Cigna Announces Reimbursement Policy Update Related to Modifier 25
May 26, 2022Effective August 13, 2022, Cigna will require the submission of office notes with claims submitted with evaluation and management (E/M) CPT codes 99212, 99213, 99214, and 99215 and modifier 25 when a minor procedure is billed. Failure to provide supporting documentation will result in…
Position Statement: The Roles of Flexible Laryngoscopy Videostroboscopy
May 26, 2022The Roles of Flexible Laryngoscopy Videostroboscopy in the Office Evaluation and Management of Patients with Otolaryngologic Disorders. Flexible and rigid diagnostic laryngoscopy (31575) and flexible (31579) and/or rigid videostroboscopy are well-established diagnostic procedures that are medically indicated for the diagnosis and management of…
Position Statement: Pediatric Habilitation Following Cochlear Implantation
May 26, 2022The American Academy of Otolaryngology‐Head and Neck Surgery endorses the American Cochlear Implant (ACI) Alliance’s position paper on Pediatric Habilitation Following Cochlear Implantation which defines appropriate speech/language habilitation services for children following cochlear implantation. ACI Alliance Position Paper: Pediatric Habilitation Following Cochlear…
Position Statement: Evaluation Prior to Hearing Aid Fitting
May 26, 2022Hearing loss is a medical condition requiring evaluation, diagnosis, and discussion of treatment options by a qualified physician, such as an Otolaryngologist – Head and Neck Surgeon. Good health practice requires that an assessment for hearing loss should include a medical evaluation by a physician prior…
AAO-HNS Statement on Reimbursement of CPT 69210 and Evaluation and Management Services
May 26, 2022The American Academy of Otolaryngology – Head and Neck Surgery (AAO-HNS), with approximately 12,000 members nationwide, is the national medical association of physicians dedicated to the care of patients with disorders of the ears, nose, throat, and related structures of the head and…
AAO-HNS Statement on Diagnostic Imaging Reimbursement for Otolaryngologist – Head and Neck Surgeons
May 26, 2022The American Academy of Otolaryngology – Head and Neck Surgery (AAO-HNS), with approximately 12,000 members nationwide, is the national medical association of physicians dedicated to the care of patients with disorders of the ears, nose, throat, and related structures of the head and…
Reg-ent 2019 Quality Measures
May 26, 2022Quality measures are used to track patient care, connect outcomes with processes, and meet third-party payer requirements, such as the Merit-based Incentive Payment System (MIPS). Reg-ent allows participants to track performance and benchmark against peers in Reg-ent for specialty-specific…
2022 Quality Measures
May 26, 2022Quality measures are used to track patient care, connect outcomes with processes, and meet third-party payer requirements, such as the Merit-based Incentive Payment System (MIPS). Reg-ent allows participants to track performance and benchmark against peers in Reg-ent for specialty-specific…
2021 Quality Measures
May 26, 2022Quality measures are used to track patient care, connect outcomes with processes, and meet third-party payer requirements, such as the Merit-based Incentive Payment System (MIPS). Reg-ent allows participants to track performance and benchmark against peers in Reg-ent for specialty-specific…
2020 Quality Measures
May 26, 2022Quality measures are used to track patient care, connect outcomes with processes, and meet third-party payer requirements, such as the Merit-based Incentive Payment System (MIPS). Reg-ent allows participants to track performance and benchmark against peers in Reg-ent for specialty-specific…
Signed into Law: American Rescue Plan Act of 2021
May 26, 2022On March 11, the American Rescue Plan Act of 2021 (ARP) was enacted into law, after passage in the U.S. House of Representatives and Senate. The newest COVID relief package includes several important health-policy-related changes impacting otolaryngology- head and neck surgery. The…
AAO-HNS Comments on CY 2022 Medicare PFS/QPP Proposed Rule
May 26, 2022On September 13, the AAO-HNS submitted a comment letter to the Centers for Medicare & Medicaid Services (CMS) on the CY 2022 Medicare Physician Fee Schedule and Quality Payment Program proposed rule. The Academy’s comments focused on the following issues most significantly impacting the…
AAO-HNS Comments on CY 2021 MPFS Proposed Rule
May 26, 2022On October 5, the AAO-HNS submitted a comment letter to the Centers for Medicare & Medicaid Services (CMS) on the CY 2021 Medicare Physician Fee Schedule and Quality Payment Program proposed rule. The Academy’s comments focused on: Changes to the conversion factor; Changes to…
AAO-HNS Comments on CY 2021 Hospital Outpatient Prospective Payment System (HOPPS) Proposed Rule
May 26, 2022On October 5, the AAO-HNS submitted a comment letter to the Centers for Medicare & Medicaid Services (CMS) on the CY 2021 Medicare HOPPS proposed rule. The Academy’s comments focused on: Payment for Sinuva; Proposed payment for eustachian tube balloon dilation codes; Changes to…
