APDA ADVOCACY ACTION
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APDA'S WORK FOR ITS MEMBERS AND THE INDUSTRY PAYS OFF!
NOVITAS CUTS ARE AVERTED! 6% MPFS CUT IS AVERTED!
THANKS to the tireless effort of the APDA team and its dedicated members and consulting partners, Novitas has announced today 1/4/2021 that NO states will see an R0070 reimbursement cut at this time. Some states will see an increase.
MEMBERS ONLY can sign onto this website and go to Resources tab/member communications section to read the letter to APDA members about the R0070 effort, results and the status of the possibility of cuts to the R0070 in the future.
The APDA Advocacy team needs to hear your voice! Stay tuned to this website, APDA emails and newsletters as we ask for your help in making noise on the Hill to EDUCATE our representatives and the healthcare industry on Portable Diagnostics and its value, possibly REMOVE portable diagnostics from consolidated billing (part A) and FIGHT for fair and equal transportation reimbursement for ALL states and .
If you are not an APDA member - BECOME AN APDA MEMBER- we need YOUR support.
January 2021 is National Blood Donor Month
Blood donations typically drop off during and immediately after the winter holidays, which makes National Blood Donor Month in January a critical time for the American Red Cross.Eligible blood and platelet donors are urged to schedule a donation today by using the Red Cross Blood Donor app, visiting redcrossblood.org or calling 1-800-REDCROSS (1-800-733-2767).
APDA COMMUNICATION LINE 888-892-2732 ext 105 or email COMMUNICATIONS
Members and industry partners are encouraged to call with questions, concerns and ideas about anything from legislative actions, policy and regulatory issues to how we can improve to make APDA work better for you. As a benefit of APDA membership - FOR MEMBERS ONLY - Members can also call for help with compliance, billing, coding, Medicare regulations and policies, Medicare enrollment and more. Your issues will be addressed by APDA's industry experts in partnership with consultants at Cornerstone Government Affairs. Your personal information and identity will be kept confidential. Although, your issue/question may be shared with APDA members for educational purposes.
APDA NEWS AND UPDATES
January 14, 2021 Newly Revised CMS 588 Electronic Funds Transfer application starting February 28, 2021
Use the revised CMS-588 Electronic Funds Transfer (EFT) application to request EFT of Medicare payments once it’s posted on the CMS Forms List in early February. Medicare Administrative Contractors will accept current and revised versions of the form through February 27, 2021. Starting February 28, 2021, you must use the revised form.
January 12, 2021 HHS extends Public Health Emergency til April 2021
Health and Human Services Secretary Alex Azar announced the renewal on Thursday ahead of its expiration on Jan. 21. With this fourth iteration, the public health emergency will cover another 90 days, stretching into April.
January 8, 2021 Home Health is getting ALL the attention! CMS Takes Action to Improve Home Health Care for Seniors, Announces Intent to Expand Home Health Value-Based Purchasing Model
“The Coronavirus pandemic has tragically illustrated how important it is for elderly Americans to have a robust set of options outside of nursing homes,” said CMS Administrator Seema Verma.
January 7, 2021 2021 Physician Fee Schedule Update - to include 3.75% increase
January 6, 2021 Call for a New Radiology Imaging Sub Specialty - "The Screening Radiologist"
As per JACR, "These screening radiologists would be well positioned to affect decision-making in imaging-based screening by combining daily experience in image interpretation with an appropriate perspective and understanding of the value of screening."
How would portable x-ray contribute to this "new" specialty?
"In case you missed it over the holiday season, President Donald Trump signed the $2.3 trillion year-end spending bill into law, ensuring radiologists and other physicians avoid significant Medicare payment cuts."
January 1, 2021 Happy New Year! Renewed ABN: Deadline Extended to January 1
Due to COVID-19, CMS extended the deadline for using the renewed Advance Beneficiary Notice of Noncoverage (ABN) until January 1, 2021. You may use the renewed form prior to the mandatory deadline
December 28, 2020 Medicare FFS Claims: 2% Payment Adjustment (Sequestration) Suspended Through March
The Coronavirus Aid, Relief, and Economic Security (CARES) Act suspended the payment adjustment percentage of 2% applied to all Medicare Fee-For-Service (FFS) claims from May 1 through December 31. The Consolidated Appropriations Act, 2021, signed into law on December 27, extends the suspension period to March 31, 2021.
December 22, 2020 Congress mitigates radiologist pay cuts, passing year-end spending bill with $3B cash infusion
After months of fierce fighting on Capitol Hill, Congress on Monday night signed legislation that will avert millions in Medicare pay cuts for radiologists and other physician specialists. President Donald Trump was expected to soon sign the 2021 Consolidated Appropriations Act, which also includes a long-discussed ban on surprise medical bills.
December 18, 2020 OCR audits providers and issues report on HIPAA compliance
OCR conducted audits of 166 covered entities and 41 business associates and has notified these organizations of OCR’s findings. OCR noted compliance being met along with numerous deficencies including non notification of breaches, non implementation of security rule, risk analysis and risk management.
