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.
2023 diagnosis coding specificity
Since this rule was implemented, we have received very few reports of audits denying claims using unspecified codes - until recently
New JZ modifier implementation begins July 1
Medicare will require the use of the new JZ modifier for single-dose containers when there are no discarded amounts of a drug/biologic.
Medical Debt Collection
Good faith estimates and medical debt collection will likely impact your practice and your patients in 2023.
Confirming diagnoses
The Advocacy Council regularly receives queries from members on how to correctly code. Many are common issues, including for coding unconfirmed diagnoses.
Expiration of COVID HIPAA Enforcement Discretion
To help providers come into compliance with the HIPAA Rules on telehealth, OCR is providing a 90-day transition period ending August 9, 2023.
2023 MedPAC report encourages physician payment reform
These reports make nonbinding recommendations to Congress and also assess various aspects of Medicare payment policy.
AMA Medicare specialty impact analysis
A/I was one of 16 specialty groups to experience a 2% cut in Medicare payments as a result of the 2023 Medicare PFS final rule and the CAA.
2023 – PHE Ending
On Jan. 31 the Biden Administration indicated that the Public Health Emergency related to the COVID-19 pandemic will end on May 11, 2023.
2023 Prior Authorization Initiatives
Policymakers are starting to take notice of how prior authorization requirements are worsening the administrative burden on providers and ultimately impacting …
2023 MIPS Audits
CMS announced that, starting in January 2023, it would begin auditing clinicians for the Merit-Based Incentive Payment System (MIPS) 2019, 2020, and 2021 perfo…
How much do you know about the 2023 Allergy/Immunology Coding Update? Learn from our webinar!
This webinar examines the new ICD-10 and CPT codes relevant to allergists for 2023. Experts also review E&M coding and discuss denials and appeals for 95165.
2023 RTM services are now under general supervision
Effective Jan. 1, any Remote Therapeutic Monitoring (RTM) services (CPT codes 98975, 98976, 98977, 98980, and 98981) may be provided under general, rather than…
NSA GFE and AEBP – Portions delayed
CMS announced in guidance that it will continue to delay enforcing the convening/co-provider good faith estimate requirement of the No Surprises Act, as well a…
2023 – Members’ grassroots efforts oppose Medicare fee cuts
The Advocacy Council facilitated the delivery of 248 letters to 162 U.S. Representatives and 86 U.S. Senators opposing the Medicare reimbursement cuts schedule…
2023 Medicare reimbursement cuts
Beginning Jan. 1, 2023, allergists are facing up to a 10% reduction in Medicare reimbursement unless Congress takes legislative action to avert these cuts.
2023 RVUs for allergy
These cuts could be devastating to allergists’ practices if allowed to take effect.
2023 Fee Schedule
The more than 3,300-page document will take some time to review and summarize, but our first quick and focused look provides the following...
96160 & 96161 – When can Allergists use them?
Medicare has very specific documentation requirements that you’ll want to become familiar with and include in your patient notes.
PCM codes – how and when to use them
The four PCM codes are intended to reimburse physicians for the additional work they do caring for high risk, complex patients.
