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…
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 â10-1-2018â 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 âotherâ or âunspecifiedâ Read more…