OIG Reviews Modifier 25 Usage With Intravitreal Injections
A new report examines modifier 25 billing patterns with intravitreal injections and outlines CMS plans for additional review.
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May 21, 2025
Academy Meets With Aetna on E/M Downcoding Policy
Here’s how ophthalmologists can request removal from the program.
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May 14, 2025
House Republican Budget Bill Includes Medicare Physician Payment Reforms
It does not include a fix for 2025 cuts, but the process is far from over. See where things stand after the Energy and Commerce Committee vote.
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May 7, 2025
Medicare Update: Payment Fix Introduced in Senate
The bill would eliminate the 2.8% cut to 2025 Medicare physician payment and provide an inflationary update to Medicare payments for the rest of this year. Call on your lawmakers to back this short-term fix.
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March 26, 2025
MedPAC Recommendation to Congress Continues Momentum for Physician Payment Reform
The new recommendations to Congress call for a single-year positive update to the Medicare Physician Fee Schedule.
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March 19, 2025
MedPAC Explores Ways to Address Medicare Physician Payment Accuracy
The advisory group has been raising concerns about the current Medicare payment system and discussing ways to address rising practice costs.
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March 12, 2025
House Moves Funding Bill, Punts on Medicare Pay Fix
The chances of a Medicare fix in the funding bill are dimming, but the Academy and physicians in Congress will continue to push for an urgent solution.
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March 9, 2025
Act Now: Tell Lawmakers Not to Punt on Physician Payment
The House of Representatives plans to vote on legislation that would fund the government for the rest of 2025 but ignores the Medicare cuts that took effect on Jan. 1.
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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.