuss Reimbursement Concerns

The 24th Annual Joint National Podiatric CAC-PIAC Representatives' Meeting took place in Alexandria, VA, on Friday, November 15. Nearly 60 volunteers from across the country came together for vital education and discussion about pressing reimbursement issues affecting you.


Sen. Cassidy Named Chair of Senate HELP Committee
November 18, 2024

Sen. Cassidy Named Chair of Senate HELP Committee

US Senator Bill Cassidy, MD (R-LA), a longtime champion of health care and strong supporter of podiatry, will serve as chair of the Senate Health, Education, Labor, and Pensions (HELP) Committee in the 119th Congress. This exciting news highlights a major opportunity for podiatric medicine to have its voice heard on Capitol Hill.


Your Assistance Needed for Two Potential Lawsuits
November 18, 2024

Your Assistance Needed for Two Potential Lawsuits

APMA is requesting your assistance regarding two proposed lawsuits. The first is a potential class action lawsuit regarding inappropriate denials and underpayments of claims containing Modifiers 25 and 59. The second focuses on recoupment for skin substitute products. 


Advocacy Win on Skin Substitutes!
November 14, 2024

Advocacy Win on Skin Substitutes!

On November 14, all seven Part B Medicare Contractors released final local coverage determinations (LCDs) that will govern the provision of skin substitute grafts/cellular and tissue-based products to Medicare Part B beneficiaries when used for the treatment of diabetic foot ulcers and venous leg ulcers. Following APMA advocacy and APMA's response to the initial, proposed version of this policy, there are several improvements in the final version compared to what was initially proposed. 


How You Can Support Member Research
November 11, 2024

How You Can Support Member Research

Complete a brief survey to help two APMA members who are conducting research into the impact of radiation exposure on the prevalence of breast and all-cause cancer in female foot and ankle surgeons.


Automatic MIPS Exception for Some Providers Impacted by Hurricane Milton
November 11, 2024

Automatic MIPS Exception for Some Providers Impacted by Hurricane Milton

CMS is applying an automatic 2024 MIPS exception to certain MIPS eligible clinicians in certain counties of Florida following Hurricane Milton. 


CMS Unveils 2025 MPFS Final Rule
November 5, 2024

CMS Unveils 2025 MPFS Final Rule

On Friday, November 1, CMS released the CY 2025 Medicare Physician Fee Schedule (MPFS) Final Rule. APMA is currently reviewing the rule and will provide a full analysis of how it will impact you.


It's Diabetes Awareness Month
November 5, 2024

It's Diabetes Awareness Month

It's Diabetes Awareness Month, and APMA has launched its annual public education campaign, including materials that are free to members to use in promoting their practices and educating their patients!
 


Information Needed for Potential Class Action Lawsuit
November 5, 2024

Information Needed for Potential Class Action Lawsuit

APMA is soliciting members' interest in pursuing a resolution to specific health plan payment issues, particularly related to modifier 25 and modifier 29.


APMA Meets With and Provides Response to CMS Regarding Draft Candidate Podiatry MIPS Value Pathway (MVP)
November 5, 2024

APMA Meets With and Provides Response to CMS Regarding Draft Candidate Podiatry MIPS Value Pathway (MVP)

APMA responds to the draft Podiatry MVP provided by CMS and Ketchum representatives.


APMA Participates in AGA Stakeholder Meeting
October 29, 2024

APMA Participates in AGA Stakeholder Meeting

On October 10, APMA staff attended the 2024 AGA Stakeholder Meeting in Washington, DC, to support the AGA's goal of empowering patients with gout and improving public understanding of the condition.


APMA Coding Resource Center Fall Sale—Limited Time Offer!
October 21, 2024

APMA Coding Resource Center Fall Sale—Limited Time Offer!

For a limited time, APMA members can save on new subscriptions or renewal to the APMA Coding Resource Center (CRC) during our Fall Sale!


Another Advocacy Win! Calcaneal Apophysitis
October 14, 2024

Another Advocacy Win! Calcaneal Apophysitis

APMA, through its Coding Committee, advocated for the removal of “Calcaneal apophysitis” as an inclusion term under M92.8. APMA's request was accepted and the change is effective now.


Automatic MIPS Exception for Some Providers Impacted by Hurricanes Helene and Francine
October 14, 2024

Automatic MIPS Exception for Some Providers Impacted by Hurricanes Helene and Francine

CMS is applying an automatic 2024 MIPS exception to certain MIPS eligible clinicians in certain counties of Florida, Georgia, North Carolina, South Carolina, Tennessee, and Louisiana following Hurricanes Helene and Francine.


Earn 1.0 CECH for Free During Diabetes Awareness Month!
October 14, 2024

Earn 1.0 CECH for Free During Diabetes Awareness Month!

In honor of Diabetes Awareness Month, the APMA Podiatric Population Health Committee will host a webinar (1.0 CECH), “Understanding the Role of GLP-1 and GIP in Blood Sugar and Peri-Operative Management,” on November 6.


APMA Submits Response to Request for Information (RFI) from CMS on MAC Consolidation and Contracting Changes
October 7, 2024

APMA Submits Response to Request for Information (RFI) from CMS on MAC Consolidation and Contracting Changes

Last week, APMA submitted a response to a Request for Information (RFI) concerning consolidation of A/B Medicare Administrative Contractors (MACs) for Jurisdiction 5 (J5) (WPS) and A/B MAC Jurisdiction 6 (J6) (NGS), and 10-Year MAC Contract Award Period of Performance issued by CMS.


Emerging Leaders Program Leadership Summit
October 7, 2024

Emerging Leaders Program Leadership Summit

APMA recently launched the second cohort of its Emerging Leaders Program (ELP) with an in-person Leadership Summit held on October 4–5 in Chicago.


Final Week for 2023 MIPS Adjustments!
October 7, 2024

Final Week for 2023 MIPS Adjustments!

This is the last week for 2023 MIPS adjustments that could impact your 2025 Medicare payments.


24th Annual CAC-PIAC Meeting — Respond to Member Survey by November 1
September 30, 2024

24th Annual CAC-PIAC Meeting — Respond to Member Survey by November 1

The 24th Annual Joint CAC-PIAC Meeting is scheduled for November 15 in Alexandria, VA. To ensure an effective meeting for our CAC and PIAC representatives, we kindly request our APMA members tell us their most pressing reimbursement issues by November 1.


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