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On April 14, 2015, Congress repealed the sustainable growth rate (SGR) formula.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

Neurosurgery-Led Coalition Comments on Prior Auth Rules

Published: February 13, 2023
Filed Electronically Chiquita Brooks-LaSureCMS Administrator200 Independence Avenue, SWWashington DC Re: Medicare Program; Contract Year 2024 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Joins Alliance in Commenting on Prior Auth Rules

Published: February 13, 2023
Chiquita Brooks-LaSureAdministratorCenters for Medicare & Medicaid ServicesDepartment of Health and Human ServicesAttention: CMS-4201-PP.O. Box 8016Baltimore, MD 21244-8016 RE: Medicare Program; Contract Year 2024 Policy and Technical Changes to the Medicare […]
  • Reimbursement and Practice Management
Letters

AANS and CNS Join Nearly 120 Groups in Commenting on Prior Auth Proposal

Published: February 13, 2023
The Honorable Chiquita Brooks-LaSureAdministratorCenters for Medicare & Medicaid ServicesU.S. Department of Health and Human ServicesHubert H. Humphrey Building, Room 445–G200 Independence Avenue, SWWashington, DC 20201 Dear Administrator Brooks-LaSure: On behalf […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Urges CMS to Revisit Medicare Coverage Policy for Carotid Stenting

Published: February 7, 2023
Tamara Syrek Jensen, DirectorJoseph Chin, MD, Deputy DirectorCoverage and Analysis GroupCenters for Medicare & Medicaid Services7500 Security Blvd.Baltimore, Maryland 21244 SUBJECT: Request for Reconsideration of CMS National Coverage Determination (NCD) […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Comments on Network Adequacy

Published: January 30, 2023
Chiquita Brooks-LaSureAdministratorCenters for Medicare & Medicaid ServicesDepartment of Health and Human ServicesAttention: CMS-9899-PP.O. Box 8016Baltimore, MD 21244-8016 RE: Patient Protection and Affordable Care Act, HHS Notice of Benefit and Payment […]
  • Health Care Competition
  • Reimbursement and Practice Management
Letters

Neurosurgery Urges Congress to Hold Hearings on Medicare Payment System

Published: January 23, 2023
Dear Senator/Representative, On behalf of the undersigned physician and non-physician organizations, representing more than one million clinicians and the patients they serve, welcome to the 118th Congress. Our combined memberships […]
  • Reimbursement and Practice Management
Letters

Surgeons Urge Congress to Modify Spending Bill to Halt Entire Medicare Cut

Published: December 20, 2022
Dear Congressional Leadership: On behalf of the undersigned organizations representing surgeons and anesthesiologists, we are extremely disappointed in the language related to Medicare physician payment included in the omnibus bill […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Supports Senate Bill to Stop Medicare Cuts

Published: December 16, 2022
The Honorable John Kennedy416 Russell Senate Office BuildingWashington, D.C. 20510 Re: Support of S. 5194, the Protecting Medicare Patients and Physicians Act Dear Senator Kennedy: The undersigned organizations of the […]
  • Reimbursement and Practice Management
Letters

Doctors Caucus Letter to House Leadership on Physician Payment Cuts

Published: December 15, 2022
Dear Speaker Pelosi and Leader McCarthy, We write to request your support for policies to address impending Medicare payment cuts in legislation moving through the U.S. House of Representatives before […]
  • Reimbursement and Practice Management
Letters

House of Reps Members Urge Leaders to Prevent Medicare Cuts

Published: December 13, 2022
Dear President Biden, Leader Schumer, Minority Leader McConnell, Speaker Pelosi, and Minority Leader McCarthy: We write today as a bipartisan group of lawmakers urging you to act quickly to prevent […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Joins Alliance in Commenting on National Provider Directory

Published: December 6, 2022
Ms. Chiquita Brooks-LaSure, AdministratorCenters for Medicare & Medicaid ServicesDepartment of Health and Human ServicesAttention: CMS-0058-NCP.O. Box 8013Baltimore, MD 21244-8016 Submitted electronically via www.regulations.gov RE: Request for Information; National Directory of […]
  • Reimbursement and Practice Management
Letters

