The AASM is one of 120 medical specialty societies to sign on to the American Medical Association’s Characteristics of a Rational Medicare Payment System. With more cuts to physician reimbursement looming in 2023, this document outlines principles for a rational and equitable Medicare payment [...]
The AASM is keenly aware of issues that members have been having with coverage of diagnostic tests and treatment during audits due to inconsistencies between AASM clinical practice guidelines and Centers for Medicare & Medicaid Services (CMS) coverage policies, as well as between CMS [...]
Multiple Medicare Administrative Contractors (MACs) have made modifications to local coverage articles (LCAs) after the AASM advocated for the MACs to allow Current Procedural Terminology (CPT) codes 95800, 95801, and 95806 to be reported when home sleep apnea tests are performed in the home. [...]
On Dec. 16, the Centers for Medicare and Medicaid Services (CMS) announced an updated 2022 physician fee schedule conversion factor of $34.6062, according to McDermott+Consulting. This represents a 0.82% cut from the 2021 conversion factor of $34.8931. However, it also reflects an increase from [...]
On Dec. 9, 2021, the American Medical Association (AMA) and American Hospital Association (AHA), along with individual hospital and physicians’ plaintiffs, filed a lawsuit in federal district court against the federal government over what the plaintiffs believe is the ill-advised implementation of the federal [...]
The Centers for Medicare & Medicaid Services (CMS) released the 2022 physician fee schedule final rule earlier in November. The AASM has analyzed the publication and provides the following highlights for sleep clinicians. A separate analysis of the Quality Payment Program final rule will [...]
On Sept. 30, 2021, the U.S. departments of Health and Human Services (HHS), Treasury, and Labor, along with the Office of Personnel Management, released a second interim final rule related to “surprise billing.” AASM previously published a summary of the No Surprises Act and an analysis of part [...]
On July 1, 2021, the U.S. departments of Health and Human Services (HHS), Treasury, and Labor, along with the Office of Personnel Management, released an interim final rule related to surprise billing, which was outlawed by the “No Surprises Act,” signed into law as [...]
On July 13, 2021, the Centers for Medicare & Medicaid Services (CMS) released the 2022 proposed rule summarizing proposed revisions to the physician fee schedule (PFS) and Quality Payment Program(QPP). AASM’s health policy team performed an analysis and found that several of the proposed [...]
The Centers for Medicare & Medicaid Services (CMS) has finalized revisions to several local coverage determinations (LCDs) for oral appliances for obstructive sleep apnea, positive airway pressure (PAP) devices for obstructive sleep apnea, and respiratory assist devices. The revised policies will be effective Aug. [...]