Changes are coming to Cigna’s code review policies
These strategies by payers create administrative burdens that divert allergists' resources to administrative tasks instead of patient care.
Allergists reimbursement challenges
Last month saw the publication of two highly anticipated annual reports that analyze the state of the Medicare program.
How will new prior authorization announcements impact allergists?
Recently there were two major announcements from commercial and government payers about changes to how insurers use prior authorization.
AMA Physician Practice Information survey results – explained
Unfortunately, the results of the AMA survey were not favorable to allergy/immunology, which has historically had very high practice expense.
The College is knocking on United Healthcare’s door
We are hopeful these letters will open a line of communication with UHC and educate them on the benefits and value of allergen immunotherapy.
Northeast MAC changes policy regarding dilutions
The Northeast Region – National Government Services – has agreed to reimburse allergists for allergen extract dilutions.
CFPB finalizes rule to remove medical bills from credit reports
The rule bans consumer reporting agencies from including medical debt on credit reports and credit scores sent to creditors.
Understanding the state of Medicare telehealth coverage
CMS lost the authority to provide flexibility in covering telehealth when the PHE expired. Legislation has been passed to extend some of them.
New telemedicine evaluation and management service codes
The AMA CPT Editorial Panel established 17 telemedicine codes. Practitioners should not bill Medicare using CPT codes 98000 – 98015.
… results in Billing, Coding & Payments.
