Chronic Pain Management
A Multidisciplinary Approach to Patient-Centered Relief
Deliver multidisciplinary pain care and improve the care experience for individuals suffering from pain.
Medicare Chronic Pain Management Program
CMS introduced new billing codes for physicians to use when they treat Medicare beneficiaries who live with chronic pain. The CPM bundled payment covers integrated multimodal pain care that may include certain elements such as diagnosis, a person-centered plan of care, care coordination, medication management, and other aspects of pain care.
Why choose healthviewX Chronic Pain Management
HealthViewX enables providers to understand a patient’s pain journey with accurate assessments and develop personalized care plans tailored to their needs. The Chronic Pain Management (CPM) app streamlines collaboration between physicians, specialists, and therapists, ensuring coordinated care. HealthViewX simplifies pain management, moving beyond cumbersome EHRs and spreadsheets for efficient, patient-centered outcomes.
CPM Key Features
86 dynamic condition-based care plan templates
Automated timer to capture and document the time spent
Progress notes/medication, vitals tracking
Customizable workflows and template engine (for notifications)
Operational and managerial dashboard/analytics
CMS compliant billing and custom reports
Patient Criteria for Chronic Pain Management Program
Patients covered by CPM codes must meet the following criteria defined by CMS:
The patient must be experiencing persistent or recurrent pain lasting longer than 3 months.
The determination of whether chronic pain exists and if CPM is merited is solely between the practitioner and the patient.
Medicare Chronic Pain Management (CPM) Reimbursement Codes
Medicare will pay physicians in all states and other practitioners with prescription authority such as Nurse Practitioners (NPs) and Physician Assistants (PAs) in some states, to perform comprehensive pain management for their patients living with chronic pain. FQHCs can use the existing HCPCS code G0511 for CPM services.
CMS recognizes that HCPCS codes G3002 and G3003 are distinct from other care management services like Chronic Care Management, Principal Care Management, Remote Physiologic Monitoring, Remote Therapeutic Monitoring, and Behavioral Health Integration.
CPM codes can be billed in the same month as other care management codes for the same patient.
CMS has no restriction on the number of clinicians who can bill the CPM codes.