February 29, 2016

ISASS Policy & Advocacy News – February 2016

News and noteworthy information for February: NGS Issues Final LCD on MIS SIJ Fusion Califf Confirmed as FDA Commissioner FDA Looks to Bring Payers to the Table at Device Pre-submission Meetings President Obama Releases Proposed Budget for FY2017 Senate HELP Committee Action Public-Private Partnership to Develop Health Care Quality Measures CMS Extends the Attestation Deadline for the EHR Incentive Programs Medicare Final Rule – Reporting and Returning of Self-Identified Overpayments Research & Reimbursement Course Scheduled for ISASS16   NGS Issues Final LCD on MIS SIJ Fusion NGS Medicare, the Medicare Administrative Contractor covering 9.5 million Medicare beneficiaries in Illinois, Minnesota, Wisconsin, Connecticut, New York, Maine, Massachusetts, New Hampshire, Rhode Island and Vermont recently finalized its Local Coverage Determination (LCD) for […]
February 24, 2016

Policy Statements

Update: ISASS Policy Statement – Cervical and Lumbar Disc Replacements ISASS Policy Statement – Vertebral Augmentation: Coverage Indications, Limitations, and/or Medical Necessity ISASS Policy Statement – Recommendations and Coverage Criteria for Bone Graft Substitutes used in Spinal Surgery (January 2019) ISASS Policy Statement – Decompression with Interlaminar Stabilization (November 2016) ISASS Policy Statement – Minimally Invasive Sacroiliac Joint Fusion (2014) Update: ISASS Policy Statement – Minimally Invasive Sacroiliac Joint Fusion (March 2015) Update: ISASS Policy Statement – Minimally Invasive Sacroiliac Joint Fusion (December 2015) Update: ISASS Policy Statement – Minimally Invasive Sacroiliac Joint Fusion (July 2016) ISASS Policy Statement – Cervical Interbody (2014) ISASS Policy Statement – Vertebral Augmentation (2013) ISASS Policy Statement – Lumbar Spinal Fusion Surgery (2011)
February 23, 2016

ISASS Signs on to APAM Letter to Congress in Support of Reauthorization of NASPER

ISASS signed on to a letter to Congress authored by the Alliance to Prevent the Abuse of Medicines (APAM) in support of the reauthorization of NASPER, the federal program providing support for state Prescription Drug Monitoring Programs. APAM is a multi-stakeholder coalition composed of representatives of each industry involved in the manufacture, distribution, payment, prescribing and dispensing of pharmaceuticals and is focused on building consensus and promoting solutions to our nation’s opioid abuse epidemic. Letter to Congress
February 18, 2016

ISASS Sends Letter to Aetna in Support of Coverage of Cages in Cervical Fusion

In a letter to Aetna, ISASS expressed concern with Section IX – Intervertebral Body Fusion Devices (Spine Cages) of Aetna Back Pain – Invasive Procedures Policy Number 0016 (“Policy”). Section IX of the Policy allows coverage of cages for cervical fusion under the following indications: A. Multilevel (three or more vertebral bodies) corpectomy (removal of half or more of vertebral body, not mere removal of osteophytes and minor decompression) in the treatment of one of the following: 1. for tumors involving one or more vertebrae, or 2. greater than 50 percent compression fracture of vertebrae, or 3. retropulsed bone fragments, or 4. central canal stenosis with myelopathy. B. Multilevel (three or more vertebral bodies) fusion for pseudarthrosis in persons with […]