November 2, 2012

2013 Physician Fee Schedule Finalized – CMS Assigns Valuation to Pre-Sacral Fusion Code

ISASS Thanks our Members for Stepping Up On November 1st, the Centers for Medicare & Medicaid Services (CMS) released the 2013 Medicare Physician Fee Schedule final rule. Of particular note to ISASS members is CMS’ decision to assign a valuation (‘relative value units’) to a recently approved Category I CPT® code 22586: pre-sacral interbody fusion at L5-S1. Earlier this year, ISASS assisted the AMA in determining the surgical valuation for the transition of this procedure code to Category I status from its Category III status since the procedure had satisfied the criteria necessary for such a code transition. After the Editorial Panel had voted in favor of establishing the Category I code for pre-sacral interbody fusion, other spine-related medical societies […]
September 12, 2012

Press Release: International Society for the Advancement of Spine Surgery (ISASS) and The Business of Spine (TBOS) partner to bring education to the spine coding professional

PRESS RELEASE    For Immediate Release     Contact: Stephanie Carlino   scarlino@businessdynamicslimited.com   T 516 294 4118 ext 1595 Cell: 516 510 0068                                       International Society for the Advancement of Spine Surgery (ISASS) and  The Business of Spine (TBOS) partner to bring education to the spine coding professional Mineola, NY & Houston, Texas …………..  The International Society for the Advancement of Spine Surgery has partnered with The Business of Spine to provide coding and reimbursement education to its members. The Business of Spine is a web-based education program that is designed to aid in the growth and development of spine professionals in areas of spine coding, collection and appeals issues. This program includes online courses, as well as on-demand webinars with Barbara Cataletto, the nation’s spine reimbursement […]
June 28, 2012

ISASS Response to US Supreme Court Ruling on PPACA

In response to the US Supreme Court’s ruling on the constitutionality of the Patient Protection and Affordable Care Act (PPACA), ISASS issues the following statement: ISASS remains committed to working on behalf of our US-based spine surgeons to ensure that the PPACA is implemented in ways that ensure our patients’ access to medically indicated and appropriate spine surgeries and procedures. Simultaneously, we will advocate for the replacement of the Medicare Sustainable Growth Rate (SGR) with a fair and sustainable physician reimbursement model for doctors participating in Medicare. The Court’s decision ensures important patient-friendly provisions, such as ending coverage denials due to pre-existing conditions and lifetime caps on insurance, and also allows approximately 2.5 million young adults up to age 26 […]
June 7, 2012

Advocacy Alert: New York Spine Surgeons – Action Required

To all ISASS New York Colleagues, Legislation is pending in NY that will require out-of-network reimbursement rates to be tied to properly established UCR rate calculations (as opposed to inadequate bench-marking information). The New York State Society of Orthopaedic Surgeons (NYSSOS), together with the Medical Society of the State of New York (MSSNY), is seeking advocacy input from all NY-based spine surgeons and related health care professionals, scientists and researchers. First and foremost, NY-based spine surgeons and their respective professional associations are urging support of bill S. 5068-B and A. 7489-B, now being considered in the NY Assembly and Senate. This bill “prohibits approval of a health maintenance plan that does not include coverage of out-of-plan medical services; requires every health maintenance organization […]