New requirements for Medicare drug plans
Read the full articleIn a final rule issued May 16, the Centers for Medicare and Medicaid Services (CMS) created new requirements for Medicare… In a final rule issued May 16, the Centers for Medicare and Medicaid Services (CMS) created new requirements for Medicare Part D and Part C…
CPT and RUC committees, explained
Read the full articleA member recently emailed us concerned about the policy, which many consider pervasive, that third party payers follow to delay,… A member recently emailed us concerned about the policy, which many consider pervasive, that third party payers follow to delay, or not pay, legitimate claims.…
Using E&M and a procedural code on the same visit
Read the full articleLast week we discussed the roles of the Current Procedural Terminology (CPT) Editorial Panel and the Relative Value Scale Update Committee (RUC) in approving… Last week we discussed the roles of the Current Procedural Terminology (CPT) Editorial Panel and the Relative Value Scale Update Committee (RUC) in approving codes and relative values. When…
AMA raves about College’s asthma Alternative Payment Model
Read the full articleThe College recently submitted a proposal for an asthma Alternative Payment Model (APM) to the Physician-Focused Payment Model Technical Advisory… The College recently submitted a proposal for an asthma Alternative Payment Model (APM) to the Physician-Focused Payment Model Technical Advisory Committee (PTAC). PTAC was established…
Advocacy Council scores a win for a member practice
Read the full articleThe Advocacy Council stepped in to help a member whose provider’s agreement was terminated. The member and his entire group… The Advocacy Council stepped in to help a member whose provider’s agreement was terminated. The member and his entire group of allergists were notified by…
IRS loosens restrictions on health savings account access
Read the full articleThe Internal Revenue Service (IRS) just expanded the types of preventive services that high deductible health plans (HDHPs) can cover… The Internal Revenue Service (IRS) just expanded the types of preventive services that high deductible health plans (HDHPs) can cover without requiring a deductible. The…
Do you have questions about the new USP Chapter 797standards?
Read the full articleMany of us have questions about the new USP standards. Here are two that members have asked us for guidance… Many of us have questions about the new USP standards. Here are two that members have asked us for guidance on:Q. Can the allergenic extract…
New Medicare card update: use of the MBI Is soaring!
Read the full articleAs you know, the Medicare Beneficiary Identifier (MBI) is replacing the Social Security number (SSN) on Medicare cards to help… As you know, the Medicare Beneficiary Identifier (MBI) is replacing the Social Security number (SSN) on Medicare cards to help diminish identity theft. According to the…
Heed this call to ACTION!
Read the full articleThe College is calling on you to join with us and other medical specialties to encourage members of the Senate… The College is calling on you to join with us and other medical specialties to encourage members of the Senate Labor HHS Appropriations Subcommittee to…
CMS announces new weapons to fight fraud
Read the full articleThe Centers for Medicare and Medicaid Services (CMS) has announced new rules designed to address fraud in federal health insurance… The Centers for Medicare and Medicaid Services (CMS) has announced new rules designed to address fraud in federal health insurance programs. Beginning in November, providers…
Take the updated allergenic extract preparation quiz
Read the full articleThere’s been considerable concern regarding the changes the revision of USP Chapter 797 has brought to practices. Don’t worry –… There’s been considerable concern regarding the changes the revision of USP Chapter 797 has brought to practices. Don’t worry – the College and Advocacy Council…
Getting paid for an office visit and skin testing on the same day.
Read the full articleThe Advocacy Council regularly receives queries from members on how to correctly code specific scenarios. Recently we received a request… The Advocacy Council regularly receives queries from members on how to correctly code specific scenarios. Recently we received a request for assistance from a practice…
The AC and the AMA – Part II
Read the full articleThe Advocacy Council and College often work quietly behind the scenes with the American Medical Association (AMA). This collaboration goes… The Advocacy Council and College often work quietly behind the scenes with the American Medical Association (AMA). This collaboration goes back many years and has…
Insurance denials for claims submitted with modifier -25
Read the full articleWhen physicians provide an evaluation and management (E/M) service on the same day as a procedure or test, they need… When physicians provide an evaluation and management (E/M) service on the same day as a procedure or test, they need to use modifier -25 to…
Are you ready for Medicare’s Appropriate Use Criteria program?
Read the full articleIf you order and/or provide CTs or other advanced imaging for your patients, keep in mind that Jan. 1 began the… If you order and/or provide CTs or other advanced imaging for your patients, keep in mind that Jan. 1 began the testing period for the start…
Advocacy Council’s new leaders
Read the full articleThe Advocacy Council of ACAAI is fortunate to have strong leadership for the next two years – Chair James M.… The Advocacy Council of ACAAI is fortunate to have strong leadership for the next two years – Chair James M. Tracy, DO, FACAAI and Vice-chair…
CMS releases MIPS physician performance report
Read the full articleMIPS Update The Centers for Medicare and Medicaid Services (CMS) recently released a report on performance by physicians under the… MIPS UpdateThe Centers for Medicare and Medicaid Services (CMS) recently released a report on performance by physicians under the Merit-based Incentive Payments System (MIPS). The…
Update on USP Chapter <797>
Read the full articleWhen will the new standards be implemented? You may be wondering when the final deadline for implementation of the new… When will the new standards be implemented?You may be wondering when the final deadline for implementation of the new United States Pharmacopeia (USP) Chapter <797>…
Attestation deadline extended
Read the full articleThe Department of Health and Human Services (HHS) has extended the deadline for health care providers to attest to receipt… The Department of Health and Human Services (HHS) has extended the deadline for health care providers to attest to receipt of Provider Relief Fund payments…
TRICARE denials of 95165
Read the full articleOver the past several weeks, the Advocacy Council has received reports from various parts of the country that TRICARE has… Over the past several weeks, the Advocacy Council has received reports from various parts of the country that TRICARE has been denying claims for CPT…
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