Medical necessity and authorization of acupuncture services can appear to be difficult but using some straightforward protocols can streamline your ability to demonstrate necessity get additional visits when needed Disclaimer- The following is a live transcript that has not been edited for grammar or syntax. Please view the video as Read more…
American College of Physicians Back Treatment Guidelines – The ACP updated prior guidelines, recommending non-drug treatment first for back pain, including acupuncture, chiropractic manipulative therapy (CMT), osteopathic manipulative therapy (OMT), exercise therapy, massage and yoga. FDA Education Blueprint for Health Providers Involved in Pain Management: The Blueprint recommends “The [health care provider] Read more…
Can acupuncture be paid for conditions beyond pain? Disclaimer- This is a live transcription and is not edited for spelling or grammar. It is suggested to read the transcript while viewing the video. Hi everyone. This is Sam Collins, your coding and billing expert for acupuncture, the American Acupuncture Council. Read more…
Acupuncture benefits for acupuncture are available but how can you access them. Learn the ins and outs of Medicare Part B and Medicare Part C as they relate to acupuncture in this short presentation from our coding and billing expert Sam Collins. To view click here
Can an existing wellness patient be billed as a new patient exam after a recent accident? The answer is… Welcome to your billing and coding weekly solutions by American Acupuncture Council Network (AAC). Can an existing wellness patient be billed as a new patient exam after a recent accident? The Read more…
If you are providing Telemedicine services (live synchronous audio and video) with your patients there is an update for the place of service (POS) in 2022. There is now an additional POS to further delineate the patient’s location whether their home or other location. The POS Workgroup is revising the Read more…
CMS announced on November 12, 2021, that the 2022 deductible for Medicare Part B will be $233. This represents a $30 increase from the 2021 deductible. CMS does cover acupuncture for chronic low back pain and it may be delivered by an LAc however, it must be under the direct Read more…
The Department of Consumer Affairs (DCA) has learned of an attempted scam aimed at licensees of DCA’s boards and bureaus. In the scheme, an individual falsely identifying themselves as an employee of the Acupuncture Board has contacted licensees and attempted to gather personal information. If you receive a call from Read more…
Modifier GP is being adopted by additional carriers as a requirement for reimbursement of physical medicine services. This always therapy modifier is required by United Health and its affiliates since 2020. The modifier GP is also required for VA claims and Medicare and Medicare Advantage plans. However, as reported in Read more…
Anthem has updated its professional reimbursement policy. This policy change requires that claims with physical medicine services 97010-97799 will require modifier GP. The modifier is required for dates of service after April 1, 2021. Any PT now billed to Anthem will require the GP modifier. Note this modifier may be Read more…