Administrating biologics – which code to use
The Advocacy Council regularly receives queries from members on how to correctly code specific scenarios. Recently we received a request for assistance from a …
Physician Focused Payment Models
The AC recommends that HHS fully embrace PFPMs.
Coding for food allergy testing
The Advocacy Council regularly receives queries from members on how to correctly code specific scenarios. Recently we received a request for assistance from a …
Mutually exclusive ICD-10 codes
The Advocacy Council regularly receives queries from members on how to correctly code specific scenarios. Recently we received requests for assistance from two…
What’s the correct code for…?
The College’s Advocacy Council has partnered with Optum 360 products to offer our members coding books at discounted prices. We recommend updating your coding …
What are the codes for SLIT? We’ve got it!
The Advocacy Council often gets questions from College members wondering what the correct codes for SLIT are. Luckily, we’ve got the answers!What are the…
Billing for venom testing and immunotherapy
As we noted in last week’s Insider, there continues to be concerns about pricing and adequate availability of venoms for testing and treatment. We also u…
How many MUE’s can be billed in a day?
Both Medicare and Medicaid have national “medically unlikely edits” (MUEs) in place that are designed to automatically deny claims that exceed specific daily l…
What you need to know now about new Medicare cards
The Centers for Medicare & Medicaid Services (CMS) is removing Social Security Numbers (SSN) from Medicare cards to prevent fraud and fight identity theft.…
Reducing Regulatory Burdens
The Advocacy Council sent a letter to CMS on July 12, 2017 in support of reducing regulatory burdens on practices.
2018 Physician Fee Schedule
The Advocacy Council submitted comments to CMS on Sept. 11, 2017 about issues important to allergists on the proposed 2018 Physician Fee Schedule.
Recovery Audit Contractors (RACS) – What’s new?
In this third and final article in the series, the Advocacy Council addresses the activities of Medicare’s Recovery Audit Contractors (RACs). RACs …
Streamlined audit and fraud program
In this second of our three-part series on the Center for Medicare and Medicaid Services’ (CMS) audit and fraud programs, the Advocacy Council (AC) focus…
Confused by the Medicare audit and fraud programs?
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Change is coming to United Health Care
The Advocacy Council has learned that beginning October 1, 2017, United Health Care (UHC) will stop paying for physician visits billed under certain inpatient …
New modification to the “two midnight” rule
Currently, you cannot admit a Medicare patient to an intensive care unit for desensitization to a chemotherapeutic agent or antibiotic because you need to cert…
Sorting out modifier -59 changes
Modifier -59 is not only the most used modifier, but it’s also one of the most abused. Modifier -59 is used to indicate that a procedure or service was distinc…