Take action by telling Congress to fix Medicare

The AASM joins the American Medical Association (AMA) in strongly supporting the Strengthening Medicare for Patients and Providers Act (H.R. 2474), a bipartisan measure now pending in the 118th Congress, which would provide the crucial link between the Medicare physician payment schedule and the [...]

2023-08-11T10:12:23-05:00August 11th, 2023|Featured, Payer Advocacy|

Palmetto GBA revises sleep study documentation and billing requirements

Palmetto GBA, a Medicare administrative contractor (MAC) for Medicare jurisdictions J and M, revised the polysomnography Local Coverage Determination (LCD) L36593 and its accompanying Local Coverage Article A56995 effective March 16, 2023, to update documentation and billing requirements. These jurisdictions include Alabama, Georgia, Tennessee, [...]

2023-05-12T13:15:20-05:00May 12th, 2023|Payer Advocacy|

AASM continues to advocate for prior authorization reform

The AASM continues to advocate for prior authorization reform to allow clinicians to provide medically necessary care in a timely manner for patients with sleep disorders. Medicare Advantage organizations are currently at the forefront of national reform efforts, given recent studies and initiatives, by [...]

2023-03-24T11:07:03-05:00March 24th, 2023|Payer Advocacy|

Phrenic nerve stimulation CPT codes coming in 2024

The AASM worked with the American College of Cardiology (ACC) and the Heart Rhythm Society (HRS) to convert 12 phrenic nerve stimulation (PNS) Category III codes to Category I codes. The AMA Current Procedural Terminology (CPT) Editorial Panel accepted the addition of codes 3X008-3X015 [...]

2023-01-27T17:51:46-06:00January 27th, 2023|Payer Advocacy|
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