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 …
Join Us! Thursday, May 19: New England Regional Town Hall Meeting
New England Regional Town Hall MeetingThursday, May 196:30 – 7:30 pm ETJoin us for ACAAI’s House of Delegates New England Regional Town Hall Meeting, Thursday,…
Leadership advocates for allergists and our specialty
After a three-year hiatus, your Advocacy Council Strike Force has resumed in-person advocacy. Last week, the following College leaders visited Washington, DC, …
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…
HRSA funds are running out
The Health Resources and Services Administration (HRSA) has notified providers that all reimbursement claims for administering the COVID vaccine, testing and t…
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 …
Telehealth flexibilities extended in federal spending bill
On March 15, President Biden signed a $1.5 trillion bipartisan omnibus appropriations bill that funds the federal government for the remainder of the fiscal ye…
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 …
Dealing with Modifier -25 denials for office visits and skin testing
The Advocacy Council regularly receives queries from members on how to correctly code specific scenarios. Recently we received a request for coding an office v…
Join the HOD’s allergy advocacy network
The College’s House of Delegates is ready to amplify allergists’ voices – are you ready to join us? We have multiple openings for you to join the National Alle…
The HOD has been busy
New leadership will guide the College’s House of Delegates (HOD) this year. The Speaker of the House, M. Razi Rafeeq, MD, FACAAI, and Vice Speaker Andrej Petro…
Now is the time to step forward and step up for allergy!
Be part of the College’s nation wide allergy network. We’re looking for dynamic spokespersons to represent the specialty at the local and state level. Put your…
Telehealth services: Can you provide them for your out-of-state patients?
As the public health emergency (PHE) continues and issues related to COVID-19 change quickly, you may be wondering whether you can continue to provide teleheal…
CPT Codes for testing to local anesthetics
The Advocacy Council regularly receives queries from members on how to correctly code specific scenarios. Recently we received a request for coding a local ane…
WANTED: Advocates for Allergy
Allergy needs devoted advocates. Allergy needs spokespeople. Allergy needs YOU! If you’re passionate about your specialty and patients, become a state delegate…
Modifier-93 – New for telehealth
Modifier 93 is a new audio-only telemedicine code that went into effect on Jan. 1, 2022. Modifier 93 describes services that are provided via telephone or othe…
