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The APMA “ICD-10 is Here”Coding Seminar & Webinar SeriesSeminars:Atlanta: March 1Chicago: April 2Honolulu: July 27Maui: July 28-31Philadelphia: August 16ICD-10 Webinars:Held the first and third Thursday of each monthbeginning in January, from 8–9:00 p.m. ETAre you ready?Register now at www.apma.org/icd10
THE SINGLE BEST PODIATRICCODING RESOURCEYour single online resource for:CPT ICD-9 ICD-10 HCPCS CCI EDITSMEDICARE LCDs (BY STATE) DME REFERENCES MEDICARE GLOBAL DAYS,NEED FOR ASSISTANT SURGEON, AND RVUsFOOT AND ANKLE SPECIFIC ICD-9 TO ICD-10 DIAGNOSIS CROSSWALKSSUBSCRIBE TODAY!Visit www.apmacodingrc.orgfhgshgsgfh
New Subscriber Renewing SubscriberAPMA Member: APMA Member/Non-Member: 249 per 1 year online subscription 99 per additional user/subscriber 189 per 1 year online subscription 79 per additional user/subscriberfrom the same office from the same officeNon-APMA Member:(Renewal Discount 2014 Only) 525 per 1 year online subscription 129 per additional user/subscriberfrom the same officeRegistrantPaymentName:Credit Card:APMA Member No.: MasterCardAddress: VISACity:State:Zip:Phone: American Express DiscoverName on Card:E-mail:If new, create your own log in information:User Id:(4 character minimum)Password:(5 character minimum)Card Number:Expiration (Month/Year):Billing Address:City:Secret Question:State:Zip:Total Payment:Secret Answer:Number of Licenses:(per account)Additional Licenses/Users:(enter a UserId:Password for each) : :Signature:Contact APMA at coding.hpp@apma.org or301-581-9200
APMA Coding Resource Center: ICD-10-CM and CrosswalksThe APMA Coding Resource Center (CRC) is a fully integrated subscription online coding andreimbursement resource for foot, ankle, and leg-relevant CPT , ICD-9 and ICD-10-CM (Volume 1,2), HCPCS Level II codes, and Medicare LCDs and fee schedules. ICD-9 to ICD-10 crosswalks are nowavailable on the CRC to help simplify your transition to ICD-10. Pricing is currently only 249 for APMAmembers. Visit www.apmacodingrc.org."ICD-10 is Here" Coding Seminar and Webinar SeriesIn order to meet the ever-increasing demand for information on coding policies specific to the practiceof podiatric medicine and surgery, APMA will offer a series of stand-alone seminars and webinars in2014, titled “ICD-10 is Here”. Visit www.apma.org/icd10.The APMA Coding SeminarThe APMA Coding Seminar has become a staple at podiatry-related meetings and reaches over 10percent of APMA’s population on average in a given year through our partnership with state andregional components. The Seminar is designed to supplement your state or regional meeting. Weencourage you to take advantage of this great member benefit at your next state or regional meeting.Visit umber 9831.Certified Surgical Foot and Ankle Coder (CSFAC)APMA, in conjunction with the American Academy of Professional Coders (AAPC), has developedthe Certified Surgical Foot & Ankle Coder (CSFAC ) examination to provide a means for podiatrists,billing staff, professional coders, and orthopedists to demonstrate their expertise in coding medicalservices and surgical procedures performed on the foot and ankle. Visit www.apma.org/csfac.Codingline APMASilver (APMA Partner)APMA is a strategic partner with Codingline (Codingline, LLC) which provides a forum for Codinglinesubscribers to ask foot and ankle coding and reimbursement questions. Codingline is offering APMAmembers complimentary APMASilver subscriptions. Visit www.codingline.com/apmasilver.htm.American Podiatric Medical Association9312 Old Georgetown RoadBethesda, MD 20814-1621Tel: 301-581-9200Fax: 301-530-2752www.apma.org
