REIMBURSEMENT UPDATES AND ALERTS SPINELINE REIMBURSEMENT

REIMBURSEMENT UPDATES

pdf Rialto Prior Authorization Guide (.pdf)

View sample letters of medical necessity and appeal for treatments using the Rialto™ SI Fusion System.

pdf CMS Launches Appropriate Use Criteria Program (.pdf)

Effective January1,2020, an Appropriate Use Criteria (AUC) consultation is required when a provider orders an Advanced Diagnostic Imaging Service for a Medicare beneficiary.

pdf Therapy Access Solutions’ Response to COVID-19 (.pdf)

Medtronic’s Therapy Access Solutions team is here to help with prior authorizations, reauthorizations and surgery date change notification to payers in response to COVID-19.

pdf Rialto™ SI Fusion System Denials Assistance (.pdf)

Medtronic’s Therapy Access Solutions team is available to assist with denials for Sacroiliac joint Fusion treatments.

pdf Patient Ambassador Program Now Available (.pdf)

With the patient ambassador program, patients can hear the real-life story of a patient who has receive a Medtronic technology.

pdf TAS for Mazor X™ Stealth Edition Now Available (.pdf)

Therapy Access Solutions (TAS) is now available to help navigate prior authorizations and denials for Mazor X Stealth Edition.

REIMBURSEMENT ALERTS

pdf CMS Releases Retroactive RVU Changes to Spine Procedures (.pdf)

In May 2019, CMS released retroactive RVU changes to 41 spine procedures. Download to view spine codes, and their malpractice RVUs.

pdf OIG Finds Extremely Low Appeal Utilization Rates (.pdf)

Read the case report to learn more about a recent investigation by the Office of Inspector General (OIG).

pdf AMA Releases 2018 Prior Authorization Survey (.pdf)

The American Medical Association (AMA) has released the results of their 2018 Prior Authorization Physician Survey. Download to see insights.

pdf CMS Releases Final Rule for Payments to Inpatient Hospitals (.pdf)

In August 2017, CMS released FY2018 changes to spinal fusion DRGs. Download to learn view payment rates and percent changes.

pdf New CPT Codes for Spinal Prosthetic Devices (.pdf)

Download to view important changes to reporting spinal prosthetic devices in CPT.

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