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.
2023 Proposed MIPS Changes
For the 2023 performance year, CMS is required to weigh the cost and quality performance categories equally.
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.
Tezspire administration remains an in-office procedure
Medicare Administrative Contractors publicly announced removal of Tezspire from their Self-Administration Drug (SAD) exclusion lists.
Drug prices lowered for Medicare beneficiaries and ACA subsidies extended
After more than a year of trying to pass the Build Back Better Act, Congress passed a slimmer version, the Inflation Reduction Act.
Telehealth – Proposed bill extends coverage through the end of 2024
The COVID-19 Public Health Emergency could end before Congress determines how to permanently expand these coverage policies.
Billing – how do your claims compare to other allergists?
Only allergists with billing patterns significantly higher than either their peer group or national averages will receive a CBR.
Tezspire – advocacy thwarts move to SAD list
Due to the efforts of the Advocacy Council and other medical organizations, Tezspire administration remains in the physician office setting.
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 …
