NAEC annually provides its members with a detailed summary of the Medicare Physician Fee Schedule (MPFS) Proposed Rule, along with charts showing the relative value units and payment rates.  This year we did two summaries to provide additional details on the new EEG codes. MPFS Proposed Rule: Most noteworthy for [...]

Protected Class Policy for AEDs Maintained in Medicare Part D Final Rule On May 16, 2019 the Centers for Medicare and Medicaid Services (CMS) published its final rule on Medicare Advantage and Part D Drug Pricing. The final rule did not move forward on CMS’ proposals made earlier this year [...]

NAEC recently received requests for more information on the new long term EEG codes that will take effect on January 1, 2020.  The new codes will not be publicly released until July 2019.  NAEC, in collaboration with AAN, AES, and ACNS will distribute more information and hold several webinars later [...]

Medicare 2019 Final Rules on Physician Fee Schedule and Hospital Outpatient Payment System Released In early November, CMS released the final regulations for the CY 2019 Medicare Physician Fee Schedule (MPFS) and Hospital Outpatient Prospective Payment System (HOPPS).  NAEC has prepared summaries of the rules and charts showing payment for [...]

In July, the AMA published a summary of the May 2018 CPT Editorial Panel Meeting.  At this meeting the Panel approved changes to the Long Term EEG Monitoring Codes, which have been under discussion for over a year. These changes will not take effect until January 1, 2020. Physicians should [...]

The Centers for Medicare and Medicaid Services has released the CY 2018 Final Rules on the Medicare Physician Fee Schedule and the Hospital Outpatient Prospective Payment System.  In general, payment for epilepsy center services under Medicare will remain stable in 2018.  NAEC has prepared a summary of the major provisions [...]

On October 30, 2015, the Centers for Medicare and Medicaid Services (CMS) released its final regulations setting payment rates for physician and hospital outpatient services for 2016. The Hospital Outpatient Final Rule chart shows the Medicare hospital outpatient payment rates for 2016 for epilepsy center services. CMS finalized its proposal [...]

On October 30, 2015, the Centers for Medicare and Medicaid Services (CMS) released the Final Medicare Physician Fee Schedule (MPFS) for 2016. The final rule updates payment policies and payment rates for services furnished under the MPFS and includes changes to the quality reporting initiatives associated with the MPFS – [...]

The Medicare Physician Fee Schedule (MPFS) Final Rule provides payment rates and policies for physician services and other practitioner services as well as updates to Medicare’s quality reporting programs. NAEC provides an analysis of each rule and prepares charts with payment rates for epilepsy center services for its members. [...]