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On April 14, 2015, Congress repealed the sustainable growth rate (SGR) formula.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

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Letters

Neurosurgery Urges Action on Prior Authorization

Published: June 6, 2022
Subject: Advancing Prior Authorization Legislation Dear Chairman Pallone, Ranking Member McMorris Rodgers, Chair DeGette and Ranking Member Guthrie: The Regulatory Relief Coalition (RRC) — a group of national physician specialty […]
  • Reimbursement and Practice Management
Position Statement

Neurosurgery Announces New Medicare Principles

By:
  • AANS/CNS Washington Office
Published: May 25, 2022
Simplicity, relevance, alignment, and predictability, for physician practices and the Centers for Medicare and Medicaid Services (CMS). Ensuring financial stability and predictability Click here to view the full Neurosurgery Announces […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Joins Alliance in Commenting on Network Adequacy

Published: January 27, 2022
Chiquita Brooks-LaSure, JDCenters for Medicare & Medicaid ServicesDepartment of Health and Human ServicesAttention: CMS-9911-PP.O. Box 8016Baltimore, MD 21244-8016 RE: Patient Protection and Affordable Care Act; HHS Notice of Benefit and […]
  • Reimbursement and Practice Management
Amicus Brief

Neurosurgery Leads Amicus Brief Effort in Surprise Billing Lawsuit

Published: January 7, 2022
IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLUMBIA AMERICAN MEDICAL ASSOCIATION,et al.,Plaintiffs,v.UNITED STATES DEPARTMENT OFHEALTH AND HUMAN SERVICES, et al.,Defendants. Case No. 1:21-cv-03231-RJL MOTION FOR LEAVE TO […]
  • Reimbursement and Practice Management
AANS Toolkit for Physicians

No Surprises Act Tool Kit

Published: January 1, 2022
AMERICAN MEDICAL ASSOCIATION™TOOLKIT FOR PHYSICIANS:PREPARING FOR IMPLEMENTATIONOF THE NO SURPRISES ACT THIS AMA® TOOLKIT FOR PHYSICIANS:PREPARING FOR IMPLEMENTATION OF THE NO SURPRISES ACTis for informational purposes only. It is not […]
  • Reimbursement and Practice Management
Letters

Surgical Coalition Urges Passage of Legislation to Prevent Medicare Cuts

Published: December 7, 2021
Dear Speaker Pelosi and Leaders Schumer, McConnell, and McCarthy: On behalf of the undersigned surgical organizations, we urge Congress to pass theProtecting Medicare and American Farmers from Sequester Cuts Act […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Comments on Surprise Billing Regulations

Published: December 6, 2021
Dear Secretaries Becerra, Walsh and Yellen: The 21 undersigned surgical organizations appreciate the opportunity to comment on the“Requirements Related to Surprise Billing; Part II” interim final rules with comment (IFR)implementing […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Reinforces Need for Congress to Prevent Steep Medicare Cuts

Published: November 20, 2021
Dear Speaker Pelosi and Leaders Schumer, McConnell, and McCarthy: On behalf of the undersigned organizations, representing over one million physician and non-physician health care providers, thank you for your ongoing […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Reinforces Request for CMS to Increase Global Surgery Code Values

Published: October 28, 2021
Gift TeeDirector, Practitioner Services, Center for MedicareCenters for Medicare & Medicaid Services7500 Security BoulevardBaltimore, MD 21244 Re: CMS Meeting with Surgical Specialty Representatives on Global Codes Update Dear Mr. Tee, […]
  • Reimbursement and Practice Management
Letters

AANS and CNS Urge CMS to Halt Hospital Outpatient Department Prior Auth

Published: September 17, 2021
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-1753-P Medicare Program: Calendar […]
  • Reimbursement and Practice Management
Letters

AANS/CNS Comment on Proposed 2022 Medicare Physician Fee Schedule

Published: September 13, 2021
Subject: CMS-1751-P Medicare Program; CY 2022 Payment Policies Under the PhysicianFee Schedule and Other Changes to Part B Payment Policies; Medicare SharedSavings Program Requirements; Provider Enrollment Regulation Updates;Provider and Supplier […]
  • Reimbursement and Practice Management
Article

Neurosurgery Position Statement on LITT for Epilepsy

Published: September 13, 2021
American Society for Stereotactic and Functional Neurosurgery Position Statement on LaserInterstitial Thermal Therapy for the Treatment of Drug-Resistant Epilepsy Chengyuan Wu, MD, Jason M. Schwalb, MD, Joshua Rosenow, MD, Guy […]
  • Reimbursement and Practice Management
Article

Neurosurgery Position Statement on LITT for Tumor

Published: September 7, 2021
Table of Contents Contents Executive Summary……………………………………………………………………………………………………………….3Purpose of the Statement…………………………………………………………………………………………………..3Importance of the CNS/AANS Statement …………………………………………………………………………….3Indications for the use of LITT include the following criteria …………………………………………………3Contraindications to LITT……………………………………………………………………………………………………3Background and Supporting Literature……………………………………………………………………………………4Prevalence of […]
  • Reimbursement and Practice Management
Letters

AANS and CNS Object to Hospital DRG Assignments for LITT

Published: August 21, 2021
SUBJECT: Reassignment of MS-DRGs for Laser Interstitial Thermal Therapy (LITT) BrainProcedures in FY 2022 Medicare Hospital Inpatient Prospective PaymentSystem (IPPS) Final Rule Dear Administrator Brooks-LaSure: On behalf of the American […]
  • Reimbursement and Practice Management
Letters

Neurosurgeons Lead Coalition Effort to Prevent Steep Medicare Cuts

Published: July 23, 2021
Dear Speaker Pelosi and Leaders Schumer, McConnell, and McCarthy: On behalf of the undersigned organizations, representing over one million physician and non-physicianhealth care providers, thank you for your ongoing support […]
  • Reimbursement and Practice Management