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August 2020

Digital Coding

VA increasing payments September 1, 2020

The VA will increase payments for acupuncture providers for services on or after September 1, 2020. Acupuncture providers will no longer be classified as mid-level providers. Mid-level providers are physician assistants and nurse practitioners who under Medicare are paid at 85% of the Medicare rate. Acupuncture providers were also labeled Read more…

By Sam Collins, 2 years ago
Digital Coding

Requesting a hardship waiver for VA recoupments of acupuncture payments

Many acupuncture providers may be receiving recoupment of payments from VA claims. VA fees are always based on Medicare rates and before January 21 of this year there was no Medicare fee for acupuncture and acupuncture providers were paid at their local usual and customary which is substantially higher than Read more…

By Sam Collins, 2 yearsAugust 21, 2020 ago
Uncategorized

MUE and reduction of units of acupuncture.

The medically unlikely edits (MUE) do limit 3 units of acupuncture 1 initial set and up to 2 subsequent sets. However, Empire BCBS (New York) is taking a step further and denying any additional sets. It is worth an appeal to note specifically the edits indicate 3, not 1 set Read more…

By Sam Collins, 2 yearsAugust 14, 2020 ago
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