AAO-HNS Celebrates House of Representatives Passage of Anti-Tobacco Legislation
AdvocacyOver the course of the past year, the American Academy of Otolaryngology- Head and Neck Surgery (AAO-HNS) has collaborated with a number of physician and publi…
Medicare Begins Advance Payment Recoupment
The Centers for Medicare & Medicaid Services (CMS) announced that the agency has begun recouping COVID-19 Accelerated and Advance Payments (CAAPs) received…
Now Closed: Call for Nominations: WIO Governing Council
Apply for a position on the WIO Governing Council. Applications are due by August 2nd. APPLY TODAY
Reg-ent Clinical Data Registry
ResearchReg-ent, focused on quality improvement and patient outcomes, is an essential tool to advance outcomes in the specialty.
Anthem Announces Extension of Telehealth Flexibility (4/12/21)
Private Payer AdvocacyOn April 6, Anthem Blue Cross Blue Shield announced that, until further notice, they will continue to cover telephone-only medical services from in-network and…
Wellmark Reverses Negative Coverage Policy for Balloon Sinus Ostial Dilation (11/19/20)
Private Payer AdvocacyFollowing extensive advocacy efforts by the AAO-HNS, the Iowa Academy of Otolaryngology, and other stakeholders, Wellmark revised its medical policy, “Function…
AAO-HNS Comments on Humana’s New Imaging and Interpretation Criteria (11/2/20)
Private Payer AdvocacyOn November 2, the Academy sent comments to Humana opposing their new Imaging and Interpretation Criteria for Diagnostic Imaging Authorizations. The new criter…
AAO-HNS Advocates for Coverage of Balloon Sinus Ostial Dilation (8/5/20)
Private Payer AdvocacyOn July 1, following the Academy’s advocacy efforts and submission of clinical input, the Blue Cross Blue Shield Federal Employee Program updated its medical p…
AAO-HNS Continues Advocacy on Hypoglossal Nerve Stimulation Coverage for Treatment of Obstructive Sleep Apnea (7/20/20)
Private Payer AdvocacyOn July 20, the AAO-HNS sent comments to Anthem opposing their medical policy designating hypoglossal nerve stimulation (HGNS) as experimental / investigationa…
AAO-HNS Comments on Cigna Obstructive Sleep Apnea Treatment Services Coverage Policy (6/24/2020)
Private Payer AdvocacyOn June 15, the AAO-HNS sent comments to Cigna opposing their medical policy on “Obstructive Sleep Apnea Treatment Services” which designated hypoglossal nerve…
AAO-HNS Continues Advocacy on Balloon Ostial Dilation for Treatment of Chronic Rhinosinusitis (2/5/2020)
Private Payer AdvocacyOn February 5, the AAO-HNS sent comments to Blue Cross Blue Shield’s Federal Employee Program (BCBS FEP) opposing their medical policy designating balloon osti…
UHC Revises Medical Policies on Functional Endoscopic Sinus Surgery and Balloon Sinus Ostial Dilation (11/14/2019)
Private Payer AdvocacyIn response to comments submitted by the AAO-HNS, United Healthcare (UHC) has revised its Functional Endoscopic Sinus Surgery and Balloon Sinus Ostial Dilation…
AAO-HNS Comments on Anthem BCBS of Virginia’s Modifier 25 Policy (7/23/2019)
Private Payer AdvocacyOn July 23, the Academy sent a letter to Anthem BCBS of Virginia expressing our strong opposition to their revised modifier 25 reimbursement policy. According…
AAO-HNS Comments on Anthem’s Modifier 25 Policy (6/11/2019)
Private Payer AdvocacyOn June 11, the Academy sent a letter to Anthem expressing our strong opposition to their revised modifier 25 reimbursement policy. According to the new polic…
AAO-HNS Comments on Moda Health’s Reimbursement Policy (5/21/2019)
Private Payer AdvocacyOn May 21, the Academy commented on Moda Health’s reimbursement policy on postoperative sinus endoscopy and/or debridement procedures. According to the policy …
AAO-HNS Comments on Emblem Health’s Modifier 25 and E/M Policy (4/11/19)
Private Payer AdvocacyOn April 3, the Academy submitted a comment letter to Emblem Health opposing the company’s reimbursement policy to deny E/M services billed with modifier 25 wi…
Highmark Now Covers Eustachian Tube Balloon Dilation (4/11/2019)
Private Payer AdvocacyEffective April 8, 2019, Highmark Blue Shield now considers eustachian tube balloon dilation medically necessary in adult individuals (22 years and older) when…
Highmark Now Covers Standalone Balloon Sinus Ostial Dilation of the Sinus (2/28/2019)
Private Payer AdvocacyEffective February 18, 2019, Blue Cross Blue Shield Highmark updated its commercial medical policies in Delaware, Pennsylvania, and West Virginia to cover stan…
