May 1, 2020

ISASS Provides Comments to Anthem on Sacroiliac Joint Fusion Practice Guidelines for Workers Compensation Coverage

ISASS Provides Comments to Anthem on Sacroiliac Joint Fusion Practice Guidelines for Workers Compensation Coverage On April 21, 2020, ISASS sent a comment letter to Anthem regarding their Sacroiliac Joint Fusion Practice Guideline which is used in many states/regions by Anthem for fee schedule and coverage policies. The ISASS letter asked that Anthem revise their policy guidelines to consider inclusion of ISASS’ updated SI Joint Fusion policy statement and the ISASS recommendations for appropriate criteria for SI Joint Fusion procedures and criteria on non-surgical options. Read the ISASS comment letter to Anthem.  Read the ISASS policy statement here: https://www.isass.org/public-policy/isass-policy-statement-minimally-invasive-sacroiliac-joint-fusion-july-2016/
March 30, 2020

CMS Announces Financial Relief Package for Medicare Providers

On Friday, March 27, the Centers for Medicare & Medicaid Services (CMS) announced an expansion of its accelerated and advance payment program for Medicare participating health care providers and suppliers. The intent of the program is to ensure that providers have the resources needed to combat the 2019 Novel Coronavirus (COVID-19). This program expansion, which includes changes from the recently enacted Coronavirus Aid, Relief, and Economic Security (CARES) Act, is an attempt by CMS to lessen the financial hardships of providers facing extraordinary challenges related to the COVID-19 pandemic and ensure that providers can focus on patient care. There has been significant disruption to the healthcare industry, with providers being asked to delay non-essential surgeries and procedures, other healthcare staff […]
March 27, 2020

Thanks to ISASS members for helping keep the AMA House of Delegates seat

Last month, ISASS began a major initiative to increase the number of ISASS members in the AMA in order to maintain the ISASS seat in the AMA House of Delegates. Through membership in the AMA House of Delegates, ISASS is also able to be an active participant in several AMA bodies, including the AMA House of Delegates, the AMA CPT Editorial Panel, the AMA/Multi-Specialty Relativity Update Committee (RUC), and the AMA Federal Advocacy and Policy Federation, among others. It is through this activity that ISASS has been able to directly achieve many important outcomes that have benefited ISASS members. ISASS asked its surgeon members to please make sure they had membership in the AMA. ISASS board members also directly reached […]
March 27, 2020

CMS, Other Payers Change Telehealth Coverage Policies in Response to COVID-19 Pandemic

In response to the COVID-19 pandemic the Centers for Medicare and Medicare (CMS) have updated their policy on provision and payments for patient visits conducted via telehealth. Prior to the crisis, most payers only paid for certain telehealth patient encounters and often required modifiers and lowered reimbursement rates. However, in March 2020, CMS fully allowed all patient encounters conducted via telehealth to be coded with modifiers and at 100% reimbursement levels. These policies are meant to encourage all encounters that can be done in non-face-to-face manner to reduce direct interaction between physicians, patients, patient families, and staff. Several national private payers have also similarly allowed telehealth visits without restrictions. Click here to see CMS update on telehealth policies. Click here […]