2019 Medicare

[painfree23]

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Members don't see this ad.

saw this today,
“
The Centers for Medicare and Medicaid Services (CMS) released 2019 proposed payment rule for ambulatory surgery centers (ASCs) and hospital outpatient departments (HOPDs) on July 25, 2018.

American Society of Interventional Pain Physicians (ASIPP) and the Society of Interventional Pain Management Surgery Centers (SIPMS) are proud to announce that CMS has addressed a number of long requested priorities effecting interventional pain management with increase in rates for multiple procedures.”

What does it mean for clinic based procedures? Basically reimbursement went up like 20% for epidurals and other injections in an ASC/HOPD, but it doesn’t mention clinic procedures

 

[paindoc007]

Will wrvu change ?

 

[unchockey21]

What does it mean for clinic based procedures? Basically reimbursement went up like 20% for epidurals and other injections in an ASC/HOPD, but it doesn’t mention clinic procedures

ASIPP sent out the proposed physician fee schedule a couple weeks ago.

http://files.constantcontact.com/be15115b001/3d6829da-7e97-4816-b791-af8fe90d9081.pdf

 

[myrandom2003]

To the OP, that list has both facility charges and Clinic charges

 

[painfree23]

ASIPP sent out the proposed physician fee schedule a couple weeks ago.

http://files.constantcontact.com/be15115b001/3d6829da-7e97-4816-b791-af8fe90d9081.pdf

Yes, these numbers are different than the ones asipp just released:

www.asipp.org/Fee%20Schedules/2019%20ASC%20ProposedR.pdf


This link doesn’t mention clinic procedures and that’s what I was asking about

 

[Ducttape]

“Clinic” is either office based or HOPD.

If you are employed by a hospital system I would guess the latter.....
If that is the case, you bill the physician fee (for facility) and the hospital fee