Reimbursement and Practice Management
On April 14, 2015, Congress repealed the sustainable growth rate (SGR) formula.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.
Key Resources
Letters
Dear Representatives Joyce, Murphy, and Schrier, On behalf of the twenty undersigned organizations, thank you for your work on addressing long-standing issues in the Medicare physician payment system. We appreciate […]
Letters
Submitted electronically via www.regulations.gov RE: Interoperability Standards and Prior Authorization for Drugs for Medicare Advantage Organizations, Medicaid Managed Care Plans, State Medicaid Agencies, Children’s Health Insurance Program (CHIP) Agencies and […]
Letters
VIA ELECTRONIC TRANSMISSION The Honorable Mehmet Oz, MD, MBAAdministratorCenters for Medicare & Medicaid ServicesU.S. Department of Health and Human ServicesP.O. Box 8013Baltimore, MD 21244-8013 RE: Medicare Program; Hospital Inpatient Prospective […]
Letters
RE: Examining the Medicare Physician Fee Schedule, MACRA, and Opportunities for Payment Reforms Dear Chairs Guthrie and Griffith, and Ranking Members Pallone and DeGette, The Alliance of Specialty Medicine (Alliance) […]
Letters
Dear Representatives Murphy and Suozzi: The undersigned physician organizations representing national medical specialty societies and state medical associations write to express our strong support for H.R. 8163, the “Provider Reimbursement […]
Letters
The Honorable Greg Murphy, MD, Co-Chair Republican Doctors CaucusThe Honorable John Joyce, MD, Co-Chair Republican Doctors CaucusThe Honorable Kim Schrier, MD, Chair, Democratic Doctors CaucusU.S. House of RepresentativesWashington, DC 20515 […]
Letters
Dear Senators Marshall and Bennet and Representatives Murphy, Panetta, Joyce, Schrier, Onder, and Ruiz: The undersigned physician organizations representing national medical specialty societies and state medical associations write to express […]
Press Release (DC Office)
ICYMI: Spine Surgery Leaders Call for Immediate End to Denial of Standard-of-Care Implants in Cervical Fusion Washington, DC — The American Association of Neurological Surgeons (AANS) and Congress of Neurological […]
Position Statement
Position Statement On Insurance Coverage for Interbody Biomechanical Devices (CPT 22853) in Cervical Spine Arthrodesis BackgroundCervical spinal arthrodesis is a well-established surgical procedure used to treat degenerative cervical spondylotic myelopathy, […]
Letters
Published: April 24, 2026
RE: Support for H.R. 8163, Provider Reimbursement Stability Act Dear Representatives Murphy and Suozzi: As patient and physician advocates, the Alliance of Specialty Medicine (Alliance) writes in support of your […]
Letters
Published: March 30, 2026
Mehmet Oz, MD, MBAAdministratorCenters for Medicare and Medicaid Services7500 Security BoulevardBaltimore, MD 21244-1850 Re: Request for Information Related to Comprehensive Regulations to Uncover Suspicious Healthcare Activity (CRUSH) [CMS-6098-NC] Dear CMS […]
Letters
Published: February 12, 2026
Dear Congressmen Estes and Suozzi, On behalf of the thirty-eight undersigned organizations, we would like to express our strong support for the Efficiency Adjustment Delay Act. This legislation is critical […]
Letters
Published: February 12, 2026
Dear Congressmen Estes and Suozzi, On behalf of the thirty-eight undersigned organizations, we would like to express our strong support for the Efficiency Adjustment Delay Act. This legislation is critical […]
Letters
Published: January 16, 2026
VIA ELECTRONIC MAIL Re: Physician Clinical Registry Coalition’s Comments on Medicare Access and CHIP Reauthorization Act of 2015 Modernization Dear Chairs Joyce, Murphy, and Schrier and Members of the GOP […]
Policy Brief
Published: January 6, 2026
Executive Summary The Regulatory Relief Coalition (RRC) led the way in Washington, championing physicians in service of our nation’s seniors and advancing policies that improve prior authorization (PA) and establish […]
Letters
Published: December 23, 2025
Abe Sutton, J.D.Deputy Administrator and Director, Center for Medicare & Medicaid InnovationCenters for Medicare & Medicaid Services (CMS)200 Independence Avenue, SWWashington, DC 20201 Dear Director Sutton, Thank you for meeting […]
Letters
Published: December 9, 2025
Dear Speaker Johnson, Majority Leader Thune, Minority Leader Schumer, and Leader Jeffries: The undersigned physician organizations representing national medical specialty societies and state medical associations write in strong support of […]
Letters
Published: December 2, 2025
Mehmet C. Oz, MD, MBAAdministrator Centers for Medicare & Medicaid Services Department of Health and Human Services 7500 Security Boulevard Baltimore, MD 21244 Dear Administrator Oz: On behalf of the […]
Letters
Published: November 14, 2025
Dear Leader Thune, Leader Schumer, Speaker Johnson and Leader Jeffries, On behalf of the undersigned organizations, we urge Congress to halt a portion of the recently finalized rule published by […]
Letters
Published: November 13, 2025
VIA ELECTRONIC TRANSMISSION Dear Chair Cole and Ranking Member DeLauro: On behalf of the undersigned physician organizations, which are committed to delivering high-quality, evidence-based care to Medicare beneficiaries, we write […]
Letters
Published: November 13, 2025
Ms. Gail Boudreaux President and Chief Executive Officer Elevance Health 220 Virginia Avenue Indianapolis, IN 46204 Dear Ms. Boudreaux, On behalf of the undersigned physician organizations, we write to express […]
Letters
Published: November 3, 2025
Dear Leader Thune, Leader Schumer, Speaker Johnson, and Leader Jeffries, The 34 undersigned organizations write to urge swift Congressional action to stop a portion of the recently finalized rule published […]
Letters
Published: October 30, 2025
VIA ELECTRONIC TRANSMISSION D. Scott Kreiner, MDNorth American Spine Society7075 Veterans Blvd.Burr Ridge, IL 60527 SUBJECT: NASS Draft Model Coverage Policy on Spinal Cord Stimulator Dear Dr. Kreiner:On behalf of […]
Letters
Published: September 30, 2025
The Honorable Mehmet C. Oz, MD. MBAAdministratorCenters for Medicare & Medicaid ServicesU.S. Department of Health and Human ServicesATTN: CMS-1834-PP.O. Box 8013Baltimore, MD 21244-1850 Subject: CMS-1834-P, CY 2026 Medicare and Medicaid […]
Letters
Published: September 12, 2025
Peter J. Nelson, JDDeputy Administrator & DirectorCenter for Consumer Information & Insurance OversightCenters for Medicare & Medicaid Services Dear Deputy Administrator and Director Nelson, The undersigned physician organizations are writing […]
