MA Chart Review Advocacy Win
In the Medicare Advantage Risk Adjustment Data Validation Final Rule released earlier this month, Medicare Advantage plans are now disallowed from counting diagnoses that are derived only from chart review and are not linked to any service provided to the patient toward the Medicare Advantage risk scores and payments.
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MedPAC Physician Classification
APMA submitted a follow up letter to the Medicare Payment Advisory Commission (MedPAC), calling for doctors of podiatric medicine (DPMs) to be consistently classified as physicians in all MedPAC reports and analyses.
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APMA’s Medicaid Toolkit Updated
APMA has updated its Medicaid Toolkit with a new resource on the Medicaid-related provisions in the One Big Beautiful Bill Act (OBBBA). The toolkit equips members with practical advocacy resources, including a 50-state coverage survey, legislator talking points, fact sheets, Medicaid maps, eAdvocacy tools, and more.
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Congressional Briefing on Diabetes Foot Bill
APMA hosted a congressional briefing to highlight the importance of passing the Diabetes Foot Health Access and Modernization Act. Congressional staffers heard from panelists on the current barriers prescribing and furnishing therapeutic shoes in Medicare, highlighting how the provisions of the legislation would improve patient outcomes, reduce health-care costs, and improve timely access to diabetic care.
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Iowa Advances IPMLC
APMA congratulates the Iowa Podiatric Medical Society on the passage of HF 2498, legislation to adopt the Interstate Podiatric Medical Licensure Compact (IPMLC) in Iowa.
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Improving MIPS Feedback Reports
APMA urged CMS to update and improve the feedback reports clinicians receive after each MIPS performance year. Specifically, APMA recommended that the annual reports deliver performance feedback in a clear, interpretable, and actionable format.
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Diabetic Shoes Update
Following sustained advocacy CMS confirmed that co-signed notes are not required for coverage of diabetic shoes/inserts when other specific documentation standards are met. APMA also requested that CMS publicize this confirmation, which it did with a newly published article.
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Big Advocacy Wins for Kentucky and Maryland!
APMA is pleased to share two recent state advocacy victories that reflect the impact of both direct APMA financial assistance and broader advocacy and grassroots engagement. Kentucky became the 13th state and US territory to adopt DPM authority to supervise physician assistants. Maryland became the first state to adopt the Interstate Podiatric Medical Licensure Compact!
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Reform Medicare and Medicaid Policies
APMA submitted a letter responding to the House Committee on Energy and Commerce Health Subcommittee for a hearing on "Lowering Health Care Costs for All Americans: An Examination of the U.S. Provider Landscape." The letter highlighted opportunities to reduce regulatory burden, reform physician payment, and improve access to Medicare and Medicaid services by podiatrists.
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New Resource: Diabetes Foot Health Act Web Page
Congressional champions recently introduced the Diabetes Foot Health Access and Modernization Act, which would modernize outdated Medicare documentation requirements that cause significant delays in care for therapeutic shoes and establish Medicaid coverage parity for podiatrists. To help support the advancement of this priority legislation and facilitate member advocacy, APMA created a new web page where all resources and updates will be published.
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Support for New Legislation
APMA sent letters of support to congressional champions for two important pieces of legislation that would strengthen patient access to foot and ankle care: the Provider Reimbursement Stability Act and the Physicians and the Healthcare Workforce Act.
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