At the 20th Annual Spine, Orthopedic + Pain Management-Driven ASC Conference, participants gathered to explore the latest advances in neuromodulation in ASCs and HOPDs.
This session brought together a panel of experts from a variety of backgrounds to share their insights and experiences.
The panelists included Joshua M. Rosenow, MD, FAANS, FACS, Director of Functional Neurosurgery and Professor of Neurosurgery, Neurology, Physical Medicine, Rehabilitation at Northwestern University Feinberg School of Medicine; Vivek Babaria, DO, Interventional Spine and Sports Medicine Physician at DISC Sports and Spine Center; Soriaya Motivala, MD, Vice Chair of Neurosurgery at Staten Island University Hospital, Northwell Health; and Amit Patel, MD, Chief Executive Officer at Summit Spine & Joint Centers. The session was moderated by Jakob Emerson, Associate News Director and Payer Issues Editor at Becker's Healthcare.
Key Takeaways:
1: When setting up neuromodulation services, it is important to have strong relationships with payers and vendors, as well as a team dedicated to getting complex cases approved.
The success of neuromodulation services in ASCs or HOPDs depends on various factors, such as device pricing, contracting, authorization, and patient engagement. Having a strong team and relationships with payers and vendors can help ensure that services are integrated properly and complex cases are approved.
2: Providers should be educated about the documentation needed for prior authorization, and providers should collaborate with others to help manage care for neuromodulation therapy patients.
Educating providers about prior authorization documentation and managing care for patients undergoing neuromodulation therapies can lead to fewer denials and faster authorization processes, ultimately resulting in better outcomes.
3: Organizations should take strategies to reduce time from order to implant, such as cross training staff and making sure patients are advocates.
In order to improve the process from order to implant, organizations can look at their denial rates, employ cross-training methods, and involve patients in the process.