Tennessee Scope Modernization
APMA would like to congratulate the Tennessee Podiatric Medical Association (TPMA) on a major legislative victory after its scope of practice modernization bill passed both chambers of the Tennessee General Assembly with overwhelming bipartisan support.
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APMA-Aetna Quarterly Meeting
APMA advocacy staff met with Aetna leadership to discuss prior authorization, the use of artificial intelligence (AI) and digital tools in coverage and payment decisions, and ongoing questions related to skin substitute coverage and review processes.
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NGS Changes Name to Wellpoint Federal
National Government Services (NGS) is one of the seven Part B Medicare Administrative Contractors in the US. NGS will begin operating under a new name on April 1: Wellpoint Federal. Wellpoint reported that this change should have no impact on claims processing or the timing of payments.
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2026 Legislative Conference
During APMA's Legislative Conference, more than 100 podiatrists met with elected officials and congressional staff to address critical issues facing the profession, especially the burden of outdated Medicare and Medicaid policies. The recently introduced Diabetes Foot Health Access and Modernization Act took center stage, driving conversations in more than 200 meetings with congressional offices, including 25 directly with members of Congress.
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Prior Authorization Expansion
APMA called on CMS to reverse its decision to require prior authorization for HCPCS code L1932—an ankle-foot orthosis essential for treating conditions that impact mobility and function. APMA warns that this requirement could delay access to medically necessary care and negatively affect patient outcomes, particularly for those with ambulatory challenges.
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OIG Alert on Modifier 25
HHS Office of Inspector General (OIG) added a new Work Plan project which will examine evaluation and management (E/M) services billed on the same day as minor surgical procedures without modifier 25.
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CMS Coverage Policies
APMA participated in a CAC Engagement Coalition meeting with CMS staff and coalition partners, to discuss ongoing efforts to strengthen engagement with the Medicare LCD process. APMA’s continued engagement is an important part of its larger strategy to ensure podiatrists’ expertise is represented in coverage policy discussions.
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Imaging Interoperability
APMA responded to a Department of Health & Human Services’ “Request for Information: Diagnostic Imaging Interoperability Standards and Certification,” expressing strong support for improving standards for imaging interoperability.
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New APMA Resources on Wound Care Documentation
APMA has two new resources to help with wound care documentation: a webinar hosted by APMA RUC Advisor, Susan Walsh, DPM, MBA, and an article in APMA News from Coding Committee member Jonathon Huey, DPM, and Dr. Walsh.
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APMA Pushes for Changes to NPUECM
APMA has submitted a letter to Acumen and CMS regarding the development of the Non-Pressure Ulcer Episode-Based Cost Measure (NPUECM) and requested a meeting to advocate for podiatrists.
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AMA National Advocacy Conference
APMA staff participated in the AMA National Advocacy Conference that focused on how to advance shared legislative priorities, including meaningful Medicare Physician Payment Reform, reducing administrative burdens caused by prior authorization, and protecting and strengthening access to Medicaid. Following policy briefings from members of Congress, CMS officials, and national health-care leaders, APMA staff took these priorities directly to meetings on Capitol Hill.
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Alliance Advocacy Impact Report
APMA’s advocacy impact is strengthened through active participation in the Alliance of Wound Care Stakeholders (Alliance). We are proud to share the Alliance’s 2025 Advocacy Impact Report, which highlights the collective progress made to advance fair reimbursement, appropriate coverage, and equitable patient access.
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