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.

RUC Survey of CPT Codes for Injection of Somatic Nerves

Source: Emily Hill, PA, AAPM Coding Consultant Date: June 20, 2018 Next week we will be contacting a random selection of members to participate in an important AMA/Specialty Society Relative Value Scale Update Committee (RUC) survey of physician work for several somatic and genicular nerve injection CPT codes. In the survey, you may be asked to pro...
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What Is CDI and How Does It Impact You?

Source: Emily Hill, PA, AAPM Coding Consultant Date: June 6, 2018 CDI (Clinical Documentation Improvement) has been described as the process of improving healthcare records to ensure improved patient outcomes, data quality, and accurate reimbursement. Hospitals began CDI programs as a response to the advent of DRGs (Diagnosis Related Groups) as a f...
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New Medicare Beneficiary Identifiers (MBIs) Ready for Use

Source: Emily Hill, PA, AAPM Coding Consultant Date: May 9, 2018 Some Medicare beneficiaries are receiving new Medicare cards with new Medicare Beneficiary Identifiers (MBIs). The MBIs are 11 characters in length and will use randomly selected numbers and upper case letters. The new cards and numbers are being issued in phases by geographic locatio...
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CMS Releases Tool to Check Your MIPS Eligibility

Source: Emily Hill, PA, AAPM Coding Consultant Date: April 18, 2018 CMS has recently released its updated MIPS Eligibility Lookup Tool. Enter your NPI number to determine if you need to participate in the MIPS program in 2018. Providers who meet the established low volume threshold do not need to participate. CMS revised the volume threshold in 201...
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CMS Seeks Comments on Changes to E/M Documentation Guidelines

Source: Emily Hill, PA, AAPM Coding Consultant Date: April 4, 2018 In the November 2017 Final Rule, CMS sought comments on potential updates to the Evaluation and Management (E/M) Documentation Guidelines. CMS indicated it was particularly interested in suggestions for initial changes to the history and exam components. CMS further suggested that m...
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New Medicare Card Transition Begins April 1

Source: Emily Hill, PA, AAPM Coding Consultant Date: March 21, 2018 CMS will begin mailing new Medicare cards with the Medicare Beneficiary Identifier (MBI) in April 2018. The MBI on the new card is effective immediately unless the patient is new to Medicare. In that case, the start date will be on the card. The new cards are being issued to comply...
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Specialty Societies and the AMA Successfully Challenge Anthem Payment Policy

Source: Emily Hill, PA, AAPM Coding Consultant Date: March 7, 2018 The AMA and a number of specialty societies, including AAPM, were successful in preventing Anthem from applying a reimbursement reduction when an Evaluation and Management (E/M) service and a procedure were reported on the same day. The AMA and specialty societies responded to the p...
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Targeted Probe and Education (TPE)-New CMS Initiative

Source: Emily Hill, PA, AAPM Coding Consultant Date: February 7, 2018 In October 2017 CMS launched a nationwide program to better target medical review, limit the number of medical records requested, and put an emphasis on education and assistance in correcting claims errors. The goal is to help identified providers and practices by having Medicare...
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Bilateral Surgery and Medically Unlikely Edits

Source: Emily Hill, PA, AAPM Coding Consultant Date: January 24, 2018 CMS has released a revised article that addresses the appropriate reporting of bilateral procedures and the potential impact of its rules known as "medically unlikely edits" (MUE) on reimbursement. The revised article provides more examples and details. Bilateral procedures are t...
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2018 Pain Management Codes Posted on Website

Source: Emily Hill, PA, AAPM Coding Consultant Date: January 10, 2018 The Coding and Reimbursement Committee has updated the coding information available on the AAPM website. New charts have been posted that include information concerning Medicare's 2018 Relative Value Units (RVUs) for codes commonly reported by Pain Medicine Physicians. The title ...
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