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Call to Action!
Medicare and Medicaid Programs; CY 2025 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Prescription Drug Inflation Rebate Program; and Medicare Overpayments
Read about proposed changes by Centers for Medicare & Medicaid Services to Medicare Reimbursement for Custom Oral Appliances issued on July 31 2024.
ASBA and our medical partners believe that Medicare should continue to cover OAT under the DME category. Reclassifying oral appliances from DME to Physician Services could potentially lead to reduced reimbursements."
The Academy’s philosophy has always centered on the principle of "what is best for the patient!" This focus also extends to supporting our doctors, ensuring they can uphold the core of our mission: prioritizing the patient through clinical excellent.
David Gergen ASBA CEO and original PDAC contributor in 2012 has contacted his namesake David Gergen Political commentator and former Presidential advisor, a friend of the Academy to engage with our Political Action Committee. Former Attorney General for the Sate of Arizona Mark Brnvoich is spearheading the outreach to CMS to arrange for an in-person meeting to present the case.
ASBA members, you need to be heard!
Although studies examining the impact of public comments on decisions made by the Centers for Medicare & Medicaid Services (CMS) are very limited. We believe it's crucial for dentists to submit their comments, as the Government Accountability Office mandates that all public comments be reviewed.
Comment from organizations, academies, and societies are taken more seriously, which is why it's crucial for the AADSM, ACSDD, and ASBA to take a strong stance in supporting dentists.
Additionally, on a serious note, this is a great opportunity to weigh in and share your expertise with influential policy makers.
Please consider submitting a comment using this link: https://www.regulations.gov/document/CMS-2024-0256-0045/comment
Important Date
Deadline for comments is 5:00 p.m EST September 9, 2024.
CMS-1807-P is the designation for the proposed rule released by the Centers for Medicare & Medicaid Services (CMS) regarding the Calendar Year (CY) 2025 Payment Policies under the Physician Fee Schedule (PFS) and other related changes.
Proposed Rule Changes for Medicare Reimbursement for Custom Oral Appliances:
As part of the proposed rule CMS-1807-P, specific changes are outlined for Medicare reimbursement concerning custom oral appliances, particularly those used to treat obstructive sleep apnea (OSA).
HCPCS Code E0486:
Current Use: This code is used for custom-fabricated mandibular advancement devices designed to reduce upper airway collapsibility. The device must meet specific criteria, such as having a fixed mechanical hinge and the ability to adjust the mandibular position incrementally
Your comments can make a difference by giving the government the facts about dental sleep!