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 85% of the Medicare rate. Acupuncture providers were also labeled 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 their local usual and customary which is substantially higher than 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 to note specifically the edits indicate 3, not 1 set Read more…