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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How will the debt ceiling affect your practice?
After weeks of negotiations, President Biden and House Speaker Kevin McCarthy (R-CA) reached an agreement over Memorial Day weekend on a framework for raising …
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 …
Light at the end of the tunnel?
Two pieces of information this week should provide hope that the United States could be turning the corner on the COVID-19 virus – one highlighting U.S. COVID …
Information Blocking Rule Effective April 5: How will the Cures Act impact your practice?
Health care providers, including physicians and practitioners, have until April 5, 2021 to ensure their practices and policies comply with new requirements on …
How will the Cures Act impact your practice?
Health care providers, including physicians and practitioners, have until April 5, 2021 to ensure their practices and policies comply with new requirements on …
Billing for biological products
The Advocacy Council recently learned of a number of payer audits and recoupment requests related to Xolair billing - when a portion of the vial must be discar…
New prolonged service CPT code for 2021
Beginning in 2021, there will be a new code for reporting prolonged services together with an office visit. The new code, CPT Code 99417, replaces CPT Codes 99…
New Principal Care Management CPT Codes
The Centers for Medicare and Medicaid Services (CMS) has approved two new Principal Care Management (PCM) CPT codes for 2020 that may apply to allergists treat…
More on modifier -25 denials
In a recent Insider article, we discussed how some payers are denying claims for evaluation and management (E/M) services submitted on the same day as a proced…
Insurance denials for claims submitted with modifier -25
When physicians provide an evaluation and management (E/M) service on the same day as a procedure or test, they need to use modifier -25 to indicate that the E…
