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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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.
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 18, 2024
Academy, AAPOS Meet With Aetna on Sensorimotor Exam Denials
The payer agreed that manual sensorimotor examinations should be covered. Practices submitting appeals must complete the rationale for appeal section carefully and provide adequate documentation.
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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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September 4, 2024
Advocacy Works: Ophthalmology Defends Patient Safety in California
When the California State Legislature adjourned its 2023-24 legislative session, a bill that would have threatened safe eye surgery died, notching another win for ophthalmology and the Academy’s Surgical Scope Fund.
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August 28, 2024
Academy Sponsors Glaucoma Screenings at American Legion Convention
The Academy has provided this service at the American Legion’s annual national convention for more than 20 years.
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August 21, 2024
Academy Gets Answers on Corneal Tissue Reimbursement
Aetna responded to the Academy's concerns on corneal tissue reimbursement for ASCs and outlined what to do if you encounter payment issues.
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August 21, 2024
Academy Opposes Plan to Consolidate National Eye Institute
The Academy outlined strong opposition to a House committee to reform the National Institutes of Health by highlighting importance of the National Eye Institute’s continued independence.
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August 13, 2024
Minnesota Primary Win Adds OPHTHPAC-Supported Physician to General Election Ballot
We’re working to replace several key retiring physician members of Congress, but we need your help.
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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.
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July 31, 2024
2025 Fee-Schedule Proposes First MIPS Value Pathway for Ophthalmology
As the Academy continues to oppose the development of a specialty-wide MIPS value pathway, a new reporting option for ophthalmology, learn more about it could affect how your practice participates in the Quality Payment Program.