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.
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…
Telemedicine use: Where are allergists now?
The College’s two recent COVID-19 member surveys indicate telemedicine use initially soared among allergists during the first months of COVID-19, and then drop…
Big changes coming in E/M coding and payment
Beginning January 1, 2021, there will be new rules for reporting and documenting outpatient evaluation and management (E/M) services. These changes, which are …
Proposed QPP and MIPS changes for 2021
The Centers for Medicare and Medicaid Services (CMS) is proposing a number of changes to the Quality Payment Program (QPP) and the Merit-based Incentive Paymen…
Appropriate Use Criteria start date delayed until CY 2022
The Centers for Medicare and Medicaid Services announced the Appropriate Use Criteria (AUC) Program testing period has been extended through CY 2021. Clinician…
