Neurosurgery
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Comparative Study
An Analysis of Medicare Reimbursement for Neurosurgeon Office Visits: 2010 Compared to 2018.
Trends in Medicare billing and procedural reimbursement for outpatient office visits remain unclear within the field of neurosurgery. ⋯ Neurosurgeons are performing more office visits and billing for more time with patients. Meanwhile, Medicare has been paying physicians less per office visit, denying higher amounts of payments and reimbursing a decreasing percentage of submitted charges for office visits. An understanding of these trends is necessary to ensure continued equity and quality access to neurosurgical care in the United States.
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The neurointensive care unit (NICU) has traditionally been the default recovery unit after elective craniotomies. ⋯ Admitting adult craniotomy patients without significant comorbidities, who are expected to have short LOS, to NW was associated with reduced LOS and total cost of admission, without significant differences in postoperative clinical outcome.