asipp.orgASIPP - American Society of Interventional Pain Physicians

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Your Voice For Interventional Pain Management [ CLICK HERE TO JOIN ] Effective from April 1st, the Majority of MAC Will Follow Updated Guidelines for Trigger Point Injections Effective from April 1st, the majority of MAC follows the above guidelines for Trigger Point injections. Below are major points from the updated LCD: • Frequency: No more than 3 TPI sessions will be reimbursed per rolling 12 months. • Imaging guidance: The use of fluoroscopy or magnetic resonance imaging (MRI) guidance for the performance of TPI is not considered reasonable and necessary, The use of ultrasound guidance for the performance of TPI is considered investigational. • Repeat TPI: Consistent pain relief from the most recent previous TPI lasting at least 6 weeks. • With other Injections: It is not considered medically reasonable and necessary to perform multiple blocks (e.g., epidural steroid injection (ESI), sympathetic blocks, facet blocks, etc.) during the same session as TPI. • Pain Scale: Documentation should be updated with the pre and post-pain scale. Below are attachments for the updated LCDs: Palmetto GBA WPS CGS NGS Noradian Click here to read more. Join the AMA or Renew Your Membership Today! On behalf of the Board of Directors of the American Society of Interventional Pain Physicians (ASIPP), we ask that you help IPM to maintain a voice in the AMA. Please join the AMA or renew your membership today. ASIPP previously had two positions in the House of Delegates (HOD), however we just learned that in our 2024 review, we did not have enough ASIPP members on the AMA roster to keep our second seat. Consequently, we now have only one position. However, it is now time for our 5-year review of our membership AMA match. The member list we send to the AMA every five years is the list they use each year for five years to determine our status. This means that if we fall below the minimum requirement, we stand to lose our only remaining seat. For ASIPP to retain our seat, the AMA requires that 20% of ASIPP’s physician members also be members of the AMA. ASIPP must submit our member list no later than Monday, April 15. Because of this, we ask that you check your AMA status and renew or join TODAY. Joining the AMA will strengthen our specialty’s representation at the national level through the AMA HOD the AMA’s policymaking body, and strengthen our ability to meet the challenges in health care today with thoughtful, well-organized responses to issues such as Medicare payment cuts, medical liability reform, etc. Membership also gives you access to a broad range of practice management resources and award-winning publications, such as the Journal of the American Medical Association, AMNews, AMA Morning Rounds and the Archives journals. Please support the critical activities of ASIPP by joining the AMA today. To join or renew the AMA, click on the following link: Join or Renew Here. CMS And Optum to Provide Accelerated Payment Loans and CMS Urges Medicaid Managed Care Plans and Medicare Advantage Plans to Offer Similar Loans As reported last week, there was a cyberattack on UnitedHealth Group’s subsidiary Change Healthcare. Change Healthcare started experiencing major problems Feb. 21 cutting providers off from payer reimbursements. Due to lobbying from various groups including ASIPP, temporary loans for all providers including physicians have been arranged. If you recall, this was limited to only hospitals in the beginning. On Saturday March 9, 2024, CMS issued the attached statement announcing that in addition to considering application for accelerated payments for Medicare Part A providers, application for advanced payments for Part B suppliers will also be considered. CMS issued a Fact Sheet with additional detail on eligibility requirements, certification terms, and payment amounts. All MACs will provide public information on how to submit a request for a Medicare accelerated or advanced payment on their website starting March 9, 2024. CMS is also urging Medicaid Managed Care Plans and Medicare Advantage Plans to offer similar emergency payment loans to cope with Change Healthcare cyberattack. In addition to the CMS program of accelerated payments, United Health Groups loan program administered through Optum Financial Services offers financial assistance to providers whose payer payment are processed through Changes EDI. The loan amount is based on average prior claims volume and how much the provider’s payment distributions have been affected. No interest or fees will be charged, but the funds must be repaid. Overall, while this may help physicians who were excluded in the beginning, it may not be sufficient. Many practices are seeing that a mere fraction of the daily deposits are being given in the form of loans. If you have any questions, contact your MAC, as well as Optum, your representative for United Health Group or Optum for assistance. MORE ON Chane Healthcare Cyberattack can be found on the following websites: MedScape – AMA – HHS – TechTarget – CMS U.S. Congress Finally Reduced the Cut by Half 1.68% from 3.37% Effective March 9, 2024 In a federal budget deal struck to avoid a government shutdown, the House of Representatives has voted to reduce about half (1.68%) of the 2024 3.37% across-the-board physician pay cut that took effect in January. The Senate is expected to vote soon, and the President is expected to sign which will be effective March 9. This essentially means Congress has again failed to stop in its entirety a pay cut that threatens Medicare patients’ access to high-quality physician care. The cut continues to persist over 2% of sequester cuts totaling to 3.68%, on top of 4% from last year’s physician pay reduction. Unfortunately, as in contrast to...