AAN Continues to Fight CMS Reduction in Payment for Nerve Conduction

January 2, 2013

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On December 27, 2012, the AAN submitted comments on the final 2013 Medicare Physician Fee Schedule rule issued by the Centers for Medicare & Medicaid Services (CMS) in November. AAN urges CMS to adopt the RUC–approved work RVUs for the new nerve conduction codes 95908–95913 and to maintain the RUC–approved work RVUs for the EMG add–on codes 95885–95887. We also request that CMS convene a refinement panel to reconsider the values for these services. In addition, AAN's key comments focus on:

  • Intraoperative Neurophysiology (IOM)
  • Evoked Potentials and Reflex Tests
  • Extracranial Nerves, Peripheral Nerves, and Autonomic Nervous System
  • Transitional Care Management Services
  • Complex Chronic Care Coordination¬† Codes
  • Improving the Value of the Global Surgical Package

The AAN also submitted comments on the final 2013 Hospital Outpatient Prospective Payment System rule requesting that CMS work with AAN in assigning more appropriate Ambulatory Payment Classifications (APCs) to the new nerve conduction study codes. APCs are the government's method of paying for facility outpatient services for the Medicare program. APC payments are made only to hospitals when the Medicare outpatient is discharged from the ED or clinic or is transferred to another hospital (or other facility) which is not affiliated with the initial hospital where the patient received outpatient services. If the patient is admitted from a hospital clinic or ED, then there is no APC payment, and Medicare will pay the hospital under inpatient DRG methodology.