Hot Topics in Health Policy and Practice“ICD-10 is Here” Seminar and WebinarSeries / APMA’s Coding Resource CenterCrosswalksAPMA has developed a Coding Seminar andwebinar series, titled "ICD-10 is Here,"(www.apma.org/icd10) in order to meet theever-increasing demand for information oncoding policies specific to the practice ofpodiatric medicine and surgery. APMA willoffer a series of stand-alone seminars in 2014 toaddress the implementation of ICD-10. Theseminars are scheduled for Atlanta (March 1),Midwest Podiatry Conference (April 2),APMA’s ASM (July 27), and Philadelphia(August 16). APMA is also sponsoring a seriesof “ICD-10 is Here” webinars scheduled the 1stand 3rd Thursdays of each month. Be sure tovisit www.apma.org/icd10 as your hub of ICD10 resources and to register.Visit www.apma.org/icd10 for a series ofpreparatory ICD-10 articles from the APMANews on the rules and coding conventions.These will be followed every month with shortarticles and links to the APMA website withspecific chapter articles on the rules and codesfor each chapter and subchapter of relevance inICD-10. ICD-10 codes and crosswalks havebeen added to the APMA Coding ResourceCenter, subscribe now at the current low rate of 249!Certified Surgical Foot and Ankle CoderThe Certified Surgical Foot and Ankle Coder(CSFAC) exam (www.apma.org/csfac) wasdeveloped by the American Academy ofProfessional Coders (AAPC) in cooperation withAPMA to provide a means for professionalcoders, podiatrists, orthopedists, and billing staffto demonstrate their expertise in coding medicalservices and surgical procedures performed onthe foot and ankle. The exam features 150multiple-choice questions (proctored) and isopen code book (manuals).Reimbursement Webinar SeriesAPMA has created a webinar series addressingreimbursement-related topics. The series startsin January with Affordable Care Act (ACA) andSGR Repeal (January 16), Medicare IncentivePrograms in 2014: eRx, PQRS, HIT (February5), and Understanding Medicare AdvantagePlans (March 4) and more will be added. Toview the recorded webinars, along withpresentations, visit APMA Webinar webpage.Medicare Physician Payment ReformAPMA’s Health Policy and Practice andLegislative Departments have been activelyinvolved in sustainable growth rate (SGR) repealand Medicare physician payment reformadvocacy efforts, writing comment letters tocongressional committees and attending Q&Asessions. A three-month patch is now effective,preventing drastic cuts to Medicare physicianreimbursement. Congress and the administrationhope to repeal permanently and replace the SGRand reform Medicare physician payment beforethis short-term patch expires.Accountable Care Organizations (ACOs)APMA has created many ACO resources,including webinars and policy briefs, to educatemembers,whicharelocatedatwww.apma.org/aco. APMA’s ACO Workgroupand Health Policy and Practice Department arecurrently assessing podiatrists’ involvement inACOs. If you have information on this topic,please contact healthpolicy.hpp@apma.org.Ankle Foot Orthotics – Carrier ActivitiesIn February 2013, the DME MAC Jurisdictionsannounced that the AFO policy article, effectiveJanuary 1, 2013, was being revised to removethe height restriction. These actions come after aconcentrated effort by APMA’s DMEsubcommittee and outside stakeholders toreverse the new height restrictions. APMAbelieves the change to the height requirementswas not backed by scientific evidence andtherefore was inconsistent with the devicesThis bulletin is for informational purposes only and does not constitute legaladvice. Podiatric physicians and surgeons seeking legal advice should consult withan attorney duly licensed to practice in their jurisdictions.
