New Add-On Code for Post-Operative Care Finalized in Medicare 2025 Rule
Learn about new add on code G0559 and how it can be used.
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November 18, 2024
K. David Epley, MD: Without a Seat at the Table, Our Voice Goes Unheard
A Surgical Scope Fund Committee member and former OPHTHPAC committee member explains how your contributions drive the Academy’s advocacy efforts.
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November 13, 2024
Ophthalmology Calls for Step Therapy Pause for Repackaged Avastin During Supply Chain Disruption
CMS signaled a willingness to review the request in its Nov. 12 meeting with the Academy and the American Society of Retina Specialists.
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November 13, 2024
Aetna Offers Step Therapy Bypass to Ophthalmologists Unable to Source Compounded Avastin
Practices can note access issues in precertification requests to be granted an exemption from step therapy requirements.
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October 30, 2024
Academy Urges Insurers to Suspend Step Therapy Due to Potential Avastin Supply Issues
The Academy urged large commercial insurers and Medicare Advantage plans to suspend anti-VEGF step therapy requirements in response to Pine Pharmaceuticals discontinuation of repackaged Avastin (bevacizumab).
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October 14, 2024
Data Validation Audits Begin for 2023 MIPS Participants
MIPS participants who are randomly selected for the audit will receive email notifications between October 2024 and April 2025.
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October 14, 2024
Pine Pharmaceuticals Discontinues Avastin and Other Ophthalmic Product Manufacturing
The Academy is engaging with alternative suppliers and pushing CMS to intervene on Medicare Advantage plan step therapy requirements for Avastin.
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October 2, 2024
Final MIGS Medicare Coverage Improves on 2023 Policy Proposals
Persistent advocacy from our ophthalmology coalition has led to improvements in final MIGS Medicare coverage policies.
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October 2, 2024
Ophthalmologist Lawmaker Needs Your Support More than Ever
Ophthalmology’s top champion in the U.S. House of Representatives, Rep. Mariannette Miller-Meeks, MD, R-Iowa, urgently needs your support or she risks losing her reelection in what will prove to be a very close race.
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July 17, 2024
Ophthalmology Pushes for MIGS, Cataract, and Botulinum Toxin Medicare Coverage
The Academy submitted comments to regional Medicare contractors last week defending coverage of MIGS, cataract surgery, and botulinum toxin injections.
