In response to prior authorization changes proposed by the Centers for Medicare and Medicaid Services (CMS) in a proposed rule for contract year 2026 changes to the Medicare Advantage Program, the AASM submitted comments to CMS supporting prior authorization reform. These proposed changes [...]
On Friday, Jan. 17, the Drug Enforcement Administration (DEA) published the “Expansion of Buprenorphine Treatment via Telemedicine Encounter Final Rule.” In addition to expanding telehealth flexibilities, the changes aim to balance expanded access with safeguards against drug diversion, which could affect practitioners prescribing [...]
On Jan. 3, the Centers for Medicare & Medicaid Services (CMS) announced that Merit-Based Incentive Payment System (MIPS) submissions for the Quality Payment Program (QPP) can now be submitted and updated through 8 p.m. ET on March 31, 2025. The AASM has developed the [...]
The Centers for Medicare & Medicaid Services (CMS) has posted the revised resource, “How to Use the Office & Outpatient Evaluation and Management Visit Complexity Add-On Code G2211.” The code G2211 reflects visit complexity and increases the value of office and outpatient evaluation and [...]
On Saturday, Dec. 21, President Biden signed into law H.R. 10545, the “American Relief Act, 2025,” narrowly avoiding a government shutdown. H.R. 10545 extends certain telehealth flexibilities through March 31, 2025. These include: Removing geographic requirements and expanding originating sites for telehealth services Expanding [...]
The Centers for Medicare & Medicaid Services (CMS) has posted the 2025 Quality Payment Program final rule. An analysis of the rule, including key highlights specific to sleep medicine, is provided below. CMS has finalized the following for 2025: Quality Performance Category Finalized a [...]
In response to ongoing advocacy from the AASM and many other medical organizations, the Drug Enforcement Administration (DEA), in concert with the Department of Health and Human Services (HHS), has issued a third extension of telemedicine flexibilities for the prescribing of controlled medications through [...]
In response to the recently published Medicare physician fee schedule final rule, the AASM joined the American Medical Association (AMA) Federation and many other health care organizations in submitting a letter to advocate against the 2.83% Medicare physician payment cuts, which are scheduled to [...]
The Centers for Medicare & Medicaid Services (CMS) has posted the 2025 Medicare physician fee schedule final rule. This AASM analysis highlights changes in physician payment and sleep medicine reimbursement, specific Current Procedural Terminology (CPT) code updates, revisions to telehealth policies, and payment [...]
The Centers for Medicare & Medicaid Services (CMS) has released the finalized 2025 Merit-based Incentive Payment System (MIPS) Value Pathways (MVPs), including a new pulmonology care MVP, which was developed by the AASM in collaboration with several other agencies and CMS. The pulmonology [...]