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.
Tezspire – advocacy thwarts move to SAD list
Due to the efforts of the Advocacy Council and other medical organizations, Tezspire administration remains in the physician office setting.
Telehealth and HIPAA Compliance
HHS recently issued guidance clarifying how providers may use remote communication technologies for audio-only telehealth services after the conclusion of the …
Peanut Allergy – we testify on behalf of our patients
This event was organized by the National Peanut Board.
2023 cuts in reimbursement – we advocate against them
These looming cuts are the result of several policies that have a combined effect of reducing Medicare payments by as much as 9%.
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.
Keeping up with compounding
At the FDA Annual Compounding Listening Session, a number of compounding topics were discussed, such as marketing of IV rehydration clinics.
The AMA celebrates 175 years
The AMA celebrates 175 years of service to the medical community this year, and the College has had a long-standing partnership with the organization.
