Business of medicine
Jan. 14, 2020Advocacy win: Aetna stops denials of modifier 25 claims
Aetna is disabling automatic claims denials of E/M services billed on the same day as OMT and appended with modifier 25.
Advocacy
Rules and regulations
Oct. 23, 2019Anthem proceeds with Modifier 25 audits, prepayment clinical validation policy
More than 20,000 DOs could see increased denials and delays for claims.
Policy opportunity
Aug. 21, 2019Policy fellowship application deadline approaches
Fellows will learn about advocacy strategies and gain a greater understanding of how to be an effective advocate for their patients and for the profession.
Burden Removed
Aug. 2, 2019Prior authorization requirement for OMT ends for Aetna patients in five states
Osteopathic advocates convince Aetna to reverse course on OMT codes.
Advocacy win
July 30, 2019Proposed Medicare Physician Fee Schedule addresses DOs’ concerns
CMS has revised its payment plan for levels 2 through 4 Office/Outpatient Evaluation and Management (E/M) visits.
Advocacy win
July 9, 2019American Board of Neurological Surgery apologizes to DOs it harassed
Osteopathic legal advocacy stops flurry of demands to AOA board-certified physicians.
Advocacy in action
June 25, 20194 recent scope of practice wins for DOs in Indiana, Hawaii and New Hampshire
While nonphysician clinicians try to expand their scope of practice rights, DOs are advocating for patient safety.
News in brief
June 12, 2019DOs help reauthorize Oklahoma’s osteopathic medical board
Without this legislation, the Oklahoma State Board of Osteopathic Examiners would have sunset in 2019.