Medicare expands coverage for intravenous Ig treatment of PI in the home
On July 12, the Centers for Medicaid and Medicare Services (CMS) issued a Change Request (11295) – Update to Coverage of Intravenous Immune Globulin for …
IRS loosens restrictions on health savings account access
The Internal Revenue Service (IRS) just expanded the types of preventive services that high deductible health plans (HDHPs) can cover without requiring a deduc…
Patient-centered Asthma Care Payment
ACAAI developed and submitted this APM for patient-centered asthma care.
Advocacy Council scores a win for a member practice
The Advocacy Council stepped in to help a member whose provider’s agreement was terminated. The member and his entire group of allergists were notified b…
Is it rush or cluster immunotherapy?
The Advocacy Council regularly receives queries from members on how to correctly code specific scenarios. Recently we received a request for assistance from a …
AMA raves about College’s asthma Alternative Payment Model
The College recently submitted a proposal for an asthma Alternative Payment Model (APM) to the Physician-Focused Payment Model Technical Advisory Committee (PT…
Using E&M and a procedural code on the same visit
Last week we discussed the roles of the Current Procedural Terminology (CPT) Editorial Panel and the Relative Value Scale Update Committee…
New requirements for Medicare drug plans
In a final rule issued May 16, the Centers for Medicare and Medicaid Services (CMS) created new requirements for Medicare Part D and Part C drug plans. They ar…
Letter of support for HR 2297
The AC supports the Safe Step Act of 2019.
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 …
Strike Force advocates in Washington
The 2019 Advocacy Council Strike Force trip to Washington, DC last week was, once again, a great success. We spent two days meeting with congressional leaders …
Physician Focused Payment Models
The AC recommends that HHS fully embrace PFPMs.
Patient Access to Specialty Care – Surprise Medical Bills
The AC asks Congress to direct CMS to establish specific network adequacy standards.
Surprise medical bills – why allergists should care
Hardly a week goes by when the popular media or a health-oriented publication tells the story of a patient who has been victimized by a surprise medical bill. …
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 …
Greater price transparency – coming to your office
The Patient Protection and Affordable Care Act (ACA) requires that each hospital operating within the U.S. establish (and update) a publicly available list of …
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…?
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How will the 2019 Medicare Fee Schedule changes affect your practice?
When the 2019 Medicare Fee Schedule was first proposed last year, there were two critical issues for allergy: A potential reduction in the reimbursement for C…
Will the government shutdown affect your practice?
The government shutdown has many in the health care community concerned about the potential impact of government closure on federal health programs like Medica…