Hot Topics in Health Policy and Practicemany members prescribe. APMA continues tomonitor recent AFO activities, includingquestions about specific Medicare coverage forthe use of an ambulatory AFO for fallprevention as well as changes to LCD policies asthose listed above. In the former issue, APMAhas posted a Coding Alert on the websiteregarding the guidelines for AFO use.Termination of Provider Contracts byMedicareAdvantageOrganizations(MAOs)APMA has seen an increase in questions abouthow to respond to provider termination letterssent by MAOs. To assist members in theirunderstanding of MAOs, APMA has developednumerous resources, including articles andFAQs that are now available online. Visitwww.apma.org/reimbursement and click onMedicare. Also, APMA has written CMS,voicing discontent with MAOs’ termination ofprovider contracts and requesting that CMSreview MAO compliance with networkadvocacy requirements to ensure appropriateaccess to podiatrists.Health-Care Reform ResourcesVisit the APMA’s Health-Care Reform page atwww.apma.org/healthcarereformforcomprehensive, up-to-date information abouthealth-care reform.TRICAREOn August 8, 2013, the U.S. Department ofDefense (DoD) released a proposed rule that willallow DPMs to prescribe and dispense DME toTRICARE patients. It would end an unevenlyadministered policy and a disparity faced bypodiatrists that APMA has long fought tooverturn. APMA has been in contact with theDoD and TRICARE Management Activity(TMA) for more than five years in an effort tochange this policy. APMA also has lobbiedCongress to put pressure on DoD and TMA toend this disparity. Despite the long process,APMA is pleased with an end result that willrecognize podiatrists as eligible providers ofDME under TRICARE.Diabetic Therapeutic Shoe UpdateOn April 25, HR 1761, The Helping EnsureLife- and Limb-Saving Access to PodiatricPhysicians (HELLPP) Act, was introduced in the113th Congress by US Rep. Lee Terry (R-NE).TheHELLPPActincludesmultiplecomprehensive reforms and goes further toensure podiatric physicians will continue to savelives, limbs, and health-care dollars. TheHELLPP Act will clarify and improvecoordination of care in Medicare’s TherapeuticShoe Program for Patients with Diabetes. Aspart of this effort, APMA’s health policycommittee and APMA’s health policy consultanthelped create a provision that would clarify therole of a prescribing podiatric physician in termsof establishing medical necessity, andconsequently ease the reporting burden on allphysicians involved in the TSD program.Routine Footcare ActivitiesAPMA met with CMS in Baltimore in 2013 toaddress routine footcare activities. Previously,APMA and HPC staff approached KathleenBryant, Director, Division of PractitionerServices, Hospital and Ambulatory Policy,CMS, for an update on the status of APMA’srequest for revisions to the Medicare BenefitPolicy Manual, Section 290. APMA throughHPC submitted a request for revision, as well asa draft version, and has met with CMS regardingthis request. Ms. Bryant requested additionalmaterials from HPC, which were provided. Inaddition, and with the assistance of APMA’shealth policy consultant, APMA developed aside-by-side comparison of current Medicarepolicy and our recommended revisions, alongwith related explanatory comments to facilitatefurther CMS consideration of APMA’s proposedchanges to the manual.This bulletin is for informational purposes only and does not constitute legaladvice. Podiatric physicians and surgeons seeking legal advice should consult withan attorney duly licensed to practice in their jurisdictions.
Hot Topics in Health-Care Reform & AdvocacyHealth-Care ReformMedicare Physician Payment ReformPhysician Payment Sunshine ActAPMA’s Health Policy and Practice andLegislative Departments have been activelyinvolved in sustainable growth rate (SGR) repealand Medicare physician payment reformadvocacy efforts, writing comment letters tocongressional committees and attending Q&Asessions. A three-month patch is now effective,preventing drastic cuts to Medicare physicianreimbursement. Congress and the administrationhope to repeal permanently and replace the SGRand reform Medicare physician payment beforethis short-term patch expires.The Physician Payment Sunshine Act (PPSA)requires drug and medical device companies toreport publicly payments and other gifts made tophysicians, including podiatrists. It also requirescompanies to report information on ownershipor investment interests held by physicians.APMA has created many ACO resources,including webinars and policy briefs, to educatemembers,whicharelocatedatwww.apma.org/aco. APMA’s ACO Workgroupand Health Policy and Practice Department arecurrently assessing podiatrists’ involvement inACOs. If you have information on this topic,please contact healthpolicy.hpp@apma.org.Members should be aware that companies begancollecting data on August 1, 2013 and submittheir first reports to CMS by March 31, 2014 forthe August-to-December 2013 reporting period.Members should record payments and other giftsreceived from companies to check the accuracyof the companies’ reports. Once CMS announcesthe method for physicians to check the accuracyof their data, APMA will disseminate thisinformation. Physicians’ data will be posted on apublicly available on-line database bySeptember 30, 2014. To read APMA’s policybrief on PPSA and answers to FAQs aboutPPSA, visit APMA’s Health-Care Reform pageat www.apma.org/healthcarereform.Provider Non-Discrimination ProvisionHIPAA/HITECH ActIncluded in the ACA is an important provisionprotecting DPMs from discrimination by healthinsurers. APMA and its partners in the PatientAccess to Responsible Care Alliance(PARCA)successfully lobbied for its inclusionand are now working together to safeguardretention of section 2706, titled “NonDiscrimination in Health Care. APMA continuesto monitor all repeal efforts by Congress toensure that this provision remains ineffect. APMA is also seeking to prevent anyweakening of this provision by CMS and iscurrently responding to a CMS request for moreinformation.As a reminder, the final rule modifying theHIPAA Privacy, Security, Enforcement, andBreach Notification Rules, issued by the HHSOffice of Civil Rights, required compliance onSeptember 23, 2013 for covered entities andbusiness associates. APMA’s HIPAA resources,located at www.apma.org/hipaa, includetemplates for summary of notice of privacypractices, business associate agreement, riskanalysis checklist, and many more.Accountable Care Organizations (ACOs)Health-Care Reform ResourcesVisit the APMA’s Health-Care Reform page atwww.apma.org/healthcarereformforcomprehensive, up-to-date information abouthealth-care reform.This bulletin is for informational purposes only and does not constitute legaladvice. Podiatric physicians and surgeons seeking legal advice should consult withan attorney duly licensed to practice in their jurisdictions.
