July 9, 2020

ISASS Supports Letter to the Department of Health and Human Services (HHS) Requesting Elimination of Budget Neutrality Adjustments to Physician Payments for 2020

ISASS Supports Letter to the Department of Health and Human Services (HHS) Requesting Elimination of Budget Neutrality Adjustments to Physician Payments for 2020 On June 30, 2020, multiple organizations, including ISASS, sent a letter to Alex Azar, Secretary of the Department 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 CMS in last year’s Medicare physician payment final rule to utilize the American Medical Association (AMA) Current Procedural Terminology (CPT) Editorial Panel coding framework, and AMA Specialty Society Relative Value Scale Update Committee (RUC) recommended values for office and outpatient visits starting January 1, 2021. The framework was the result of […]
July 9, 2020

CMS Releases 2021 ICD-10 Procedure Codes for Facility Coding

CMS Releases 2021 ICD-10 Procedure Codes for Facility Coding On June 9, 2020, CMS released updated codes in the 2021 ICD-10-Procedure Coding System (PCS). These new codes include surgical procedures for the spine used by many facilities in which ISASS surgeons operate. These new codes will allow greater tracking and appropriate payment for spine surgery technologies. The new codes will be in effect from October 1, 2020, to September 30, 2021, and were announced in the 2021 Inpatient Prospective Payment System (IPPS) Final Rule in June 2020. Visit the CMS website for the full list of ICD-10-PCS codes and for more information: https://www.cms.gov/medicare/icd-10/2021-icd-10-pcs
June 10, 2020

CMS Provides Retrospective Payment for Telephone Evaluation and Management Visits During COVID-19 Emergency

The March 30 Interim Final Rule with Comment Period added coverage during the Public Health Emergency for audio-only telephone evaluation and management visits (CPT codes 99441, 99442, and 99443) retroactive to March 1. On April 30, a new Physician Fee Schedule was implemented, increasing the payment rate for these codes. Medicare Administrative Contractors (MACs) will reprocess claims for those services that they previously denied and/or paid at the lower rate. There are also a number of add-on services (CPT codes 90785, 90833, 90836, 90838, 96160, 96161, 99354, 99355, and G0506) that Medicare may have denied during this Public Health Emergency. MACs will reprocess those claims for dates of service on or after March 1. You do not need to do anything to […]
June 10, 2020

The Department of Health and Human Services (HHS) Provides an Update on the Provider Emergency Relief Fund

On May 15, 2020, HHS posted revised FAQs on the Provider Relief Fund General Distribution Portal in response to many questions from physicians and medical societies related to the CARES Act Provider Relief Fund. Certain formulas that were previously on the HHS were used by physicians to calculate what they thought HHS intended for them to receive from the fund. Based on their calculations, many physicians though they received too much and that those funds would later be recouped by HHS. To allay these concerns, HHS removed the formula and overpayments language from the portal last week. Unfortunately, in some cases, the appearing and disappearing of the formulas from the website heightened rather than allayed concerns. Currently, HHS has asked […]