Public Policy

February 15, 2014

ISASS Policy Statement – Cervical Interbody

ISASS Policy Statement – Cervical Interbody   Kern Singh, MD Minimally Invasive Spine Insitute, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL Sheeraz Qureshi, MD, MBA Department of Orthopaedic Surgery, Mt. Sinai Hospital, New York City, NY   This paper was originally published here. A PDF version of this Policy Statement can be accessed here. Introduction By: Morgan Lorio, MD, FACS, Chair, ISASS Task Force on Coding & Reimbursement In 2011, CPT code 22551 was revised to combine or bundle CPT codes 63075 and 22554 when both procedures were performed at the same site/same surgical session. The add on code +22552 is used to report each additional interspace. 2014 heralded a downward pressure on this now prime target […]
February 6, 2014

Introduction of SGR Repeal and Medicare Provider Payment Modernization Act of 2014

ISASS staff participated in a conference call conducted by the American Medical Association (AMA) in which the SRG Repeal Legislation was discussed. We felt ISASS members would want to review the information presented. Staff for the chairmen and ranking minority members of the three Congressional committees of jurisdiction briefed physician groups this afternoon on the results of their bicameral, bipartisan negotiations on repealing the SGR. The “SGR Repeal and Medicare Provider Payment Modernization Act of 2014,” which was introduced by Rep. Michael Burgess, MD (R-TX) in the House as H.R. 4015, addresses only the policy provisions related to eliminating the flawed payment update formula. It does not include financial offsets or any of the usual extender policies. The AMA is […]
September 12, 2013

Spotlight on the Coding and Reimbursement Task Force

Coding & Reimbursement Task Force Tackles Growing List of Issues, Welcomes Input In response to continued downward pressure from government and commercial payers on spine surgery coverage and reimbursement, the ISASS Coding & Reimbursement Task Force continues to evaluate policies that may be detrimental to optimal patient care, and that may unnecessarily or punitively reduce physician reimbursement.  Under the leadership of Chairman Morgan Lorio, MD, the Task Force’s work is seemingly endless; in July, the Task Force issued a statement on coding for SI joint fusions, following changes issued by the CPT Editorial Panel, effective July 1st. The new category III code to be used for minimally invasive SI joint fusion may cause confusion with physician offices, and could lead […]
September 5, 2013

Comments on CMS Proposed Rule (CMS-1601-P) Section III(A) Regarding Changes to IDE Coverage Process

Download in PDF Format » Marilyn B. Tavenner Administrator Centers for Medicare & Medicaid Services 200 Independence Avenue, SW Hubert H. Humphrey Building Washington, DC 20201 RE: CMS Proposed Rule (CMS-1601-P) Section III(A) Regarding Changes to IDE Coverage Process Dear Ms. Tavenner: On behalf of the International Society for the Advancement of Spine Surgery (ISASS), below are comments submitted on CMS’ Proposed Rule, Revisions to Payment Policies under the Physician Fee Schedule, Clinical Laboratory Fee Schedule and Other Revisions to Part B for CY 2014. ISASS is an international, scientific and educational society organized to discuss and assess existing strategies and innovative ideas in the clinical and basic sciences related to spine surgery to enhance patient care. Our comments focus specifically […]