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.

The commenter, a Registered Nurse and Clinic Supervisor at a dermatology practice, opposes the proposed Modifier 25 policy. They argue that the policy would reduce reimbursement for separate and identifiable professional services, potentially leading to staffing shortages, longer wait times, and decreased access to care for patients.

The commenter opposes the proposed requirement that RPM/RTM services be furnished only by clinical staff employed by the billing practice. They argue that excluding pharmacy staff will create healthcare gaps, increase hospitalization costs, and repeat past failures where office staff were unable to handle the required workload.

The owner of a behavioral health practice in Iowa opposes the proposed reduction in Medicare reimbursement for 2027. They argue that lower reimbursement rates will increase financial strain on providers, hinder recruitment of clinicians, and negatively impact access to mental health services.

Jessica J Solberg, a medical assistant at Epiphany Dermatology, opposes the proposed Medicare Physician Fee Schedule policy that would reduce payments for separately identifiable evaluation and management services performed on the same day as a medically necessary procedure. She argues that the reduction would create barriers to timely care, increase administrative burdens, and negatively impact patient access and outcomes.

Dr. Charles Knapp, co-founder of The Dermatology Institute and Skin Cancer Center, opposes the proposed Medicare Physician Fee Schedule due to concerns over declining reimbursement rates. He argues that the proposed payment reductions, combined with rising operational costs, threaten the financial viability of independent practices and may lead to reduced patient access and forced consolidation.

A medical assistant in a dermatology practice opposes the proposed Modifier 25 policy, arguing that it would disrupt efficient same-day procedures and delay diagnosis for skin cancer. The commenter emphasizes that the policy would create unnecessary inconveniences for Medicare patients and negatively impact physician workflow and patient outcomes.