Learn about the Academy’s payer advocacy efforts, how you can use Academy template appeal letters to help your practice receive payment instead of denials from private payers and much more.
Learn More About Template Appeal Letters and Advocacy Statements
The Latest
一分六合彩 Summary of CY 2025 Medicare Physician Fee Schedule/Quality Payment Program Proposed Rule
Advocacy, Regulatory ReliefOn July 10, the Centers for Medicare & Medicaid Services (CMS) released the CY 2025 Proposed Rule for the Medicare Physician Fee Schedule (MPFS), which als鈥
一分六合彩 Responds to Senate Finance Committee White Paper on Bolstering Chronic Care through Physician Payment
AdvocacyIn June, the Academy submitted its formal response to a white paper released by the Senate Finance Committee. The committee鈥檚 white paper outlined the current 鈥
一分六合彩 Leads Coalition Efforts to Submit Letter to CGS Administrators Proposed Local Coverage Determination (LCD) 鈥 Botulinum Toxin Injections
Advocacy, Physician Payment Reform, Private Payer Advocacy, Regulatory Relief, ReimbursementFollowing coalition advocacy by the Academy, the American Laryngological Association (ALA) and the American Broncho-Esophagological Association (ABEA) a joint 鈥
一分六合彩 Summary of HHS Rule Establishing Disincentives for Healthcare Providers that Engage in 鈥淚nformation Blocking鈥
Advocacy, Regulatory ReliefOn June 24, the Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC) released 鈥
YPS Call for Candidates
YPS聽invites those who are interested in serving on the Governing Council or as a YPS Delegate to聽submit an application no later than聽Friday, August 16th, 2024.聽
WIO Call for Candidates
WIO聽invites those who are interested in serving on the Governing Council to聽submit an application no later than聽Wednesday, July 31, 2024.
SRF Call for Candidates
SRF invites those who are interested in serving on the Governing Council or as an SRF Delegate to聽submit an application no later than聽Friday, August 16th, 2024.
一分六合彩 Advocacy Efforts Lead to Blue Cross Blue Shield of North Carolina Modifier 25 Policy Retraction
Advocacy, Private Payer AdvocacyFollowing coordinated advocacy by the Academy, the North Carolina Medical Society and physician advocates in the state, Blue Cross Blue Shield of North Carolin鈥
一分六合彩 Submits Comments to Blue Shield of California Regarding Global Surgical Period Evaluation and Management (E/M) Reimbursement Policy
Advocacy, Private Payer AdvocacyOn May 17, 2024 the Academy submitted a detailed letter to Blue Shield of California regarding its update to the Global Surgical period Evaluation and Manageme鈥
Congress Passes Legislation to Partially Mitigate the 3.4% Medicare Physician Payment Cut
Advocacy, Physician Payment Reform, ReimbursementLast week, in a federal budget deal struck to avoid a government shutdown, Congress passed legislation to reduce the 3.4% Medicare physician payment cut by 1.6鈥
一分六合彩 Summary of CMS Interoperability and Prior Authorization Final Rule
Advocacy, Regulatory ReliefOn January 17, the Centers for Medicare & Medicaid Services (CMS) released the Interoperability and Prior Authorization Final Rule. The rule includes impor鈥
2024 Medicare Claims 鈥 What We Know Now
Advocacy, Regulatory ReliefThe CY 2024 Medicare Physician Fee Schedule implemented a 3.4% cut to physician reimbursement. This cut went into effect on January 1, 2024. While there is sti鈥
Important Message to Members: Notification of NIM Vital Nerve Monitoring System Concerns
The NIM Nerve Monitoring System, manufactured by Medtronic, has become an invaluable tool for surgeons operating around cranial and peripheral nerves to monito鈥
CMS Releases 2024 HOPPS/ASC Final Rule
Advocacy, Regulatory ReliefOn November 2, the Centers for Medicare & Medicaid Services (CMS) released the calendar year 2024 Hospital Outpatient Prospective Payment System (HOPPS)/Am鈥
一分六合彩 Summary of CY 2024 MPFS Final Rule
Advocacy, Regulatory ReliefFollowing the Centers for Medicare & Medicaid Services鈥 (CMS) release of the CY 2024 Final Rule for the Medicare Physician Fee Schedule (MPFS), which also 鈥
Federal Departments Release New Proposed Rule on No Surprises Act IDR Process
Advocacy, Regulatory ReliefOn October 27, 2023, the U.S. Departments of Health and Human Services, Labor, and the Treasury (the Departments) and the Office of Personnel Management聽releas鈥
一分六合彩 Responds to House Budget Committee Request for Information on Lowering Health Care Costs
AdvocacyIn September, Republican members of the House Budget Committee established a Health Care Task Force and issued a聽request for information聽(RFI)聽to solicit feedb鈥
CMS Reopens IDR Portal For New Single and Bundled Claims
Advocacy, Regulatory ReliefThe Centers for Medicare and Medicaid Services (CMS) announced on October 6, that it reopened the Independent Dispute Resolution (IDR) portal for new single an鈥
一分六合彩 Comments on CY 2024 HOPPS/ASC Proposed Rule
Advocacy, Regulatory ReliefOn September 8, the 一分六合彩 submitted a comment letter to the Centers for Medicare & Medicaid Services (CMS) on the CY 2024 Hospital Outpatient Prospective鈥
一分六合彩 Joins Amicus Brief in Support of Rule to Protect Children from Small, High-Powered Magnets
Advocacy, Regulatory ReliefOn August 18, the 一分六合彩 joined an amicus brief聽in support of the Consumer Product Safety Commission鈥檚 (CPSC) rule intended to protect children from the dange鈥