…enhanced primary care services. Global PBP: offers the highest risk sharing arrangement—100% savings/losses—and provides two payment options: Primary Care Capitation (described above) or Total Care Capitation, capitated, risk-adjusted monthly…

…vertebral segments (List separately in addition to code for primary procedure). The edits in question were implemented by CMS through the NCCI edit process in 2017 and were intended…

…the basis of being “frequently subject to unnecessary utilization.” Specifically, CMS announced that it is adding to the Required Prior Authorization List: Seven power wheelchair codes (K0857, K0858, K0859,…

As mentioned during the Presidential Address at the Annual Meeting in April, ISASS is growing and moving into a new era for the organization and has changed management teams….

…with two new pathways for payment: 1. Merit-Based Incentive Payment System (MIPS) and 2. Advanced Alternative Payment Models (Advanced APMs). At the insistence of medical societies and other stakeholders,…

On June 20, 2017, the Centers for Medicare and Medicaid Services (CMS) released a proposed rule to continue implementation of the Quality Payment Program (QPP) required by the Medicare…

ISASS is pleased to present these employment opportunities for spine surgeons. Here we offer ISASS members information regarding spine surgeon employment opportunities throughout the United States. Orthopaedic Spine Surgeon…

…review public comments, hear directly from practicing physicians, and independently recommend refinements to the values assigned to procedure codes. In 2011, CMS changed the focus of the Refinement Panel…

…established at the time of archiving. 0309T will not be listed as part of the 2018 code set. Note that codes are not assigned, nor exact wording finalized, until…

ISASS signed on to an AMA letter signed by more than 100 state and national medical specialty societies to Centers for Medicare and Medicaid Services (CMS) Acting Administrator Slavitt…

…line with the decision that vacated the previously established batching requirements. While frustrating for physicians looking to bring batched claims to IDR, CMS has assured stakeholders they are focused…