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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New JZ modifier implementation begins July 1
Medicare will require the use of the new JZ modifier for single-dose containers when there are no discarded amounts of a drug/biologic.
Medical Debt Collection
Good faith estimates and medical debt collection will likely impact your practice and your patients in 2023.
Confirming diagnoses
The Advocacy Council regularly receives queries from members on how to correctly code. Many are common issues, including for coding unconfirmed diagnoses.
Expiration of COVID HIPAA Enforcement Discretion
To help providers come into compliance with the HIPAA Rules on telehealth, OCR is providing a 90-day transition period ending August 9, 2023.
2023 MedPAC report encourages physician payment reform
These reports make nonbinding recommendations to Congress and also assess various aspects of Medicare payment policy.
AMA Medicare specialty impact analysis
A/I was one of 16 specialty groups to experience a 2% cut in Medicare payments as a result of the 2023 Medicare PFS final rule and the CAA.
2023 – PHE Ending
On Jan. 31 the Biden Administration indicated that the Public Health Emergency related to the COVID-19 pandemic will end on May 11, 2023.
2023 Prior Authorization Initiatives
Policymakers are starting to take notice of how prior authorization requirements are worsening the administrative burden on providers and ultimately impacting …
2023 MIPS Audits
CMS announced that, starting in January 2023, it would begin auditing clinicians for the Merit-Based Incentive Payment System (MIPS) 2019, 2020, and 2021 perfo…
2023 RTM services are now under general supervision
Effective Jan. 1, any Remote Therapeutic Monitoring (RTM) services (CPT codes 98975, 98976, 98977, 98980, and 98981) may be provided under general, rather than…
