Groups call on CMS to scrap the 'burdensome' proposal, which 40% of survey respondents anticipate will cost between $25,000 to $100,000 per surgeon.
CMS's global surgery data collection proposal is onerous, unfunded, and would "wreak havoc" on surgeons' practices, according to comments to CMS by the American Association of Neurological Surgeons (AANS) and Congress of Neurological Surgeons (CNS).
The 2017 Medicare Physician Fee Schedule includes what the AANS and CNS called a "sweeping mandate" that would require surgeons to use a set of eight "new and untested G-codes" to document the type, level, and number of every pre- and postoperative visit furnished during the global period of every surgical procedure.
According to the proposal, surgeons would have to report on each 10-minute increment of services provided.
"The proposed time-based G-codes are not aligned with clinical workflow," the comments said. "The burden associated with physicians attempting to track their time in 10-minute increments is onerous and will result in underreporting of data."
Currently, Medicare pays neurosurgeons a single fee which covers the costs of the surgery plus all follow-up care within a 10- or 90-day timeframe.
In addition, the comments say that the proposal runs afoul of Medicare Access and CHIP Reauthorization Act (MACRA) directives, which directs CMS to gather data from a 'representative sample of physicians.'