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…
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 Read more…
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 Read more…
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 Read more…