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On April 14, 2015, Congress repealed the sustainable growth rate (SGR) formula.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.

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Letters

Neurosurgery Sends Letter to First Coast on MRgFUS for Essential Tremor

Published: July 30, 2019
SUBJECT: Support for Coverage for Magnetic Resonance Image-Guided High IntensityFocused Ultrasound (MRgFUS) for Essential Tremor (ET) LCD L33777 Dear Drs. Schaening and Campbell: On behalf of the American Association of […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Sends Comments to CSG on Vertebral Augmentation

Published: July 25, 2019
SUBJECT: Comments on Proposed LCD DL 38201 for Percutaneous VertebralAugmentation (PVA) for Osteoporotic Vertebral Compression Fracture (VCF) Dear Dr. Berman: On behalf of the American Association of Neurological Surgeons (AANS), […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Sends Comments to WPS on Vertebral Augmentatio

Published: July 19, 2019
SUBJECT: Comments on Proposed LCD DL 38213 for Percutaneous VertebralAugmentation (PVA) for Osteoporotic Vertebral Compression Fracture (VCF) Dear Dr. Holzmacher: On behalf of the American Association of Neurological Surgeons (AANS), […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Sends Comments to NGS on Vertebral Augmentation

Published: July 19, 2019
SUBJECT: Comments on Proposed LCD DL 33569 for Percutaneous VertebralAugmentation (PVA) for Osteoporotic Vertebral Compression Fracture (VCF) Dear Ms. Muir: On behalf of the American Association of Neurological Surgeons (AANS), […]
  • Reimbursement and Practice Management
Article

Neurosurgery Prior Authorization Overview 6.20.19

Published: June 20, 2019
PRIOR AUTHORIZATION BACKGROUND Prior authorization is a cumbersome process that requires physicians to obtain pre-approval for medicaltreatments or tests before rendering care to their patients. The process for obtaining this […]
  • Medical Liability Reform
  • Reimbursement and Practice Management
Article

Neurosurgery’s Principles for Unanticipated Medical Bills

Published: June 17, 2019
Americans continue to struggle with rising health care costs, including high deductibles and other out-ofpocket expenses. As such, a balanced solution for cost-sharing between patients, physicians and healthplans is a […]
  • Medical Liability Reform
  • Reimbursement and Practice Management
Article

Neurosurgery Prior Authorization Survey Results

Published: June 4, 2019
PRIOR AUTHORIZATION SURVEYTOP-LINE RESULTS Patient Access to Care Has Been Impacted Prior Authorization Burden Has Increased … Read full article here
  • Medical Liability Reform
  • Reimbursement and Practice Management
Letters

Neurosurgery Sends Letter to Novitas to Support Coverage for MRgFUS for ET

Published: June 3, 2019
SUBJECT: Support for Coverage for Magnetic Resonance Image Guided High IntensityFocused Ultrasound (MRgFUS) for Essential Tremor (ET) Dear Drs. Patterson and Whites: On behalf of the American Association of Neurological […]
  • Reimbursement and Practice Management