Center for Medicaid and Medicare Services quality measures might not measure or capture the actual care patients receive, according to a new Government Accountability Office (GAO) report. The GAO studied how the agency decides what quality measures to develop and use. It also evaluated how CMS monitors its funding for quality measurement activities. The GAO report stated that...
CMS Administrator Seema Verma has tasked her Patients Over Paperwork team with exploring what CMS can do to improve Prior Authorization (PA) burdens as part of the eighth topic addressed under the initiative. In addition, stakeholders like ISASS and other medical specialty societies have submitted input in writing on the issue. ISASS has been a...
On September 23, ISASS submitted comments to the Centers for Medicare and Medicaid Services (CMS) on their proposed rule for CY 2020 for the Medicare Physician Fee Schedule (released on July 29). The ISASS letter addressed several issues of relevance to ISASS member reimbursement regulation, including the Medicare payment for CPT code 27279, Arthrodesis, sacroiliac...
In a letter dated Aug. 16, ISASS responded to a decision by CMS and CMS’ NCCI Edit Contractor, Capital Bridge LLC, to not revise a set of 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...