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…
A bill was introduced in the California Legislature to implement the national exam for California licensure as well as national certification. This would mean one exam for California providers and not two. This move will grant national certification allowing acupuncturists to be responsive to the current demand for their vital 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…