News

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

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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

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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

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AcuCode updates to Insurance Coverage Policies

There have been updates in the AcuCode Document Library. Updated coverage guidelines for Aetna, CIGNA, Evicore, and Health Partners for 2020. Note these documents provide the specific diagnoses codes that are reimbursed for acupuncture related services. You should review your common code lists and verify whether the code you are

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Telemedicine Update for California Workers’ Compensation

Telemedicine Update for California Workers’ Compensation California workers’ compensation will pay for telemedicine visits. Providers should bill with an office visit code 99211 to 99215 with modifier 95. However, the place of service for California workers’ compensation claims would remain 11. Also, they have added the following codes for reimbursement

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CIGNA Policy for Virtual Care Telemedicine

CIGNA Virtual Care Guidelines In an effort to remove barriers for our customers to access timely and safe care, while ensuring that providers can continue to deliver necessary services in necessary settings, Cigna will allow providers to bill a standard face-to-face visit for all virtual care services, including those not

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Anthem Policy for Telemedicine

There is confusion relating to the ability to use and be reimbursed for telemedicine as some have interpreted improperly the payment policy for Anthem related to chiropractic and other licensed providers. For telephonic only there is exclusion of payment to these provider types but not for “telemedicine -video+audio” This information

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