Alerts, recalls and updates

Be alert for important credentialing verification requests from Aperture

March 24, 2016

Doctors due to re-credential—or credential—should be alert for communications from a national credential verification organization, Aperture Credentialing, this spring. Credential verifications can be required of any health or vision plan that doctors contract with, and doctors can be dropped out of network by failing to respond. Read more

Reminder-Register to Review Open Payments Data

February 26, 2016

Authorized by the Affordable Care Act, the "Sunshine Act," or Open Payments program, requires that certain manufacturers and others report any payments or gifts provided to doctors of optometry and other physicians. Read more

CMS Releases Updated ICD-10 Guidance

September 25, 2015

The Centers for Medicare & Medicaid Services has released additonal guidance to doctors regarding the first year of ICD-10 implementation. Read more

Physician Quality Reporting Systems (PQRS) and Value Based Modifier (VBM) Payment Penalties

September 22, 2015

In 2016, the Centers for Medicare & Medicaid Services will apply a negative payment penalty to claims submitted by physicians, including doctors of optometry, who did not satisfactorily participate in PQRS in 2014. Read more

CMS Releases Information on Opting-Out of Medicare

September 14, 2015

The Centers for Medicare & Medicaid Services has released additional information for those physicians who choose to opt-out of Medicare. Read more

Doctors of Optometry May Use Certified Paraoptometric Staff for Electronic Order Entry

September 09, 2015

Many doctors of optometry who participate in the Medicare & Medicaid Electronic Health Records (EHR) Incentive Programs have asked whether credentialed staff members are qualified to perform computerized provider order entry to fulfill meaningful use requirements.  Read more

All commercial health plans offering small group coverage or individual coverage are required to provide eye exams and eyeglasses to children as an essential benefit in 2017

September 02, 2015

On Monday Aug. 31, the Centers for Medicare & Medicaid Services published a list of proposed benchmark health plans for each state for coverage beginning in January, 2017. Read more

CMS Offers Additional Guidance on Year 1 of ICD-10 Implementation

July 30, 2015

As AOA previously reported, earlier this month, the Centers for Medicare & Medicaid Services released additional guidance on the transition to ICD-10. Read more

Important Updates Related to Medicare

July 29, 2015

Doctors of optometry and certain other physicians who do not want to enroll in the Medicare program may "opt out" of Medicare. When a physician chooses to opt out, neither the physician nor the Medicare beneficiary may submit a bill to Medicare, and the patient must agree to pay the physician out-of-pocket. The Centers for Medicare & Medicaid Services requires a physician to submit an affidavit to Medicare that communicates his/her decision to opt out of Medicare. Read more

Have you received a RUC Survey?

June 10, 2015

The American Medical Association/Specialty Society Relative Value Scale Update Committee recently identified certain Current Procedural Terminology codes reported by doctors of optometry as potentially misvalued requiring further review Read more

CMS Five More Facts About ICD-10

May 06, 2015

CMS has released five more facts that physicians should know about the transition to ICD-10. Read more

Reminder: Open Payments Physician Review and Dispute Period Ends May 20, 2015

April 30, 2015

 Read more

Access Your Mid-Year Quality and Resource Use Report Now!

April 30, 2015

The Centers for Medicare & Medicaid Services, has released the 2014 Mid-Year Quality and Resource Use Reports. Read more

CMS Five Facts About ICD-10

April 23, 2015

CMS identified five facts to address some of the common questions and concerns CMS has heard about ICD-10. Read more

New NCQA Recognition Program Open to Doctors of Optometry

April 07, 2015

The National Committee for Quality Assurance (NCQA), has announced their new "Patient-Centered Connected Care Recognition Program." Read more

Open Payments Physician Review and Dispute Period Begins April 6!

April 02, 2015

As part of the Open Payments program, optometrists and other physicians can begin to review payments attributed to them on Monday, April 6, 2015. Read more

Access Your Quality and Resource Use Report (QRUR) Today

March 31, 2015

The Centers for Medicare & Medicaid Services provided Quality and Resource Use Reports to physicians in groups of all sizes and physician solo practitioners in September of 2014. Read more

CMS Meaningful Use Program: It is Better to Attest and Fail, Than to Never Attest At All?

March 12, 2015

The AOA has received reports from doctors who are attempting to participate in the Centers for Medicare & Medicaid Services Meaningful Use program, but are facing difficulties meeting certain reporting requirements, such as the patient portal objective. Read more

CMS Clarifies Impact of PQRS, EHR and Value Modifier Payment Adjustments on Drug Reimbursement

March 10, 2015

The negative payment adjustments for EHR, PQRS, and VM only apply to Medicare Physician Fee Schedule claims for Part B covered professional services.  Read more

New EHR Attestation Deadline

February 25, 2015

Eligible professionals now have until 11:59 pm ET on March 20, 2015, to attest to meaningful use for the Medicare Electronic Health Record Incentive Program 2014 reporting year. Read more

National Consumers League director speaks out on contact lens safety

April 28, 2016

Online contact lens sellers’ aggressive marketing tactics might lead more consumers away from the beneficial necessity of an eye exam with their eye doctor, and “that’s a recipe for trouble,” says a leading consumer protection authority. Read more