February 10, 2012

Advocacy Alert: New Jersey State Spine Society Emergency Meeting

The New Jersey State Spine Society (NJSSS) is composed of spine surgeons with the mission of protecting patient access to high quality spine care in New Jersey. Major issues have arisen from proposals by Horizon Blue Cross and Blue Shield of New Jersey and Cigna that will dramatically reduce reimbursement rates for spine procedures. Dr. Mitchell Reiter, President NJSSS, has called for an emergency meeting to be held on on February 15, 2012 at the Sheraton Tara Hotel, 199 Smith Road, in Parsippany, New Jersey (click here for map and directions) to collect input and activate spine surgeons in New Jersey to address this direct and specific attack on spine procedure reimbursement. Details for the meeting are provided in Dr. Reiter’s letter: Emergency Meeting […]
February 1, 2012

Advocacy Alert: Call to Action from ISASS Coding and Reimbursement Task Force Chair Morgan Lorio, MD

Dear ISASS Members: It has been brought to my attention that YOUR IMMEDIATE ACTION IS REQUIRED regarding a time sensitive notice issued by the Agency of Healthcare Research and Quality (AHRQ). Summarized, AHRQ has requested comments on spinal fusion for painful lumbar degenerative disc or joint diseases. It is our timely duty, and it is imperative that we respond with a strong front supporting the care of our spinal patients. As spinal surgeons, we must be actively involved in this worthy endeavor. I STRONGLY ENCOURAGE YOUR ACTION. ISASS will forward a statement with the ISASS Lumbar Fusion Policy Statement. I plan to formulate my own testimonial this week in both written and YouTube format. I implore each of you to […]
January 26, 2011

Advocacy Alert: BCBS-NC Changes Lumbar Fusion Policy

January 26, 2010 On January 20th, SAS President Tom Errico and leaders from eight other professional spine societies met with the medical leadership of Blue Cross & Blue Shield of North Carolina (BCBS-NC) to discuss the spine community’s concerns with a newly published BCBS-NC policy on lumbar fusions. The posting of the policy by BCBS-NC last fall prompted an outpouring of concern that its restrictive nature would limit or deny surgeries for patients in need, and that several conditions and diagnoses previously necessitating surgery would not be covered under the new policy. In late December 2010 the spine community came together to draft a letter to BCBS-NC, specifically offering suggested modifications and asking for an opportunity to meet to collaboratively […]
December 16, 2010

Advocacy Alert: House Passes by Voice Vote 30 Day “Doc Fix”

SAS/ISASS would like to alert you to the US House of Representatives passage of the Physician Payment and Therapy Relief Act of 2010 related to Medicare and Tricare payments: A few moments ago, the House of Representatives passed by voice vote legislation that would prevent the December 1st 23 percent cut to Medicare and Tricare payments. The Senate passed this measure on November 18th before the Thanksgiving recess. This legislation, the Physician Payment and Therapy Relief Act of 2010 will continue the 2.2 percent update for an additional month through December 31, 2010. This legislation cost $1 billion, and in order to pay for this measure, outpatient providers who perform multiple services on the same day will see a reduction […]