May 23, 2022

On May 11, APMA held the virtual DME Stakeholders meeting. This meeting included representatives from APMA, AAOS, ACFAS, AOFAS, AOTA, PFA, AOPA, APTA, and ASHT, among others. This meeting discussed the continuous efforts of advocacy related to CMS’ Same or Similar policies, legislative efforts, and pressing topics. Members can find all DME updates and news at www.apma.org/DME.

On May 20–21, APMA held the Health Policy and Practice Committee and Coding Committee meetings in person. These committees work tirelessly to address the most crucial issues that directly impact our members as well as their patients.

The Health Policy and Practice Committee (HPPC) met on Friday, May 20, in Arlington, VA. The committee, chaired by Ed Prikaszczikow, DPM, discussed efforts that affect member education and the following advocacy topics:

• -59, -25 Modifier, and NCCI advocacy
• Anthem/ AIM Surgical Guidelines Workgroup
• Ongoing LCD, LCA, and MAC issues, including new policies on surgical nail and CPT and wound care
• DME Same or Similar and other concerns
• Member problems with Medicare Advantage coverage policies and chart reviews

The committees created a member education plan and advocacy priorities for the upcoming year. They also plan on working with other committees to work on common advocacy concerns and issues.

The Coding Committee Meeting was held on Saturday, May 21. Committee Chair David Freedman, DPM, led the discussion on coding policy issues and concerns. These issues included amniotic products, changes to E/M coding, and prior authorization issues. The committee discussed CPT recommendations for the upcoming year: new codes, code revisions, and recommendations related to procedures with no codes. In addition to creating an education plan, the committee discussed upcoming coding webinars, infographics, and APMA News articles.

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