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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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An ophthalmologist examines the eyes of a veteran patient
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November 12, 2025
VA Hopes New Technology Will Ease Community Care Program Scheduling for Practices

The Department of Veteran Affairs’ new External Provider Scheduling cloud-based technology system allows VA schedulers to book approved appointments directly into community care program participants’ systems.

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November 12, 2025
Ophthalmology Coalition Pushes Back on CMS ASC Prior Authorization Pilot

The Academy is pushing for a delay in implementation for the pilot, scheduled to start on Dec. 15.

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October 29, 2025
Advocacy Works: Humana Backs Down on Claim Denials

When Humana started denying valid claims for office and eye visits billed with diagnostic testing, the Academy fought back — and won.

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A person dressed in a Halloween costume poses next to an inflatable eyeball
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October 29, 2025
Join Our ‘Spooktacular’ Halloween Costume Competition

As Halloween approaches, don’t ghost OPHTHPAC® this year! Contribute to OPHTHPAC today to join our inaugural “Spooktacular” Halloween costume competition. Submit costume photos of you, your family, colleagues, and pets in your spookiest Halloween attire!

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October 22, 2025
Government Shutdown Update: CMS Lifts Claims Hold for Most Services

The Centers for Medicare & Medicaid Services (CMS) has again reversed course and instructed Medicare administrative contractors (MACs) to lift the hold on the majority of Medicare claims with dates of service on or after Oct. 1.

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October 8, 2025
Humana to Correct Some Claim Denials Following Academy Action

The payer told the Academy it has started to correct some previously denied claims. Here is what Academy members need to know.

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A closeup photo of an intravitreal injection
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October 8, 2025
CMS Updates Guidelines on Intravitreal Injections and Modifier 25

The Academy is engaging CMS directly to resolve new inconsistencies around modifier 25 and ensure clear, accurate guidance for ophthalmology practices.

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October 1, 2025
Academy Supports Physician Exemption From New Visa Program Fee

The Academy joined 60 medical organizations in urging the Department of Homeland Security to exempt international medical graduate physicians from the application fee.

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October 1, 2025
New Medicare Coverage Policies for Botulinum Toxin Injections Released

Novitas Solutions (Novitas) and First Coast Service Options (First Coast) cover 14 states and three regions, including the District of Columbia, Puerto Rico, and U.S. Virgin Islands.

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September 24, 2025
Academy Opposes New Prior Authorization Demo for ASCs

What you need to know about CMS’ plan to expand prior authorization for some ambulatory surgical center services in 10 states.