Public Policy

January 1, 2017

Code Change Requests

Code Change Requests Coding Cycle Code changes for all medical specialties take effect on January 1 annually as a result of the CPT Editorial Panel process. The American Medical Association (AMA) is responsible for Current Procedural Terminology (CPT) and has convened the CPT Editorial Panel to develop and maintain the nomenclature healthcare providers use to report medical procedures and services. The CPT Editorial Panel meets three times a year to evaluate code change proposals for new and emerging technology and is responsible for reorganizing and maintaining the code set. After codes are created or modified by the CPT Editorial Panel, they go before the Relative Value Update Committee (RUC), also convened by the AMA, to be valued. For more information […]
December 31, 2016

ISASS Policy & Advocacy News – December 2016

Wishing you a happy and healthy 2017 from all of us at ISASS!   News and noteworthy information for December 2016: MACRA/QPP Survey ISASS Issues Policy Statement on Decompression with Interlaminar Stabilization President-Elect Trump Selects Congressman Price as HHS Secretary Congress Passes 21st Century Cures Act   MACRA/QPP Survey The Medicare Access & CHIP Reauthorization Act of 2015 (MACRA) was bipartisan legislation signed into law in April 2015 to permanently repeal the Sustainable Growth Rate (SGR), streamline physician quality reporting programs, and provide incentive payments for physician participation in alternative payment models. MACRA sunsets the Physician Quality Reporting System (PQRS), the Value-Based Payment Modifier, and the Medicare Electronic Health Record (EHR) Incentive Program and establishes an umbrella Quality Payment Program (QPP) […]
November 30, 2016

ISASS Policy & Advocacy News – November 2016

News and noteworthy information for November 2016: CMS Releases 2017 Final Physician Fee Schedule CMS Releases 2017 Final Hospital Outpatient and ASC Rule CMS Releases Final MACRA/Quality Payment Program Rule   CMS Releases 2017 Final Physician Fee Schedule On November 2, 2016, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that updates payment policies, payment rates and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) on or after January 1, 2017. The PFS pays for services furnished by surgeons, physicians, and other practitioners in all sites of service. These services include but are not limited to visits, surgical procedures, diagnostic tests, therapy services, and specified preventive services. As part of the final […]
November 28, 2016

CMS Releases Final MACRA/Quality Payment Program Rule

On October 14, the Centers for Medicare and Medicaid Services (CMS) issued the final rule implementing the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). MACRA was bipartisan legislation signed into law in April 2015 to permanently repeal the Sustainable Growth Rate (SGR), streamline physician quality reporting programs, and provide incentive payments for physician participation in alternative payment models. MACRA sunsets the Physician Quality Reporting System (PQRS), the Value-Based Payment Modifier, and the Medicare Electronic Health Record (EHR) Incentive Program and establishes an umbrella Quality Payment Program with two new pathways for payment: 1. Merit-Based Incentive Payment System (MIPS) and 2. Advanced Alternative Payment Models (Advanced APMs). The new Quality Payment Program dramatically changes the way Medicare reimburses more […]