March 27, 2020

Medicare Recommends Cancellation of Elective Surgeries in Response to COVID-19

On March 18, at the White House Task Force Press Briefing, the Centers for Medicare & Medicaid Services announced that all elective surgeries, non-essential medical, surgical, and dental procedures be delayed during the COVID-19 outbreak. These recommendations, and earlier CMS guidance and actions in response to the COVID-19 virus, are part of the ongoing White House Task Force efforts. Read the CMS press release here. Read the guidance here.
March 27, 2020

CMS Announces Waivers and Changes to Medicare QPP in Response to COVID-19

On March 22, the Center for Medicare & Medicaid Services announced it is granting exceptions from reporting requirements and extensions for clinicians and providers participating in Medicare quality reporting programs with respect to upcoming measure reporting and data submission for those programs. The action comes as part of the Trump Administration’s response to COVID-19. CMS is implementing policy exceptions and extensions for upcoming measure reporting and data submission deadlines for several CMS programs due to “the additional extreme and uncontrollable circumstances.” For those programs with data submission deadlines in April and May 2020, submission of those data will be optional, based on the facility’s choice to report. CMS recognizes that quality measure data collection and reporting for services furnished during […]
March 27, 2020

ISASS Provides Comments to ACOEM on Sacroiliac Joint Fusion Practice Guidelines for Workers Compensation Coverage

On March 6, ISASS sent a comment letter to the American College of Occupational and Environmental Medicare (ACOEM) regarding their Sacroiliac Joint Fusion Practice Guideline that is used in many states for State Workers Compensation fee schedule and coverage policies. The ISASS letter asked the ACOEM Low Back Disorder Guideline committee overseen by ACOEM Editor-in-Chief, Dr. Kurt Hegmann, to consider inclusion of ISASS’ updated SI Joint Fusion policy statement and the ISASS recommendations for appropriate criteria for SI Joint Fusion procedures and criteria on non-surgical options. Dr. Hegmann acknowledged receipt of the input and indicated the committee would incorporate ISASS’ input into future reviews. Learn more about ACOEM Guidelines and Policies here. Read the ISASS comment letter to ACOEM. Read […]
March 27, 2020

ISASS Provides Comments to MCG on Sacroiliac Joint Fusion Coverage Policy Updates

On March 6, ISASS sent a comment letter to the policy guideline entity, MCG on its Sacroiliac Joint Fusion coverage policy. MCG provides research and policy guidelines used by third party payers to determine payment and coverage policies. MCG guidelines are designed to be considered as evidence based. ISASS sought to provide their coverage analyst with updated information on ISASS’ updated SI Joint Fusion policy statement and the ISASS recommendations for appropriate criteria for SI Joint Fusion procedures and criteria on non-surgical options for the purposes of developing coverage approval and prior authorization policies. MCG acknowledged receipt of the input and indicated the committee would incorporate ISASS’ input into their current review, which is ongoing. Read the ISASS comment letter […]