November 24, 2020

AMA/Multi-Specialty Relative Value Update Committee (RUC) Reimbursement Surveys for Spine Surgical Procedures

AMA/Multi-Specialty Relative Value Update Committee (RUC) Reimbursement Surveys for Spine Surgical Procedures The RUC acts as an advisory body to CMS in setting Relative Value Units (RVUs) in the Medicare Physician Fee Schedule. As part of their valuation process, the RUC works with specialty societies like ISASS to survey specialty society members on their relative resource use in providing services. In the coming weeks, ISASS will be working with the RUC on multiple resource surveys for spine procedures. We ask ISASS members to be prepared to respond to any requests to participate. The surveys take 15-20 minutes to complete and provide important information to the RUC and to CMS in determining RVUs. The procedures being surveyed include ablation of the […]
November 24, 2020

ISASS Comments on 2021 Medicare Outpatient Prospective Payment System/Ambulatory Surgical Center (OPPS/ASC) Proposed Rule

ISASS Comments on 2021 Medicare Outpatient Prospective Payment System/Ambulatory Surgical Center (OPPS/ASC) Proposed Rule ISASS submitted a comment letter to the Centers for Medicare and Medicaid Services (CMS) on the 2021 OPPS/ASC Proposed Rule on October 2, 2021. The ISASS letter addressed several areas of interest and relevance to ISASS members, including the proposed reduction in Medicare physician payments for 2021. In the letter, ISASS objected to the CMS proposal to require prior authorization for cervical fusion and spinal neurostimulator simulation procedures performed in the OPPS or ASC settings. ISASS cited several published studies on the costs to patients and providers with prior authorization requirements and urged CMS to revise their proposal and not require prior authorization for these procedures. […]
November 24, 2020

ISASS Comments on 2021 Medicare Physician Fee Schedule Proposed Rule

ISASS Comments on 2021 Medicare Physician Fee Schedule Proposed Rule ISASS submitted a comment letter to the Centers for Medicare and Medicaid Services (CMS) on the 2021 Medicare Physician Fee Schedule Proposed Rule on October 2, 2021. The ISASS letter addressed several areas of interest and relevance to ISASS members, including the proposed reduction in Medicare physician payments for 2021. In the proposed rule, CMS proposed an 11% reduction in the Medicare conversion factor used to calculate physician payments. ISASS pointed out the unfairness of imposing a substantial payment reduction on physician and physician practices facing shortages and difficulties due to the ongoing COVID-19 emergency. ISASS urged CMS to reverse the proposed reduction and maintain the current conversion factor, thus […]
October 6, 2020

Trump Administration Announces Plan to Ship 150 Million Rapid COVID-19 Tests to States

Trump Administration Announces Plan to Ship 150 Million Rapid COVID-19 Tests to States On September 28, 2020, President Trump announced a plan to distribute 150 million rapid coronavirus tests purchased by the federal government to states, tribes, and other jurisdictions in the coming months. Experts praised the news as a welcome endorsement of the importance of rapid and widely available testing while the nation continues to struggle in its fight to rein in the coronavirus, which has so far killed more than 204,000 people in the United States. Rapid tests, which don’t need to be routed through labs, have been proposed as an appealing alternative to fill that gap, especially if given frequently enough to catch infections early. The tests that are […]