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On April 14, 2015, Congress repealed the sustainable growth rate (SGR) formula.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

Advanced Search
Article Type
Topics
Date Published


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
Letters

AANS and CNS Comment on CMS Breakthrough Device Coverage Policy

Published: August 28, 2023
Chiquita Brooks-LaSure, AdministratorCenters for Medicare & Medicaid ServicesU.S. Department of Health and Human ServicesAttention: CMS–3421–NCMail Stop C4–26–057500 Security BoulevardBaltimore, MD 21244–1850 Subject: Notice with Comment – Transitional Coverage for Emerging […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Endorses GOLD CARD Act

Published: August 11, 2023
Subject: Support for Gold Card Legislation Dear Representatives Burgess and Gonzalez: The Regulatory Relief Coalition (RRC), a coalition of national physician specialty organizations seeking to reduce regulatory burdens that interfere […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Supports Medicare Coverage of Carotid Artery Stenting

Published: August 4, 2023
Tamara Syrek Jensen, DirectorJoseph Chin, MD, Deputy DirectorCoverage and Analysis GroupCenters for Medicare & Medicaid Services7500 Security Blvd.Baltimore, Maryland 21244 SUBJECT: Percutaneous Transluminal Angioplasty of the Carotid Artery Concurrent with […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Urges House Committee to Advance Prior Auth Legislation

Published: July 26, 2023
Subject: Inclusion of Prior Authorization Provisions in Health Care Price Transparency Act Dear Chairman Smith and Ranking Member Neal, On behalf of the Regulatory Relief Coalition (RRC), a coalition of […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Leads Effort to Rescind Edit for Spinal Decompression Codes

Published: July 25, 2023
Pamela Villanyi, MD, Medical OfficerCenters for Medicare & Medicaid ServicesCMS NCCI Program TeamAudits and Vulnerabilities GroupCenter for Program Integrity7500 Security BoulevardBaltimore, MD 21244-1850Pamela.villanyi@cms.hhs.gov Submitted electronically via NCCIPTPMUE@cms.hhs.gov SUBJECT: NCCI PTP […]
  • Reimbursement and Practice Management
Letters

House Letter Urging CMS to Finalize Prior Auth Rules

Published: June 21, 2023
Dear Secretary Becerra and Administrator Brooks-LaSure: We write to thank the U.S. Centers for Medicare & Medicaid Services (CMS) for taking action toward ensuring timely access to health care by […]
  • Reimbursement and Practice Management
Letters

Senate Letter Urging CMS to Finalize Prior Auth Rules

Published: June 21, 2023
Dear Secretary Becerra and Administrator Brooks-LaSure: We write to thank the U.S. Centers for Medicare & Medicaid Services (CMS) for taking action toward ensuring timely access to health care by […]
  • Reimbursement and Practice Management
Position Statement

Surgical Coalition Outlines Plan for Reforming Medicare Payment System

By:
  • AANS/CNS Washington Office
Published: June 21, 2023
Surgical Coalition’s Plan for Reforming the Medicare Physician Payment System The Centers for Medicare & Medicaid Services (CMS) continues to put forth annual regulations that exacerbate the underlying problems within […]
  • Reimbursement and Practice Management
Letters

AANS and CNS Support Telehealth Expansion Act

Published: June 11, 2023
Dear Chair Smith and Ranking Member Neal: Thank you for your ongoing leadership on expanding access to virtual care and for your commitment to considering a pathway for permanent policy […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Cautions Against Expanding Nurses’ Scope of Practice

Published: June 1, 2023
Dear Chairpersons Smith and McMorris Rodgers and Ranking Members Neal and Pallone: The undersigned medical professional organizations write to you in strong opposition to H.R. 2713, the “Improving Care and […]
  • Reimbursement and Practice Management
Letters

AANS and CNS Endorse Senate Safe Step Act

Published: May 11, 2023
Dear Senators Murkowski, Hassan, Marshall, and Rosen: Thank you for your leadership of S. 652, the Safe Step Act, legislation that would create guardrails for patients subjected to step therapy […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Joins Coalition Effort to Improve Medicare Payment System

Published: May 2, 2023
Dear Representatives Ruiz, Bucshon, Bera and Miller-Meeks: On behalf of the undersigned physician and non-physician organizations, representing more than one million clinicians and the patients they serve, thank you for […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Endorses Bill to Improve Medicare Payment System

Published: April 19, 2023
Dear Representatives Ruiz, Bucshon, Bera, and Miller-Meeks: The undersigned national physician specialty societies and state medical associations commend you for introducing H.R. 2474, the Strengthening Medicare for Patients and Providers […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Urges Cigna to Rescind Modifier -25 Policy

Published: April 18, 2023
David CordaniChairman and Chief Executive OfficerThe Cigna Group900 Cottage Grove RoadBloomfield, CT 06002 Dear Mr. Cordani: On behalf of the undersigned organizations representing physicians and health care professionals across the […]
  • Reimbursement and Practice Management