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On April 14, 2015, Congress repealed the sustainable growth rate (SGR) formula.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

House of Reps Members Urge Leaders to Prevent Medicare Cuts

Published: December 13, 2022
Dear President Biden, Leader Schumer, Minority Leader McConnell, Speaker Pelosi, and Minority Leader McCarthy: We write today as a bipartisan group of lawmakers urging you to act quickly to prevent […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Joins Alliance in Commenting on National Provider Directory

Published: December 6, 2022
Ms. Chiquita Brooks-LaSure, AdministratorCenters for Medicare & Medicaid ServicesDepartment of Health and Human ServicesAttention: CMS-0058-NCP.O. Box 8013Baltimore, MD 21244-8016 Submitted electronically via www.regulations.gov RE: Request for Information; National Directory of […]
  • Reimbursement and Practice Management
Letters

Neurosurgeons Push for Legislation to Prevent Medicare Cuts

Published: December 5, 2022
Dear Speaker Pelosi, Majority Leader Schumer, Leader McConnell and Leader McCarthy, The undersigned organizations, representing over one million physicians and non-physicians health care clinicians and the patients they serve, strongly […]
  • Reimbursement and Practice Management
Letters

Senators Urge Action to Mitigate Medicare Payment Cuts

Published: November 2, 2022
Dear Leader Schumer and Leader McConnell, We write to express our serious concerns regarding the stability of Medicare payments to health care providers. Congress must address these vital payment challenges […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Comments on NASS Cervical Fusion Coverage Policy

Published: October 24, 2022
Edward Dohring, MD, PresidentNorth American Spine Society7075 Veterans Blvd.Burr Ridge, IL 60527 SUBJECT: NASS Draft Cervical Fusion Coverage Policy Recommendations Dear Dr. Dohring: On behalf of the American Association of […]
  • Reimbursement and Practice Management
Letters

AANS CNS Submit Comments on MS-DRG Assignment for LITT

Published: October 20, 2022
Ms. Chiquita Brooks-LaSure, AdministratorCenters for Medicare & Medicaid ServicesU.S. Department of Health and Human ServicesATTN: CMS-1771-FP.O. Box 8013 Baltimore, MD 21244-1850 Submitted electronically via https://www.mearis.cms.gov SUBJECT: Fiscal Year (FY) 2023 […]
  • Reimbursement and Practice Management
Amicus Brief

AANS and CNS Lead Amicus Brief in Surprise Billing Litigation

Published: October 19, 2022
IN THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF TEXAS TYLER DIVISION TEXAS MEDICAL ASSOCIATION,et al.,Plaintiffs,v.UNITED STATES DEPARTMENT OFHEALTH AND HUMAN SERVICES, et al.,Defendants. Civil Action No. 6:22-cv-00372-JDK […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Provides Comments on MS-DRG Assignment for LITT Procedures

Published: October 2, 2022
Ms. Chiquita Brooks-LaSure, AdministratorCenters for Medicare & Medicaid ServicesU.S. Department of Health and Human ServicesATTN: CMS-1771-FP.O. Box 8013 Baltimore, MD 21244-1850 Submitted electronically via https://www.mearis.cms.gov SUBJECT: Fiscal Year (FY) 2023 […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Leads Coalition Effort to Prevent Medicare Cuts

Published: September 30, 2022
Dear Representatives Bera and Bucshon, On behalf of the undersigned organizations, representing over one million physician and non‐physician health care clinicians, we applaud the introduction of H.R. 8800, the Supporting […]
  • Reimbursement and Practice Management
Letters

Reps. Bera and Bucshon Urge CMS to Increase Global Surgery Codes

Published: September 27, 2022
The Honorable Chiquita Brooks-LaSureAdministratorCenters for Medicare & Medicaid ServicesU.S. Department of Health and Human Services7500 Security BoulevardBaltimore, MD 21244 Dear Administrator Brooks-LaSure: We write to express our concern with the […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Submits Comments to First Coast Regarding Neurostimulator LCD

Published: September 24, 2022
Juan L. Schaening-Perez, MDFirst Coast Service OptionsAttn: Medical Policy and Procedures532 Riverside Ave, ROC 19TJacksonville, FL 32202-4914Via email to: ProposedLCDComments@fcso.com Subject: Proposed Local Coverage Determination (LCD): Nerve Stimulators for Chronic […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Submits Comments to Novitas Regarding Neurostimulator LCD

