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Help us respond to increasing costs for allergen extracts
We are aware of your concerns about the increased costs for ALL allergen extracts and we need your help to respond to these concerns.
2025 Proposed MIPS changes
This is the first article in a multi-part series that provides a summary of CMS’s proposed changes to the QPP and how they may affect you.
CMS ending Change Healthcare cyberattack relief funding program
The Change Healthcare cyberattack created financial hardships for nearly a million physicians across the country, including allergists.
Senate Finance Committee releases white paper on Medicare payment reform
While the paper does not make specific policy recommendations, it explains the policy issues the committee has identified and its views on possible solutions.
Advocacy Council fights against electronic payment fees
Congress is beginning to pay attention to another source of payment reductions caused by some commercial payers: electronic payment fees.
Senate Finance Committee holds hearing on Medicare payment reform for chronic care
While there were some comments in favor of increasing payments to physicians, most of the discussion centered on value-based care.
CPT code 95165 – What’s a dose for Medicare billing?
Medicare defines a dose, for billing purposes only, as 1cc of extract and does not cover dilutions. Medicare reimbursement is based on this definition.
Coding Conundrum – E/M plus Testing
Recently we received a query from a member about coding an oral challenge and an office visit on the same day.
2024 G2211 Add-On Code
If you bill G2211, it is important that you document the reason for billing the code. Supporting documentation must demonstrate two elements.
2024 – Use of JZ and JW Modifiers
This article provides a high-level overview of the requirements for using the JW and JZ modifier. Learn more...
2024 RVUs impact allergy
Allergists are expected to experience a -1.9% reimbursement impact due to the lower 2024 conversion factor (which takes into account the 1.25% legislative incr…
Site-Neutral Payments
Lawmakers have begun to focus on one option: expanding site-neutral payments for services in off-campus Hospital Outpatient Departments.
Value-Based Care Task Force identifies opportunities for allergists
This expert group is now looking at a variety of value-based care arrangements that can benefit allergists
2024 CPT and ICD-10 Coding Changes
Revisions to the 2024 CPT code set clarify the reporting of evaluation and management (E/M) services to decrease burden of documentation
2022 MIPS Performance Feedback
The Advocacy Council strongly encourages you to view this information as soon as possible for two reasons.
EFT fees burden physician offices
For years, physicians have faced reduced payments from commercial health plans using virtual credit cards and third-party electronic payment vendors for standa…
2024 Proposed Medicare Physician Fee Schedule – impact on allergy practices
This article summarizes key proposals concerning the Medicare Physician Fee Schedule (MPFS) that would impact allergy practices.
2024 MIPS Proposed Changes
This article provides a summary of key proposals and changes to the traditional MIPS program that will impact allergists.
AMA’s Vital Physician Practice Expense Study will collect data on physician practice expenses
A new national AMA study, supported by the College and 173 health care organizations, to collect data on physician practice expenses.
