Reimbursement and Practice Management

Print

On April 14, 2015, Congress repealed the sustainable growth rate (SGR) formula.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

Advanced Search
Article Type
Topics
Date Published

Letters

Neurosurgery Urges Permanent Telehealth Expansion

Published: February 22, 2024
Dear Senate Majority Leader Schumer, Minority Leader McConnell, and Speaker Johnson, and House Minority Leader Jeffries: Thank you for your ongoing leadership in ensuring access to health care delivered virtually, […]
  • Reimbursement and Practice Management
Letters

AANS and CNS Support Legislation Banning Electronic Funds Transfer Fees

Published: January 24, 2024
Subject: Support for the No Fees for EFTs Act Dear Representatives Murphy, Griffith, Bera, Miller-Meeks, Kilmer, and Schrier, On behalf of the Regulatory Relief Coalition (RRC), a coalition of national […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Urges Congress to Prevent Medicare Cuts

Published: January 16, 2024
Re: Medicare Physician Payment Cuts Dear Speaker Johnson, Majority Leader Schumer, and Minority Leaders Jeffries and McConnell: The Alliance of Specialty Medicine represents more than 100,000 specialty physicians and is […]
  • Reimbursement and Practice Management
Congressional Testimony

House Members Urge Leaders to Prevent Medicare Payment Cuts

Published: December 13, 2023
Dear Leader Schumer, Leader McConnell, Speaker Johnson, and Leader Jeffries: We write today as a bipartisan group of lawmakers urging you to act quickly to prevent a 3.37% cut to […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Urges BCBS of New Jersey to Update Lumbar Spine Policy

Published: December 12, 2023
Via email: don_liss@horizonblue.com SUBJECT:     Horizon Blue Cross Blue Shield of New Jersey Distinct Procedural Service Modifiers (59, XE, XP, XS, XU) Medical Policy Number 0016 “Back Pain – Invasive Procedures” […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Urges MedPAC to Recommend Medicare Physician Payment Increase

Published: November 30, 2023
Michael Chernew, PhDChairmanMedicare Payment Advisory Commission425 I Street, Suite 701Washington, DC 20001 RE: Assessing and Updating Medicare Payment for Physicians’ Services in CY 2025 Dear Chairman Chernew, The Alliance of […]
  • Reimbursement and Practice Management
Letters

Neurosurgery-Led Coalition Endorses Prior Auth Reform Legislation

Published: November 27, 2023
The Honorable Mark Green, MDU.S. House of Representatives2446 Rayburn House Office BuildingWashington, D.C. 20515 Subject: Support for Reducing Medically Unnecessary Delays in Care Act Dear Representative Green: The Regulatory Relief […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Calls on Congress to Halt Medicare Cuts

Published: November 16, 2023
Dear Majority Leader Schumer, Minority Leader McConnell, Speaker Johnson, and Minority Leader Jeffries: The undersigned national medical organizations and state medical societies write to strongly urge Congress to quickly pass […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Urges Congress to Take Action to Stop Pending Medicare Cuts

Published: November 6, 2023
Dear Majority Leader Schumer, Minority Leader McConnell, Speaker Johnson, and Minority Leader Jeffries: On behalf of the 54 organizations representing physicians and other health care providers across the United States, […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Urges House to Pass Legislation to Expand Telehealth

Published: October 31, 2023
Dear Speaker Johnson and Leader Jeffries: Thank you for your ongoing leadership in expanding access to virtual care and for your commitment to consideration of permanent telehealth access policies. We […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Joins Coalition in Urging Prior Auth Reform

Published: October 18, 2023
The Honorable Michael Burgess, ChairHealth Care Task ForceHouse Committee on the BudgetU.S. House of RepresentativesWashington, DC 20515 Via: hbcr.health@mail.house.gov Dear Congressman Burgess: The Regulatory Relief Coalition is pleased to have […]
  • Reimbursement and Practice Management
Letters

AANS and CNS Urge Senate to Expand Access to Telehealth

Published: October 18, 2023
Dear Majority Leader Schumer and Minority Leader McConnell: Thank you for your ongoing leadership in expanding access to virtual care and for your commitment to consideration of permanent telehealth access […]
  • Reimbursement and Practice Management
Letters

AANS and CNS Urges Senate Halt Primary Care Add-on Code

Published: October 4, 2023
Dear Leader Schumer, Leader McConnell, Chairman Wyden and Ranking Member Crapo: On behalf of the undersigned 46 organizations, representing over 1.2 million physician and nonphysician providers and the patients they […]
  • Reimbursement and Practice Management
Letters

AANS and CNS Urges House Halt Primary Care Add-on Code

Published: October 4, 2023
Dear Congressman Smith, Congresswoman McMorris Rogers, Congressman Neal and Congressman Pallone: On behalf of the undersigned 46 organizations, representing over 1.2 million physician and nonphysician providers and the patients they […]
  • Reimbursement and Practice Management
Amicus Brief

Neurosurgery Leads Amicus Brief in Surprise Medical Billing Lawsuit

Published: September 18, 2023
Case No. 23-40217 IN THE UNITED STATES COURT OF APPEALS FOR THE FIFTH CIRCUIT TEXAS MEDICAL ASSOCIATION; TYLER REGIONAL HOSPITAL, L.L.C.; DOCTOR ADAM CORLEY,Plaintiffs-Appellees,v. UNITED STATES DEPARTMENT OF HEALTH AND […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Joins Alliance in Commenting on Proposed 2024 Medicare Fee Schedule

Published: September 11, 2023
Ms. Chiquita Brooks-LaSure, AdministratorCenters for Medicare & Medicaid ServicesDepartment of Health and Human ServicesAttention: CMS-1784-PP.O. Box 8016Baltimore, MD 21244-8016 Submitted electronically via www.regulations.gov RE: Medicare and Medicaid Programs; CY 2024 […]
  • Reimbursement and Practice Management
Letters

AANS and CNS Submit Comments on the Proposed 2024 Medicare Physician Fee Schedule

Published: September 6, 2023
Ms. Chiquita Brooks-LaSure, AdministratorCenters for Medicare & Medicaid ServicesU.S. Department of Health and Human ServicesATTN: CMS-1784-PP.O. Box 8013Baltimore, MD 21244-1850 Submitted electronically via www.regulations.gov Subject: CMS-1784-P Medicare and Medicaid Programs; […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Urges Aetna to Modify Coverage Policy re Cages for ACDF

Published: August 30, 2023
Via email: ExecutiveResponseTeam@aetna.com SUBJECT: Medical Policy Number 0016 “Back Pain – Invasive Procedures” Dear Mr. Kane and Drs. Moffitt and McDonough, On behalf of the American Association of Neurological Surgeons […]
  • Reimbursement and Practice Management
Position Statement

Summary of Proposed 2024 Medicare Physician Fee Schedule

By:
  • AANS/CNS Washington Office
Published: August 29, 2023
2024 Medicare Physician Fee Schedule Proposed Rule Summary Overview On July 13, 2023, the Centers for Medicare & Medicaid Services (CMS) released the 2024 Medicare Physician Fee Schedule (MPFS) Proposed […]
  • Reimbursement and Practice Management