APMA News - November/December 2020 - 29

options must be investigated and implemented, including
congressional outreach or litigation. Advocacy efforts of
that magnitude require a structured approach, research,
and coordination.

Why You Must Appeal
As APMA continues to advocate for its members on this
issue, our health policy team is exhorting members to appeal
all inappropriate denials, no matter how few dollars are involved. Filing an appeal is one of the best tools available to
providers until a resolution can be obtained.
If you do not appeal, you are validating a carrier's denials.
Failure to appeal all inappropriate denials undermines APMA's efforts to resolve this egregious issue favorably, making it
more difficult, if not impossible. Appeals serve to support our
arguments of abuse to carriers and regulators.
One carrier informed APMA that appeals on denials to routine foot care claims were substantially below 50 percent. If a
vast majority of members submit appeals, this action will
send a strong message. Most, if not all, carriers, find appeals
to be costly from an administrative perspective. Over time,
this additional cost to the carrier could result in a policy reversal. Additionally, members' appeals will also strengthen
and support APMA's ongoing aggressive initiative as we continue our talks on this unresolved issue.
Also, be sure to review your documentation to ensure it
complies and substantiates the services provided and submitted for reimbursement.

Dean of the College of
Podiatric Medicine and Surgery
Des Moines University (dmu.edu) seeks an
engaging, entrepreneurial, and collaborative leader
to become its next Dean of the College of
Podiatric Medicine and Surgery.
Successful candidates will hold a Doctor of Podiatric
Medicine degree, will be Board Certified, licensed or
eligible to obtain a license to practice podiatric
medicine in the State of Iowa, and will be qualified
by education, training, and experience to provide
effective leadership for the program.

Visit dmu.edu/employment/cpms-dean-search/ for
complete Leadership Profile and application submission details.
Review of applications will begin immediately. Send inquiries,
nominations and applications to CPMSDeanSearch@dmu.edu.

Relevant APMA Resources
APMA offers members a wealth of educational resources
and will continue to educate members on appropriate documentation, coding, and adjudication of claims using the 59
modifier. APMA continues to fight for its members and work
to reverse these inappropriate edits and denials.
* A vast array of resources to assist members with 59 modifier
issues is available at www.apma.org/59toolkit.
* A webinar led by APMA coding experts on how podiatrists
should address these denials is available at https://rb.gy/
kfaymg. The webinar covers appropriate use and
documentation necessary to substantiate these Medicarecovered services and is designed to assist with appeals or
audits when there is appropriate use of the 59 modifier.
APMA will continue to provide lectures and webinars
related to the 59 modifier.
* The APMA Coding Resource Center (www.apmacodingrc.
org) is an excellent coding and reimbursement resource for
foot and ankle specialists. It is continuously updated,
eliminating the need for providers to purchase new books
or search through Medicare documents. It is weighted
toward podiatric medicine and surgery, discounted for
members, and offers a seven-day free trial.
* The APMA Insurance Complaint Form is another member
resource that allows APMA to track these issues. It is available
at www.surveymonkey.com/r/insurancecomplaint. n

Visit www.apma.org/donate.
Make a difference for podiatry.
Join TEAM APMAPAC today!
PURPOSE: The American Podiatric Medical Association Political Action Committee's
purpose is to raise and disburse funds to candidates for federal office who support the
legislative priorities and goals of the podiatric medical profession.
IMPORTANT: You may contribute or not contribute without concern of being favored
or disadvantaged. Occupation/Employer information is required for aggregate
annual contributions of more than $200.00 by the Federal Election Campaign Act.
Federal election law does not permit corporate contributions to be used for donation
to candidates for federal office. Political contributions are not deductible for income
tax purposes.

APMA News November/December 2020

29


http://www.dmu.edu http://www.dmu.edu/employment/cpms-dean-search/ http://www.apma.org/59toolkit https://www.rb.gy/kfaymg https://www.rb.gy/kfaymg http://www.apma.org/donate http://www.apmacodingrc.org http://www.apmacodingrc.org http://www.surveymonkey.com/r/insurancecomplaint

APMA News - November/December 2020

Table of Contents for the Digital Edition of APMA News - November/December 2020

Contents
APMA News - November/December 2020 - Cover1
APMA News - November/December 2020 - Cover2
APMA News - November/December 2020 - 3
APMA News - November/December 2020 - 4
APMA News - November/December 2020 - 5
APMA News - November/December 2020 - 6
APMA News - November/December 2020 - 7
APMA News - November/December 2020 - Contents
APMA News - November/December 2020 - 9
APMA News - November/December 2020 - 10
APMA News - November/December 2020 - 11
APMA News - November/December 2020 - 12
APMA News - November/December 2020 - 13
APMA News - November/December 2020 - 14
APMA News - November/December 2020 - 15
APMA News - November/December 2020 - 16
APMA News - November/December 2020 - 17
APMA News - November/December 2020 - 18
APMA News - November/December 2020 - 19
APMA News - November/December 2020 - 20
APMA News - November/December 2020 - 21
APMA News - November/December 2020 - 22
APMA News - November/December 2020 - 23
APMA News - November/December 2020 - 24
APMA News - November/December 2020 - 25
APMA News - November/December 2020 - 26
APMA News - November/December 2020 - 27
APMA News - November/December 2020 - 28
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APMA News - November/December 2020 - 53
APMA News - November/December 2020 - 54
APMA News - November/December 2020 - Cover3
APMA News - November/December 2020 - Cover4
APMA News - November/December 2020 - A1
APMA News - November/December 2020 - A2
APMA News - November/December 2020 - A3
APMA News - November/December 2020 - A4
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