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 Read more…
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 Read more…
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 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 Read more…
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 Read more…
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 Read more…
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 Read more…
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 Read more…
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 Read more…
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 Read more…