January 5, 2022

Medicare Phase IV Provider Relief Funds Released

Medicare Phase IV Provider Relief Funds Released On December 16, 2021, the U.S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA), announced the distribution of approximately $9 billion in Provider Relief Fund (PRF) Phase 4 payments to health care providers who have experienced revenue losses and expenses related to the COVID-19 pandemic. The average payment announced for small providers is $58,000, for medium providers is $289,000, and for large providers is $1.7 million. More than 69,000 providers in all 50 states, Washington, D.C., and eight territories will receive Phase 4 payments. Payments will start to be made in late December. The PRF Phase 4 payments, in addition to the $8.5 billion in American […]
January 5, 2022

New CPT Codes for Reporting Spine Surgical Procedures

New CPT Codes for Reporting Spine Surgical Procedures Multiple new Category I CPT codes for reporting spine surgical procedures go into effect on January 1, 2022. New CPT codes 63052 and 63053 describe decompression when done with PLIF or TLIF procedures (22630/32 and 22634/36). 63052 describes the first level decompression and 63053 describes additional levels of decompression. Two new CPT codes, 64628 and 64629, describe ablation of the basivertebral nerve first level and each additional level, respectively. ISASS was heavily involved in the creation of these new code descriptors and believes both sets will allow more accurate billing and reimbursement for spine surgical procedures. The table below shows the full descriptors for each of the four new CPT codes. CPT […]
January 5, 2022

CPT Adds a Modifier for Audio-Only TeleMedicine Encounters

CPT Adds a Modifier for Audio-Only TeleMedicine Encounters At the September 2021 CPT Editorial Panel Meeting, a new Modifier was accepted to describe real-time telemedicine services between a patient and a physician or other qualified health care professional rendered via audio only. This new modifier is effective January 1, 2022. Synchronous telemedicine service is defined as a real-time interaction between a physician or other qualified health care professional and a patient who is located at a distant site from the physician or other qualified health care professional. The totality of the communication of information exchanged between the physician or other qualified health care professional and the patient during the course of the synchronous telemedicine service must be of an amount and […]
January 5, 2022

ISASS Continues Advocacy for Physician Involvement and Implementation Delay with VA Billing and Payment Process

ISASS Continues Advocacy for Physician Involvement and Implementation Delay with VA Billing and Payment Process On December 16, 2021, ISASS and several medical societies signed a letter urging the U.S. Department of Veteran Affairs (VA) to “establish a transparent process that allows for internal and external stakeholder involvement in the Supremacy Project” and to delay the implementation timeframe for the National Standards of Practice. The multi-society letter also addressed responses from the VA to previous input from medical society stakeholders. To read the letter to the VA, see attached To read the VA updated summary, see attached