Tag - allergen

Provider Alert!
22Aug

Provider Alert! Credentialing reminder for PCPs Administering Allergen Immunotherapy Services

Date: August 22, 2023 Attention: Primary Care Providers (PCPs) Call to action: Texas Children’s Health Plan (TCHP) would like to remind Primary Care Providers (PCPs) of the credentialing requirement when administering allergen immunotherapy services. How this impacts providers: Allergy testing and injections will be reimbursed only for PCPs who are credentialed as allergy specialists. An allergist / immunologist (commonly referred to as an allergist) is a physician specially trained to diagnose, treat and manage allergies, asthma and immunologic disorders including primary immunodeficiency disorders. TCHP...

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01Aug

Clarification in Limitations of Allergen Immunotherapy

Based on recommendations of network providers, the immunotherapy preparation (CPT 95165) benefit has been modified to allow 80 units in 6 months. This will facilitate ease of payment for initial preparation of antigen mixture for new patients and is consistent with national guidelines. Subsequent to the initial preparation claim, Texas Children’s Health Plan anticipates immunotherapy preparation (CPT 95165) maintenance claims consistent with national guidelines. Billing Use of CPT code 95165, professional services for the supervision and provision of antigens for allergen immunotherapy in...

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21Dec

Red Eyes – Getting the Treatments Right!

Conjunctivitis comes in three forms: Pearls: PURULENT DISCHARGE (PUS) distinguishes Bacterial from Viral Conjunctivitis PRE-AURICLULAR LYMPH NODE swelling suggests Viral Conjunctivitis ITCHING distinguishes Allergic from Viral Conjunctivitis           Katherine K. Wang, PharmD. Clinical Pharmacist Texas Children's Hospital at The Center for Children and Women Joung A. Choi, PharmD. Pharmacy Manager Texas Children's Hospital at The Center for Children and Women Harold J. Farber, MD, MSPH, FAAP Associate Medical Director Texas Children’s Health Plan Associate Professor of Pediatrics, Baylor College of Medicine Zaina Al-Mohtaseb, MD Assistant Professor of Ophthalmology & Associate Residency Program Director Baylor College of Medicine References: Jacobs...

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