News

2020 ICD10-CM Updates 71,932 codes in ICD10-CM 2018 72,184 codes in ICD10-CM 2019 273 New Codes 21 Deleted Codes 30 revisions As occurs every October 1 there are additions and deletions to the ICD10 code set. This year is had very little change related to acupuncture coding and claims. The

We have received information from sources with direct contact with ASH representatives that stated that the contract between ASH and Blue Shield of California will not go through if there is not a high enough percentage of providers who enroll Note the benefits nor allowed amounts do not change whether

WASHINGTON – The Trump administration on Monday proposed a plan to cover acupuncture for Medicare patients with chronic low back pain, framing it as a step that could safely treat pain without supplying more patients with opioids. “Defeating our country’s epidemic of opioid addiction requires identifying all possible ways to

The latest update for 2020 Blue Shield of California ASH Plans, directly from ASH 1. The Blue Shield PPO plans to move to ASH January 1, 2020, are as follows: • Individual and Family Plans (IFP): on-exchange and mirrored. This is for acupuncture benefits only. These plans do not include

Medicare will begin a national coverage analysis for the use of acupuncture for chronic low back pain In response to the U.S. opioid crisis, HHS is focused on preventing opioid use disorder and providing more evidence-based non-pharmacologic treatment options for chronic pain. The Agency for Healthcare Research and Quality (AHRQ),

The latest information is indicating that the visit threshold will be 5 visits whether a provider is in our out of network and allowances will be the same for in and out of network services. Patients may have lesser copays or deductibles for in-network providers. Self-funded plans under Blue Shield,

ASH Blue Shield of CA Update Blue Shield of CA will begin to utilize ASH for a “significant” number of their PPO plans January 1, 2020. But the use of “significant number” is not clear as to what plans they are indicating is it more than 50% less than etc.

1. It is not all BS plans but specific PPO plans only. Note several plans currently do this but ASH is just the gatekeeper for medical necessity and does not follow ASH rates. 2. These plans will still have out of network benefits but clearly an incentive for patients to

Did you know the VA Community Care programs have timely filing limits for claims? The deadline for submitting claims for authorized care is 120 days from the date of service (DOS). With the recent transitions and changes to programs, VA has allowed TriWest to waive this timeline for a period