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On April 14, 2015, Congress repealed the sustainable growth rate (SGR) formula.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

U.S. House Members Send Letter to CMS Regarding Global Surgery Policy

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) […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Submits Comments to CMS regarding the 2015 Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs Proposed Rule

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 […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Comments on 2015 Proposed Hospital Inpatient Payment Rule

Published: June 30, 2014
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 […]
  • Graduate Medical Education
  • Reimbursement and Practice Management
Letters

Neurosurgeons Join Alliance in Urging Congress to Repeal the SGR

Published: May 9, 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 specialtysocieties representing more than 100,000 physicians […]
  • Medical Liability Reform
  • Reimbursement and Practice Management
Agenda

AANS and CNS Unveil 2014 Legislative Agenda

Published: March 26, 2014
REFORMING THE REFORM ABOLISH THE INDEPENDENT PAYMENT ADVISORY BOARD (IPAB)Established by the Patient Protection and Affordable Care Act (ACA), the IPAB is a 15-member government board whosemembers are appointed by […]
  • Reimbursement and Practice Management
Letters

AANS/CNS Support Legislation to Repeal the SGR

Published: February 18, 2014
Subject: SGR Repeal and Medicare Provider Payment Modernization Act Dear Senators Wyden and Hatch and Representatives Camp, Levin, Upton, Waxman and Burgess: On behalf of the American Association of Neurological […]
  • Reimbursement and Practice Management
Article

Surgery & Public Reporting: Recommendations for Issuing Public Reports on Surgical Care

Published: February 14, 2014
TABLE OF CONTENTS Executive Summary ……………………………………………………………………………………………………………..4Introduction ……………………………………………………………………………………………………………………….5Section I: Basic Operating Tenets of Provider Public Reporting …………………………………………………………6Section II: General Issues in Reporting …………………………………………………………………………………….11Section III: Audience-Dependent Issues…………………………………………………………………………………….15Physician……………………………………………………………………………………………………………….15Patient ………………………………………………………………………………………………………………….18Payer/Purchaser ……………………………………………………………………………………………………..20References ………………………………………………………………………………………………………………………23Appendix A: Public […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Urges CMS to Ban Step Therapy

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 […]
  • Reimbursement and Practice Management
Letters

AANS/CNS Sequester Letter to the U.S. House

Published: December 21, 2012
Dear Speaker Boehner and Representative Pelosi: The undersigned medical organizations, together representing the vast majority ofpracticing physicians and medical students in the United States, strongly urge Congressto develop and pass […]
  • Reimbursement and Practice Management
Letters

AANS/CNS ICD-10 Letter

Published: December 20, 2012
Dear Acting Administrator Tavenner: The undersigned organizations appreciate the Obama administration’s decision to delay theimplementation of ICD-10 by one year to October 1, 2014. As you are aware, the AmericanMedical […]
  • Reimbursement and Practice Management
Letters

AANS/CNS Urged Lawmakers to Reform SGR

Published: October 15, 2012
Dear Chairman Baucus and Senator Hatch: The United States health care system is in the midst of profound change, and we nowhave a unique opportunity to improve and restructure how […]
  • Reimbursement and Practice Management
Letters

AANS/CNS Comment on Proposed 2013 Medicare Physician Fee Schedule

Published: September 4, 2012
RE: CMS-1590-P Medicare Program; Payment Policies Under the Physician FeeSchedule (PFS) and Other Revisions to Part B for CY 2013 Dear Administrator Tavenner: On behalf of the American Association of […]
  • Reimbursement and Practice Management
Letters

BCBSM Policy on Minimally Invasive Lumbar Interbody Fusion

Published: May 1, 2012
Subject: BCBSM Policy on Minimally Invasive Lumbar Interbody Fusion Dear Dr. Simmer: On behalf of the American Association of Neurological Surgeons (AANS), the Congress ofNeurological Surgeons (CNS), and our AANS/CNS […]
  • Reimbursement and Practice Management