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Eye on Advocacy
News and views on the regulatory, legislative and political issues impacting ophthalmology in Washington, D.C., and around the United States. Articles featured in the Academy's weekly Washington Report Express email newsletter.
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Academy Urges Congress, CMS to Collaborate to Reform Physician Payments

SEP 08, 2022 in Merit-Based Incentive Payment System, Congressional Advocacy, Medicare Fee Schedule, E/M Codes, Sequestration, Medicare Payment Reform

In a 50-plus-page letter to the Centers for Medicare & Medicaid Services administrator, we urged the agency to engage with Congress to ensure appropriate physician reimbursement and reform of the Medicare payment system.

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Surveys Will Help Determine Medicare Values

MAR 04, 2021 in E/M Codes

The Academy is working with the American Society of Retina Specialists and the American Optometry Association to gather data on three CPT codes: 92284, 92287 and 92065. The data will be presented to the American Medical Association’s Relative Value-scale Update Committee (RU…

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Our Health Policy Staff Experts Spotlight Surgical Facility Reimbursement in Prominent Publication

FEB 22, 2021 in E/M Codes

Academy staff recently contributed to an editorial spotlight series on surgical facility reimbursement for the February 2021 issue of Cataract and Refractive Surgery Today.

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Academy Urges WellCare-Centene to Resolve Invalid Claims Denials

JAN 14, 2021 in E/M Codes

The Academy pushed for retroactive corrections to claims denied in 2020.

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CMS Updates 2021 Physician Fee Schedule, Reducing Drastic Payment Cuts to Ophthalmology

JAN 07, 2021 in Medicare Fee Schedule, E/M Codes

The 2021 fee schedule had threatened our profession’s financial viability and your ability to run a successful ophthalmology practice, but we worked with partner societies, the American College of Surgeons and Congress to stop drastic cuts to ophthalmology.

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Congress Approves Additional COVID-19 Relief, Government Funding

DEC 23, 2020 in Coronavirus, Stimulus , Medicare Fee Schedule, E/M Codes

The Academy advocated for several provisions that would give additional assistance to physician practices still struggling with the negative financial impacts of the public health emergency. The relief depends on President Trump signing the legislation into law by Dec. 28 wh…

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Congress Announces Year-End Deal That Mitigates 2021 Medicare Payment Cuts

DEC 23, 2020 in Coronavirus, E/M Codes, Medicare Fee Schedule

Congress’ deal infuses $3 billion into the physician payment system to reduce the negative effect of the policy changes for evaluation and management (E/M) services that the Centers for Medicare & Medicaid Services (CMS) will implement in January.

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Medicare Cut Fix Still in Play as Congress Finalizes Package for COVID-19 Relief, Government Funding

DEC 17, 2020 in E/M Codes, Medicare Fee Schedule

Your follow-up with legislators could help ensure they act to avert Jan. 1 Medicare cuts.

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Congress Seeks to Address Medicare Payment Cuts in Year-End Legislation

DEC 10, 2020 in Congressional Advocacy, Medicare Fee Schedule, E/M Codes

The majority of Congress members support action to ensure you have stable payments during the COVID-19 pandemic

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Academy, Surgical Coalition Endorse Bill to Increase Global Surgical Code Values

DEC 03, 2020 in Congressional Advocacy, Medicare Fee Schedule, E/M Codes

The Academy and surgical community’s efforts to ensure equitable payment for surgical services got a boost this week when Sen. Rand Paul, MD, R-Ky., Congress’ only ophthalmologist, introduced the Medicare Reimbursement Equity Act of 2020 (S 4932).

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