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.
Information blocking requirements apply to full scope of EHI
The Advocacy Council previously informed members that, beginning on April 5, 2021, health care providers (including allergy practices) must comply with the Off…
2023 ICD-10 codes
The College’s Advocacy Council has the information you need on new ICD-10 codes. The 2023 ICD-10 codes became effective Oct. 1. Any claims on or after Oct. 1 s…
2023 discounted coding books
The Advocacy Council is excited to provide College members with special discounted pricing on OPTUM360 coding books.
Post-COVID PHE operations guidance issued by CMS
Most waivers and flexibilities will terminate at the conclusion of the PHE, and several have already been terminated.
Extract preparation – virtual exception
The Centers for Medicare and Medicaid Services (CMS) previously established this “immediate availability” requirement to mean in-person – not virtual – availab…
Extract preparation – physician supervision
Medicare rules require that a physician (or other supervising practitioner) be on-site at the location where allergy extract vials are prepared.
Telehealth and HIPAA Compliance
HHS recently issued guidance clarifying how providers may use remote communication technologies for audio-only telehealth services after the conclusion of the …
2023 cuts in reimbursement – we advocate against them
These looming cuts are the result of several policies that have a combined effect of reducing Medicare payments by as much as 9%.
95004 – Medicare billing and coding guidance
Billing requirements may vary by payer, so allergists should consult with the payer to determine their billing and coding requirements.
Making RPMs and RTMs work for your practice
There has been a lot of buzz about remote physiologic monitoring (RPM) and recently remote therapeutic monitoring (RTM). But what exactly are RPM and RTM, and …
Coding for telehealth
Many payers, including Medicare, provided coverage for telehealth services prior to the COVID-19 public health emergency (PHE). Over the past two years, there …
Records audits are on the rise
Members have advised the Advocacy Council of an issue that seems to be spreading nationwide – audits by insurers of claims submitted by allergy practices for r…
Medical debt collection landscape to change
The Biden Administration recently announced an initiative to evaluate how providers’ billing practices impact access and affordability of care and the accrual …
Administering drugs/biologics in physicians’ offices
Claims for drugs/biologics should be billed using the HCPCS/CPT code that most accurately describes the drug. Information in this article concerns drug adminis…
CMS guidance prohibits excessive EFT fees by payment vendors
The CMS National Standards Group (NSG) published guidance clarifying that health plans, as well as their payment vendors, must provide payments to providers us…
