Legislative Activities

On April 14, 2015, Congress repealed the sustainable growth rate (SGR) formula. The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) permanently eliminates SGR and provides positive annual payment updates lasting through 2019. Since MACRA significantly changes the way Medicare pays physicians, we have developed a MACRA Resource Page to help educate neurosurgeons about this topic. In addition to our efforts on MACRA, the Coding and Reimbursement Committee is actively involved in bringing or reviewing new or revised CPT codes, is a strong advocate for appropriate valuation of neurosurgical services and neurosurgery’s Rapid Response Team works tirelessly to ensure that third party payers cover necessary neurosurgical services.

Key Resource Links:

2016 Activities

Neurosurgery and Other Medical Groups Urge House and Senate Committee Leaders to Reauthorize the Pediatric Subspecialty Loan Repayment Program 11.16.16

Neurosurgery Joins Alliance in Sending Comments to MedPAC Regarding the Medicare Shared Savings Program and ACOs 10.17.16

AANS and CNS Send Letter to CMS Regarding PILD Procedure 10.6.16

Members of the Republican Doctors Caucus Send Letter to CMS and OMB Regarding MACRA 10.6.16

Congressional Letter to CMS Opposing Global Surgery G-Code Mandate 9.16.16

Neurosurgery Joins Alliance in Sending Comments to CMS Regarding MPFS Propose Rule 9.6.16

AANS and CNS Submit Comments to CMS Regarding Payment Provisions in the Proposed MPFS Rule 9.5.16

AANS and CNS Send Comments to CMS Regarding Medicare’s Proposed Global Surgery Reporting Requirements 9.2.16

Global Surgery Survey: Medicare’s New Coding Proposal and the Impact on Surgeons 9.2.16

Neurosurgery Joins AMA in Sending Letter to CMS Supporting Refinement Panel Appeals Process 8.23.16

ANS and CNS Join American Epilepsy Society in Letter Objecting to Restrictive Criteria for VNS Coverage 7.27.16

Alliance of Specialty Medicine Comment Letter 06.27.16

Council of Medical Specialty Societies Comment Letter 06.27.16

Physician Clinical Registry Coalition Letter 06.27.16

AANS and CNS Send Comments to CMS Regarding Proposed MACRA Rule 6.27.16

AMA-Led Coalition MACRA Comment Letter 06.24.16

Neurosurgery Joins other Multispecialty Groups in Sending a Letter to ONC on Assessing Interoperability for the Medicare Access and CHIP Reauthorization Act (MACRA) 6.3.16

Neurosurgery Comments on Washington State Health Care Authority Health Technology Assessment Coverage Policy for Artificial Disc Replacement 05.19.16

AANS and CNS Respond to Reconsideration of National Coverage Analysis (NCA) for Percutaneous Image-guided Lumbar Decompression for Lumbar Spinal Stenosis 5.13.16

Neurosurgery Joins the Alliance in Sending a Statement on MACRA Implementation the Energy and Commerce House Committee 4.19.16

Neurosurgery Joins AMA in Sending Comments to CMS Regarding MACRA Implementation 4.18.16

Congressional Sign-on Letter Supporting the Appointment of a Specialty Physician for a Position on MedPAC 3.15.16

AANS/CNS Summary of 2016 Medicare Payment Schedules 2.15.16


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