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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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…
CMS guidance prohibits excessive EFT fees by payment vendors
The CMS National Standards Group (NSG) published guidance clarifying that health plans, as well as their payment vendors, must provide payments to providers us…
New guidance on Good Faith estimates
Last week the Centers for Medicare and Medicaid Services (CMS) published new guidance that provides important clarifications about the content of Good Faith Es…
HRSA funds are running out
The Health Resources and Services Administration (HRSA) has notified providers that all reimbursement claims for administering the COVID vaccine, testing and t…
Are consultation codes obsolete?
In 2010 the Centers for Medicare and Medicaid Services stopped paying for consultation codes. While it continued to recognize the concept of consults, it paid …
Telehealth flexibilities extended in federal spending bill
On March 15, President Biden signed a $1.5 trillion bipartisan omnibus appropriations bill that funds the federal government for the remainder of the fiscal ye…
Advocacy Council pushes to extend sequester moratorium
Since 2020, the 2% Medicare sequester moratorium has been in effect – and we are urging Congress to continue it through the end of the public health emergency …
Dealing with Modifier -25 denials for office visits and skin testing
The Advocacy Council regularly receives queries from members on how to correctly code specific scenarios. Recently we received a request for coding an office v…
2022 MIPS changes are here
The MIPS program comprises the cost, quality, improvement activities (IA), and Promoting Interoperability (PI) performance categories.
2022 Quality Measures: Allergy/Immunology Specialty Measure Set
The traditional Merit-based Incentive Payment System (MIPS) comprises four performance categories: Quality, Cost, Promoting Interoperability (PI), and Improvem…