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January 31, 2017
On January 31, ISASS submitted comments to Anthem Blue Cross Blue Shield (BCBS) regarding two sets of coding edits, one set implemented in September 2015 and another set scheduled for implementation on March 1, 2017. The coding edits bundle: laminectomy codes 63042, 63047 and 63048 with lumbar fusion codes 22630 and 22633 additional level posterior/posterolateral fusion code 22614 with codes 22600, 22610, 22612, 22630 and 22633 vertebral corpectomy codes 63081, 63082, 63085, 63086, 63087 and 63088 with lumbar fusion code 22558 These coding edits mean that surgeons will only be reimbursed by Anthem BCBS for the primary procedure and will no longer be reimbursed by Anthem BCBS for the bundled procedure. ISASS strongly opposes these coding edits and has requested Anthem BCBS retract […]
December 31, 2016
Published by Liz Vogt at December 31, 2016
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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) […]
December 22, 2016
Published by Jonny Dover at December 22, 2016
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Read the Fall 2016 issue of Vertebral Columns. In this issue: multi-modal analgesia, Direct Look LLIF, learning curves, policy.
November 30, 2016
Published by Liz Vogt at November 30, 2016
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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 […]