Ask Spine Surgeons is a weekly series of questions posed to spine surgeons around the country about clinical, business and policy issues affecting spine care. We invite all spine surgeon and specialist responses. Next week's question: What is the number one thing spine practices should look for in electronic medical records?
lease send responses to Laura Miller at email@example.com by Thursday, Nov. 21, at 5 p.m. CST.
Q: What regulations cause the most headaches at your spine practice?
A. Nick Shamie, MD, American College of Spine Surgery President: I am getting more denials for advanced imaging and surgeries than ever before. This takes time away from patient care and is disruptive. I spend time in the middle of my day speaking to payor representatives who are physicians or ancillary care providers who have very little to no experience in spinal disorders. It takes longer to try and explain a condition to these individuals who have limited training in the field of spine care. These are regulatory burdens than are placed on us by the payors and can create inefficiencies and are counterproductive.
One suggestion would be to have spine specialists review authorization requests; this would avoid unnecessary denials and would allow us to focus our efforts on patient care. Also to have these representatives available before and after the regular working hours so we don't have to take time away from our patients.
Jeffrey Wang, MD, UCLA Spine Center: The documentation issues and the requirements are probably the biggest headache. The arbitrary decision that certain things in a review of systems that have to be mentioned, even if they are negative and have nothing to do with the acute problem, has been a big problem. We find physicians in our practice charging less for their services just because of concerns with following specific documentation rules that appear to be quite arbitrary.
More Articles on Spine Surgeons:
7 Thoughts on How President Barack Obama's Re-Election Impacts Spine Surgery
10 Ways to Destroy Spine Practice Marketing
Goals & Priorities for Spine Surgeons Post Healthcare Reform: Q&A With NASS President Dr. Charles Mick
What Regulations Cause the Biggest Headaches for Spine Surgeons? FeaturedWritten by Laura Dyrda | Wednesday, 14 November 2012 17:04
Two spine surgeons discuss the regulations that cause the biggest headaches at their practices.Last modified on Wednesday, 14 November 2012 17:09
© Copyright ASC COMMUNICATIONS 2016. Interested in LINKING to or REPRINTING this content? View our policies here.
Most Read - Spine
- Understanding the Impact of the CMS 2017 ASC Payment Rule on Spine Procedures
- 15 spine surgeons discuss techniques revolutionizing spine care
- How 10 spine surgeons are preparing their practice for a Donald Trump presidency
- The top-performing spine surgeons have these qualities in common
- AMA presents AANS & CNS Washington Office director with Lifetime Achievement Award: 6 highlights
Top 40 Articles from the Past 6 Months
- 20 new MIS spine devices in 2016
- 44 MIS spine devices to know | 2016
- 21 smart spine surgeons with gifted business minds
- Top 12 most-liked spine surgeons on the internet
- Police investigate death of American Spine Center's physician accused in federal kickback scheme: 6 things to know
- Consumer Reports: 34 top-rated US hospitals for hip replacements
- Suicide likely cause of Dr. Sandeep Sherlekar's death, police report shows: 6 things to know
- Dr. George Rappard performs 1st US MIS procedure with Sony heads-up display: 5 observations
- Annual & hourly orthopedic surgeon salary — 10 latest statistics
- Trusting a robot — Dr. Juan Torres-Reveron on performing 1st US ROSA Spine surgery
- 12 statistics on social media's presence in the healthcare space
- 5 key notes on the Zimmer Biomet-LDR acquisition & its impact on Texas
- 38 female spine surgeon leaders to know
- Dr. Gregory Sherr sues HealthEast, CentraCare & 6 neurosurgeons for allegedly ruining his reputation & career — 6 things to know
- Oregon spine surgeon implicated in $22M lawsuit for paralyzing patient with dropped instrument: 5 things to know
- UPMC to pay $2.5M+ to settle neurosurgery-related False Claims Act violation allegations: 7 things to know
- 4 North Carolina orthopedic practices merge to create EmergeOrtho: 5 key notes
- US News & World Report: Top 10 hospitals for orthopedics
- 7 things to know about Mazor Robotics & Medtronic's plans to roll out Mazor X
- The state of minimally invasive spine surgery: Dr. Frank Phillips on devices, payment & outpatient ASCs
- 11 highest-paying states for orthopedic surgeons: New Jersey tops the list at $494.5k
- Beyond the implant — DePuy Synthes pushes innovation inside & out of the OR
- Zimmer Biomet jumps into robotics with MedTech acquisition: 5 things to know
- Orthopedic surgeon Dr. Michael Russin dies following plane crash: 5 key notes
- 34 latest trends in the global orthopedic devices market
- 21 statistics and facts for orthopedic surgeons — compensation, net worth and more
- 19 more things to know about orthopedic bundled payments — September 2016
- Are Stryker's hip implants about to be recalled?
- Trump or Hillary? The physicians have voted
- FDA regulation, insurance coverage: Dr. Raj N. Sureja talks challenges in regenerative medicine
- Do you know what patients really care about when choosing a spine surgeon?
- 13 facts and statistics on Baby Boomers for spine surgeons to know
- 5 trends for orthopedic surgeons to watch in 2017
- 3 orthopedic clinics to pay $2.39M to settle False Claims Act allegations: 5 things to know
- Evolutionary vs. revolutionary: The future of surgical devices and spine surgery
- 10 thoughts and statistics on medical malpractice claims against orthopedists
- Robotics is here to stay — Drs. Kornelis Poelstra & Dennis Devito on working with Mazor technology
- UCLA pays $8.5M to settle 2 lawsuits after undisclosed spine surgeon relationship with Medtronic: 5 key notes
- Medtronic, SeaSpine, Zimmer Biomet & more: 17 key notes
- The efficacy of electrical bone stimulators & ultrasound for bone healing — Dr. Mohit Bhandari weighs in with new evidence