November 3, 2021

HHS Proposed Rule: Updates on Surprise Billing Regulations and Requirements

HHS Proposed Rule: Updates on Surprise Billing Regulations and Requirements On September 30, 2021, the Departments of Health and Human Services, Labor, and the Treasury (the Departments), along with the Office of Personnel Management (OPM), issued a second interim final rule with comment period, “Requirements Related to Surprise Billing; Part II,” to protect consumers from surprise medical bills under the No Surprises Act. This rule provides additional consumer protections, including the following: A process that takes consumers out of the middle of a payment dispute between providers and health plans Requirements for health care cost estimates for uninsured (or self-pay, meaning you have coverage but choose not to have your care billed to your health plan) individuals A payment dispute […]
November 3, 2021

ISASS Conducts Member Surveys for Review of New and Established CPT Codes

ISASS Conducts Member Surveys for Review of New and Established CPT Codes Dear Fellow Surgeon, The American Medical Association RVS Update Committee (RUC) has requested review of physician work for Current Procedural Terminology (CPT) codes 63020, 63030, and 63035 for laminotomy as well as physician work for lumbar total disc arthroplasty (TDA) single level (CPT code 22857) and a new category I code for lumbar TDA each additional level (CPT code 2285X). We request your participation in one or both surveys. Each survey will take approximately 15 minutes to complete. We hope that you will take the time to help your society, in concert with the RUC, recommend accurate relative values to CMS for physician work related to these new […]
September 2, 2021

ISASS and Other Medical Stakeholders Submit Letter Supporting Use of CPT for Physician Claims

ISASS and Other Medical Stakeholders Submit Letter Supporting Use of CPT for Physician Claims On July 30, 2021, ISASS, the American Medical Association (AMA), and other stakeholder organizations submitted a letter to the National Center on Vital Health Statistics (NCVHS) regarding a multi-phased effort to review clinical and administrative standards and terminologies. For phase one, NCVHS released a request for comment, due July 30th. In August, NCVHS held a series of listening sessions, and the AMA was invited to participate. On a related note, the Office of the National Coordinator for Health Information Technology held several meetings that resulted in recommendations to align administrative and clinical standards. Alignment included modifying the “upstream coding of information.” Rather than continuing to use […]
September 2, 2021

Report Finds Independent Practices Emerge From Pandemic Stronger With Increased Use of Telehealth

Report Finds Independent Practices Emerge From Pandemic Stronger With Increased Use of Telehealth mHealth Intelligence reported that “Independent medical practices are emerging from the chaos of the pandemic on stronger footing—thanks in no small part to telehealth.” That conclusion is according to “a new report from Kareo [that] finds that more than half the practices saw patient visits stay the same or grow in 2020, and three-quarters expect to see growth in 2021.” It also found that “the telehealth adoption rate among practices jumped from 22% in 2019 to 41% in 2020 to 80% at the end of that year.” The report on independent practices can be found here or in the attached PDF.