Cigna and American Specialty Health (ASH) have updated the date to join their network to maintain being “in-network” to…
Welcome to your billing and coding weekly solutions by American Acupuncture Council Network (AAC).
Cigna and American Specialty Health (ASH) have updated the date to join their network to maintain being “in-network” to September 1, 2021.
There is also a new fee schedule. The newest fee schedule under ASH and CIGNA now has reimbursement for the initial set of manual acupuncture at $51 and the second set at $38.
Reimbursement for electroacupuncture is at $58 and $48 respectively. Therapies including hot packs 97010, electrical stimulation 97014, and infra-red heat are now at $18.75.
The daily maximum rate for acupuncture is $89 for treatment; however, ASH did indicate they would pay an additional $18.75 for therapies on top of the $89 for acupuncture.
E&M rates were unchanged from their prior proposed amounts ($20-40) and are paid in addition to the treatment on an initial examination.
Remember, billing with incorrect acupuncture CPT and ICD codes can lead to claim rejections and delays in payments, which can have a devastating impact on generating revenue and keeping you in business.
If you are experiencing insurance claim denial, staff spending too much time trying to get claims paid, and patients asking why their claims have not been paid then American Acupuncture Council Network is your solution.
American Acupuncture Council Network stays ahead of the curve on the latest trends and changes in billing and coding utilizing their direct channel of communication with the insurance companies and organizations that set the guidelines.
There is a reason acupuncturists have trusted AAC with their business for over 30 years.
* Please note: This does not apply to California, Oregon, Washington, and Tennessee. We recommend you research thoroughly before joining and assure the plan with ASH for CIGNA would also have these rates in your region.