The commenter opposes the proposed requirement that RPM/RTM services be furnished only by clinical staff employed by the billing practice. They argue that removing contracted pharmacies from these services would reduce patient access, hurt health outcomes, and disrupt established patient-pharmacist relationships.

Summer Hardcastle, a medical receptionist at Epiphany Dermatology, opposes the proposed CY 2027 Medicare Physician Fee Schedule. She argues that the proposed payment reductions for same-day evaluation and management services will hinder patient access to timely dermatologic care and create staffing pressures for community practices.

The commenter, a healthcare provider (likely a dermatologist), opposes the proposed 2027 Medicare Physician Fee Schedule changes that would reduce reimbursement for services billed with Modifier 25. They argue that these changes could discourage practices from providing both evaluations and procedures in a single visit, potentially creating barriers to care for patients.

The commenter, an independent Registered Dietitian Nutritionist, opposes the proposal to bundle Medical Nutrition Therapy (MNT) payments into Shared Medical Appointments (SMAs). They argue that this could make nutrition services financially invisible and reduce access to specialized care, requesting that MNT remain separately reimbursable.

Jenica Finlayson, a medical receptionist at Epiphany Dermatology, opposes the proposed CMS Modifier 25 policy. She argues that the policy fails to recognize the value of separate and identifiable professional services provided by clinicians during comprehensive evaluations.

Angie Jones, a Medical Receptionist at Epiphany Dermatology, opposes the proposed CMS Modifier 25 policy. She argues that the policy fails to recognize the value of separate and identifiable professional services provided during comprehensive patient visits.