News
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
Telemedicine Update for California Workersâ Compensation
Telemedicine Update for California Workersâ Compensation California workersâ 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 workersâ compensation claims would remain 11. Also, they have added the following codes for reimbursement
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
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 âtelemedicine -video+audioâ This information
On-Line Digital Evaluation & Management Services: Updated information on Telemedicine
Providers who have patients that cannot make appointments due to need for isolation, quarantine, or social distancing may still need your management and when done as an online evaluation or phone call there are three code sets that may fit this scenario. Special Note: Non-secure platforms may be used
Definition of Health care Operations that can stay open
Definition of Health care Operations that can stay open: Health care operations include hospitals, clinics, dentists, pharmacies, pharmaceutical and biotechnology companies; other health care facilities, health care suppliers, home health care services providers, mental health providers, public health, or any related and/or ancillary health care services. Health Care Operations also
10 things to do while your office is open during COVID-19
Take temperatures of all incoming patients [ and staff if possible ] each day; Anyone who has a high temperature and or shows signs of the potential virus are recommended to self-quarantine and get tested; Federal and state authorities are ramping up extensive drive-by testing. When it is available, everyone
On-Line Digital Evaluation & Management Services (New 2020)
Updated 3-19-2020 On-Line Digital Evaluation & Management Services (New 2020) Providers who have patients that cannot make appointments due to need for isolation, quarantine, or social distancing may still need your management and when done as an online evaluation or phone call there are two code sets that may fit
No out of network benefits United Health Care
UHC has announced they will no longer offer any benefits for out of network providers  for chiropractic, acupuncture, and physical medicine. To maintain payment providers must now enroll with UHC to maintain payments for any of the above services. For chiropractic providers typical enrollment is through Optum Health.
CMS (Medicare) coverage for Acupuncture clarification
There is no direct payment to an LAc at this time and Medicare will not register any LAc to the Medicare program. However, this unprecedented ruling does now include acupuncture under Medicare. But with the following protocols. 1. The LAc would have to be employed and work incident to an
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?
Archives
- September 2026
- August 2026
- July 2026
- June 2026
- May 2026
- April 2026
- March 2026
- February 2026
- January 2026
- December 2025
- November 2025
- October 2025
- September 2025
- August 2025
- July 2025
- June 2025
- May 2025
- April 2025
- March 2025
- February 2025
- January 2025
- December 2024
- November 2024
- October 2024
- September 2024
- August 2024
- July 2024
- June 2024
- May 2024
- April 2024
- March 2024
- February 2024
- January 2024
- December 2023
- November 2023
- October 2023
- September 2023
- August 2023
- July 2023
- June 2023
- May 2023
- April 2023
- March 2023
- February 2023
- January 2023
- December 2022
- November 2022
- October 2022
- September 2022
- August 2022
- July 2022
- June 2022
- May 2022
- April 2022
- March 2022
- February 2022
- January 2022
- December 2021
- November 2021
- October 2021
- September 2021
- August 2021
- July 2021
- June 2021
- May 2021
- April 2021
- March 2021
- February 2021
- January 2021
- November 2020
- September 2020
- August 2020
- June 2020
- May 2020
- April 2020
- March 2020
- February 2020
- January 2020
- December 2019
- November 2019
- September 2019
- August 2019
- July 2019
- June 2019
- May 2019
- April 2019
- March 2019
- February 2019
- November 2018
- August 2018
- September 2016
- December 2015
Categories
- AAC Live Event
- Acupuncture
- Acupuncture Research
- Billing & Coding
- Blog
- Cash Practice
- CPT Codes
- Cupping
- Cures Act
- Digital Coding
- Electroacupuncture
- Evaluation and Management Coding
- Facial Cosmetic Acupuncture
- Gold Standard Documentation
- HIPAA-Compliance
- Holiday Anxiety
- ICD Codes
- Insurance Coverage
- Live event
- Managed Care Network
- Medicare
- Network Newsletter
- No Surprise Act
- Optum Health
- Practice Building
- Pre Pay Plans
- Recent
- Research
- Therapy modifier
- Uncategorized
- VA
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.
Recent Comments