On December 27, the Consolidated Appropriations Act, 2021 modified the Calendar Year (CY) 2021 Medicare Physician Fee Schedule (MPFS): Provided a 3.75% increase in MPFS payments for CY 2021 Suspended the 2% payment adjustment (sequestration) through March 31, 2021 Reinstated the 1.0 floor on the work Geographic Practice Cost Index Read more…
Medicare rates were to have been reduced by about 10% for all services other than E&M codes. However, due to the recent senate and congressional voting funding additional monies to Medicare this cut was averted and will only be about 5-6% instead of 10%. Unfortunately, due to the late rulings Read more…
CMS (Medicare) has released the 2021 deductible. The annual deductible for all Medicare Part B beneficiaries is $203 in 2021, an increase of $5 from the annual deductible of $198 in 2020. Medicare fees will be published before the end of the year however, it is likely the initially published fees Read more…
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…
Please be advised the information received from ASH earlier this week relating to the transition was misquoted by ASH provider relations and that the transition to using ASH with Blue Shield of California is going forward for 2020. As more details emerge we will forward it to all our members. Read more…
As of December 7, 2018, TriWest Healthcare Alliance will be the sole 3rd party administrator for Department of Veterans Affairs(VA) Benefits for the entire nation. TriWest will roll out their expansion in five phases over the next eight weeks. If you previously treated veterans via HealthNet or are currently billing Read more…
The 2019 codes have been published and now are included in with the AAC Info Network. Note these codes can be found by doing a search with “10-1-2018” and this will provide the codes are that are being added, deleted or changed for 2019 specific to acupuncture providers. The codes Read more…
The following codes are being added 10-1-2016 and are included in this list as the most likely to affect an acupuncture claims and/or conditions. They are listed in Alphabetic/ICD10 order. If you have our digital coding product the codes are in the system as well and can be searched by Read more…
Acupuncture AAC Newsletter Winter 2015 ICD10 Coding Primer With the plethora of new codes available in ICD10 some of the language can be overwhelming or at best confusing to decipher. Here are some basic rules to consider when choosing ICD10 codes. When using codes that state “other” or “unspecified” Read more…