Spine Section’s Rapid Response Committee Continues to Address Multiple Insurer Policy Issues
29th Annual Meeting of the AANS/CNS Section on Disorders of the Spine and Peripheral Nerves
Random Case & Question
In this issue, we present a brief update on RUC activity, concentrating on code surveys that are pending for the fall, and on the Rapid Response Team ran by Joe Cheng. To illustrate what this tirelessly working group of volunteers is doing, we are linking to 2 separate letters prepared by the team.
Insurance companies and other payers for health care often change protocols over what services will be covered under a given insurance policy. These policies have the potential to impact patient care, by denying coverage for some treatment options. By denying coverage, physician choice of what may be best for their patients is limited.
Joseph Cheng developed the Rapid Response Team to answer these concerns and to provide a working group to respond to insurance
By noting that a given procedure is “experimental” an insurance company deems that it is investigational as well, and therefore not medically necessary. This obviates the need for the insurer to cover the procedure for their covered members.