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Accept Medicare patients? A new incentive is here!
Read the full articleIf you accept Medicare patients, make sure you know about the Value Based Modifier (VBM). This is a new adjustment… If you accept Medicare patients, make sure you know about the Value Based Modifier (VBM). This is a new adjustment made on a per-claim basis…
You have ICD-10 questions - and our experts have answers!
Read the full articleWho are our experts? The Advocacy Council of ACAAI consists of the same team of experts who served you as… Who are our experts? The Advocacy Council of ACAAI consists of the same team of experts who served you as the Joint Council of Allergy,…
Local Coverage Determinations (LCDs) for allergen immunotherapy go into effect
Read the full articleAre you located in Arkansas, Colorado, Delaware, Louisiana, Maryland, Mississippi, New Mexico, New Jersey, Oklahoma, Pennsylvania, Texas, Washington D.C., or… Are you located in Arkansas, Colorado, Delaware, Louisiana, Maryland, Mississippi, New Mexico, New Jersey, Oklahoma, Pennsylvania, Texas, Washington D.C., or part of northern Virginia? Then…
Not enough PQRS measures for you to report?
Read the full articleSuccessful PQRS quality measure reporting for 2015 requires physicians to report on nine quality measures across three quality domains for… Successful PQRS quality measure reporting for 2015 requires physicians to report on nine quality measures across three quality domains for 50 percent of eligible patients.…
CMS takes action to stabilize ACA insurance market
Read the full articleIt has often been said that when it comes to health insurance, what’s good for the insurance company may not… It has often been said that when it comes to health insurance, what’s good for the insurance company may not be good for the physician…
National Government Services’ Medical Review of CPT 99214
Read the full articleThe Advocacy Council received notice that the National Government Services’ (NGS) Medical Review department will be focusing on CPT 99214… The Advocacy Council received notice that the National Government Services’ (NGS) Medical Review department will be focusing on CPT 99214 in Connecticut, Massachusetts and New…
Strike Force day 2: We partner with the Asthma and Allergy Network
Read the full articleLast week we told you about the Advocacy Council’s (AC) Strike Force visits to Congress and key committees. The following… Last week we told you about the Advocacy Council’s (AC) Strike Force visits to Congress and key committees. The following day (May 4) the Allergy…
eClinicalWork Settles with Department of Justice for $155 million
Read the full articleOn May 31, 2017 the U.S. Department of Justice announced a massive settlement with eClinicalWorks (eCW), one of the nation’s… On May 31, 2017 the U.S. Department of Justice announced a massive settlement with eClinicalWorks (eCW), one of the nation’s largest EHR vendors whose products…
Update on eClinicalWorks and Meaningful Use incentive payments
Read the full articleLast week we let you know that on May 31, the U.S. Department of Justice announced a massive settlement with… Last week we let you know that on May 31, the U.S. Department of Justice announced a massive settlement with eClinicalWorks (eCW), one of the…
Frustrated with “fail first” MCO policies? The Advocacy Council steps in.
Read the full articleIn recent years, managed care organizations (MCO) have increased the use of “fail first” policies, commonly called “step therapy,” as… In recent years, managed care organizations (MCO) have increased the use of “fail first” policies, commonly called “step therapy,” as a way to control pharmacy…
ACA Repeal and Replace Update
Read the full articleRecently, the Senate GOP leadership released a “discussion draft” of legislation to repeal and replace the Patient Protection and Affordable… Recently, the Senate GOP leadership released a “discussion draft” of legislation to repeal and replace the Patient Protection and Affordable Care Act (ACA). The bill…
ACA Repeal and Replace Update: Detailed analysis
Read the full articleLike the American Health Care Act (AHCA), the Senate proposal would provide “refundable” and “advanceable” tax credits for individuals to… Like the American Health Care Act (AHCA), the Senate proposal would provide “refundable” and “advanceable” tax credits for individuals to help lower the cost of…
It’s a virtual world
Read the full articleMore and more it seems we are living in a virtual world. First, it was virtual games played on your… More and more it seems we are living in a virtual world. First, it was virtual games played on your computer. More recently we’ve heard…
House Passes Medical Liability Reform Bill
Read the full articleWhile much of the national focus on health care reform has been on efforts to repeal and replace the Affordable… While much of the national focus on health care reform has been on efforts to repeal and replace the Affordable Care Act, the House of…
The Advocacy Council responds to CMS request for comments on Reducing the Regulatory Burdens of the Patient Protection and Affordable Care Act
Read the full articleThe Department of Health and Human Services (HHS) is actively working to reduce regulatory burdens and improve health insurance options… The Department of Health and Human Services (HHS) is actively working to reduce regulatory burdens and improve health insurance options under Title I of the…
Medicare Proposed 2018 Fee Schedule just released
Read the full articleThe long-awaited proposed Medicare fee schedule for 2018 was just released last Thursday and there are several proposals you should… The long-awaited proposed Medicare fee schedule for 2018 was just released last Thursday and there are several proposals you should know about.Easing of PQRS Penalties:…
What’s all the RUCkus? Why do Medicare payments go up and down?
Read the full articleMany of you may be wondering why payment for skin testing (CPT Code 95004) is slated to be cut by… Many of you may be wondering why payment for skin …
ACA Repeal and Replace: Now what?
Read the full articleAs you know, the Senate has been going through the Budget Reconciliation process with the objective of adopting legislation that… As you know, the Senate has been going through the Budget Reconciliation process with the objective of adopting legislation that would effectively repeal and replace…
Where has all the epinephrine gone?
Read the full articleThe Advocacy Council (AC) has recently been contacted by several members with complaints of bulk injectable epinephrine costs going up… The Advocacy Council (AC) has recently been contacted by several members with complaints of bulk injectable epinephrine costs going up exponentially. Epinephrine has always been…
Change is coming to United Health Care
Read the full articleThe Advocacy Council has learned that beginning October 1, 2017, United Health Care (UHC) will stop paying for physician visits… The Advocacy Council has learned that beginning October 1, 2017, United Health Care (UHC) will stop paying for physician visits billed under certain inpatient and…
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