Allergy|Immunology Articles and Resources
News and Important InformationBilling and Coding: Allergy Testing CMS Article (A57531) Allergen Immunotherapy - CMS LCD (L37800)
ImagesCode SetsCommon CPT Codes and MUEsCommon Allergy CPT Codes and MUEs with Indicators ICD-10-CM Diagnosis CodesICD-10-CM Diagnosis Codes Find-A-Code's Tools & ResourcesFind-A-NPI™Fast Provider Lookup NCCI Edits ValidatorValidate using NCCI edits for errors in code selection. Pro Fee CalculatorVerify Medicare Reimbursement and UCR Fees for Professional Services Click-A-DexFor quick drill-down and easy code selection. Build-A-CodeStep-by-step coding from all major code sets. Research and ReviewsReview of EvidenceUpdate on the use of immunoglobulin in human disease Allergy, Asthma & Immunology ResearchAllergy, Asthma & Immunology Research - PMC Latest Research SummariesResearch from the Journal of Allergy and Clinical Immunology AssociationsACAAIAmerican College of Allergy, Asthma & immunology AAAAIAmerican Academy of Allergy Asthma & Immunology Additional Links and ResourcesDrugs and Biologicals Pub-100 Ch 17Drugs and Biologicals Pub-100 Ch 17 Billing Requirements for OPPSBilling Requirements for OPPS Providers with Multiple Service Locations Select the title to see a summary and a link to the full article. December 19th, 2019 Reporting the Health Effects of Vaping Now and in April 2020| Published December 19th, 2019 To report vaping related conditions/disorders, use the official CDC guidelines to ensure proper documentation of vaping related health conditions. There is also a new code that will become effective April 1, 2020.
August 16th, 2019 Medical ID Theft| Published August 16th, 2019 - Last Review/Update August 20th, 2019 Medical ID Theft
"So, do you guys think you can do something with that?" John asked angrily at our first meeting with him in August 2017 as he slammed a stack of medical bills, EOBs and collection letters - three inches high - down in front of my partner and I. ... August 9th, 2019 The OIG Work Plan: What Is It and Why Should I Care?| Published August 9th, 2019 - Last Review/Update August 14th, 2019 The Department of Health and Human Services (HHS) founded its Office of Inspector General (OIG) in 1976 and tasked it with the responsibility to combat waste, fraud, and abuse within Medicare, Medicaid, and the other HHS programs. With approximately 1,600 employees, HHS OIG is the largest inspector general's office within ... July 12th, 2019 5 Ways to Minimize HIPAA Liabilities| Published July 12th, 2019 - Last Review/Update July 30th, 2019 Last year was historic for HIPAA enforcement. The HHS Office of Civil Rights collected a record $23.5 million in settlements and judgments against providers guilty of HIPAA violations. To avoid becoming part of that unwanted statistic, it’s important to pay extra close attention to five key areas of HIPAA vulnerability.
Take ... January 4th, 2019 Nine New Codes for Fine Needle Aspirations (FNA) in 2019| Published January 4th, 2019 If your practice performs a lot of fine needle aspirations (FNA), you probably have the code options memorized (10021 without image guidance and 10022 with image guidance). However, the 2019 CPT codes now include nine (9) new FNA codes (10004-10012), one deleted FNA code (10022) and one revised FNA code ... November 26th, 2018 Allergy Immunotherapy Coding Guidelines (CMS) Effective: 01/01/2006| Published November 26th, 2018 Immunotherapy (Allergy Shots) is a medical treatment to used to treat and prevent reactions or desensitize the immune system to specific allergens that trigger allergy symptoms. Payers have specific coverage guidance and rules for reporting injections, the specific type of antigen(s) provided and how they should be reported.
Below are the coding guidelines from ... October 30th, 2018 Documentation Requirements for Allergy Testing 10/29/2018| Published October 30th, 2018 Per CMS, First Coast Service Options LCD 33261:
Medical record documentation (e.g., history & physical, office/progress notes, procedure report, test results) must include the following information, and be available upon request:
A complete medical and immunologic history and appropriate physical exam obtained by face-to-face contact with the patient.
