APMA News - July/August 2023 - 11
Annual Coding, Health
Policy Committee
Meetings Focus on
Member Needs
The APMA Coding Committee and Health Policy
and Practice Committee held meetings May 12 and
13, respectively, to discuss ongoing concerns and
plan member education for the upcoming year.
The volunteer members of these committees work
throughout the year to both educate members and
protect your reimbursement dollars by advocating
for podiatrists to public and private payers.
The Coding Committee met on Friday, May 12.
Committee Chair David Freedman, DPM, led the
committee through in-depth discussions on topics
including -25 modifier and appropriate submission
of significant, separately identifiable evaluation and
management services; E/M coding; NCCI advocacy,
and other issues. In addition, the committee
members set out a member education plan for
the year, including APMA News articles, webinars,
and infographics.
The committee held a robust conversation about
how to code for postoperative services under various
conditions. See a summary of this discussion
on page 26 of this issue of APMA News. Check
out APMA's extensive member-exclusive coding
resources at www.apma.org/coding.
Ed Prikaszczikow, DPM, chaired the Health
Policy and Practice Committee (HPPC) meeting
on Saturday, May 13. The committee discussed the
numerous efforts surrounding member education
and advocacy on a number of issues:
* CAC engagement and ongoing LCD, LCA, and
MAC issues, including surgical treatment of nail,
RPM, and upcoming multijurisdictional panels
* -59, -25 modifier, and NCCI advocacy
* DEA MATE requirements and advocacy
* Private insurance outreach efforts
* DME same or similar and other concerns
* Member issues with Medicare Advantage coverage
policies and chart reviews
The committee discussed member education
activities and advocacy priorities for the upcoming
year, including cross-collaboration with other committees
and additional outreach to other industry
stakeholders to collaborate on shared advocacy
concerns. Pay attention to your APMA publications
for the latest payer advocacy activities.
The hard work of these two committees was
evident in July when APMA celebrated two significant
victories related to Aetna. Effective July
23, Aetna will drop its external review program
regarding use of the -25 modifier when submitted
with CPT® 11719-11721, G0127, and 11055-11057
as well as use of the -59 modifier when submitted
with CPT® 11719-11721, G0127, and 11055-11057.
These two wins are the result of consistent, direct
advocacy from APMA and demonstrate the value
and strength of your association. For more wins,
check out www.apma.org/victories.
The true strength of APMA is found within
its member volunteers who serve on committees
like Coding and HPPC. If you would like to
contribute to the success of your profession, visit
www.apma.org/committees and self-nominate
to serve. The deadline to apply for 2024-25 is
September 1.
If you have any questions about the activities
of the Coding Committee or HPPC, contact
healthpolicy.hpp@apma.org.
APMA.ORG
apmanews
11
http://www.apma.org/coding
http://www.apma.org/victories
http://www.apma.org/committees
http://www.APMA.ORG
APMA News - July/August 2023
Table of Contents for the Digital Edition of APMA News - July/August 2023
Contents
APMA News - July/August 2023 - Cover1
APMA News - July/August 2023 - Cover2
APMA News - July/August 2023 - 3
APMA News - July/August 2023 - 4
APMA News - July/August 2023 - 5
APMA News - July/August 2023 - 6
APMA News - July/August 2023 - 7
APMA News - July/August 2023 - 8
APMA News - July/August 2023 - Contents
APMA News - July/August 2023 - 10
APMA News - July/August 2023 - 11
APMA News - July/August 2023 - 12
APMA News - July/August 2023 - 13
APMA News - July/August 2023 - 14
APMA News - July/August 2023 - 15
APMA News - July/August 2023 - 16
APMA News - July/August 2023 - 17
APMA News - July/August 2023 - 18
APMA News - July/August 2023 - 19
APMA News - July/August 2023 - 20
APMA News - July/August 2023 - 21
APMA News - July/August 2023 - 22
APMA News - July/August 2023 - 23
APMA News - July/August 2023 - 24
APMA News - July/August 2023 - 25
APMA News - July/August 2023 - 26
APMA News - July/August 2023 - 27
APMA News - July/August 2023 - 28
APMA News - July/August 2023 - 29
APMA News - July/August 2023 - 30
APMA News - July/August 2023 - CT1
APMA News - July/August 2023 - CT2
APMA News - July/August 2023 - 31
APMA News - July/August 2023 - 32
APMA News - July/August 2023 - 33
APMA News - July/August 2023 - 34
APMA News - July/August 2023 - 35
APMA News - July/August 2023 - 36
APMA News - July/August 2023 - 37
APMA News - July/August 2023 - 38
APMA News - July/August 2023 - 39
APMA News - July/August 2023 - 40
APMA News - July/August 2023 - 41
APMA News - July/August 2023 - 42
APMA News - July/August 2023 - 43
APMA News - July/August 2023 - 44
APMA News - July/August 2023 - 45
APMA News - July/August 2023 - 46
APMA News - July/August 2023 - 47
APMA News - July/August 2023 - 48
APMA News - July/August 2023 - 49
APMA News - July/August 2023 - 50
APMA News - July/August 2023 - 51
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APMA News - July/August 2023 - 53
APMA News - July/August 2023 - 54
APMA News - July/August 2023 - 55
APMA News - July/August 2023 - 56
APMA News - July/August 2023 - 57
APMA News - July/August 2023 - 58
APMA News - July/August 2023 - Cover3
APMA News - July/August 2023 - Cover4
APMA News - July/August 2023 - A1
APMA News - July/August 2023 - A2
APMA News - July/August 2023 - A3
APMA News - July/August 2023 - A4
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