Advocacy Works: Academy Pushes Humana to Correct 1.8 Million Denied Claims
Responding to members, the Academy fought Humana's mass denials and won. Here's what your practice needs to know to recover affected payments.
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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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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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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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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.
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September 9, 2025
Advocacy Works: Humana Removes Ophthalmologists From Downcoding Program
Responding to our members, the Academy worked for months to secure this change to protect your time and the financial stability of your practice.
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September 3, 2025
House Subcommittee Advances Funding Bill Without Proposed NIH Overhaul
Academy advocacy to protect National Eye Institute (NEI) independence is having an impact with lawmakers. Join the fight today!
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July 9, 2025
GOP Reconciliation Bill Makes Numerous Health Care Changes
The bill includes an additional 2.5% payment increase for the 2026 Medicare Physician Fee Schedule. See more and how the Academy worked to influence the process for you and your patients.
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July 9, 2025
IRIS Registry Continues to Help Ophthalmologists Succeed in MIPS, Report Confirms
The Academy’s clinical data registry again helped our profession maximize scores in the Merit-Based Incentive Payment System.
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July 9, 2025
CMS Model Will Test Technology-Driven Prior Authorization in Medicare
Ophthalmology services aren't included for now. Learn how the WISeR Model works.
