News and views on the regulatory, legislative, and political issues impacting ophthalmology in Washington, D.C., and around the United States
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Featured News
2027 Fee Schedule Proposes Cutting Pay to Physicians by 1.68%
The Centers for Medicare & Medicaid Services (CMS) has released its proposed Medicare Physician Fee Schedule for 2027. Here are the highlights based on the Academy’s analysis. The Academy will work with our advocacy partners to ensure finalized policies support our members and their patients.
Advocacy Works: WPS Corrects Billing and Coding Article for Cataract Surgery
WPS accepted the Academy’s recommendation to correct its cataract surgery billing and coding article in response to denials of CPT 66982 billed with mature cataracts.
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December 18, 2024
Advocacy Works: Noridian Will Correct Denials for Retina Imaging Test and Injections
Noridian informed the Academy that a claims processing editing error caused denials and is working on a fix.
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December 4, 2024
Ophthalmology Pushes for Botulinum Toxin Medicare Coverage
See how we are working to protect your ability to care for your patients.
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November 13, 2024
CMS Finalizes Major Changes to MIPS Cost Performance Category
The changes include an updated scoring methodology which could improve scores for many ophthalmologists starting with the 2024 performance year/2026 payment year.
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October 14, 2024
Data Validation Audits Begin for 2023 MIPS Participants
MIPS participants who are randomly selected for the audit will receive email notifications between October 2024 and April 2025.
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October 9, 2024
CMS Will Apply Automatic MIPS Exceptions for Practices Affected by Hurricanes Helene and Francine
The Oct. 10 announcement applies to specific counties in Florida, Georgia, Louisiana, North Carolina, South Carolina, and Tennessee.
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October 2, 2024
Final MIGS Medicare Coverage Improves on 2023 Policy Proposals
Persistent advocacy from our ophthalmology coalition has led to improvements in final MIGS Medicare coverage policies.
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September 25, 2024
CMS Reopens 2023 MIPS Exception Applications for Practices Affected by Change Healthcare Cyberattack
Practices affected by the Change Healthcare cyberattack now have another opportunity to apply for an extreme and uncontrollable circumstances (EUC) exception for the 2023 performance year/2025 payment year of the Merit-Based Incentive Payment System (MIPS). Applications are open through Oct. 11, at 8 p.m. ET.
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September 11, 2024
Academy Submits Comments on 2025 Medicare Physician Fee Schedule Proposed Rule
Our letter expressed concerns and provided recommendations for relevant proposals most likely to impact ophthalmology in the proposed 2025 Medicare Physician Fee Schedule.
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August 13, 2024
Now Available: MIPS 2023 Final Scores, 2025 Payment Adjustment Information, Targeted Reviews
Ophthalmologists should review their scores and submit a targeted review by Oct. 11 if any errors are identified.
