CMS Issues Summary of Physician Fee Schedule Policies During the Public Health Emergency (PHE)

The Centers for Medicare and Medicaid Services (CMS) has issued a Medicare Learning Network (MLN) article with an effective date of June 12, 2020. The article summarizes the policy changes impacting the Physician Fee Schedule during the time of this Public Health Emergency (PHE). During the early part of the PHE, numerous changes were made to reimbursement policies associated with telehealth and non-face-to-face services. The article addresses the cumulative changes that occurred over this period. Specifically, the following topics are addressed:

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AAPM and Multisociety Pain Workgroup Advocate for Facet Intervention Coverage

In preparation for the upcoming Medicare Administrative Contractor (MAC) Multi-jurisdictional Contractor Advisory Committee (CAC) meeting regarding facet interventions, AAPM partnered with several other professional medi...
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Impact Of Long-Term Buprenorphine Treatment On Adverse Health Care Outcomes In Medicaid

The optimal, or even minimum, duration of medication treatment for opioid use disorder (OUD) needed to improve long-term outcomes has not been established empirically. As a result, health plans set potentially restrictiv...
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AAPM Signs Emergency Funding Letter to HHS

AAPM signed a joint letter that urges Congress to interpret eligibility for funding in the Public Health and Social Services Emergency Fund in the Coronavirus Aid, Relief and Economic Security (CARES) Act to include all ...
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CMS Finalizes Decision to Cover Acupuncture for Chronic Low Back Pain for Medicare Beneficiaries

Before this final National Coverage Determination (NCD) reconsideration, acupuncture was nationally non-covered by Medicare. CMS conducted evidence reviews and examined the coverage policies of private payers to inform i...
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Get Ready for 2020: AAPM’s Coding Webinar on Wednesday, December 11 at 2 pm CT

Don't miss out on valuable coding and reimbursement information needed for success in 2020. AAPM is hosting a webinar on Wednesday, December 11 at 2PM CT that will discuss new and revised CPT codes effective January 1, 2020, and Medicare initiatives important to your practice.  

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Medicare Beneficiary Identifiers (MBI) Required January 1, 2020

Starting January 1, 2020, you MUST submit claims using MBIs regardless of the date the service was performed. Claims submitted without the MBI will be rejected and not processed by Medicare. MBIs replace the Social Security Number (SSN)-based Health Insurance Claim Numbers (HICNs). MBIs are 11-characters in length and are made up only of numbers and uppercase letters (no special characters).

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Medicare Contractor Proposes Changes to Coverage Policy for Percutaneous Vertebral Augmentation (PVA)

  The Medicare Administrative Contractor, National Government Services, Inc.(NGS), released a future Local Coverage Determination for PVA Osteoporotic Vertebral Compression Fractures effective December 1, 2019. The ...
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