CMS announces broadened telehealth services/payments
CMS announced an increase in payment for telehealth visits (CPT 99441-99443), increasing payment for audio-only telephone E/M services from $14 – 41 to $…
TRICARE denials of 95165
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 Code 9516…
Keeping up with the changes in coding for telehealth
The Advocacy Council regularly receives queries from members on how to correctly code specific scenarios. Recently we received the following two questions:Q: C…
In COVID-19 issues, Advocacy Council is working for allergists
The Advocacy Council works on many different fronts to bring the best results to allergy and allergists/immunologists. We applaud CMS’ ongoing actions by…
Coding for telemedicine
Many payers, including Medicare, provide coverage for telehealth services. Telehealth is typically defined as real-time audio and visual communication with a p…
We’ve taken action!
COVID-19 is changing the way you practice and we want you to be paid for every service you provide!
Some patients may benefit from telehealth visits
We have had many inquiries from members, as a result of the proliferation of the Coronavirus COVID-19, asking how they can provide care to their patients remot…
New Principal Care Management CPT Codes
The Centers for Medicare and Medicaid Services (CMS) has approved two new Principal Care Management (PCM) CPT codes for 2020 that may apply to allergists treat…
More on modifier -25 denials
In a recent Insider article, we discussed how some payers are denying claims for evaluation and management (E/M) services submitted on the same day as a proced…
What are the 2020 RVUs for allergy codes?
The College’s Advocacy Council developed a spreadsheet comparing reimbursement for 2020 work Relative Value Units (RVUs) to 2019 RVUs. You can also view …
Are you ready for Medicare’s Appropriate Use Criteria program?
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 of Medicare&r…
Negotiations continue on surprise billing
The Health, Education, Labor and Pensions (HELP) and Energy and Commerce Committees invited a representative of the College to an exclusive stakeholder briefin…
25 – 60% off coding books for College members
/* Zebra striping */tr:nth-of-type(even) { background: #eee; }th { background: #63D0DF; color: white; }td, th { padding: 10px; text-align: center; }t…
Insurance denials for claims submitted with modifier -25
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 indicate that the E…
Advocacy Council conducts successful letter writing campaign
During the College annual meeting, the Advocacy Council organized a Congressional letter writing campaign for conference attendees. In all, more than 200 …
Getting paid for an office visit and skin testing on the same day.
The Advocacy Council regularly receives queries from members on how to correctly code specific scenarios. Recently we received a request for assistance from a …
What does President Trump’s Medicare Executive Order mean for you?
You may have heard by now that last week President Trump signed an Executive Order on Protecting and Improving Medicare for Our Nation’s Seniors. T…
Food OIT is here – how do I get paid?
The Advocacy Council regularly receives queries from members on how to correctly code specific scenarios. Recently we received a request for assistance from a …
New Medicare card update: use of the MBI Is soaring!
As you know, the Medicare Beneficiary Identifier (MBI) is replacing the Social Security number (SSN) on Medicare cards to help diminish identity theft. Ac…
More on the proposed 2020 Medicare fee schedule
We recently reported on the release of the proposed 2020 Medicare Physician Fee Schedule, and the changes it will mean for allergists. The biggest proposed cha…
