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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Post-COVID PHE operations guidance issued by CMS
Most waivers and flexibilities will terminate at the conclusion of the PHE, and several have already been terminated.
Extract preparation – virtual exception
The Centers for Medicare and Medicaid Services (CMS) previously established this “immediate availability” requirement to mean in-person – not virtual – availab…
Extract preparation – physician supervision
Medicare rules require that a physician (or other supervising practitioner) be on-site at the location where allergy extract vials are prepared.
Telehealth and HIPAA Compliance
HHS recently issued guidance clarifying how providers may use remote communication technologies for audio-only telehealth services after the conclusion of the …
2023 cuts in reimbursement – we advocate against them
These looming cuts are the result of several policies that have a combined effect of reducing Medicare payments by as much as 9%.
95004 – Medicare billing and coding guidance
Billing requirements may vary by payer, so allergists should consult with the payer to determine their billing and coding requirements.
Coding for telehealth
Many payers, including Medicare, provided coverage for telehealth services prior to the COVID-19 public health emergency (PHE). Over the past two years, there …
Records audits are on the rise
Members have advised the Advocacy Council of an issue that seems to be spreading nationwide – audits by insurers of claims submitted by allergy practices for r…
Medical debt collection landscape to change
The Biden Administration recently announced an initiative to evaluate how providers’ billing practices impact access and affordability of care and the accrual …
Administering drugs/biologics in physicians’ offices
Claims for drugs/biologics should be billed using the HCPCS/CPT code that most accurately describes the drug. Information in this article concerns drug adminis…