The medical necessity for performing ... October 30th, 2018 Common Allergy CPT Codes and MUEs| Published October 30th, 2018 Below is a list of common CPT codes for Allergy and Immunology. Each code is listed with the following information:
Medicare Unlikely Edits (MUEs) for both a Non-Facility (NF) and Facility (F) setting.
Professional/Technical Component (PC/TC) Indicator.
Key Indicator or Procedure Code Status Indicator, which is a Medicare assigned "Indicator" to each code in ... October 29th, 2018 Allergy Testing 10/29/2018| Published October 29th, 2018 Allergy testing may be performed due to exaggerated sensitivity or hypersensitivity. Using findings based on the patient’s complaint and face-to-face exam. Testing may be required to identify and determine a patient's immunologic sensitivity or reaction to certain allergens using certain CPT codes.
According to CMS, LCD 33261, allergy testing can be ... October 17th, 2018 Wolters Kluwer Drug Pricing| Published October 17th, 2018 Wolters Kluwer provides unit and package pricing for multiple drug price types: Average Wholesale Price (AWP), Wholesale Acquisition Cost (WAC), Direct Price (DP), Manufacturer's Suggested Wholesale Price (SWP), Centers for Medicare & Medicaid Services, Federal Upper Limit (CMS FUL), Average Average Wholesale Price (AAWP), Generic Equivalent Average Price (GEAP). Average... March 8th, 2018 Documentation and Orders for Respiratory Assistive Device| Published March 8th, 2018 - Last Review/Update March 27th, 2018 The Medicare Learning Network provides guidance on required documentation for a respiratory assistive device and ordering guidelines. January 31st, 2018 Influenza, Are You Billing Correctly?| Published January 31st, 2018 With this year's Flu season being the most widespread on record, providers are seeing more patients and giving more immunizations for influenza than normal. Here are a few things to keep in mind during this flu season.
Know the rules with your payers to ensure proper reimbursement and correct billing. For example, did you ... There are more articles. View all articles... View articles for the current specialty by subtopic: Select the webinar title to view a summary and link to the webinar video. January 23rd, 2018 How to PREVENT and HEAL Dental Problems so You Can Enjoy a Healthy Body and LifeIn this webinar Dr. Jorgensen will share with you the REAL causes of dental disease and techniques for prevention and healing. You will also learn about dental problems that may be making you or your patients SICK, how to identify them, and what can be done to help them get better. Finally, she will tell you about cutting edge dental and health practices you need to know about to improve your patient's health, and how to find a dentist that can provide this care. Don't miss this life-changing webinar! January 4th, 2018 Proper Coding and Billing for Drugs, Biologicals and InjectionsProper Coding and Billing for Drugs, Biologicals and Injections February 2nd, 2017 How to Check NCCI Edits Using FindACodeHow to Check NCCI Edits Using FindACode There are more webinars. View all webinars... View webinars for the current specialty by subtopic: 2020 Allergy & Immunology ICD-10-CM Coding BookAdvanced Beneficiary Notice of Noncoverage (ABN) Form Instructions ToolAllergy Testing and Allergy Immunotherapy LCDL30471American Academy of Allergy, Asthma & ImmunologyBilateral Surgeries: Claim SubmissionCMS-Novitas Solutions: Specialty Exam: Hematologic/Lymphatic/Immunologic ExaminationCommonly Used Medicare Modifiers - GA, GX, GY, GZMedicare Part B Clinical Laboratory Fee ScheduleNoridian Fee-for-Time Compensation Arrangements and Reciprocal Billing PoliciesNoridian: Allowed Amount ReductionsPhysician Assistant (PA) Resources NoridianSummary of the HIPAA Privacy Rule by HHS Allergy|Immunology Medicare Resources
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