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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2025 Proposed MIPS changes
This is the first article in a multi-part series that provides a summary of CMS’s proposed changes to the QPP and how they may affect you.
CMS ending Change Healthcare cyberattack relief funding program
The Change Healthcare cyberattack created financial hardships for nearly a million physicians across the country, including allergists.
Senate Finance Committee releases white paper on Medicare payment reform
While the paper does not make specific policy recommendations, it explains the policy issues the committee has identified and its views on possible solutions.
Advocacy Council fights against electronic payment fees
Congress is beginning to pay attention to another source of payment reductions caused by some commercial payers: electronic payment fees.
Senate Finance Committee holds hearing on Medicare payment reform for chronic care
While there were some comments in favor of increasing payments to physicians, most of the discussion centered on value-based care.
CPT code 95165 – What’s a dose for Medicare billing?
Medicare defines a dose, for billing purposes only, as 1cc of extract and does not cover dilutions. Medicare reimbursement is based on this definition.
Coding Conundrum – E/M plus Testing
Recently we received a query from a member about coding an oral challenge and an office visit on the same day.
2024 – Use of JZ and JW Modifiers
This article provides a high-level overview of the requirements for using the JW and JZ modifier. Learn more...
2024 RVUs impact allergy
Allergists are expected to experience a -1.9% reimbursement impact due to the lower 2024 conversion factor (which takes into account the 1.25% legislative incr…
Site-Neutral Payments
Lawmakers have begun to focus on one option: expanding site-neutral payments for services in off-campus Hospital Outpatient Departments.
