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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Advocate for fair Medicare payment for allergists
This is a unique opportunity to have the ACAAI Advocacy Council send a letter on your behalf to your senators and representative.
College OIT Coding Recommendations
Always verify individual payer policies in writing before initiating OIT services, as coverage and accepted codes vary widely.
2026 MIPS Final Policies
CMS has finalized its proposal to maintain the 75-point performance threshold through the 2028 performance period.
Understanding the 2026 Medicare Physician Fee Schedule Final Rule
This article outlines important payment and policy changes that will shape reimbursement and practice operations for allergists in the coming year.
Adhering to USP 797 standards for in-office extract preparation
Compounding guidelines ensure patient safety by minimizing contamination, incorrect dosing, or other errors during sterile preparation.
Defend the allergy specialty
Our need to defend the allergy specialty is critical! These issues threaten our practices, specialty, and livelihoods.
Know the difference between build-up and dilution of allergy extracts
All seven MACs have now agreed in writing to cover the build-up phase of allergy extract preparation and administration.
CMS lifts temporary claims hold after series of confusing updates
Practices in areas with a work Geographic Practice Cost Indices (GPCI) factor less than 1.0 will have lower Medicare reimbursements.
Claims hold is impacting multiple services
CMS issued updated instructions clarifying that payments for select claims affected by expired legislative Medicare coverage policies should be held.
College seeks clarification on Cigna downcoding pause
We continue to encourage physicians and medical groups to voice their concerns until Cigna’s the policy is formally withdrawn.
