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.
Billing for Mid-level practitioners
Many commercial payers have begun to require that services performed by mid-level practitioners be billed under the National Provider Identifier (NPI) number …
AAP payments may begin in April
Early in the pandemic, the Centers for Medicare and Medicaid Services (CMS) offered Medicare providers loans, based on past Medicare billing, to help strugglin…
Summary of the American Rescue Plan
Last week, President Biden signed the $1.9 trillion American Rescue Plan (ARP), which provides new COVID-19 relief as well as establishes other policies. The D…
Can mid-level practitioners provide skin testing?
Many allergists are assisted by nurse practitioners (NPs) and/or physician assistants (PAs) in providing care in the office. The Advocacy Council frequently re…
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…
Medicare finalizes complexity add-on code G2211 for 2021
On December 1, 2020, the Centers for Medicare and Medicaid Services (CMS) released its Medicare Physician Fee Schedule (PFS) final rule, which takes effect 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 CMS MIPS cost measure will impact allergists
The Advocacy Council recently submitted comments to the Centers for Medicare & Medicaid Services (CMS) about a proposed Asthma/COPD cost measure in the Cos…
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…
