February 13, 2019

Vertebral Augmentation: Coverage Indications, Limitations, and/or Medical Necessity

Vertebral Augmentation: Coverage Indications, Limitations, and/or Medical Necessity OLIVIER CLERK-LAMALICE,1 DOUGLAS P. BEALL,2 KEVIN ONG,3 MORGAN P. LORIO4 1Western Canada Pain Institute, Edmonton, Alberta, Canada, 2Clinical Radiology of Oklahoma, Edmond, Oklahoma,3Exponent, Inc., Philadelphia, Pennsylvania, 4Hughston Clinic Orthopaedics—Centennial, Nashville, Tennessee ABSTRACT The ISASS Policy Statement on vertebral augmentation has the objectives to provide a background and an update with the latest clinical evidence for the international spine community. A SpineLine Panel Review (2010) appropriately recommended an exploration of ‘‘the seeming disconnect between the conclusions of . . . two [Level I] PRCT’s and previous experience and data’’ regarding vertebral augmentation. ISASS responded by supporting a comprehensive meta-analysis to help frame a cogent historical analysis of vertebral augmentation. This ISASS Policy 2018 […]
October 31, 2018

ISASS Policy & Advocacy News — October 2018

News and noteworthy information for October 2018 CMS conducts field tests of outcomes for musculoskeletal conditions and procedures, including Lumbar Spinal Fusion ISASS meets with The Centers for Medicare and Medicaid Services (CMS) to review physician reimbursement for minimally invasive spine surgical procedures Leapfrog Group Expands Performance Ratings to Outpatient and Ambulatory Surgery Centers Department of Health and Human Services 2019 Budget Signed Into Law CMS conducts field tests of outcome cost measures for musculoskeletal conditions and procedures The Centers for Medicare & Medicaid Services (CMS) and its contractor, Acumen LLC, have been conducting field testing for 13 cost measures before consideration of their potential use in the cost-performance category of the Merit-based Incentive Payment System (MIPS) of the Quality […]