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On April 14, 2015, Congress repealed the sustainable growth rate (SGR) formula.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
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 […]
Letters
Re: Prior Authorization in Medicare Advantage Plans Dear Chairs DeGette and Pallone and Ranking Members Griffith and McMorris Rodgers: The Alliance of Specialty Medicine writes to thank you for examining […]
Letters
Edward Dohring, MD, PresidentNorth American Spine Society7075 Veterans Blvd.Burr Ridge, IL 60527 SUBJECT: NASS Draft Model Coverage Policy on Basivertebral Nerve Ablation Dear Dr. Dohring: On behalf of the American […]
Position Statement
By: - AANS/CNS Washington Office
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 […]
Letters
Published: March 18, 2022
Micky Tripathi, PhD, MPPNational Coordinator for Health ITOffice of the National Coordinator for Health ITDepartment of Health and Human ServicesMary E. Switzer Building330 C Street SWWashington, DC 20201Submitted electronically via […]
Letters
Published: February 21, 2022
Re: Medicare Physician Payment Dear Speaker Pelosi, Majority Leader Schumer, and Minority Leaders McCarthy and McConnell: The Alliance of Specialty Medicine is dismayed that Congress is about to enact legislation […]
Letters
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 […]
Amicus Brief
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 […]
AANS Toolkit for Physicians
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 […]
Letters
Published: December 14, 2021
Dear Senators Boozman, Collins, Cramer, Cotton and Hyde-Smith: On behalf of the undersigned organizations, thank you for your leadership in introducing S.5007, the Holding Providers Harmless From Medicare Cuts During […]
Letters
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 […]
Letters
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 […]
Letters
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 […]
Letters
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, […]
Letters
Published: September 21, 2021
RE: Action needed to prevent Medicare payment cuts and maintain access to specialty care Dear Leader Schumer, Leader McConnell, Speaker Pelosi, Leader McCarthy, and Leader Hoyer: Thank you for your […]
Letters
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 […]
Letters
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 […]
Article
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 […]
Letters
Published: September 13, 2021
RE: Medicare Program; CY 2022 Payment Policies Under the Physician Fee Schedule and OtherChanges to Part B Payment Policies; Medicare Shared Savings Program Requirements;Provider Enrollment Regulation Updates; Provider and Supplier […]
Article
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 […]
Letters
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 […]
Letters
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 […]
Letters
Re: Global Codes Policies in the CY 2022 Medicare Physician Fee Schedule Proposed Rulee Dear Administrator Brooks-LaSure: On behalf of the undersigned 24 organizations, we write to voice our disappointment […]
Letters
SUBJECT: NASS Draft Model Coverage Policy on Percutaneous Sacroiliac Joint Fusion Dear Dr. Truumees: On behalf of the American Association of Neurological Surgeons (AANS), the Congress of NeurologicalSurgeons (CNS) and […]
Letters
RE: Medicare Patient Empowerment Act (H.R. 3322) Dear Representative Sessions and Senator Paul: As the Alliance of Specialty Medicine (Alliance), our mission is to advocate for sound federal health carepolicy […]