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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College advocacy largely averts Medicare pay cut
As you know, many allergists were facing reductions in Medicare payments that could have been as high as 9.75% beginning Jan. 1 if Congress did not step in to …
Open season for deciding Medicare participation
Every year, between mid-November and December 31, physicians have the opportunity to change their Medicare participation status for the following year. Physici…
Final 2022 Physician Fee Schedule
CMS released the final 2022 Medicare physician fee schedule rule on November 2, 2021. The new rates take effect on January 1, 2022. CMS estimated the policy ch…
Correction: When to count tests for E/M coding based on MDM
There has been a great deal of confusion regarding how to count tests/procedures for purposes of coding office visits based on medical decision making (MDM), a…
More clarification of 2022 proposed fee schedule
New Medicare billing rights for physician assistantsBeginning Jan. 1, 2022, physician assistants (PAs) will be able to bill Medicare independently for their se…
More E/M coding direction
The 2020 physician fee schedule finalized changes in evaluation and management (E/M) codes that became effective Jan. 1, 2021. It quickly became evident from p…
Need guidance on E/M codes based on time?
The 2020 physician fee schedule finalized changes in evaluation and management (“E/M”) codes that became effective Jan.1, 2021. It quickly became evident from …
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…
