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On April 14, 2015, Congress repealed the sustainable growth rate (SGR) formula.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

Neurosurgery Joins AMA in Urging Congress to Prevent Medicare Cuts

Published: September 22, 2022
Dear Speaker Pelosi, Majority Leader Schumer, Leader McConnell, and Leader McCarthy: The American Medical Association (AMA) and undersigned national specialty and state medical societies representing the vast majority of physicians […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Urges Senate to Act on Telehealth legislation

Published: September 13, 2022
Dear Senators Schumer and McConnell: Thank you for your continued leadership in expanding access to virtual care during the COVID19 public health emergency (PHE). This access has been transformational – […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Led Coalition Urges CMS to Drop Prior Auth Requirement for Spine Procedures

Published: September 13, 2022
The Honorable Chiquita Brooks-LaSureAdministratorCenters for Medicare & Medicaid ServicesDepartment of Health and Human ServicesAttention: CMS-1751-PMail Stop C4-26-057500 Security BoulevardBaltimore, MD 21244-1850 Subject: Medicare Program: 2023 Hospital Outpatient Prospective Payment and […]
  • Reimbursement and Practice Management
Letters

AANS and CNS Comment on 2023 Medicare OPPS and ASC Proposed Rule

Published: September 7, 2022
Ms. Chiquita Brooks-LaSure, AdministratorCenters for Medicare & Medicaid ServicesU.S. Department of Health and Human ServicesATTN: CMS-1751-PP.O. Box 8013 Baltimore, MD 21244-1850 Submitted electronically via www.regulations.gov Subject: CMS-1772-P Medicare Program: Calendar […]
  • Quality Improvement and Patient Safety
  • Reimbursement and Practice Management
Letters

Neurosurgery Leads Coalition Effort Urging CMS to Increase Global Surgery Codes

Published: September 6, 2022
Chiquita Brooks-LaSure, AdministratorCenters for Medicare & Medicaid ServicesDepartment of Health and Human ServicesAttention: CMS–1770–PPO Box 8016Baltimore, MD 21244–8016 Subject: CMS-1770-P; Medicare Program; CY 2023 Payment Policies Under the Physician Payment […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Joins the Alliance in Comments on 2023 Medicare Physician Fee Schedule Proposed Rule

Published: September 6, 2022
Ms. Chiquita Brooks-LaSure, AdministratorCenters for Medicare & Medicaid ServicesDepartment of Health and Human ServicesAttention: CMS-1770-PP.O. Box 8013Baltimore, MD 21244-8016 Submitted electronically via www.regulations.gov RE: Medicare and Medicaid Programs; CY 2023 […]
  • Quality Improvement and Patient Safety
  • Reimbursement and Practice Management
Letters

AANS and CNS Comment on 2023 Medicare Physician Fee Schedule Proposed Rule

Published: August 31, 2022
Ms. Chiquita Brooks-LaSure, AdministratorCenters for Medicare & Medicaid ServicesU.S. Department of Health and Human ServicesATTN: CMS-1751-PP.O. Box 8013 Baltimore, MD 21244-1850 Submitted electronically via www.regulations.gov Subject: CMS-1770-P Medicare Program; CY […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Urges CMS to Improve Prior Authorization in Medicare Advantage

Published: August 31, 2022
The Honorable Chiquita Brooks-LaSureAdministratorCenters for Medicare & Medicaid ServicesDepartment of Health and Human ServicesAttention: CMS-1751-PMail Stop C4-26-057500 Security BoulevardBaltimore, MD 21244-1850 Re: [CMS–4203–NC] RIN 0938–AV01 Medicare Program; Request for Information […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Joins Alliance in Commenting on HHS Primary Care Initiative

Published: August 1, 2022
Admiral Rachel L. Levine, MDOffice of the Assistant Secretary for HealthOffice of the SecretaryU.S. Department of Health and Human Services200 Independence Avenue, S.W.Washington, D.C. 20201 Sent electronically to OASHPrimaryHealthCare@hhs.gov RE: […]
  • Reimbursement and Practice Management
Letters

AANS and CNS Urge HHS to Prioritize Access to both Specialty and Primary Care

Published: August 1, 2022
Admiral Rachel L. Levine, MDAssistant Secretary for HealthDepartment of Health and Human Services200 Independence Avenue, SW, Room 716GWashington, DC 20201 Submitted electronically via OASHPrimaryHealthCare@hhs.gov SUBJECT: HHS Office of the Assistant […]
  • Reimbursement and Practice Management
Letters

AANS and CNS Comment on Primary Care RFI

Published: August 1, 2022
Admiral Rachel L. Levine, MDAssistant Secretary for HealthDepartment of Health and Human Services200 Independence Avenue, SW, Room 716GWashington, DC 20201 Submitted electronically via OASHPrimaryHealthCare@hhs.gov SUBJECT: HHS Office of the Assistant […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Supports GOLD CARD Prior Auth Bill

Published: July 28, 2022
Re: GOLD CARD Act of 2022, H.R. 7995 Dear Representatives Burgess and Gonzalez: The Alliance of Specialty Medicine writes to express support for your legislation, the Getting Over Lengthy Delays […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Joins Coalition in Urging Congress to Stop Steep Medicare Cuts

Published: July 27, 2022
Dear Chairs and Ranking Members: On behalf of the undersigned organizations representing over one million physician and non-physician health care professionals and providers, we appreciate Congress’ 2021 year-end legislative action […]
  • Reimbursement and Practice Management
Position Statement

Summary of the Proposed 2023 Medicare Physician Fee Schedule

By:
  • AANS/CNS Washington Office
Published: July 22, 2022
Overview On July 7, 2022, the Centers for Medicare & Medicaid Services (CMS) released the CY 2023 Revisions to Payment Policies under the Medicare Physician Fee Schedule (MPFS) and Other […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Comments on FY 2023 Proposed Medicare Hospital IPPS Payment

Published: June 14, 2022
Ms. Chiquita Brooks-LaSure, AdministratorCenters for Medicare & Medicaid ServicesU.S. Department of Health and Human ServicesATTN: CMS-1771-PP.O. Box 8013 Baltimore, MD 21244-1850 Submitted electronically via https://www.regulations.gov/ SUBJECT: Fiscal Year (FY) 2023 […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Urges Action on Prior Authorization

Published: June 6, 2022
Subject: Advancing Prior Authorization Legislation Dear Chairman Pallone, Ranking Member McMorris Rodgers, Chair DeGette and Ranking Member Guthrie: The Regulatory Relief Coalition (RRC) — a group of national physician specialty […]
  • Reimbursement and Practice Management
Position Statement

Neurosurgery Announces New Medicare Principles

By:
  • AANS/CNS Washington Office
Published: May 25, 2022
Simplicity, relevance, alignment, and predictability, for physician practices and the Centers for Medicare and Medicaid Services (CMS). Ensuring financial stability and predictability Click here to view the full Neurosurgery Announces […]
  • Reimbursement and Practice Management