SIS Submits Comments on Coverage Policies
Wednesday, November 18, 2015
The Society’s membership includes many of the clinicians and academicians whose published literature provides the seminal references upon which the practice of evidence-informed interventional spine care is based. Our organization has a strong record of working to eliminate fraudulent, unproven, and inappropriate procedures. At the same time, we are equally committed to assuring that appropriate, effective, and responsible treatments are preserved so that patients do not have to suffer or undergo more invasive and often unnecessary surgical procedures. To that end, the SIS Health Policy Division's Coverage Committee regularly reviews and submits comments regarding coverage policies that are inconsistent with the literature and SIS guidelines.
On November 3, SIS submitted comments on the Novitas draft LCD #DL34974 Facet Joint Injections. The comment letter noted several inconsistencies within the LCD and provided two recommendations for revision.
In addition, SIS recently submitted comments to UnitedHealthcare regarding their Occipital Neuralgia and Headache Treatment, Policy Number: 201570080O.
A letter was submitted to BlueCross and BlueShield North Carolina on November 11, 2015 regarding suggestions to improve the coverage policy to ensure appropriate access to cervical radiofrequency neurotomy.