Announcements

Save OMT: Tell CMS to exclude OMT codes

Posted 12:00 AM by

This is a crucial time for the future of OMT. Thousands of osteopathic physicians and osteopathic medical students recently spoke up in opposition to a local Medicare contractor coverage proposal that would create undue barriers for physicians treating patients through OMT.

Now OMT is facing an obstacle to proper valuation and payment.
The Centers for Medicare & Medicaid Services (CMS) is considering a national revaluation of the five OMT codes as part of its 2017 Proposed Physician Fee Schedule for Medicare. CMS should not be revaluing the OMT codes at this time.

3 easy ways to help save OMT:

  1. Visit SaveOMT.org to submit a comment letter urging CMS to exclude the OMT codes from the 2017 Proposed Medicare Physician Fee Schedule review for potential revaluation. Emailed comment letters cannot be submitted on your behalf.
  2. Encourage your colleagues on Facebook and Twitter to speak out as well.
  3. Email your colleagues in the osteopathic community and directly ask them to take action.

The comment period ends Sept. 6, 2016.

Because this is a billing issue, there is no avenue for patients to contribute comment letters. Patients are invited to provide their information at SaveOMT.org so they may be contacted about future campaigns where their voices will be most important.

 

From Aug. 22:

On July 7, the Centers for Medicare & Medicaid Services (CMS) released the 2017 Proposed Medicare Physician Fee Schedule. The proposal includes plans to identify and review certain services for potential revaluation in the fee schedule. There are 83 CPT codes selected for review, including the five for OMT.

At this point in the process, there are only two options: ask CMS to proceed with revaluing the OMT codes, or ask CMS to exclude the OMT codes from the list of 83.

We believe the OMT codes should be excluded because:

  • AMA’s Relative Value Scale Update Committee (RUC) rationale supports that an E/M is typically reported for this service and the RUC already accounted for this in its valuation.
  • At this time, revaluing the codes is inappropriate because they do not meet CMS’s own criteria for review.

The American Osteopathic Association is asking DOs and OMS to submit comment letters urging CMS to exclude the OMT codes from review. Visit SaveOMT.org to submit your comment letter online, or email it to govt-affairs@osteopathic.orgThe comment period ends Sept. 6, 2016.