November 3, 2021

ISASS Urges the White House to Eliminate Electronic Fund Transfer Fees for Medicare Reimbursement

ISASS Urges the White House to Eliminate Electronic Fund Transfer Fees for Medicare Reimbursement On October 14, 2021, ISASS and other organizations representing state medical associations and the nation’s medical specialty societies submitted a letter to the Biden White House to express strong concerns over unfair business practices with respect to electronic payments in health care. For more than 7 years, ISASS and other organizations have urged the Centers for Medicare & Medicaid Services (CMS) National Standards Group to clarify and enforce the right of physicians to receive electronic payments via the Automated Clearing House electronic funds transfer (EFT) standard without being forced to pay percentage-based fees for “value-added” services. In the absence of clear guidance and related enforcement on […]
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 […]