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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Coding conundrum – billing options if vials must be remixed
The Advocacy Council regularly receives queries from members on how to correctly code specific scenarios. Here is a recent request.
College OIT Coding Recommendations
Always verify individual payer policies in writing before initiating OIT services, as coverage and accepted codes vary widely.
Understanding the 2026 Medicare Physician Fee Schedule Final Rule
This article outlines important payment and policy changes that will shape reimbursement and practice operations for allergists in the coming year.
CMS lifts temporary claims hold after series of confusing updates
Practices in areas with a work Geographic Practice Cost Indices (GPCI) factor less than 1.0 will have lower Medicare reimbursements.
Claims hold is impacting multiple services
CMS issued updated instructions clarifying that payments for select claims affected by expired legislative Medicare coverage policies should be held.
Advocacy Council responds to the Proposed 2026 Medicare Physician Fee Schedule
The College’s Advocacy Council submitted formal comments to CMS on the 2026 Medicare Physician Fee Schedule proposed rule.
2026 code updates
As you prepare for the influenza season, we have the answers to coding for the 2025-26 influenza vaccine products.
Texas judge invalidates medical debt rule
This ruling has a nationwide effect, enabling health care providers to use credit reporting as a means of recovering unpaid bills.
Changes are coming to Cigna’s code review policies
These strategies by payers create administrative burdens that divert allergists' resources to administrative tasks instead of patient care.
