August 7, 2020

ISASS Comments on Washington State Health Care Authority Potential Review of Sacroiliac Joint Fusion Policy

ISASS Comments on Washington State Health Care Authority Potential Review of Sacroiliac Joint Fusion Policy On July 23, 2020, ISASS sent a comment letter to the Washington State Health Care Authority (HCA) regarding their sacroiliac joint fusion coverage policy, which is used by the state’s Medicaid and workers’ compensation program for coverage. The ISASS letter asked that the Washington HCA consider review and potential revision of their coverage policy to include minimally invasive sacroiliac joint fusion for joint pain and dysfunction due to degenerative conditions not limited to direct trauma or injury to the pelvic girdle, which would be consistent with ISASS recommendations. The current Washington State HCA policy does not recommend coverage, despite an initial positive finding by the […]
August 7, 2020

ISASS-Endorsed CPT Application is Approved at May 2020 CPT Editorial Panel Meeting

ISASS-Endorsed CPT Application is Approved at May 2020 CPT Editorial Panel Meeting At the American Medical Association Current Procedural Terminology (CPT) Editorial Panel meeting, held virtually May 12-14, 2020, ISASS co-sponsored an application for new Category III (emerging technology) codes to report fluoroscopic and computed tomographic guided percutaneous injection of allogenic cellular and/or tissue-based product. The application was accepted by the Editorial Panel and will be released as Category III in January 2021 for use in the CPT code set. Dr. James Yue, ISASS CPT Advisor, and Dr. Morgan Lorio, ISASS CPT Alternate Advisor, were presenters for the meeting, along with Dr. Douglas Beall, one of the clinical investigators for the new technology. Read the summary of action items from […]
August 7, 2020

ISASS Supports Letter to the HHS Requesting Elimination of Budget Neutrality Adjustments to Physician Payments for 2020

ISASS Supports Letter to the HHS Requesting Elimination of Budget Neutrality Adjustments to Physician Payments for 2020 On July 1, 2020, multiple organizations, including ISASS, sent a letter to Alex Azar, secretary of Health and Human Services (HHS), to remove budget neutrality negative adjustments under the 2021 Medicare Physician Fee Schedule. The organizations indicated support for the actions of the Centers for Medicare and Medicaid Services (CMS) in last year’s Medicare physician payment final rule to utilize the American Medical Association (AMA) Current Procedural Terminology Editorial Panel coding framework, and the AMA Specialty Society Relative Value Scale Update Committee recommended values for office and outpatient visits starting January 1, 2021. The framework was the result of significant collaboration by an […]
August 7, 2020

The HHS Extended the Deadline for Eligible Physicians to Apply for CARES Act Funding Into August

The HHS Extended the Deadline for Eligible Physicians to Apply for CARES Act Funding Into August The Department of Health and Human Services (HHS) extended the deadline for eligible Medicaid and Children’s Health Insurance Program physicians and organizations to submit information and apply for funding from the Coronavirus Aid, Relief, and Economic Security (CARES) Act Provider Relief Fund from July 20 to August 3, 2020. The HHS is distributing approximately $15 billion to eligible physicians who have not previously received a payment from the Provider Relief Fund. The payment amount will be at least 2% of reported gross revenue from patient care, and the final amount will be determined based on submitted data, including the number of Medicaid patients served. The HHS […]