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On April 14, 2015, Congress repealed the sustainable growth rate (SGR) formula.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

Neurosurgery Joins the Alliance in Sending a Statement to the Senate Committee on Finance Regarding the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)

Published: May 20, 2019
The Alliance of Specialty Medicine (“Alliance”) is a coalition of fifteen medical specialtysocieties representing more than 100,000 physicians and surgeons from specialty andsubspecialty societies dedicated to the development of sound […]
  • Quality Improvement and Patient Safety
  • Reimbursement and Practice Management
Letters

CMS’ Response to Roe-Bera Prior Authorization Letter

Published: February 7, 2019
Dear Representative Roe: Thank you for the letter regarding the use of prior authorization in Medicare Advantage (MA).appreciate hearing your views on this issue. Medicare law and regulations allow MA […]
  • Reimbursement and Practice Management
Article

H.R. 3107, Improving Seniors’ Timely Access to Care Act of 2019

Published: January 1, 2019
H. R. ____ To amend title XVIII of the Social Security Act to establish requirementswith respect to the use of prior authorization under Medicare Advantageplans, and for other purposes. _______________ […]
  • Medical Liability Reform
  • Reimbursement and Practice Management
Article

Summary of 2020 Medicare Physician Fee Schedule

Published: January 1, 2019
Medicare Physician Fee Schedule Final Rule Summary On Nov. 1, 2019, the Centers for Medicare & Medicaid Services (CMS) released the Calendar Year(CY) Medicare Physician Fee Schedule (MPFS) Final Rule. […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Joins the Medical Coalition in Sending Comments on the Proposed 2019 Medicare Physician Fee Schedule.

Published: January 1, 2019
September 10, 2018 SUBMITTED ELECTRONICALLY VIAhttp://www.regulations.gov Seema VermaAdministratorCenters for Medicare & Medicaid Services,Department of Health and Human Services,Attention: CMS-1693-PMail Stop C4-26-057500 Security BoulevardBaltimore, Maryland 21244-1850 Re: Medicare Program; Revisions to […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Urges CMS to Reverse Course on Global Surgery Payment Rules for 2021

Published: January 1, 2019
December 6, 2019 Seema VermaAdministratorCenters for Medicare & Medicaid Services,Department of Health and Human Services,Attention: CMS-1715-PP.O. Box 8016Baltimore, MD 21244-8016 Re: CMS-1715-F – Medicare Program; CY 2020 Revisions to Payment […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Responds to CMS Draft Coverage Policy for VNS for Depression

Published: December 19, 2018
Subject: CMS Proposed Decision Memo for Vagus Nerve Stimulation (VNS) for Treatment Resistant Depression (TRD) (CAG-00313R2) Dear Ms. Jensen: The American Association of Neurological Surgeons (AANS), Congress of Neurological Surgeons […]
  • Reimbursement and Practice Management
Article

Neurosurgery 2017/2018 Coverage Policy Overview

Published: November 18, 2018
Overview of Coverage Policies on Which Neurosurgery Commented: 2017 and 2018 Preview not available… Read full article here
  • Reimbursement and Practice Management