95004 – Medicare billing and coding guidance
Billing requirements may vary by payer, so allergists should consult with the payer to determine their billing and coding requirements.
Making RPMs and RTMs work for your practice
There has been a lot of buzz about remote physiologic monitoring (RPM) and recently remote therapeutic monitoring (RTM). But what exactly are RPM and RTM, and …
Coding for telehealth
Many payers, including Medicare, provided coverage for telehealth services prior to the COVID-19 public health emergency (PHE). Over the past two years, there …
Records audits are on the rise
Members have advised the Advocacy Council of an issue that seems to be spreading nationwide – audits by insurers of claims submitted by allergy practices for r…
Medical debt collection landscape to change
The Biden Administration recently announced an initiative to evaluate how providers’ billing practices impact access and affordability of care and the accrual …
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…
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 …
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 …