NSA GFE and AEBP – Portions delayed
CMS announced in guidance that it will continue to delay enforcing the convening/co-provider good faith estimate requirement of the No Surprises Act, as well a…
2023 budget bill will result in 2% Medicare pay cut for allergists
Allergists were previously facing Medicare payment cuts of up to 8.5%, but under the budget bill, allergists will incur a 2% Medicare payment cut in 2023.
2023 – Members’ grassroots efforts oppose Medicare fee cuts
The Advocacy Council facilitated the delivery of 248 letters to 162 U.S. Representatives and 86 U.S. Senators opposing the Medicare reimbursement cuts schedule…
2023 RVUs for allergy
These cuts could be devastating to allergists’ practices if allowed to take effect.
2023 QPP key changes
For the 2023 performance year, CMS kept the performance threshold at 75 points.
2023 Fee Schedule
The more than 3,300-page document will take some time to review and summarize, but our first quick and focused look provides the following...
HOD Q3 Update
This legislation would require the FAA to review the mandatory contents of airline Emergency Medical Kits (EMK) at least every three years.
96160 & 96161 – When can Allergists use them?
Medicare has very specific documentation requirements that you’ll want to become familiar with and include in your patient notes.
PCM codes – how and when to use them
The four PCM codes are intended to reimburse physicians for the additional work they do caring for high risk, complex patients.
Information blocking requirements apply to full scope of EHI
The Advocacy Council previously informed members that, beginning on April 5, 2021, health care providers (including allergy practices) must comply with the Off…
2023 ICD-10 codes
The College’s Advocacy Council has the information you need on new ICD-10 codes. The 2023 ICD-10 codes became effective Oct. 1. Any claims on or after Oct. 1 s…
2023 discounted coding books
The Advocacy Council is excited to provide College members with special discounted pricing on OPTUM360 coding books.
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.