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On April 14, 2015, Congress repealed the sustainable growth rate (SGR) formula.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 Sends Letter to First Coast on Coverage for Magnetic Resonance Image Guided High Intensity Focused Ultrasound (MRgFUS) for Essential Tremor (ET)

Published: February 8, 2020
Juan L. Schaening, MD, Contractor Medical DirectorAlicia Campbell, MD, Contractor Medical DirectorFirst Coast Service Options, Inc.P.O. Box 2078Jacksonville, FL 32231-0048 Submitted Electronically via Medical.Policy@fcso.com SUBJECT: Support for Coverage for Magnetic […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Sends Letter to Novitas on Coverage for Magnetic Resonance Image Guided High Intensity Focused Ultrasound (MRgFUS) for Essential Tremor (ET)

Published: February 8, 2020
Debra L. Patterson, MD, Vice President, Clinical Affairsand Chief Medical OfficerNovitas Solutions, Inc.ATTN: Medical Policy Unit2020 Technology Parkway, Suite 100Mechanicsburg, PA 17050 Submitted electronically via LCDComments@novitas-solutions.com SUBJECT: Support for Coverage […]
  • Reimbursement and Practice Management
Letters

AANS and CNS Oppose Medicaid Fiscal Accountability Regulation

Published: February 1, 2020
February 1, 2020 Seema VermaAdministratorCenters for Medicare & Medicaid ServicesDepartment of Health and Human ServicesAttention: CMS-2393-P, Mail Stop C4-26-057500 Security BoulevardBaltimore, MD 21244-1850 Re: Medicaid Fiscal Accountability Regulation, CMS-2393-P Dear […]
  • Reimbursement and Practice Management
Article

Medicare Reimbursement Equity Act of 2020

Published: January 1, 2020
S. __To amend title XVIII of the Social Security Act to ensure appropriateglobal surgical package code values in the Medicare program. _____________ IN THE SENATE OF THE UNITED STATES _____________ […]
  • Reimbursement and Practice Management
Letters

AANS and CNS Urge CMS to Increase Global Surgery Codes

Published: December 26, 2019
December 31, 2019 Seema Verma, MPH, AdministratorCenters for Medicare & Medicaid ServicesU.S. Department of Health and Human ServicesHubert H. Humphrey Building, Room 445–G200 Independence Avenue, SWWashington, DC 20201 Submitted electronically […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Joins Alliance in Asking Congress for Positive Medicare Update

Published: December 23, 2019
Dear Chairmen and Ranking Members: The Alliance of Specialty Medicine (the “Alliance”) represents more than 100,000 specialty physiciansand is dedicated to the development of sound federal health care policy that […]
  • Reimbursement and Practice Management
Letters

AANS/CNS Comment on Stereotactic Radiosurgery Coverage Policy

Published: November 9, 2019
SUBJECT: Comments on Proposed LCD DL 35076 Stereotactic Radiation Therapy:Stereotactic Radiosurgery (SRS) and Stereotactic Body Radiation Therapy(SBRT) Dear Ms. Muir: On behalf of the American Association of Neurological Surgeons (AANS) […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Joins Alliance in Commenting on Provider Enrollment Process

Published: November 4, 2019
RE: Medicare, Medicaid, and Children’s Health Insurance Programs; Program IntegrityEnhancements to the Provider Enrollment Process Dear Administrator Verma: On behalf of more than 100,000 specialty physicians from 15 specialty and […]
  • Reimbursement and Practice Management
Letters

Senate Urges CMS to Increase Global Surgery Payments

Published: October 30, 2019
Dear Administrator Verma: We are writing to express our strong opposition to a provision in the 2020 Medicare PhysicianFee Schedule proposed rule regarding the values of E/M office visits in […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Asks Congress for Positive Medicare Payment Updates

Published: October 15, 2019
Dear Chairmen and Ranking Members, The Alliance of Specialty Medicine (the “Alliance”) represents more than 100,000 specialty physicians andis dedicated to the development of sound federal health care policy that […]
  • Quality Improvement and Patient Safety
  • Reimbursement and Practice Management
Letters

AANS/CNS Comment on CMS’ Action Plan on Pain Management

Published: October 11, 2019
Subject: Request for Information (RFI) on the Development of a CMS Action Plan toPrevent Opioid Addiction and Enhance Access to Medication-Assisted Treatment Dear Administrator Verma: On behalf of the American […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Comments on CY 2020 Medicare OPPS/ASC Proposed Rule

Published: September 27, 2019
Subject: CMS-1717-P Medicare Program: Calendar Year 2020 Hospital OutpatientProspective Payment and Ambulatory Surgical Center Payment Systems andQuality Reporting Programs Dear Administrator Verma: On behalf of the American Association of Neurological […]
  • Reimbursement and Practice Management
Letters

Neurosurgery Joins Registry Coalition in Commenting on Medicare Fee Schedule

Published: September 27, 2019
RE: Physician Clinical Registry Coalition’s Comments on the Proposed CY 2020Revisions to Payment Policies Under the Medicare Physician Fee Schedule andUpdates to the Quality Payment Program (CMS-1715-P) Dear Administrator Verma: […]
  • Reimbursement and Practice Management
Letters

Congress Urges CMS to Increase Global Surgery Code Values

Published: September 27, 2019
Dear Administrator Verma: We are writing to express our strong opposition to a provision in the 2020 Medicare Physician FeeSchedule proposed rule. Specifically, we are very concerned with the proposal […]
  • Quality Improvement and Patient Safety
  • Reimbursement and Practice Management
Letters

Neurosurgery Joins Medicine in a Letter to CMS Regarding Prior Authorization

Published: September 20, 2019
Dear Administrator Verma: The undersigned physician organizations support the Centers for Medicare & Medicaid Services’(CMS) Patients Over Paperwork initiative and applaud CMS for tackling the challenging issue ofprior authorization (PA) […]
  • Medical Liability Reform
  • Reimbursement and Practice Management
Letters

Neurosurgery Comments on Proposed 2020 Medicare Physician Fee Schedule

Published: September 13, 2019
Subject: CMS-1715-P Medicare Program; Revisions to Payment Policies Under thePhysician Fee Schedule (PFS) and Other Revisions to Part B for CY 2020;Medicare Shared Savings Program Requirements; Quality Payment Program; andMedicaid […]
  • Reimbursement and Practice Management
Article

Neurosurgeons Statement to the House Committee on Small Business Regarding Utilization Management: Barriers to Care and Burdens on Small Medical Practice

Published: September 11, 2019
Statement for the Recordon behalf of theAmerican Association of Neurological Surgeonsand theCongress of Neurological Surgeonsbefore theCommittee on Small BusinessU.S. House of Representativeson the topic ofUtilization Management: Barriers to Care and […]
  • Medical Liability Reform
  • Reimbursement and Practice Management