News

‘Unsustainable’: Physicians, Lawsuit Challenge Medicare’s WISeR Prior Auth Experiment

(Medscape) Doctors in multiple states report unpaid claims and care delays under the new federal program, as a lawsuit seeks answers about AI algorithms and data security.

SIR Economics Committee publishes analysis of the 2025 Medicare Physician Fee Schedule rule

The Centers for Medicare and Medicaid Services’ (CMS’) final rule for the 2025 Medicare Physician Fee Schedule (MPFS) analysis has been published.

FDA approves cryoablation device for breast cancer

On Nov. 7, the FDA Medical Device Advisory Committee approved the use of the ProSense Cryoablation System to treat early-stage breast cancer under certain circumstances.

New carrier advocacy coverage letter available

The SIR Carrier Advocacy Workgroup published a new evidence-based coverage letter for atherectomy to treat peripheral artery disease in collaboration with the Outpatient Endovascular and Interventional Society, and the Society for Cardiovascular Angiography and Interventions.

New guidance on how to code for SIRT with Y-90

SIR, the American College of Radiology, and the Society of Nuclear Medicine and Molecular Imaging had published new coding guidance for selective internal radiation therapy (SIRT) with yttrium-90.

SIR submits comments to Washington State Health Care Authority for vertebroplasty, kyphoplasty and sacroplasty

In collaboration with the Multisociety Pain Workgroup, a formal comment letter was sent to the Washington State Health Care Authority concerning the efficacy, safety and cost-effectiveness of vertebroplasty, kyphoplasty and sacroplasty.