Published: September 24, 2022
Leslie Stevens, MDNovitas Solutions, Inc.2020 Technology Parkway, Suite 100Mechanicsburg, PA 17050 Via email to: ProposedLCDComments@Novitas-Solutions.com Subject: Proposed Local Coverage Determination (LCD): Nerve Stimulators for Chronic Intractable Pain (DL 39404). Dear […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Joins AMA in Urging Congress to Prevent Medicare Cuts

Published: September 22, 2022
Dear Speaker Pelosi, Majority Leader Schumer, Leader McConnell, and Leader McCarthy: The American Medical Association (AMA) and undersigned national specialty and state medical societies representing the vast majority of physicians […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Urges Senate to Act on Telehealth legislation

Published: September 13, 2022
Dear Senators Schumer and McConnell: Thank you for your continued leadership in expanding access to virtual care during the COVID19 public health emergency (PHE). This access has been transformational – […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Led Coalition Urges CMS to Drop Prior Auth Requirement for Spine Procedures

Published: September 13, 2022
The Honorable Chiquita Brooks-LaSureAdministratorCenters for Medicare & Medicaid ServicesDepartment of Health and Human ServicesAttention: CMS-1751-PMail Stop C4-26-057500 Security BoulevardBaltimore, MD 21244-1850 Subject: Medicare Program: 2023 Hospital Outpatient Prospective Payment and […]
  • Reimbursement and Practice Management
Letters

AANS and CNS Comment on 2023 Medicare OPPS and ASC Proposed Rule

Published: September 7, 2022
Ms. Chiquita Brooks-LaSure, AdministratorCenters for Medicare & Medicaid ServicesU.S. Department of Health and Human ServicesATTN: CMS-1751-PP.O. Box 8013 Baltimore, MD 21244-1850 Submitted electronically via www.regulations.gov Subject: CMS-1772-P Medicare Program: Calendar […]
  • Quality Improvement and Patient Safety
  • Reimbursement and Practice Management
Letters

Neurosurgery Leads Coalition Effort Urging CMS to Increase Global Surgery Codes

Published: September 6, 2022
Chiquita Brooks-LaSure, AdministratorCenters for Medicare & Medicaid ServicesDepartment of Health and Human ServicesAttention: CMS–1770–PPO Box 8016Baltimore, MD 21244–8016 Subject: CMS-1770-P; Medicare Program; CY 2023 Payment Policies Under the Physician Payment […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Joins the Alliance in Comments on 2023 Medicare Physician Fee Schedule Proposed Rule

Published: September 6, 2022
Ms. Chiquita Brooks-LaSure, AdministratorCenters for Medicare & Medicaid ServicesDepartment of Health and Human ServicesAttention: CMS-1770-PP.O. Box 8013Baltimore, MD 21244-8016 Submitted electronically via www.regulations.gov RE: Medicare and Medicaid Programs; CY 2023 […]
  • Quality Improvement and Patient Safety
  • Reimbursement and Practice Management
Letters

AANS and CNS Comment on 2023 Medicare Physician Fee Schedule Proposed Rule

Published: August 31, 2022
Ms. Chiquita Brooks-LaSure, AdministratorCenters for Medicare & Medicaid ServicesU.S. Department of Health and Human ServicesATTN: CMS-1751-PP.O. Box 8013 Baltimore, MD 21244-1850 Submitted electronically via www.regulations.gov Subject: CMS-1770-P Medicare Program; CY […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Urges CMS to Improve Prior Authorization in Medicare Advantage

Published: August 31, 2022
The Honorable Chiquita Brooks-LaSureAdministratorCenters for Medicare & Medicaid ServicesDepartment of Health and Human ServicesAttention: CMS-1751-PMail Stop C4-26-057500 Security BoulevardBaltimore, MD 21244-1850 Re: [CMS–4203–NC] RIN 0938–AV01 Medicare Program; Request for Information […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Joins Alliance in Commenting on HHS Primary Care Initiative

Published: August 1, 2022
Admiral Rachel L. Levine, MDOffice of the Assistant Secretary for HealthOffice of the SecretaryU.S. Department of Health and Human Services200 Independence Avenue, S.W.Washington, D.C. 20201 Sent electronically to OASHPrimaryHealthCare@hhs.gov RE: […]
  • Reimbursement and Practice Management