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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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New Hampshire State House
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Featured News

For the third straight year, New Hampshire ophthalmologists have successfully defended safe eye surgery.

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Advocacy Issues
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May 11, 2025
CMS Opens 2025 MIPS Exception Applications
Applications must be submitted on the Centers for Medicare & Medicaid Services Quality Payment Program webpage by 8 p.m. ET on Dec. 31, 2025.
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Members of the Academy Health Policy Committee sit at a conference table
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March 5, 2025
Academy Health Policy Committee Sets Strategy for 2025 Key Advocacy Priorities

The Academy’s Health Policy Committee consulted with Academy staff on many of the top advocacy issues arising from the January 2025 Federal Secretariat meeting.

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February 26, 2025
Academy Pushes Against Humana Downcoding Higher-Level Claims
Responding to members’ request for assistance, the Academy is fighting policies that assign lower reimbursement for certain high-level services.
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February 5, 2025
Automatic MIPS Exceptions for Practices Affected by California Wildfires

The Centers for Medicare & Medicaid Services (CMS) will apply the automatic extreme and uncontrollable circumstances (EUC) policy to eligible physicians in Federal Emergency Management Agency-designated counties in California.

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Academy Leadership sits at a large table with microphones
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January 29, 2025
Academy Leadership Sets 2025 Advocacy Priorities

Academy leaders have identified physician payment reform, reducing practice burdens, Medicare Advantage and Quality Performance Program issues, as well as military veterans’ eye care as some of our top federal advocacy priorities for 2025.

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January 22, 2025
First MIPS Value Pathway for Ophthalmology Available for 2025 Performance Year

This new reporting option is available for voluntary reporting for the 2025 MIPS performance year/2027 payment year.

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January 8, 2025
Advocacy Works: WPS Corrects Billing and Coding Article for Cataract Surgery
WPS accepted the Academy’s recommendation to correct its cataract surgery billing and coding article in response to denials of CPT 66982 billed with mature cataracts.
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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 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 13, 2024
CMS Finalizes Major Changes to MIPS Cost Performance Category
The changes include an updated scoring methodology which could improve scores for many ophthalmologists starting with the 2024 performance year/2026 payment year.