AAPM&R Submits Joint Comments to UnitedHealthcare Regarding Coverage

Members & Publications


December 21, 2021

On December 6, your Academy joined several other societies in submitting a letter to UnitedHealthcare (UHC) regarding their policy on Electrical stimulation for the Treatment of Pain and Muscle Rehabilitation.  In this policy, UHC has deemed two treatments, dorsal root ganglion stimulation (DRG-S) and percutaneous peripheral nerve stimulation (PNS), as not medical necessary and therefore not reimbursable services.  This joint letter supports consideration of DRG-S and PNS as targeted forms of neurostimulation with growing bodies of supporting evidence.  We have urged UHC to consider allowing patients access to these non-opioid therapies as potential treatment options for various types of pain.  AAPM&R continues to monitor concerns with medical policies related to pain management via our work with the Multisociety Pain Workgroup.

Legislation Introduced to Alleviate Impact of Conversion Factor Cut for 2021

Nov 09, 2020

Last month, two bills were introduced in the House proposing solutions to the estimated 10.6% Physician Fee Schedule conversion factor cut expected to go into effect January 1, 2021.  The bills offer some relief to the cut, but do not reflect a comprehensive or long-term solution.  AAPM&R has therefore chosen to remain neutral regarding these bills. 

Your Academy continues to advocate for a permanent solution to the conversion factor cut while maintaining the important payment increases to office and outpatient evaluation and management services.