Decemnber 17, 2020 FDA Authorizes Antigen Test as First Over-the-Counter Fully At-Home Diagnostic Test for COVID-19
The FDA issued an emergency use authorization (EUA) for the first over-the-counter (OTC) fully at-home diagnostic test for COVID-19. The Ellume COVID-19 Home Test is a rapid test, does NOT require a prescription and costs aproximately $30.
December 16, 2020 Medicare has announced that the enrollment application fee for 1/1/2021-12/31/2021 will be $599.
It is unclear at this point if CMS will extend the Covid 1135 application fee waiver. Portable x-ray providers and IDTFs are required to pay a fee when applying for initial enrollment, revalidation and change of practice location. Read Here for more information.
December 15, 2020 CMS plans to implement a pre & post payment review demonstration in Alabama, and then expand to Pennsylvania, Texas, and California for inpatient rehabilitation facilities.
This demonstration will assist in developing improved procedures for the identification, investigation, and prosecution of potential Medicare fraud. IRFs will send the pre-claim review request along with all required documentation to the Medicare contractor for review prior to submitting the final claim for payment. Could this model be in the works for portable diagnostics? Read More
December 14, 2020 HHS Proposes Modifications to the HIPAA Privacy Rule to Empower Patients, Improve Coordinated Care, and Reduce Regulatory Burdens
The proposed changes to the HIPAA Privacy Rule include: Allowing patients to inspect their PHI in person, reducing the identity verification process for patients, allowing a pathway for covered entities to share PHI, creating an exception to the "minimum necessary rule", and eliminating the requirement to obtain an individual’s written acknowledgment of receipt of a direct treatment provider’s Notice of Privacy Practices (NPP).
MEMBERS ONLY receive Weekly Email Newsletters updating members on APDA and Industry events and news. To view the latest and archived newsletters, members need to log in and go to the Resources tab.
COVID 19 INFORMATION AND UPDATES APDA encourages members to stay vigilant and monitor this Website Daily along with these sites:
CDC NEWS AND UPDATES, CMS NEWS AND UPDATES , HHS News Releases, and Cares Act Provider Relief Fund updates
Click on this COVID UPDATES link for ALL updates & links to helpful resources.
THIS WEEK'S COVID 19 HEADLINES:
- January 15, 2021 Reporting Portal opens for Providers
- Feb. 15, 2021: first reporting deadline for all providers on use of PRF funds (on January 15, 2021, HHS has announced that THIS DEADLINE HAS BEEN DELAYED-with deadline date to be determined). Read More
- July 31, 2021: final reporting deadline for providers who did not fully expend PRF funds prior to December 31, 2020
- SEE UPDATED REPORTING REQUIREMENTS POSTED 10/22/20
The federal government on Friday 1/15/21 issued a formal delay of its reporting requirements for health care providers that received COVID-19 financial relief.
December 18, 2020 Is it safe to accept vaccines from SNFs after finding care facilities are hit with scams?
As reported in AARP magazine, criminals are targeting not only individuals but also care facilities....describing a phony “pharmaceutical representative” who offered to sell a residential care facility a number of vaccines to inoculate its patients and staff.
December 2, 2020 Options to Reduce Quarantine days using symptom and diagnostic monitoring
Per CDC, "Quarantine can end after Day 10 without testing and if no symptoms have been reported during daily monitoring.
When diagnostic testing resources are sufficient and available..., then quarantine can end after Day 7 if a diagnostic specimen tests negative and if no symptoms were reported during daily monitoring."
APDA 2021 Midyear Conference
May 11th-12th, 2021 - Chicago, IL
Thank you for your Support!
Congratulations Will Irwin! Will Irwin received an unexpected visit during Day 3 of the APDA Virtual Conference Member Business meeting. Michael Straecke, APDA Emeritus, Sharon Reilley, APDA Administrator and Ken Andrews APDA member from K & A X-ray showed up at Will's office (while he was on Live during the Virtual meeting) to present him with the engraved Waterford Crystal Decanter Tom Wuerstle Founders Award, commemorating Will's years of dedicated service. Michael gave a very warm and well deserved speech thanking Will for his years of dedication and tireless service to APDA. Congratulations WILL, Well Deserved!Read More »
Stay informed with APDA Covid 19 Updates Read More and Leave a CommentRead More »
Exciting News! Great Win for APDA members and the Industry! On September 26, 2019, the Centers for Medicare & Medicaid Services (CMS) finalized a rule to modernize the Portable X-ray Conditions of Coverage (CoC). As a result of joint advocacy efforts by the American Portable Diagnostics Association(APDA) and the National Association for the Support of Long-term Care (NASL), with support from AMDA – the Society for Post-Acute and Long Term Care Medicine. UPDATE to changes 9/30/2019 The final rule updating the Portable X-ray Conditions of Coverage (CoC) was published in today's edition of the Federal Register (September 30, 2019). This means the changes become effective in 60 days – November 29, 2019. Here is a link to the final rule published in the Federal Register: https://www.govinfo.gov/content/pkg/FR-2019-09-30/pdf/2019-20736.pdfRead More »