CPT code 95165 – What’s a dose for Medicare billing?
Medicare defines a dose, for billing purposes only, as 1cc of extract and does not cover dilutions. Medicare reimbursement is based on this definition.
Coding Conundrum – E/M plus Testing
Recently we received a query from a member about coding an oral challenge and an office visit on the same day.
2024 G2211 Add-On Code
If you bill G2211, it is important that you document the reason for billing the code. Supporting documentation must demonstrate two elements.
2024 – Use of JZ and JW Modifiers
This article provides a high-level overview of the requirements for using the JW and JZ modifier. Learn more...
2024 RVUs impact allergy
Allergists are expected to experience a -1.9% reimbursement impact due to the lower 2024 conversion factor (which takes into account the 1.25% legislative incr…
Site-Neutral Payments
Lawmakers have begun to focus on one option: expanding site-neutral payments for services in off-campus Hospital Outpatient Departments.
Value-Based Care Task Force identifies opportunities for allergists
This expert group is now looking at a variety of value-based care arrangements that can benefit allergists
2024 CPT and ICD-10 Coding Changes
Revisions to the 2024 CPT code set clarify the reporting of evaluation and management (E/M) services to decrease burden of documentation
2022 MIPS Performance Feedback
The Advocacy Council strongly encourages you to view this information as soon as possible for two reasons.
EFT fees burden physician offices
For years, physicians have faced reduced payments from commercial health plans using virtual credit cards and third-party electronic payment vendors for standa…