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On April 14, 2015, Congress repealed the sustainable growth rate (SGR) formula.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
Published: September 1, 2015
Joseph Cheng, MDAmerican Association of Neurological Surgeons /Congress of Neurological Surgeons725 15th Street, NW, Suite 500Washington, DC 20005 Dear Dr. Cheng: I thank you and your colleagues for meeting by […]
Letters
Published: August 31, 2015
Andy Slavitt, AdministratorCenters for Medicare & Medicaid ServicesDepartment of Health and Human ServicesAttention: CMS-1633-PRoom 445-G, Hubert H. Humphrey Building200 Independence Avenue, SWWashington, DC 20201 Re: CMS-1633-P Medicare Program; Hospital Outpatient […]
Letters
The Honorable Ted Poe2412 Rayburn House Office BuildingWashington, DC 20515 Dear Representative Poe: As the Alliance of Specialty Medicine (the “Alliance”), our mission is to advocate for sound federal healthcare […]
Letters
The Honorable Gary Palmer206 Cannon House Office BuildingWashington, DC 20515 RE: H.R. 2652, Protecting Patients and Physicians Against Coding Act of 2015 Dear Representative Palmer: As the Alliance of Specialty […]
Letters
The Honorable Diane Black1131 Longworth House Office BuildingWashington, DC 20515 RE: H.R. 2247, the Increasing Clarity for Doctors by Transitioning Effectively Now Act (ICD-TEN Act) Dear Representative Black: As the […]
Letters
The Honorable Tom Price, MD100 Cannon House Office BuildingWashington, DC 20515 RE: H.R. 2300, Empowering Patients First Act of 2015 Dear Representative Price: As the Alliance of Specialty Medicine (Alliance), […]
Letters
Andy Slavitt, Acting AdministratorCenters for Medicare & Medicaid ServicesDepartment of Health and Human ServicesRoom 445-G, Hubert H. Humphrey Building200 Independence Avenue, SWWashington, DC 20201 Subject: Hospital Inpatient Prospective Payment Systems […]
Letters
Josiah Morse, MPHProgram DirectorWashington State Healthcare AuthorityHealth Technology Assessment ProgramP.O. Box 42712Olympia, WA 98504-2712 Re: AANS/CNS Comments on Key Questions for Washington State HTA Re-review ofLumbar Spinal Fusion Coverage Policy […]
Article
Published: April 14, 2015
Neurosurgeons Commend Senate for Passing Historic Medicare LegislationCongress Finally Sends Medicare’s Flawed Physician Payment System to the Trash Heap Washington, DC – The American Association of Neurological Surgeons (AANS) and […]
Letters
Published: March 18, 2015
Dear Speaker Boehner and Leader Pelosi, We are writing to express our concern regarding the provision contained in Centers for Medicare andMedicaid Services’ (CMS) Physician Fee Schedule (PFS) final rule […]
Letters
Published: March 18, 2015
Dear Secretary Burwell and Acting Administrator Slavitt: The undersigned national medical organizations are writing to express concerns regarding theCenters for Medicare and Medicaid Services (CMS) implementation of Section 218 (b) […]
Letters
Published: March 16, 2015
Dear Speaker Boehner: The undersigned state and national medical associations strongly urge you to repeal the failedMedicare Sustainable Growth Rate (SGR) formula before the expiration of the current paymentpatch. During […]
Letters
Published: March 15, 2015
Dear Mr. Speaker and Leader Pelosi: The undersigned organizations of the Alliance of Specialty Medicine (the Alliance) write in support of H.R. 2, theMedicare Access and CHIP Reauthorization Act of […]
Letters
Dear Acting Administrator Slavitt: The undersigned organizations are writing to you concerning the agency’s implementation plansfor moving to ICD-10, a code set named under the Health Insurance Portability andAccountability Act […]
Letters
Published: February 24, 2015
Joseph Cheng, MDHenry Woo, MDCongress of Neurological Surgeons / American Association of Neurological Surgeons725 15th Street, NW, Suite 500Washington, DC 20005 Dear Drs. Cheng and Woo: I thank you for […]
Article
Published: February 12, 2015
GLOBAL SURGICAL CODES Legislative Request Regarding Transition of 10- and 90-day Global Codes Request: Congress should rescind the policy in the 2015 Final Medicare Physician Fee ScheduleRule to transition 10– […]
Article
Published: January 1, 2015
Background On Friday, December 5, 2014, the Centers for Medicare and Medicaid Services (CMS) released a final rule onMedicare provider enrollment requirements. The provisions of the final rule, Requirements for […]
Letters
Published: December 2, 2014
Dear Leader Reid, Leader McConnell, Speaker Boehner, and Leader Pelosi: The undersigned organizations strongly urge Congress to rescind the policy in the 2015 FinalMedicare Physician Fee Schedule Rule to transition […]
Letters
Published: November 20, 2014
Dear Speaker Boehner, Majority Leader McCarthy, Majority Leader Reid, Minority LeaderMcConnell and Minority Leader Pelosi: We write to you today urging you to consider and pass bipartisan-bicameral legislation to repealthe […]
Letters
Published: September 26, 2014
Dear Speaker Boehner, Leader Pelosi, Leader Reid and Leader McConnell: On behalf of the Alliance of Specialty Medicine (the Alliance), a coalition of medical specialty societiesrepresenting more than 100,000 physicians […]
Letters
Published: September 18, 2014
Dear Administrator Tavenner, We are writing to express our concern regarding the provision contained in Centers for Medicareand Medicaid Services’ (CMS) Physician Fee Schedule (PFS) proposed rule for calendar year(CY) […]
Letters
Published: September 2, 2014
Re: CMS-1613-P Medicare and Medicaid Programs: Hospital Outpatient ProspectivePayment and Ambulatory Surgical Center Payment Systems and Quality ReportingPrograms Proposed Rule Dear Ms. Tavenner: On behalf of 4,000 practicing neurosurgeons in […]
Letters
Published: September 1, 2014
Re: Medicare Program; Revisions to Payment Policies under the Physician FeeSchedule, Clinical Laboratory Fee Schedule & Other Revisions to Part B for CY2015; CMS-1612-P Dear Ms. Tavenner: On behalf of […]
Letters
Published: August 7, 2014
RE: Blue Cross Blue Shield of Michigan Transpsoas Approaches Medical Policy Dear Dr Simmer: On behalf of the members of the Council of Surgical Spine Societies (COSSS), we wish to […]
Letters
Re: Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute CareHospitals and Long-Term Care Hospital Prospective Payment System andProposed Fiscal Year (FY) 2015 Rates; Quality Reporting Requirements for SpecificProviders Dear […]