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On April 14, 2015, Congress repealed the sustainable growth rate (SGR) formula.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
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Letters
Dear Administrator Verma: On behalf of the undersigned organizations, we are writing regarding the decision announced on July 7 bythe Centers for Medicare & Medicaid Services (CMS) to suspend billions […]
Letters
Subject: Draft Key Questions for Health Technology Assessment (HTA) ProgramReview of Sacroiliac Joint Fusion Dear Mr. Morse: On behalf of the American Association of Neurological Surgeons (AANS), Congress of NeurologicalSurgeons […]
Letters
Subject: CMS National Coverage Analysis (NCA) for Vagus Nerve Stimulation (VNS) forTreatment-Resistant Depression (TRD) (CAG-00313R2) Dear Ms. Jensen: The American Association of Neurological Surgeons (AANS), Congress of Neurological Surgeons (CNS),and […]
Letters
Subject: Fiscal Year (FY) 2019 Medicare Hospital Inpatient Prospective Payment System(IPPS) and Long Term Acute Care Hospital (LTCH) Prospective Payment SystemProposed Rule, CMS-1694-P Dear Ms. Verma, On behalf of more […]
Letters
Re: CMS-1694-P – Medicare Programs: Hospital Inpatient Prospective Payment Systemsfor Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment Systemand Proposed Policy Changes and Fiscal Year 2019 Rates; Proposed […]
Letters
Subject: Medical Coverage Policy 0527 Cervical Fusion Dear Dr. Kessel, The American Association of Orthopaedic Surgeons (AAOS), American Association of NeurologicalSurgeons (AANS), Cervical Spine Research Society (CSRS), Congress of Neurological […]
Letters
Re: AmeriHealth Policy #03.00.06n: Modifier 25 Dear Mr. Hilferty and Mr. Munoz: The staff of the Medical Society of New Jersey spoke with Dr. Frank Urbano of AmeriHealth NJ and […]
Letters
Dear Sir or Madam: On behalf of the Regulatory Relief Coalition, including the undersigned professional associations, we arepleased to have the opportunity to comment on the Paperwork Reduction Act notice […]
Letters
Subject: Medical Coverage Policy 0527 Cervical Fusion Dear Dr. Kessel, The American Association of Neurological Surgeons (AANS), Congress of Neurological Surgeons (CNS)and the AANS/CNS Joint Section on Disorders of Spine […]
Letters
Published: April 23, 2018
RE: Washington State Health Care Authority 2018 Health Technology Topic Selection –Sacroiliac Joint Fusion Surgery Dear Mr. Morse: On behalf of the American Association of Neurological Surgeons (AANS), Congress ofNeurological […]
Letters
Published: April 16, 2018
Dear Administrator Verma: On behalf of the undersigned organizations, we urge the Centers for Medicare & Medicaid Services (CMS)to reduce the 2018 Merit-based Incentive Payment System (MIPS) quality measure reporting […]
Article
Published: March 21, 2018
Chairman Roskam, Ranking Member Levin, and members of the Subcommittee, thank you for theopportunity to provide feedback on implementation of the Medicare Access and CHIP ReauthorizationAct of 2015 (MACRA). The […]
Letters
Published: March 21, 2018
SUBJECT: Washington State HTA Program Draft Evidence Report for Surgery for SymptomaticLumbar Radiculopathy Dear Mr. Morse: On behalf of the American Academy of Orthopaedic Surgeons (AAOS), American Association ofNeurological Surgeons […]
Article
AANS and CNS Joint Section on Disorders of the Spine and Peripheral Nerves (DSPN)Comments on NASS Coverage Policy Recommendations on Lumbar Interspinous Device withoutFusion and Decompression The American Association of […]
Letters
Published: January 16, 2018
Re: Medicare Program; Contract Year 2019 Policy and Technical Changes to the MedicareAdvantage, Medicare Cost Plan, Medicare Fee-for-Service, the Medicare Prescription DrugBenefit Program, and the PACE Program Dear Administrator Verma, […]
Letters
Published: January 10, 2018
Re: MedPAC discussion on “Rebalancing the physician fee schedule towards primary careservices” Dear Dr. Mathews: On behalf of the 20 undersigned organizations, we write to express our concern with theNovember […]
Letters
Published: January 9, 2018
RE: Chairman’s Recommendation to Eliminate the Merit-based Incentive Payment System(MIPS) and Implement a Voluntary Value Program (VVP) Dear Chairman Crosson, On behalf of more than 100,000 specialty physicians from 13 […]
Letters
Published: January 2, 2018
RE: CY 2018 Updates to the Quality Payment Program Dear Ms. Verma, The Alliance of Specialty Medicine (the “Alliance”) represents more than 100,000 specialty physiciansfrom 13 specialty and subspecialty societies. […]
Letters
Published: January 1, 2018
SUBJECT: CY 2018 Updates to the Quality Payment Program (CMS-5522-FC) Dear Administrator Verma: On behalf of the American Association of Neurological Surgeons (AANS) and the Congress ofNeurological Surgeons (CNS), representing […]
Letters
Published: January 1, 2018
Re: CMS-5522-FC – Medicare Programs: CY 2018 Updates to the Quality Payment Program Dear Ms. Verma: The undersigned members of the Physician Clinical Registry Coalition (the Coalition) appreciatethe opportunity to […]
Letters
Published: December 11, 2017
Dear Majority Leader McConnell, Leader Schumer, Speaker Ryan and Leader Pelosi, The undersigned surgical organizations urge Congress not to include Medicare cuts that could threatenpatient access to quality care in […]
Letters
Published: November 27, 2017
SUBJECT: Washington State HTA Key Questions for Review of Surgery for SymptomaticLumbar Radiculopathy Dear Mr. Morse: The American Academy of Orthopaedic Surgeons (AAOS), American Association of Neurological Surgeons(AANS), AANS/CNS Joint […]
Article
Published: November 27, 2017
The American Academy of Orthopaedic Surgeons (AAOS), American Association ofNeurological Surgeons (AANS), AANS/CNS Section on Disorders of the Spine andPeripheral Nerves (DSPN), Congress of Neurological Surgeons (CNS), InternationalSociety for the […]
Letters
Published: November 20, 2017
Re: Concerns Regarding the Commercial Use of MIPS Measures Dear Dr. Yong: The undersigned members of the Physician Clinical Registry Coalition (the Coalition) arewriting to express our ongoing concerns about […]
