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UPDATE: The U.S. Centers for Medicare and Medicaid Services (CMS) Announce a Huge Step Forward for Chronic Pain Management (CPM)

Pressroom by Pressroom
October 14, 2022
in Pain Management
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UPDATE: The U.S. Centers for Medicare and Medicaid Services (CMS) Announce a Huge Step Forward for Chronic Pain Management (CPM)
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CMS has asked for feedback on quite a few questions they’ve in regards to the use of those recent CPM codes. We’ve chosen a few of a very powerful questions for patients to reply, should you decide to achieve this. They’re:

  • Duration of physician visits?

CMS has proposed half-hour for every monthly appointment with the power so as to add on quarter-hour per thirty days. CMS desires to know should you think they need to allow for more time and suggested 45 minutes or an hour monthly for physician visits, with the power so as to add on 20 minutes more per thirty days.

  • Newly diagnosed vs very long time chronic pain patient?

Should CMS allow the identical period of time for physician visits when a patient is first diagnosed with chronic pain in that visit as they do for a one who has lived with chronic pain for a very long time and is seeing a recent physician?

  • Face-to-face vs telehealth?

CMS has proposed that the primary visit with a recent physician needs to be in person and subsequent visits can be allowed by telehealth as an option. They need to know what you think that. Should all visits be allowed to make use of telehealth or should they be required to be in person?

Should physicians be required to get the patient’s verbal consent before using the CPM code? Use of the CPM code would mean that physicians would need to perform the services that comprise the code. CMS also would really like to know if the doctor needs to be required to get the patient’s verbal consent on every visit or simply the primary visit?

CMS has also asked if specialists or therapists, equivalent to physical therapists who the patient sees for treatment as a part of the plan, needs to be required to get the patient’s verbal consent prior to treatment?

  • Are any services missing?

The list of services that CMS has included within the proposed recent CPM important code, GYYY1, include: diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the event, implementation, revision, and maintenance of a person-centered care plan that features strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any mandatory behavioral health treatment; medication management; pain and health literacy counseling*; crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care (e.g. physical therapy).

CMS defines health literacy counseling because the degree to which individuals have the power to search out, understand, and use information and services to tell health-related decisions and actions for themselves and others.)

CMS would really like to know if some other services needs to be included in the brand new CPM code or if any listed needs to be eliminated?

  • What other providers does your doctor have to coordinate with?

CMS would really like information on what other service providers, therapists or specialists your doctor might want to coordinate your care with and what that coordination involves. For instance, it’s possible you’ll be referred to a medical specialist equivalent to a headache specialist or your doctor may recommend that you simply see a massage therapist, acupuncturist or yoga practitioner. That coordination may involve the exchange and review of test results or review and discussion of reports from the therapist about what progress s/he has made in improving your functioning or reducing your pain. CMS desires to learn about that. CMS will probably want to make certain your doctor is correctly compensated for time spent coordinating your care.

Tags: AnnounceCentersChronicCMSCPMHugeManagementMedicaidMedicarePainServicesStepUPDATE
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