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On April 14, 2015, Congress repealed the sustainable growth rate (SGR) formula.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

2019 Hospital Inpatient Prospective Payment System Side-by-Side Comparison (prepared by Hart Health Strategies)

Published: November 18, 2018
Table of Contents MEDICARE SEVERITY DIAGNOSIS-RELATED GROUP (MS-DRG) CLASSIFICATIONS AND RELATIVE WEIGHTS …………………………………………………….3MS-DRG DOCUMENTATION AND CODING ADJUSTMENT………………………………………………………………………………………………………………………………3SPECIFIC MS-DRG CLASSIFICATIONS ……………………………………………………………………………………………………………………………………………………………………………………..3ADD-ON PAYMENTS FOR NEW SERVICES AND TECHNOLOGIES ……………………………………………………………………………………………………………………….10CHANGES TO MS-DRGS SUBJECT […]
  • Quality Improvement and Patient Safety
  • Reimbursement and Practice Management
Letters

Neurosurgery Urges Novitas to Cover MRgFUS for Essential Tremor

Published: October 9, 2018
SUBJECT: LCD DL35094, Non-coverage for MRgFUS for Essential Tremor Dear Dr. Patterson: The American Association of Neurological Surgeons (AANS), Congress of Neurological Surgeons (CNS)and American Society for Stereotactic and Functional […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Sends Letter to CMS Regarding Medicare OPPS ASC Proposed Rule 9.24.18

Published: September 24, 2018
Subject: CMS-1695-P Medicare Program: Calendar Year 2019 Hospital OutpatientProspective Payment and Ambulatory Surgical Center Payment Systems andQuality Reporting Programs Dear Administrator Verma: On behalf of the American Association of Neurological […]
  • Quality Improvement and Patient Safety
  • Reimbursement and Practice Management
Letters

Neurosurgery Comments on the Proposed 2019 Medicare Physician Fee Schedule

Published: September 10, 2018
Subject: CMS-1693-P Medicare Program; Revisions to Payment Policies Under thePhysician Fee Schedule (PFS) and Other Revisions to Part B for CY 2019;Medicare Shared Savings Program Requirements; Quality Payment Program; andMedicaid […]
  • Quality Improvement and Patient Safety
  • Reimbursement and Practice Management
Letters

Neurosurgery Comments on the Proposed 2019 Medicare Physician Fee Schedule

Published: September 10, 2018
Subject: CMS-1693-P Medicare Program; Revisions to Payment Policies Under thePhysician Fee Schedule (PFS) and Other Revisions to Part B for CY 2019;Medicare Shared Savings Program Requirements; Quality Payment Program; andMedicaid […]
  • Quality Improvement and Patient Safety
  • Reimbursement and Practice Management