July 1 too soon for new spine prior authorization rules, surgeons tell CMS
By Admin | April 09, 2021
Medical device companies and surgeons are banding together to ask CMS to roll back new prior authorization requirements set to go into effect July 1.
In an April 7 letter, 40 stakeholders — including the Medical Device Manufacturers Association, the North American Spine Society and the American Academy of Orthopaedic surgeons — outlined how the incoming regulations will decrease access to care.
Beginning July 1, CMS will require prior authorization for two new service categories: cervical fusion with disc removal and implanted spinal neurostimulators. The agency said it plans to use the prior authorization to ensure Medicare patients receive necessary care and reduce "unnecessary increases in the volume" of covered outpatient spine services.
But stakeholders said the new regulations will delay patient access to "medically necessary care."
For more info please read, July 1 too soon for new spine prior authorization rules, surgeons tell CMS, by Becker's SpineReview