
The specialty’s leading advocate, the Advocacy Council, is committed to bringing you news and insights on billing, coding and policy reform that directly affect your practice. Advocacy Insider, a recurring column in College Insider, keeps you in the loop.
Contact us at AdvocacyCouncil@acaai.org or 847-427-1200.
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Light at the end of the tunnel?
Two pieces of information this week should provide hope that the United States could be turning the corner on the COVID-19 virus – one highlighting U.S. COVID …
Information Blocking Rule Effective April 5: How will the Cures Act impact your practice?
Health care providers, including physicians and practitioners, have until April 5, 2021 to ensure their practices and policies comply with new requirements on …
Telehealth continues to be covered
When the COVID-19 pandemic hit last year and the government declared a public health emergency (PHE), Medicare coverage of services provided via telehealth wer…
How will federal laws affect your compensation?
In a Final Rule issued last fall, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) added seven new safe harbors to the Medic…
HHS issues final rule on anti-kickback statute
In a Final Rule issued November 20, 2020, the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) added seven new safe harbors…
2021 E/M coding and documentation rules
New rules for reporting outpatient office evaluation and management (E/M) services took effect Jan. 1. The coding and documentation revisions, adopted by the …
Good news for allergist payment
The Centers for Medicare and Medicaid Services (CMS) revised the 2021 Medicare Physician Fee Schedule (MPFS) rates and conversion factor (CF) following changes…
How will the Cures Act impact your practice?
Health care providers, including physicians and practitioners, have until April 5, 2021 to ensure their practices and policies comply with new requirements on …
Billing for biological products
The Advocacy Council recently learned of a number of payer audits and recoupment requests related to Xolair billing - when a portion of the vial must be discar…
New prolonged service CPT code for 2021
Beginning in 2021, there will be a new code for reporting prolonged services together with an office visit. The new code, CPT Code 99417, replaces CPT Codes 99…