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The American Venous Forum is committed to promoting evidence-based best practices to ensure that patients have access to the highest quality care – especially the underserved.

We believe that vigorous advocacy in venous and lymphatic disease is critical to this commitment.

Health Policy Committee

The AVF Signs Letter to Congress regarding Medicare Payment Cuts

Dear AVF Members,

For those of you working in the venous treatment space, you are aware of the continuing challenges in obtaining appropriate and comprehensive compensation from insurance providers.

The American Venous forum is comprised of like-minded practitioners who are facing these same challenges.

As part of our ongoing advocacy efforts, I am proud to share with you the letter that we have submitted to leadership at the U.S. Senate and House of Representatives calling on Congress to prevent the 3.37% Medicare physician payment cut on January 1, 2024.

By endorsing this alongside our colleagues, we are hopeful that our collective voices will be strong enough to persuade lawmakers of the significant disservice that these cuts will make to their constituents.

We appreciate your continued support of the American Venous Forum, and encourage you to contact your local lawmakers and continue, or increase, involvement with our organization to ensure that all of our voices are heard as we strive to improve health care in this nation.

Best personal regards,

Gregory Snyder, MD. DABR
Chairman, Health Policy Committee
American Venous Forum

Click here to read the letter.

The AVF Encourages Members to Support the Strengthening Medicare for Patients and Providers Act (H.R. 2474)

In recent years, many physicians and non-partisan government stakeholders have expressed concerns about the failure of Medicare payments to keep up with inflation and the rising costs of running a medical practice, as well as the negative impact it could have on patient access to care.

On April 4, 2023, a bipartisan group of doctors came together in Congress to introduce H.R. 2474, the Strengthening Medicare for Patients and Providers Act.

This legislation addresses uncertainty affecting Medicare-participating physicians and will help avoid a possible physician shortage for Medicare patients. H.R. 2474 would change the physician payment rate by providing an annual Medicare physician payment update tied to inflation, as measured by the Medicare Economic Index (MEI).

The legislation was introduced by Representatives Raul Ruiz, M.D. (D-CA-25), Larry Bucshon, M.D. (R-IN-08), Ami Bera, M.D. (D-CA-06), and Mariannette Miller-Meeks, M.D. (R-IA-01). Bill text for H.R. 2474 can be found here.

Please join us in contacting your legislator to support H.R. 2474.

Guidance for Ultrasound Reports and Notes to Reduce Denials

Dear AVF Members,

The AVF Health Policy Committee meets monthly on your behalf to discuss issues dealing with payer policies, reimbursements, denials, and other concerns that arise from time to time. We all have had payer denials for pre-authorization and reimbursements for venous procedures. The following tool arose from our discussions.  We believe it may help you to decrease or eliminate denials by including in your documentation all of the suggested criteria required by payers. We do not have templates, as there are many EHRs, so they would have to be created in your particular EHR. The HPC hopes this guide will be of benefit to your practice.

View or download the Guidance for Ultrasound Reports and Notes to Reduce Denials.


The AVF Health Policy Committee

AVF, SVS, and AVLS comment on the Blue Cross/Blue Shield of North Carolina policy for treatment of varicose veins of the lower extremity

Dear colleagues,

With all the attention appropriately focused on Medicare (Labor update, Conversion factor, Budget neutrality, etc.), it would be easy to lose sight of Commercial Insurance varicose vein coverage policies. However, rest assured the AVF Health Policy Committee in collaboration with the SVS and AVLS continue to support our members, as you address polices and denials which are at times capricious and others systematically restrictive. Among the most egregious policy is the long standing BCBS North Carolina Policy restricting venous procedures to one vein, per leg per life. We continue to push for a change to this policy at the regional and national level. See our latest letter to BCBS. We have and will continue to be responsive to communications from our members, who receive unjust denials, or are faced with perverse policies. If this has happened to you, please post in the AVF exchange or email [email protected].

During the last year, the Health Policy Committee adopted a more proactive approach. Leveraging our powerful new tool Policy Navigator, we have up to date venous policy documents for all commercial and private payors in the US. Not only can we quickly review current policies, but we can see proposed changes and respond in time to impact policy.  The Venous Policy Navigator is available for use in your office and can greatly reduce the work required to stay on top of the rules of the road in your region. Learn more about Policy Navigator here.

The AVF Health Policy committee is committed to supporting venous practitioners in your efforts to bring high quality care to your patients and to ensure that reimbursements systems support continued access to care.  Let us know how we can help you.


The AVF Health Policy Committee

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