AAO-HNS Summary of CY 2025 MPFS Final Rule
Advocacy, Regulatory ReliefMPFS Final Rule – https://public-inspection.federalregister.gov/2024-25382.pdf MPFS Final Rule CMS Fact Sheet - Calendar Year (CY) 2025 Medicare Physician F…
CY MPFS 2025 Final Rule High Level Overview
AdvocacyMPFS Final Rule – https://public-inspection.federalregister.gov/2024-25382.pdf MPFS Final Rule CMS Fact Sheet - Calendar Year (CY) 2025 Medicare Physician F…
AAO-HNS Submits Letter to Point 32 Regarding Non-Payment of 31237 in the Setting of a FESS/Septoplasty
Advocacy, Private Payer AdvocacyOn October 22, 2024, the Academy submitted a letter to Point 32 regarding non-payment of CPT code 31237 following Functional Endoscopic Sinus Surgery (FESS) wh…
Information Blocking – What Physicians Need to Know
AdvocacyAs of July 31, 2024, healthcare providers are now subject to civil monetary penalties should they engage in a practice known as “information blocking.” The Aca…
AAO-HNS Summary of CY 2025 Medicare Physician Fee Schedule/Quality Payment Program Proposed Rule
Advocacy, Regulatory ReliefOn July 10, the Centers for Medicare & Medicaid Services (CMS) released the CY 2025 Proposed Rule for the Medicare Physician Fee Schedule (MPFS), which als…
AAO-HNS Responds to Senate Finance Committee White Paper on Bolstering Chronic Care through Physician Payment
AdvocacyIn June, the Academy submitted its formal response to a white paper released by the Senate Finance Committee. The committee’s white paper outlined the current …
AAO-HNS Leads Coalition Efforts to Submit Letter to CGS Administrators Proposed Local Coverage Determination (LCD) – Botulinum Toxin Injections
Advocacy, Physician Payment Reform, Private Payer Advocacy, Regulatory Relief, ReimbursementFollowing coalition advocacy by the Academy, the American Laryngological Association (ALA) and the American Broncho-Esophagological Association (ABEA) a joint …
AAO-HNS Summary of HHS Rule Establishing Disincentives for Healthcare Providers that Engage in “Information Blocking”
Advocacy, Regulatory ReliefOn June 24, the Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC) released …
AAO-HNS Advocacy Efforts Lead to Blue Cross Blue Shield of North Carolina Modifier 25 Policy Retraction
Advocacy, Private Payer AdvocacyFollowing coordinated advocacy by the Academy, the North Carolina Medical Society and physician advocates in the state, Blue Cross Blue Shield of North Carolin…
AAO-HNS Submits Comments to Blue Shield of California Regarding Global Surgical Period Evaluation and Management (E/M) Reimbursement Policy
Advocacy, Private Payer AdvocacyOn May 17, 2024 the Academy submitted a detailed letter to Blue Shield of California regarding its update to the Global Surgical period Evaluation and Manageme…
Congress Passes Legislation to Partially Mitigate the 3.4% Medicare Physician Payment Cut
Advocacy, Physician Payment Reform, ReimbursementLast week, in a federal budget deal struck to avoid a government shutdown, Congress passed legislation to reduce the 3.4% Medicare physician payment cut by 1.6…
AAO-HNS Summary of CMS Interoperability and Prior Authorization Final Rule
Advocacy, Regulatory ReliefOn January 17, the Centers for Medicare & Medicaid Services (CMS) released the Interoperability and Prior Authorization Final Rule. The rule includes impor…
2024 Medicare Claims – What We Know Now
Advocacy, Regulatory ReliefThe CY 2024 Medicare Physician Fee Schedule implemented a 3.4% cut to physician reimbursement. This cut went into effect on January 1, 2024. While there is sti…
CMS Releases 2024 HOPPS/ASC Final Rule
Advocacy, Regulatory ReliefOn November 2, the Centers for Medicare & Medicaid Services (CMS) released the calendar year 2024 Hospital Outpatient Prospective Payment System (HOPPS)/Am…
AAO-HNS Summary of CY 2024 MPFS Final Rule
Advocacy, Regulatory ReliefFollowing the Centers for Medicare & Medicaid Services’ (CMS) release of the CY 2024 Final Rule for the Medicare Physician Fee Schedule (MPFS), which also …
Federal Departments Release New Proposed Rule on No Surprises Act IDR Process
Advocacy, Regulatory ReliefOn October 27, 2023, the U.S. Departments of Health and Human Services, Labor, and the Treasury (the Departments) and the Office of Personnel Management releas…
AAO-HNS Responds to House Budget Committee Request for Information on Lowering Health Care Costs
AdvocacyIn September, Republican members of the House Budget Committee established a Health Care Task Force and issued a request for information (RFI) to solicit feedb…
CMS Reopens IDR Portal For New Single and Bundled Claims
Advocacy, Regulatory ReliefThe Centers for Medicare and Medicaid Services (CMS) announced on October 6, that it reopened the Independent Dispute Resolution (IDR) portal for new single an…
