Opposing Modifier 25 Cuts
APMA and other medical specialty societies have formed the Same Day Care Coalition, to oppose cuts to Modifier 25 cuts. In addition, APMA is meeting with congressional podiatry champions and reaching out to Trump Administration officials.
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Medicare Adds Four DMEPOS Items
Effective October 28, Medicare will add four items to the Master List that may be relevant to podiatric physicians. Inclusion on the Master List does not mean an item requires prior authorization. Rather, items on the Master List have been identified by Medicare as potentially susceptible to fraud or unnecessary utilization and may be subject to additional conditions of payment.
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Topical Oxygen LCD
Last week, the DME MACs released a proposed LCD for treating non-healing diabetic foot ulcers with topical oxygen. The proposed LCD outlines coverage criteria required to initiate therapy and another set of criteria required to continue therapy beyond one month. This proposed LCD is now in a comment period, and APMA will be submitting comments on behalf of its members.
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In Memoriam: Arthur E. Helfand, DPM
It is with deep sadness that APMA announces the passing of Past President Arthur E. Helfand, DPM. Dr. Helfand was integrally involved in the work of the American Public Health Association Foot and Ankle Health section and a devoted advocate for public health and aging Americans. APMA extends its deepest sympathy to Dr. Helfand’s family.
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APMA Endorses Patients First Act
APMA proudly endorses the bipartisan Patients First Act (HR 9693), introduced by Representatives John Joyce, MD (R-PA); Kim Schrier, MD (D-WA); and Greg Murphy, MD (R-NC). The legislation represents an important step toward modernizing the Medicare physician payment system and strengthening access to physician-led care.
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Comments on Proposed Medicaid Payment Policies
APMA submitted comments to the Centers for Medicare & Medicaid Services (CMS) in response to the proposed rule, Medicaid Program; Medicaid Managed Care State Directed Payments and Medicaid Fee-for-Service Targeted Medicaid Practitioner Payments.
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Federal Grant Policies
APMA submitted comments to the White House Office of Management and Budget (OMB) on proposed changes to federal grant regulations, urging the agency to preserve predictable, transparent, and merit-based policies that support medical research, professional education, and patient care.
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Regence's Modifier 25 Policy
As part of APMA’s efforts to ensure fair reimbursement and financial security for podiatric physicians, the association sent a letter to Regence opposing a new reimbursement policy affecting both commercial and Medicare Advantage plans that would impact members in Idaho, Oregon, Washington, and Utah.
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Medicare Payment Update
APMA has released a comprehensive update on the recently released CY 2027 Medicare Physician Fee Schedule Proposed Rule.
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APMA Applauds Introduction of the Patients First Act
Landmark legislation is an important step toward modernizing the Medicare physician payment system and strengthening access to physician-led care.
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CY 2027 Medicare PFS Proposed Rule
APMA is reviewing the calendar year (CY) 2027 Medicare Physician Fee Schedule (PFS) proposed rule and will prepare comments by the September 14 deadline.
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