ISASS Signs On to Multi-Society Letter to CMS Regarding the Refinement Panel Process

ISASS16 Co-Presidential Addresses and Presidential Guest Speaker Videos
August 17, 2016
ISASS Policy & Advocacy News – August 2016
August 31, 2016
Show all

ISASS recently signed on to a multi-society letter to the Centers for Medicare and Medicaid Services (CMS) strongly recommending reinstatement of the Refinement Panel as a formal appeals process to review public comments, hear directly from practicing physicians, and independently recommend refinements to the values assigned to procedure codes. In 2011, CMS changed the focus of the Refinement Panel process from a broad appeals process to a narrow process triggered only by the availability of “new clinical information”. This means CMS is largely unaccountable and is free to make valuation decisions without having to provide compelling rationale when rejecting value recommendations from stakeholders.

View the letter to CMS here.