Hot Topics in Health-Care Reform & AdvocacyHealth Policy AdvocacyTermination of Provider Contracts byMedicareAdvantageOrganizations(MAOs)APMA has seen an increase in questions abouthow to respond to provider termination letterssent by MAOs. To assist members in theirunderstanding of MAOs, APMA has developednumerous resources, including articles andFAQs that are now available online. Visitwww.apma.org/reimbursement and click onMedicare. Also, APMA has written CMS,voicing discontent with MAOs’ termination ofprovider contracts and requesting that CMSreview MAO compliance with networkadvocacy requirements to ensure appropriateaccess to podiatrists.Center for Professional Advocacy (CPA)CPA continues to provide direction for legal,regulatory, and state legislative advocacyactivities. Visit www.apma.org/cpa for updates.Scope of PracticeRecently, the CPA has assisted KSPMA,HPMA, and SCPMA in their scope of practicestate advocacy efforts by providing letters ofsupport, fact sheets, myth busters and statistics.The APMA State Advocacy’s Scope of ofpracticeincludesacompilation of state podiatric scope of practicelaws as well as other tools, such as surveys andcharts, to assist members and state componentsocieties in their state scope of practiceadvocacy efforts.eAdvocacyMembers should contact their federal and statelegislators to advocate for fair and equitabletreatment for podiatrists. Grassroots efforts, suchas using the APMA eAdvocacy tool, located atwww.apma.org/eAdvocacy are vital to affectingchange.Financial and Administrative AlignmentState Demonstrations for Dual EligiblesCMS partnered with 15 states to coordinate carefor dual eligible beneficiaries through statedemonstrations. The purpose of these statedemonstrations is to identify and validatedelivery system and payment coordinationmodels to be tested and replicated in other states.The financial alignment models being tested arethe capitated model and the managed FFSmodel. The CPA has been engaged with theCPMA and IPMA who are concerned aboutpodiatrists continuing care for their patients duethe capitated model’s passive enrollment feature.The CPA has prepared a policy brief, located atwww.apma.com/stateadvocacy on the Issue andPolicy Briefs page, describing these ns for podiatrists concerningparticipating in contracted health plans,maintaining relationships with dual eligiblebeneficiary patients, and advocating for patientsand practices.TRICAREOn August 8, 2013, the U.S. Department ofDefense (DoD) released a proposed rule that willallow DPMs to prescribe and dispense DME toTRICARE patients. It would end an unevenlyadministered policy and a disparity faced bypodiatrists that APMA has long fought tooverturn. APMA has been in contact with theDoD and TRICARE Management Activity(TMA) for more than five years in an effort tochange this policy. APMA also has lobbiedCongress to put pressure on DoD and TMA toend this disparity. Despite the long process,APMA is pleased with an end result that willrecognize podiatrists as eligible providers ofDME under TRICARE.This bulletin is for informational purposes only and does not constitute legaladvice. Podiatric physicians and surgeons seeking legal advice should consult withan attorney duly licensed to practice in their jurisdictions.
address the implementation of ICD-10. The seminars are scheduled for Atlanta Medicare Physician Payment Reform(March 1), Midwest Podiatry Conference (April 2), APMA's ASM (July 27), and Philadelphia (August 16).APMA is also sponsoring a series of "ICD-10 is Here" webinars scheduled the
