APMA’s Contractor Advisory Committee (CAC) and Private Insurance Advisory Committee (PIAC) met virtually on May 14 to discuss emerging payer and Medicare trends impacting podiatric physicians nationwide. Representatives and APMA staff participated in a robust discussion of payer utilization management practices, modifier advocacy, including the new 25 Modifier Progress Note Guidance, the evolving use of AI in payment review and denial, Medicare Administrative Contractor (MAC) engagement, skin substitute reimbursement concerns, and Durable Medical Equipment (DME) issues.
The discussion also highlighted APMA’s ongoing advocacy efforts with private payers, CMS, and national coalitions, as well as the importance of sharing real-world examples of denials, reimbursement delays, and other payer-related concerns to support future outreach and policy discussions. Members are encouraged to view their CAC and PIAC representatives as resources and to continue reaching out with payer issues affecting podiatric practices in their states.
To?learn more about?CAC?and PIAC?representatives?and?identify your own state representative(s), visit?www.apma.org/cacpiac?today.