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On April 14, 2015, Congress repealed the sustainable growth rate (SGR) formula.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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Table of Contents Executive Summary/Background………………………………………………………………………………………….6Overview…………………………………………………………………………………………………………………………………6QPP Strategic Objectives…………………………………………………………………………………………………………….6One QPP………………………………………………………………………………………………………………………………….6Summary of the Major Provisions…………………………………………………………………………………………………7QPP Year 2 ………………………………………………………………………………………………………………………………………7Small Practices…………………………………………………………………………………………………………………………………7Summary of Major Provisions for Advanced APMs……………………………………………………………………………….7Summary of Major Provisions for MIPS……………………………………………………………………………………………….8Payment Adjustments………………………………………………………………………………………………………………10Benefits and Costs […]
Letters
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Published: October 6, 2016
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Published: October 6, 2016
Subject: Proposed National Coverage Determination (NCD) for Percutaneous Image guided Lumbar Decompression for Lumbar Spinal Stenosis (CAG-00433R) Dear Ms. Jensen, On behalf of the American Association of Neurological Surgeons (AANS), […]
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Dear Secretary Burwell: In April 2015, Congress passed, and the president signed into law, the Medicare Accessand CHIP Reauthorization Act (P.L. 114-10). MACRA replaced the flawed sustainablegrowth rate (SGR) formula […]
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Published: September 20, 2016
Lawmakers Ask CMS to Ditch Medicare’s Proposed Global Surgery Reporting RequirementsNeurosurgeons Applaud Congressional Effort to Discourage Burdensome Plan Washington, DC—Today, the American Association of Neurological Surgeons (AANS) and Congress ofNeurological […]
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Published: September 6, 2016
Re: Medicare Program; Revisions to Payment Policies under the Physician Fee Schedule and OtherRevisions to Part B for CY 2017; Medicare Advantage Pricing Data Release; Medicare Advantage andPart D Medical […]
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Published: September 5, 2016
Subject: CMS-1654-P Medicare Program; Revisions to Payment Policies under thePhysician Fee Schedule and Other Revisions to Part B for CY 2017 Dear Mr. Slavitt, On behalf of the American Association […]
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Published: September 2, 2016
Medicare’s Global Surgery Payment Policy BackgroundUnder the current system, Medicare pays surgeons and otherspecialists a single fee when they perform complex proceduressuch as back surgery, brain tumor removal, joint replacement,heart […]
Letters
Published: September 2, 2016
SUBJECT: CMS-1654-P Medicare Program; Payment Policies Under the MedicarePhysician Fee Schedule (PFS) and Other Revisions to Part B for CY 2017; DataCollection for Global Surgical Services Dear Mr. Slavitt: On […]
