CMS Proposes 2.8% Pay Increase for Hospital Outpatient, ASC Settings
About 3,500 hospitals and 6,000 ambulatory surgical centers (ASC) that perform ophthalmic procedures would be affected by the proposed pay hike.
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July 5, 2023
Academy to House: Recognize Importance of Medicare Payment Reform
We are working with Congress to fix Medicare’s broken payment system, highlighting the need to fix a physician payment program that fails to account for inflation and increasing practice costs.
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June 21, 2023
HHS and MedPAC Reports Encourage Significant Changes to Part B Drug Payment
HHS and MedPAC Reports Encourage Significant Changes to Part B Drug Payment
The Academy is monitoring congressional reaction to these reports given that the recommendations would impact ophthalmologists.
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May 31, 2023
Academy Pushes Medicare Contractors to Expand Coverage for Botulinum Toxin
Members reported to the Academy and ASOPRS that prior authorization requests have been denied for medically necessary injections into the brow and corrugator/procerus muscles to treat blepharospasm.
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May 24, 2023
Academy Meets With Aetna on Prior Authorization Reforms
Florida and Georgia state societies joined the Academy in driving home the burdens of prior authorization.
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May 24, 2023
Surgical Scope Fund: Together We Champion Patient Safety
Your investment is crucial in helping us preserve quality eye care for patients and ensure that surgery is done by surgeons.
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May 23, 2023
Cigna Hits Brakes on Burdensome Modifier -25 Policy
Cigna’s action means that providers will not have to submit medical records to comply with the insurer’s now-delayed policy.
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May 17, 2023
Academy Renews Call for CMS to Restore Global Payment Equity
The latest meeting to challenge payment of global period post-operative visits stressed the complexity of medical decision-making.
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May 17, 2023
Medicare Advantage Overtakes Traditional Medicare Enrollment
In a historic development, the majority of all eligible Medicare beneficiaries are now covered through a Medicare Advantage plan rather than a traditional fee-for-service Medicare program.
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April 26, 2023
Cigna Delays Modifier -25 Documentation Requirements After Academy-Led Coalition Meeting
After sharing how this burdensome new policy will harm practices and patients, the insurer agreed to delay the requirement’s effective start date.