Post Mastectomy Pain Syndrome

Post-mastectomy pain syndrome (PMPS) is a frequent complication of breast surgery. Between 25% and 60% of women develop chronic neuropathic pain after mastectomy, a condition known as post-mastectomy pain syndrome (PMPS).

PMPS is usually reported as persistent pain after mastectomy  characterized as a dull, burning and aching sensation in the anterior chest, arm and axilla, exacerbated by movement of the shoulder girdle. More recently, chronic pain has been reported after other breast procedures, including lumpectomy, breast reconstruction, augmentation and reduction. The exact cause of PMPS is unclear, but various etiological theories have been postulated, including dissection of the intercostobrachial nerve, intraoperative damage to axillary nerve pathways and pain caused by neuroma; all of which are thought to be a result of the actual mastectomy or surgical procedure.

 

AABCP Webinar:  Post Mastectomy Pain Syndrome: An overview

 

 

 

AABCP Releases Post Mastectomy Care Patient Bill of Rights

AABCP in cooperation with the Global Breast Care Initiative, has released the first Post Mastectomy Care Patient Bill of Rights.  Also known as a Consumer Bill of Rights, this valuable statement outlines the rights of all post mastectomy patients as well as emphasizes the role of Certified post mastectomy fitters in the healing process.

Post-mastectomy care is more than fitting bras, it is a vital step in the healing process for all breast cancer survivors.

Proper post-mastectomy care begins immediately after, or slightly before, a mastectomy and extends throughout a person’s lifetime. It may involve simple education, multi-stage reconstruction surgery or external breast prostheses and specially designed and properly fit post-surgical garments, radiation or compression bras and lymphedema garments.  Or, it may involve a combination of care.

Whatever the choice each individual is entitled to appropriate and sufficient care provided by properly trained, licensed and Certified Fitters.

In collaboration with breast cancer survivors, Certified Fitters, medical professionals and breast cancer organizations,  American Association of Breast Care Professionals has developed a post-mastectomy care patient bill of rights that outlines the basic rights and expectations of appropriate standards of post-mastectomy care.

 

The PMC Bill of Rights is available from the AABCP website.

DMEPOS Changing Suppliers Order Requirements

DMEPOS Order Requirements for Changing Suppliers

On April 24, 2017 the Department of Health and Human Services, Centers for Medicare and Medicaid Service issued CR 9886
Change Request (CR) 9886 instructs MACs to accept timely orders and medical documentation (so long as it meets Medicare requirements), regardless of whether the supplier received the documentation directly from the beneficiary’s eligible practitioner or from another, transferring supplier.
This Centers for Medicare & Medicaid Services instruction  applies to all suppliers and would permit MACs to accept timely orders and medical documentation, regardless of whether the supplier received the documentation directly from the beneficiary’s eligible practitioner or from a transferring supplier.
It reminds all suppliers that a NEW ORDER is required in the following situations:
  • There is a change in the order for the accessory, supply, drug, and so forth
  • On a regular basis (even if there is no change in the order) only if it is so specified in the documentation section of a particular medical policy
  • When an item is replaced
  • When there is a change in the supplier, if the recipient supplier did not obtain a valid
  • order for the DMEPOS item from the transferring supplier.

 

Read the full CR9886

CMS updates EBP Local Coverage Determination policies

Noridian Healthcare & CGS Administrators, has released updated regulatory guidance including: External Breast Prosthesis Local Coverage Determination and Policy Article in addition to the previously released Documentation Standards.
The EBP LCD, PA & DS are three in the family of  documents that define coding, documenation and billing requirements for post mastectomy providers.
The newly released information is applicable to all four Medicare Jurisdictions A, B, C, D and retroactive from 1/1/2017