Advocacy News

With the help of the American Society of Ophthalmic Plastic and Reconstructive Surgery, the Outpatient Ophthalmic Surgery Society, and the North American Neuro-Ophthalmology Society, the Academy has persuaded the Centers for Medicare & Medicaid Services (CMS) to delay the start of the prior authorization (PA) pilot in ambulatory surgical centers.

The Centers for Medicare & Medicaid Services (CMS) is expected to issue guidance on handling unpaid telehealth claims soon.

The Academy's persistent and expert advocacy is securing sight saving wins for patient access to essential vision care.

The Department of Veteran Affairs’ new External Provider Scheduling cloud-based technology system allows VA schedulers to book approved appointments directly into community care program participants’ systems.

The Academy is pushing for a delay in implementation for the pilot, scheduled to start on Dec. 15.

When Humana started denying valid claims for office and eye visits billed with diagnostic testing, the Academy fought back — and won.

As Halloween approaches, don’t ghost OPHTHPAC® this year! Contribute to OPHTHPAC today to join our inaugural “Spooktacular” Halloween costume competition. Submit costume photos of you, your family, colleagues, and pets in your spookiest Halloween attire!

The Centers for Medicare & Medicaid Services (CMS) has again reversed course and instructed Medicare administrative contractors (MACs) to lift the hold on the majority of Medicare claims with dates of service on or after Oct. 1.

The payer told the Academy it has started to correct some previously denied claims. Here is what Academy members need to know.

The Academy is engaging CMS directly to resolve new inconsistencies around modifier 25 and ensure clear, accurate guidance for ophthalmology practices.