June 25, 2019

AMA House of Delegates Meets and Reviews High Priority Health Policy and Physician Practice Issues

ISASS and other Physician Specialty Societies met in Chicago from June 8-12, as part of the annual AMA House of Delegates convention.  The AMA House of Delegates is the AMA’s policy-making body and consists of specialty and state societies and other physician stakeholders. The more than 500 voting delegates selected by their member organizations are charged with establishing broad policy on health, medical, professional and AMA governance issues. Members of the House of Delegates include state medical associations, the five federal services, national medical specialty societies and professional interest medical associations, sections and groups. ISASS is considered a national medical specialty society in the House of Delegates and participates in the Specialty and Service Society (SSS) Caucus, the largest caucus […]
June 25, 2019

ISASS Urges Changes to NCCI Edits for Spine Surgery

In a letter dated June 11,  ISASS provided additional input and reiterated its request from April 18,  for CMS to consider changes to a set of National Correct Coding Initiative (NCCI) edits for CPT codes 22842, Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 vertebral segments (List separately in addition to code for primary procedure), 22843, Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 7 to 12 vertebral segments (List separately in addition to code for primary procedure), 22844, Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 13 or more vertebral segments (List separately in addition to code for […]
May 29, 2019

UPDATED: MAC Carrier Noridian Healthcare Publishes Carrier Advisory Committee (CAC) Voting Results for Vertebral Augmentation Policy

In April, Medicare Administrator Contractor (MAC) carrier Noridian published Carrier Advisory Committee (CAC) Voting Results for a draft policy on Vertebral Augmentation. The CAC meeting took place in March based on a draft policy that had been previously published. Several providers and specialty societies provided input to Noridian and the CAC members on clinical standards and current literature for Vertebral Augmentation, including ISASS through a letter sent to Noridian. The letter was reviewed by the CAC for the March meeting. The CAC process is used by Medicare Administrator Contractors such as Noridian to review clinical literature on new and emerging technologies under consideration for payment policies for various Medicare jurisdictions. CAC members are drawn from the physician community for each […]
May 29, 2019

Specialty Societies, CMS Convenes a Listening Session on Opioid Use Disorder Treatment

On May 21, CMS held a listening session on Opioid Use Disorder Treatment to solicit feedback from those prescribing opioids and those providing treatment for opioid use disorder. The Center for Medicare and Medicaid Innovation (Innovation Center) hosted the 90-minute virtual Listening Session to inform development of an opioid use disorder (OUD) treatment demonstration program created through the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act. The listening session focus included: Obtaining input from providers and other stakeholders into the design of the demonstration program, including performance-based incentive payments. Identifying and understanding what the biggest barriers to increasing access to and utilization of OUD treatment are, in a post-SUPPORT Act era. Assessment and understanding […]