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On April 14, 2015, Congress repealed the sustainable growth rate (SGR) formula.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

Surgical Groups Support Legislation to Prevent Medicare Pay Cuts

Published: November 2, 2020
Dear Representatives Bera, Bucshon, Boyle, Holding, Ruiz, Roe, Finkenauer, and Marshall: On behalf of the undersigned organizations representing surgeons across the United States, wewould like to express our support for […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Supports Medicare Coverage for Innovative Technologies

Published: November 2, 2020
Subject: CMS-3372-P Medicare Program: Medicare Coverage of Innovative Technology(MCIT) and Definition of “Reasonable and Necessary” Dear Administrator Verma: On behalf of the American Association of Neurological Surgeons (AANS) and the […]
  • Reimbursement and Practice Management
Letters

Neurosurgeons Support Legislation to Prevent Medicare Cuts

Published: October 30, 2020
SUBJECT: AANS and CNS Endorsement of the Holding Providers Harmless From MedicareCuts During COVID-19 Act Dear Representatives Bera and Bucshon, On behalf of the American Association of Neurological Surgeons (AANS) […]
  • Reimbursement and Practice Management
Article

Holding Providers Harmless From Medicare Cuts Act

Published: October 29, 2020
H. R. _____To amend title XVIII of the Social Security Act to provide for an increasein payment under part B of the Medicare program for certain servicesin response to COVID–19. […]
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Letters

Sen. Collins Urges Senate Leaders to Prevent Medicare Payment Cuts

Published: October 9, 2020
Dear Leader McConnel, Leader Schumer, Chairman Grassley, and Ranking Member Wyden: I write today regarding the recent 2021 Medicare Physician Fee Schedule (PFS) proposed rule and my concern with the […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Comments on Medicare Hospital-ASC Proposed Rule

Published: October 5, 2020
Subject: CMS-1736-P Medicare Program: Calendar Year 2020 Hospital OutpatientProspective Payment and Ambulatory Surgical Center Payment Systems andQuality Reporting Programs; Addition of New Categories for Hospital OutpatientDepartment Prior Authorization Process; Clinical […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Joins Alliance in Commenting on Medicare Fee Schedule

Published: October 5, 2020
RE: Medicare Program; CY 2021 Payment Policies Under the Physician Fee Schedule and Other Changesto Part B Payment Policies; Medicare Shared Savings Program Requirements; Medicaid PromotingInteroperability Program Requirements for Eligible […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Joins Coalition in Letter to CMS re Medicare Pay Cuts

Published: October 5, 2020
Re: Medicare Program; CY 2021 Payment Policies under the Physician Fee Schedule andOther Changes to Part B Payment Policies (the “Proposed Rule”) Dear Administrator Verma: The professional organizations below, representing […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Joins Alliance Urging Congress to Prevent Medicare Cuts

Published: September 24, 2020
RE: Need to act to prevent Medicare payment cuts and maintain access to specialty care Dear Leader McConnell, Speaker Pelosi, Leader Schumer, Leader Hoyer, and Leader McCarthy: Thank you for […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Asks Congress to Prevent Medicare Payment Cuts

Published: September 18, 2020
Dear Representative Abraham: On behalf of the 22 undersigned organizations representing surgeons across the United States,we urge Congress to take immediate action — in the current continuing resolution (CR) orother […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Urges CMS to Increase Medicare’s Global Surgery Values

Published: August 21, 2020
Re: Policies for Office/Outpatient E/M Visits in the CY 2021 MedicarePhysician Fee Schedule Proposed Rule Dear Administrator Verma: On behalf of the undersigned 26 organizations, we write to voice our […]
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Letters

UnitedHealthcare Revisits Imaging Prior Authorization Requirements

Published: July 7, 2020
Re: Your Inquiry About United Healthcare’s Prior Authorization Requirements for Uploading Radiographic Images Dear Doctors Wilson, Kalkanis and Steinmetz, Thank you for contacting us about United Healthcare’s prior authorization requirements […]
  • Reimbursement and Practice Management
Letters

Neurosurgeons Ask Congress to Prevent Medicare Cuts

Published: June 18, 2020
Dear Leader McConnell and Speaker Pelosi: On behalf of the undersigned organizations, thank you for your leadership during the COVID-19pandemic. As the pandemic begins to subside, and the nation strives […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Comments on Washington State Evidence for VNS for Depression

Published: March 30, 2020
Josiah Morse, MPH, Program DirectorWashington State Health Care AuthorityHealth Technology Assessment ProgramP.O. Box 42712Olympia, WA 98504-2712 Via e-mail: shtap@hca.wa.gov Subject: Washington State Health Care Authority Evidence Report for Re-review ofVagus […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Leads Effort to Prevent Medicare Payment Cuts

Published: March 19, 2020
Dear Leader McConnell and Speaker Pelosi: On behalf of the undersigned organizations, thank you for your swift efforts to provide relief forthe immediate and escalating impacts of the COVID-19 pandemic. […]
  • Reimbursement and Practice Management