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Advocacy News

News and views on the regulatory, legislative, and political issues impacting ophthalmology in Washington, D.C., and around the United States

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Ophthalmologist Raj Maturi, MD, with a patient in his clinic.
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Featured News

The Centers for Medicare & Medicaid Services (CMS) has released its proposed Medicare Physician Fee Schedule for 2027. Here are the highlights based on the Academy’s analysis. The Academy will work with our advocacy partners to ensure finalized policies support our members and their patients.

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December 3, 2025
How Two Controversial Medicare Policies Attack Surgical Care

The Academy’s team of health policy experts have analyzed finalized Medicare policies slated to begin Jan. 1, 2026, and outline the details of the most controversial policies. We are running out of time for Congress to act and stop these policies from harming your patients. Act today.

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November 24, 2025
CMS Finalizes 2026 2.6% Pay Increase for Hospital Outpatient Departments, ASCs

The final rule could affect about 4,000 hospital outpatient departments and 6,000 ambulatory surgical centers (ASC).

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November 19, 2025
Advocacy Works: CMS Delays ASC Prior Authorization Pilot

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.

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November 19, 2025
Medicare Telehealth Claims Reprocessing Remains Uncertain

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

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November 19, 2025
CMS Reverses Course on NCCI Edits for Key Imaging Codes Following Academy Advocacy

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

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An ophthalmologist examines the eyes of a veteran patient
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November 12, 2025
VA Hopes New Technology Will Ease Community Care Program Scheduling for Practices

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.

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November 12, 2025
Ophthalmology Coalition Pushes Back on CMS ASC Prior Authorization Pilot

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

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A person dressed in a Halloween costume poses next to an inflatable eyeball
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October 29, 2025
Join Our ‘Spooktacular’ Halloween Costume Competition

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!

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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 22, 2025
Government Shutdown Update: CMS Lifts Claims Hold for Most Services

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.