Neurosurgeons Push for Legislation to Prevent Medicare Cuts

Published: December 5, 2022
Dear Speaker Pelosi, Majority Leader Schumer, Leader McConnell and Leader McCarthy, The undersigned organizations, representing over one million physicians and non-physicians health care clinicians and the patients they serve, strongly […]
  • Reimbursement and Practice Management
Letters

Senators Urge Action to Mitigate Medicare Payment Cuts

Published: November 2, 2022
Dear Leader Schumer and Leader McConnell, We write to express our serious concerns regarding the stability of Medicare payments to health care providers. Congress must address these vital payment challenges […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Comments on NASS Cervical Fusion Coverage Policy

Published: October 24, 2022
Edward Dohring, MD, PresidentNorth American Spine Society7075 Veterans Blvd.Burr Ridge, IL 60527 SUBJECT: NASS Draft Cervical Fusion Coverage Policy Recommendations Dear Dr. Dohring: On behalf of the American Association of […]
  • Reimbursement and Practice Management
Letters

AANS CNS Submit Comments on MS-DRG Assignment for LITT

Published: October 20, 2022
Ms. Chiquita Brooks-LaSure, AdministratorCenters for Medicare & Medicaid ServicesU.S. Department of Health and Human ServicesATTN: CMS-1771-FP.O. Box 8013 Baltimore, MD 21244-1850 Submitted electronically via https://www.mearis.cms.gov SUBJECT: Fiscal Year (FY) 2023 […]
  • Reimbursement and Practice Management
Amicus Brief

AANS and CNS Lead Amicus Brief in Surprise Billing Litigation

Published: October 19, 2022
IN THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF TEXAS TYLER DIVISION TEXAS MEDICAL ASSOCIATION,et al.,Plaintiffs,v.UNITED STATES DEPARTMENT OFHEALTH AND HUMAN SERVICES, et al.,Defendants. Civil Action No. 6:22-cv-00372-JDK […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Provides Comments on MS-DRG Assignment for LITT Procedures

Published: October 2, 2022
Ms. Chiquita Brooks-LaSure, AdministratorCenters for Medicare & Medicaid ServicesU.S. Department of Health and Human ServicesATTN: CMS-1771-FP.O. Box 8013 Baltimore, MD 21244-1850 Submitted electronically via https://www.mearis.cms.gov SUBJECT: Fiscal Year (FY) 2023 […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Leads Coalition Effort to Prevent Medicare Cuts

Published: September 30, 2022
Dear Representatives Bera and Bucshon, On behalf of the undersigned organizations, representing over one million physician and non‐physician health care clinicians, we applaud the introduction of H.R. 8800, the Supporting […]
  • Reimbursement and Practice Management
Letters

Reps. Bera and Bucshon Urge CMS to Increase Global Surgery Codes

Published: September 27, 2022
The Honorable Chiquita Brooks-LaSureAdministratorCenters for Medicare & Medicaid ServicesU.S. Department of Health and Human Services7500 Security BoulevardBaltimore, MD 21244 Dear Administrator Brooks-LaSure: We write to express our concern with the […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Submits Comments to First Coast Regarding Neurostimulator LCD

Published: September 24, 2022
Juan L. Schaening-Perez, MDFirst Coast Service OptionsAttn: Medical Policy and Procedures532 Riverside Ave, ROC 19TJacksonville, FL 32202-4914Via email to: ProposedLCDComments@fcso.com Subject: Proposed Local Coverage Determination (LCD): Nerve Stimulators for Chronic […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Submits Comments to Novitas Regarding Neurostimulator LCD

Published: September 24, 2022
Leslie Stevens, MDNovitas Solutions, Inc.2020 Technology Parkway, Suite 100Mechanicsburg, PA 17050 Via email to: ProposedLCDComments@Novitas-Solutions.com Subject: Proposed Local Coverage Determination (LCD): Nerve Stimulators for Chronic Intractable Pain (DL 39404). Dear […]
  • Reimbursement and Practice Management