February 24, 2016

Policy Statements

ISASS Policy Statement – Vertebral Augmentation: Coverage Indications, Limitations, and/or Medical Necessity ISASS Policy Statement – Recommendations and Coverage Criteria for Bone Graft Substitutes used in Spinal Surgery (January 2019) ISASS Policy Statement – Decompression with Interlaminar Stabilization (November 2016) ISASS Policy Statement – Lumbar Artificial Disc (2015) ISASS Policy Statement – Minimally Invasive Sacroiliac Joint Fusion (2014) Update: ISASS Policy Statement – Minimally Invasive Sacroiliac Joint Fusion (March 2015) Update: ISASS Policy Statement – Minimally Invasive Sacroiliac Joint Fusion (December 2015) Update: ISASS Policy Statement – Minimally Invasive Sacroiliac Joint Fusion (July 2016) ISASS Policy Statement – Cervical Interbody (2014) ISASS Policy Statement – Vertebral Augmentation (2013) ISASS Policy Statement – Cervical Total Disc Arthroplasty (2012) Update: ISASS Policy Statement – Cervical Artificial Disc (2014) ISASS Policy Statement – Lumbar Spinal […]
February 23, 2016

ISASS Signs on to APAM Letter to Congress in Support of Reauthorization of NASPER

ISASS signed on to a letter to Congress authored by the Alliance to Prevent the Abuse of Medicines (APAM) in support of the reauthorization of NASPER, the federal program providing support for state Prescription Drug Monitoring Programs. APAM is a multi-stakeholder coalition composed of representatives of each industry involved in the manufacture, distribution, payment, prescribing and dispensing of pharmaceuticals and is focused on building consensus and promoting solutions to our nation’s opioid abuse epidemic. Letter to Congress
February 18, 2016

ISASS Sends Letter to Aetna in Support of Coverage of Cages in Cervical Fusion

In a letter to Aetna, ISASS expressed concern with Section IX – Intervertebral Body Fusion Devices (Spine Cages) of Aetna Back Pain – Invasive Procedures Policy Number 0016 (“Policy”). Section IX of the Policy allows coverage of cages for cervical fusion under the following indications: A. Multilevel (three or more vertebral bodies) corpectomy (removal of half or more of vertebral body, not mere removal of osteophytes and minor decompression) in the treatment of one of the following: 1. for tumors involving one or more vertebrae, or 2. greater than 50 percent compression fracture of vertebrae, or 3. retropulsed bone fragments, or 4. central canal stenosis with myelopathy. B. Multilevel (three or more vertebral bodies) fusion for pseudarthrosis in persons with […]
January 29, 2016

ISASS Policy & Advocacy News – January 2016

News and noteworthy information for January: 2016 Physician Fee Schedule Correction Notice CGS Finalizes LCD for MIS SIJ Fusion FDA Releases Draft Guidance on Public Notification of Medical Device Risks Califf Confirmation as FDA Commissioner Garners Opposition CMS Announces 2015 PQRS Data Submission Deadlines CMS Updates Open Payments Data and Adds New Features to Website EHR Incentive Programs EHR Hardship Exemption Process What’s Next for the EHR Incentive Programs? Senate HELP Committee Releases Draft Bipartisan EHR Legislation Some Employer Health Plans Lack Outpatient Surgery Coverage Research & Reimbursement Course Scheduled for ISASS16   2016 Physician Fee Schedule Correction Notice On January 11, 2016, the Centers for Medicare and Medicaid Services (CMS) released the 2016 Physician Fee Schedule (PFS) Correction Notice. […]