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Medicare and VA Fees 2021
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
2021 Medicare Deductible and Fees
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
Stop 2021 Fee Reductions & Protect Your Reimbursement
Medicare is scheduled to make a significant reduction in Medicare rates in 2021. All Medicare provider groups are forming a coalition to block these scheduled cuts and there are things that you may do. Several members of the House introduced H.R. 8702, the Holding Providers Harmless from Medicare Cuts During
ICD10 2021 Updates â New codes are effective 10-1-2020
2021 ICD10-CM Updates 2021 update 10-1-2020 72,616 Codes 490 Additions 58 Deletions 47 Revisions As occurs every October 1 there are additions and deletions to the ICD10 code set that is effective on October 1, 2020. Though these are 2021 codes the effective date is October 1 of the prior
99072 New code for PPE and added expense related to COVID
September 15, 2020 - Shortly after releasing the 2021 Current Procedural Terminology (CPT) code set, the American Medical Association (AMA) added two more codes related to COVID-19, including one that accounts for the extra safety protocols providers are taking to care for patients during the global pandemic. CPT code 99072 is a new practice expense
VA increasing payments September 1, 2020
The VA will increase payments for acupuncture providers for services on or after September 1, 2020. Acupuncture providers will no longer be classified as mid-level providers. Mid-level providers are physician assistants and nurse practitioners who under Medicare are paid at 85% of the Medicare rate. Acupuncture providers were also labeled
Requesting a hardship waiver for VA recoupments of acupuncture payments
Many acupuncture providers may be receiving recoupment of payments from VA claims. VA fees are always based on Medicare rates and before January 21 of this year there was no Medicare fee for acupuncture and acupuncture providers were paid at their local usual and customary which is substantially higher than
MUE and reduction of units of acupuncture.
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
Medically Unlikely Edits limiting acupuncture to 3 sets per visit on some plans
United Health Care and CIGNA have begun using Medically Unlikely Edits (MUE) to limit acupuncture to 3 sets per visit regardless of manual or electrical. n this policy, CMS Medically Unlikely Edits (MUE) it indicates âIn accordance with the code descriptions and/or the Centers for Medicare and Medicaid Services (CMS)
COVID-19 Forms and Protocols
AcuCode subscribers there are now multiple COVID related forms available in the document library. This includes a comprehensive informed consent for patients to sign as well as a detailed office safety procedures and protocols. Stay informed and assure you are following the best practice protocols for your office. Network members
Recent Posts
Are Insurance Claims Draining Your Acupuncture Practice?
Why Acupuncture Practices Need Smarter Payment Solutions
5 Acupuncture Billing Mistakes That Could Cost Your Practice Revenue
Does Health Insurance Cover Acupuncture?
Does Acupuncture Really Work for Pain and More?
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Most Popular Stories

Are Insurance Claims Draining Your Acupuncture Practice?
What if your acupuncture practice is losing revenue from preventable insurance claim errors? Incorrect coding, incomplete documentation, missing modifiers, and payer-specific requirements can all lead to denials, delayed payments, and money left on the table. Every treatment you provide represents revenue your practice has earned. So getting the claim right

Why Acupuncture Practices Need Smarter Payment Solutions
Discover how smarter payment solutions can help acupuncture practices simplify patient payments, reduce administrative work, improve payment visibility, and support a more efficient financial workflow. Learn what to consider when choosing a payment system, including convenience, integration, security, and HIPAA considerations.

5 Acupuncture Billing Mistakes That Could Cost Your Practice Revenue
5 Acupuncture Billing Mistakes That Could Cost Your Practice Revenue Billing mistakes can quietly reduce the revenue your acupuncture practice should be collecting. A claim may be delayed, rejected, or denied because of a small administrative error, incorrect coding, incomplete documentation, or a misunderstanding of a patient’s insurance benefits. The

Does Health Insurance Cover Acupuncture?
Health insurance may cover acupuncture, but coverage varies by plan, diagnosis, provider, and payer rules. This guide explains what acupuncture practices should verify, how Medicare covers chronic low back pain, why Medicaid rules vary by state, and how careful benefits verification can clarify patient responsibility.
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