CMS lifts temporary claims hold after series of confusing updates
Practices in areas with a work Geographic Practice Cost Indices (GPCI) factor less than 1.0 will have lower Medicare reimbursements.
Claims hold is impacting multiple services
CMS issued updated instructions clarifying that payments for select claims affected by expired legislative Medicare coverage policies should be held.
College seeks clarification on Cigna downcoding pause
We continue to encourage physicians and medical groups to voice their concerns until Cigna’s the policy is formally withdrawn.
Advocacy Council responds to the Proposed 2026 Medicare Physician Fee Schedule
The College’s Advocacy Council submitted formal comments to CMS on the 2026 Medicare Physician Fee Schedule proposed rule.
ACAAI Town Hall meeting – Learn strategies to benefit your practice
Get information on legislation that might affect your practice, advocacy issues, College resources and reasons to engage with your local/state societies.
Congress reintroduces the EPIPEN Act
The College’s Advocacy Council strongly believes that this bill, if passed, would ensure easier access to epinephrine for allergy patients.
2026 code updates
As you prepare for the influenza season, we have the answers to coding for the 2025-26 influenza vaccine products.
Senate holds hearing on future of health care cybersecurity
There is concern that without federal action, states will continue to implement a patchwork of privacy laws.
Texas judge invalidates medical debt rule
This ruling has a nationwide effect, enabling health care providers to use credit reporting as a means of recovering unpaid bills.
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.
Prior authorization reform is gaining bipartisan momentum
Several important policies and legislative proposals aimed at improving patient access to care are waiting for consideration.
Dillon’s Law
Dillon’s Law incentivizes states to allow any trained individual to administer epinephrine in schools during emergencies.
Allergists reimbursement challenges
Last month saw the publication of two highly anticipated annual reports that analyze the state of the Medicare program.
House committee hearing signals scrutiny ahead for Medicare Advantage
Lawmakers on both sides of the aisle expressed frustration with the current state of the Medicare Advantage (MA) program.
One class action is settled – and one you may want to join
You may be eligible to recover compensation for suppressed reimbursement rates. However, you must file a claim. The deadline is July 29, 2025
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.
Congress passes One Big Beautiful Bill Act
The bill is the product of many compromises and negotiations between the House and Senate and includes most of the Republican legislative agenda.
Checking in with the Advocacy Council
Since June is the midpoint of the year, it is the perfect time to share the various issues we’ve been working on to advocate for you.
Senate budget reconciliation text released
The Senate continues to work toward its goal of finalizing its version of the budget reconciliation bill by July 4.
