News

News and noteworthy information for October: Medicare Administrative Contractor News GAO appoints HHS Advisory Committee on Physician Payment Models Developing New Physician Payment Models: Comprehensive Care for Joint Replacement Model—A Preview of What’s to Come in Spine Request for Information on New Provisions of MACRA Physician Compare Preview Period Informal Review Request Period for the 2016 Value Modifier Physician Quality Reporting System Payment Adjustment and Informal Review Process CMS Issues Final Electronic Health Record Rules Budget Agreement Reached Between Congressional Leaders and Administration President Obama Announces Joint Effort to Combat Opioid Abuse 2016 Final Physician Fee Schedule & Hospital Outpatient and ASC Final Rule   Medicare Administrative Contractor News NGS Medicare – Draft LCD for MIS SIJ Fusion (DL36406) CGS […]

ISASS signed on to an AMA letter to the National Association of Insurance Commissioners (NAIC) regarding updates to the Network Adequacy Model Act. NAIC is the standard-setting and regulatory support organization in the United States created and governed by the chief insurance regulators from the 50 states, Washington D.C. and five U.S. territories. NAIC is currently working to update its 1996 Network Adequacy Model Act which is used as a template to draft/update state statutes that regulate the insurance industry. The letter touches upon three areas of concern and presents corresponding recommendations to strengthen patient protections in the Model Act: 1. require prior approval of networks before health plans are sold; 2. require states to institute measurable quantitative standards for network adequacy; and 3. include stronger protections for tiered networks. Letter to NAIC […]

News and noteworthy information for September: New FDA Commissioner Nominated FDA Establishes Patient Engagement Advisory Committee on Medical Devices ICD-10 News Medicare Administrative Contractor News Physician Quality Reporting System Payment Adjustment and Informal Review Process Physician Compare Preview Period for Reported Quality Measures AMA Develops Resources for Evaluating and Understanding New Payment Model Commercial Payer Contracts   New FDA Commissioner Nominated On September 15, President Obama nominated Dr. Robert Califf as Commissioner of the Food and Drug Administration (FDA). Margaret Hamburg resigned as FDA Commissioner in March of this year; since that time, Stephen Ostroff, previously the FDA’s chief scientist, has served as Interim Commissioner. Dr. Califf currently serves as the FDA’s Deputy Commissioner for Medical Products and Tobacco, a […]

On August 31, ISASS staff participated on a National Provider Call hosted by the Centers for Medicare and Medicaid Services (CMS), “Countdown to ICD-10”, where CMS emphasized preparation, assistance and collaboration during the transition to ICD-10. As you already know, ICD-10 codes must be used for services provided on and after October 1, 2015. ISASS compiled relevant information and provided its members with an “ICD-10 Guide for Spine Practices” on August 21, 2015. Since that time, CMS named Dr. William Rogers as its ICD-10 Ombudsman. Dr. Rogers is an emergency room physician, a Clinical Assistant Professor of Emergency Medicine at Georgetown University Hospital, a State Air Surgeon in the US Air Force, and the Director of CMS’ Physician Regulatory Improvement […]