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On April 14, 2015, Congress repealed the sustainable growth rate (SGR) formula.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
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: February 13, 2013
The Honorable Chiquita Brooks-LaSure AdministratorCenters for Medicare and Medicaid ServicesDepartment of Health and Human Services7500 Security BoulevardBaltimore, MD 21244-1850 Via Electronic Delivery Re: Step Therapy for Part B Drugs in […]
