Reimbursement and Practice Management

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On April 14, 2015, Congress repealed the sustainable growth rate (SGR) formula.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 payors cover necessary neurosurgical services.

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Letters

Neurosurgery responds to 2026 Medicare Physician Fee Schedule Proposed Rule

Published: September 12, 2025
The Honorable Mehmet C. Oz, MD, MBAAdministratorCenters for Medicare & Medicaid ServicesU.S. Department of Health and Human ServicesATTN: CMS-1832-PP.O. Box 8013 Baltimore, MD 21244-1850 Re: CMS-1832-P. Medicare and Medicaid Programs; […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Opposes CMS Prior Authorization Demonstration Project 

Published: August 12, 2025
RE: Opposition to Implementation of the WISeR Model in Medicare Fee-for-Service Dear Dr. Oz and Mr. Sutton: On behalf of the Regulatory Relief Coalition (RRC), we write to express our […]
  • Quality Improvement and Patient Safety
  • Reimbursement and Practice Management
Letters

Neurosurgery Joins the Alliance in Supporting the No UPCODE Act

Published: July 2, 2025
RE: Support of S. 1105, the No Unreasonable Payments, Coding, or Diagnoses for the Elderly (NoUPCODE) Act Dear Senators Cassidy and Merkley: As the Alliance of Specialty Medicine (“the Alliance”), […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Leads Coalition Letter on Medicare Payment

Published: June 23, 2025
VIA ELECTRONIC TRANSMISSION Dear Leader Thune and Majority Whip Barrasso: On behalf of the undersigned clinician and other professional organizations, we respectfully urge the Senate to include the Medicare payment […]
  • Reimbursement and Practice Management
Letters

Neurosurgery responds to FY 2026 Hospital Inpatient Proposed Rule

Published: June 10, 2025
June 10, 2024 Mehmet Oz, MDAdministratorCenters for Medicare & Medicaid ServicesU.S. Department of Health and Human ServicesATTN: CMS-1833-PP.O. Box 8013 Baltimore, MD 21244-1850 Submitted electronically via www.regulations.gov Subject: CMS-1833-P Hospital […]
  • Quality Improvement and Patient Safety
  • Reimbursement and Practice Management
Letters

Neurosurgery-Led Response to Medicare and Medicaid Reform

Published: May 14, 2025
VIA ELECTRONIC TRANSMISSION Dear Speaker Johnson, Minority Leader Jeffries, Majority Leader Thune, and Minority Leader Schumer: On behalf of the undersigned physician organizations, we thank you for your previous bipartisan […]
  • Reimbursement and Practice Management
Letters

Senate Members Urge Leaders to Prevent Medicare Payment Cuts

Published: November 21, 2024
Dear Majority Leader Schumer and Minority Leader McConnell: We write to request that you urgently address the 2.8 percent cut to Medicare payments that will go into effect on January […]
  • Reimbursement and Practice Management