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On April 14, 2015, Congress repealed the sustainable growth rate (SGR) formula.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
Published: April 28, 2025
Dear Senators Cramer and Blumenthal and Representatives Steube and Larson: The undersigned medical professional organizations write to you in strong opposition to S. 106/H.R. 539, the “Chiropractic Medicare Coverage Modernization […]
Letters
The health care system has changed dramatically in recent years and the compounding effects are negatively impacting patient access to care and the patient-physician relationship. These changes include significant consolidation […]
Article
Published: March 28, 2025
RE: Support of H.R. 2433, the Reducing Medically Unnecessary Delays in Care Act Dear Representatives Green and Schrier: As patient and physician advocates, the Alliance of Specialty Medicine (the “Alliance”) […]
Letters
Published: March 10, 2025
The undersigned physician organizations urge Members of the House of Representatives to insist to their leadership that language addressing the 2025 Medicare physician payment cut be added to the full […]
Letters
Published: February 10, 2025
Dear Speaker Johnson, Majority Leader Thune, Leader Schumer, and Leader Jeffries: The undersigned national medical societies and state medical associations write to collectively urge Congress to include in the forthcoming […]
Letters
Published: January 27, 2025
Jeff WuActing AdministratorCenters for Medicare & Medicaid Services7500 Security BoulevardBaltimore, MD 21244-1850 Re: CY 2026 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription DrugBenefit Programs Proposed Rule […]
Letters
Published: November 21, 2024
Dear Majority Leader Schumer and Minority Leader McConnell: We write to request that you urgently address the 2.8 percent cut to Medicare payments that will go into effect on January […]
Position Statement
Published: November 20, 2024
OverviewOn Nov. 1, 2024, the U.S. Centers for Medicare & Medicaid Services (CMS) released the 2025 Medicare Physician Fee Schedule (MPFS) final rule. CMS finalized a CY 2025 PFS conversion […]
Letters
Published: November 15, 2024
Dear Speaker Johnson, Majority Leader Schumer, Minority Leader McConnell, and Minority Leader Jeffries: The undersigned national medical societies and state medical associations write to urgently request that Congress pass legislation […]
Letters
Published: November 13, 2024
Re: Support of H.R. 10073, the Medicare Patient Access and Practice Stabilization Act of 2024 Dear Representatives Murphy, Panetta, Miller-Meeks, Bera, Bucshon, Ruiz, Joyce, and Schrier: As patient and physician […]
Letters
Published: November 13, 2024
RE: Physician Payment Reform Outline Dear Chair Rodgers and Chair Guthrie: The Alliance of Specialty Medicine (the “Alliance”) represents more than 100,000 specialty physicians and surgeons across 16 specialty and […]
Article
Published: October 14, 2024
Subject: Request to Pass the Improving Seniors’ Timely Access to Care Act (H.R. 8702/S. 4532) Speaker Johnson, Leaders Schumer, Jeffries, and McConnell: On behalf of the Regulatory Relief Coalition (RRC), […]
Letters
Published: October 11, 2024
Dear Speaker Johnson and Minority Leader Jeffries: The undersigned bipartisan members of Congress write to urge you to expeditiously pass legislative fixes that not only stop another damaging round of […]
Letters
Published: October 9, 2024
October 9, 2024Manisha Dhuria, MD, MBA, CPEAssociate VP, Physician Leadership, Humanamdhuria@humana.comDear Dr. Dhuria, We are writing on behalf of the more than 95,000 members our undersigned societies represent. Our members […]
Letters
Published: September 11, 2024
Ms. Chiquita Brooks-LaSureAdministratorCenters for Medicare & Medicaid ServicesU.S. Department of Health and Human ServicesATTN: CMS-1807-PP.O. Box 8016Baltimore, M.D. 21244-1850 Submitted electronically via www.regulations.gov Subject: CMS-1807-P Medicare and Medicaid Programs; CY […]
Letters
Published: September 10, 2024
Dear Speaker Johnson, Majority Leader Schumer, Minority Leader McConnell, and Minority Leader Jeffries: On behalf of the undersigned physician and non-physician organizations, representing more than one million clinicians and the […]
Letters
Published: September 9, 2024
Medicare Payment Challenges Facing Surgical Care September 2024 The U.S. Centers for Medicare & Medicaid Services (CMS) continues to put forth annual regulations that exacerbate the underlying problems within the […]
Letters
Published: September 9, 2024
Ms. Chiquita Brooks-LaSure, AdministratorCenters for Medicare & Medicaid ServicesUS Department of Health and Human ServicesATTN: CMS-1809-PPO Box 8010Baltimore, MD 21244-8010 Submitted electronically via www.regulations.gov Subject: CMS-1809-P Medicare Program: Calendar Year […]
Letters
Published: September 9, 2024
Chiquita Brooks-LaSure, AdministratorCenters for Medicare & Medicaid ServicesU.S. Department of Health and Human ServicesAttention: CMS-1807-PMail Stop C4-26-05,7500 Security Boulevard,Baltimore, MD 21244-1850 Submitted electronically via Regulations.gov RE: CY 2025 Payment Policies […]
Letters
Published: August 22, 2024
Subject: Support for the Electronic Prior Authorization for Prescription Drugs Act Dear Senators Marshall, Lujan, Wicker, and Manchin: On behalf of the Regulatory Relief Coalition (RRC), a coalition of national […]
Letters
Published: August 2, 2024
Submitted electronically via cures.rfi@mail.house.gov SUBJECT: Comments on Request for Feedback on Cures 2.0 Legislation Dear Rep. DeGette and Dr. Buschon: On behalf of the American Association of Neurological Surgeons (AANS) […]
Letters
Dear Speaker Johnson, Majority Leader Schumer, Minority Leader McConnell, and Minority Leader Jeffries: The undersigned national medical societies and state medical associations write to collectively urge Congress to prioritize and […]
Letters
RE: Bolstering Chronic Care through Physician Payment: Current Challenges and Policy Options in Medicare Part B Dear Chairman Wyden, Ranking Member Crapo, and members of the Senate Committee on Finance: […]
Letters
Dear Chairman Wyden and Ranking Member Crapo: On behalf of the undersigned organizations representing key stakeholders in the surgical care of Medicare beneficiaries, we write to commend you for the […]
Press Release (DC Office)
Neurosurgeons Applaud Introduction of Bill to Streamline Prior Authorization in MedicareThe AANS and the CNS are optimistic that Congress will pass this critical legislation this year. Washington, DC—Today, the American […]
