vertebral column

These requirements could change at any minute's notice, could change every month.

And if you look at an example is, is spine, a lot of these requirements are more restrictive than the National Society of Spine has been laying them out to be for, uh, a procedure.

I believe I looked at the re- the numbers for an artificial disc replacement, and 72% of insurers had requirements more restrictive than the National Society of, of Spine.

And so I think that's a huge, uh, problem because now you're subjecting surgeons to different criteria than they are trained on in both residency and in their fellowship, which means, hey, naturally, if n- nothing is done about it, they're not gonna meet this criteria.

And so when we look at around, you know, a 20% average annual denial rate for a lot of these prior authorization procedures, when you have medical necessity requirements that are 40 individual things long, and if you're missing just a single one, insurance could deny you, it makes sense why physicians are getting so many denials, just because they're set up to play this losing game, um, right now where insurance is betting you're not gonna take the time to look into all 40 of our rationale.

Dr. Osley, and I'm happy that you're here.

We're going to talk about some really cool stuff with spine surgery, which I know a little bit about, but not a lot, and what is transpiring in that world that we need to look at in your new book, Corporate Spine.

So we'll be talking about that, but let's talk about a little bit of what we were talking about before, which was what you actually do, and then we'll go from there.

First, I would like to thank you for inviting me to the program.

And sometimes I tell my friends that once you stop decreasing your contact with the patient, what happens is that you stop learning.

Why? Because spine surgery is not like other specialties that is repetitious, like eye surgery, like anesthesia or so.

um i don't want to shoot them down but you know a part of the practice becomes repetitious spine surgery when it comes to neck and back pain everybody's different everybody i mean i've been in practice for 20 years every time i come to office i see a patient there's a chance that i've never seen somebody with that specific complaint so Spine surgery is a continuously learning, developing type of field, which is good and bad.

It's bad because, well, the patients come to you with questions.

So my practice is called SA Spine.

It stands for Surgical Associates in Spine, and you can find us online at, at, at cyrmdsurgical or you can cyrmd.com, or SASpine is probably the easiest one, S-A, the letter S, the letter A, spine.com. Um, my name is Steven Cyr, C-Y-R. Um, and you can also call us.

Our number is 210-48SPINE.

So that's probably the easiest way is 210-48SPINE.

We'd love to see you.

See, we see people from all over the country, and we'd love to see you.

So like I said earlier, it's 20, it's 210-48SPINE or saspine.com.

But come see us or see someone who has the right credentials in your area if, if, and if you're not happy, you know, keep looking.