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Advocacy News

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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Ophthalmologist Raj Maturi, MD, with a patient in his clinic.
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Featured News

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.

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Advocacy Issues
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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 11, 2024
CMS Updates Transfer of Care Modifier -54 Requirements for 2025

Despite our opposition, the finalized revisions to transfer of care modifier -54 requirements, are effective starting Jan. 1. See the updated requirements for billing this code.

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December 11, 2024
State of the States: How Did We Do in 2024?

See how the Surgical Scope Fund helped successfully defend safe eye surgery in a year of record setting scope challenges at the state level, winning in 10 of 14 states so far.

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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 20, 2024
Academy, ASRS Push Aetna to Stop Izervay Restrictions for Medicare Advantage Plans  

The Academy and ASRS are working to minimize step therapy burdens by calling on Aetna to add Izervay to its 2025 Medicare Advantage Part B preferred drug list.

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Headshots of two of the new ophthalmologist-friendly members of the 119th Congress
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November 20, 2024
OPHTHPAC Helps Bring ‘Eye-Partisan’ Candidates to 119th Congress

The election results are in, and ophthalmology strengthened its voice on Capitol Hill in the next Congress. Help your profession prepare for the new Congress.

November 20, 2024
Academy to UnitedHealthcare: Add Ophthalmology to New ‘Gold Card’ Program

The “gold card” program would exempt certain practices from prior authorization requirements.

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November 20, 2024
New Add-On Code for Post-Operative Care Finalized in Medicare 2025 Rule

Learn about new add on code G0559 and how it can be used.

November 19, 2024
Act Now to Ensure Your Medicare Coverage Works for You

Advocacy for patients.

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November 18, 2024
K. David Epley, MD: Without a Seat at the Table, Our Voice Goes Unheard

A Surgical Scope Fund Committee member and former OPHTHPAC committee member explains how your contributions drive the Academy’s advocacy efforts.