Content in this section will include the coding article written by Emily Hill, recommendations, guidelines, or any other updates that may have a direct impact on the way pain clinicians practice.

Medicare’s Searchable Physician Fee Schedule

Source: Emily Hill, PA, AAPM Coding Consultant CMS will release in early November the Medicare Physician Fee Schedule (MPFS) and other policy changes effective for 2019. As the new fee schedule is released, practices will want to assess the impact of the changes to the practice and calculate co-payment amounts for Medicare beneficiaries. The Center...
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ICD-10-CM Changes Released

Source: Emily Hill, PA, AAPM Coding Consultant The ICD-10-CM update for 2019 became effective October 1, 2018. The 2019 edition contains 279 additions, 51 deletions and 143 revisions for a total of 71,932 ICD-10-CM codes. The ICD-CM code set in the United States is maintained by the ICD Coordination and Maintenance Committee. This committee include...
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CMS Re-Calculates 2017 MIPS Final Scores

Source: Emily Hill, PA, AAPM Coding Consultant Under the Merit-Based Incentive Payment System (MIPS), CMS (Centers for Medicare and Medicaid Services) must provide practices with performance feedback based on the data reported for the prior year. The purpose of the feedback is to help practices improve care and optimize the payments received from C...
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AMA and Medical Groups Respond to the CMS Proposed E/M Changes

​ Source: Emily Hill, PA, AAPM Coding Consultant As noted in a previous e-news article, CMS proposed extensive changes to documentation and payment for new and established office visit Evaluation and Management (E/M) services in the July 27, 2018 Federal Register . CMS proposed a new, single blended payment rates for new and established patients fo...
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UC San Diego Offers Course on Management of Low Back Pain and Osteoarthritis: Current and Future Treatments

This course will be held on September 22 at UC San Diego , and is designed to improve knowledge on shared pathophysiological mechanisms between osteoarthritis (OA) and low back pain (LBP), which will enhance competence in the diagnosis and directed treatment planning of OA and LBP. For more information.  

Johns Hopkins Experts Create Opioid Prescribing Guidelines for 20 Common Surgical Procedures

Source: Johns Hopkins Medicine The guidelines are based on the premise that opioid prescribing limits should be based on the operation performed rather than a blanket approach. Full story.

Highlights of the CMS Proposed Rule for the Quality Payment Program

Source: Emily Hill, PA, AAPM Coding Consultant Date: August 8, 2018 The CMS Proposed Rule for the Quality Payment Program (QPP) addressed several key changes to the 2019 QPP. The Rule expands the definition of MIPS (Merit-Based Incentive Payment System) eligible clinicians to include physical therapists, occupational therapists, clinical social wor...
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CMS Releases Proposed Rule for 2019

Source: Emily Hill, PA, AAPM Coding Consultant Date: July 23, 2018 On July 12, 2018, the Centers for Medicare and Medicaid Services (CMS) released the 2019 Medicare Physician Fee Schedule (PFS) and Quality Payment Program (QPP) Proposed Rule. This is the first time that CMS has combined the two programs into a single proposed rule. CMS is requestin...
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Proposed Policy, Payment, and Quality Provisions Changes to the Medicare Physician Fee Schedule for Calendar Year 2019

S ource: CMS On July 12, 2018, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that includes proposals to update payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) on or after January 1, 2019. Full story .

Clinical Documentation Improvement (CDI): Initiating a Program for Your Practice

Source: Emily Hill, PA, AAPM Coding Consultant Date: July 11, 2018 CDI has been described as the process of improving healthcare records to ensure improved patient outcomes, data quality, and accurate reimbursement. Historically this has been a hospital-based program that may have important applications to physician practices. Last month, we review...
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