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On June 20, the Centers for Medicare & Medicaid Services (CMS) published a proposed rule that updates the second and future years of the Quality Payment Program. The Quality Payment Program, enacted by the Medicare Access and CHIP Reauthorization Act of 2015, referred to as MACRA, implements two reimbursement tracks for Medicare Part B Services: the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs). In the second year of the Quality Payment Program, CMS estimates that 8,590 urologists will be eligible to receive payment under MIPS in 2020. Highlights of the proposed rule include the following changes for the 2018 ...
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This week’s update includes information on U.S. Preventive Services Task Force reform, Independent Payment Advisory Board repeal, the new Quality Payment Program and practice management resources, and patient advocacy news.  U.S. Preventive Services Task Force (USPSTF) Reform – Congressional Outreach Over the past few weeks, we have informed you of a series of meetings the AUA is holding with offices that sit on the House Energy & Commerce Subcommittee on Health to educate them on the new PSA recommendation. Because the draft recommendation more closely resembles the AUA’s clinical practice guideline, we feel it is important for the offices that oversee ...
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The House of Representatives is planning to vote on a comprehensive medical liability reform bill in the near future. H.R. 1215, the Protecting Access to Care Act (PACA), contains reforms that are critical to bringing down health care costs and ensuring access to care for all patients. The AUA is urging you to contact your member of Congress today and ask him/her to support medical liability reform by voting for H.R. 1215 when it comes to the floor soon. Among the numerous medical liability reforms put in place by PACA, the bill would fully compensate patients for medical/economic damages and place a $250,000 limit on noneconomic damages. It also would make ...
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The Food and Drug Administration (FDA or Agency) has determined that it is necessary for manufacturers of certain reusable medical devices to include in their premarket notifications (510(k)s) instructions for use which have been validated and validation data regarding cleaning, disinfection, and sterilization, for which a substantial equivalence determination may be based. This notice includes a list of these reusable devices that will require validated instructions for use and validation data in their premarket notification. The FDA is publishing this list in accordance with the requirements established by the 21st Century Cures Act. This action ensures that ...
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On April 18, Sharie Harris joined the Public Policy & Practice Support Division as the Reimbursement and Regulation Associate. Sharie comes to us from Anne Arundel Medical Center where she worked with a number of Internal Medicine and Gynecology physicians as well as clinical staff in order to support practice quality and patient care. She had the opportunity to Intern with a number of specialty groups by learning about the functionality, diversity, and the challenges of managing a practice. Sharie also received her Bachelor of Arts in Health Administration and Policy with a focus on Health Services Administration from the University of Maryland Baltimore ...
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et the latest on urology coding from AUA experts at the 2017 AUA Coding Seminar on July 21-22 , at the Westin Las Vegas Hotel in Las Vegas. This seminar, designed to update your CPT coding skills and hone your ICD-10 coding skills, will extend your urology coding knowledge beyond the textbook and into the realm of patient collections, key practice issues, audit-proofing, and more. In addition to the seminar, Friday workshops will offer Coding Basics and Surgical Coding Challenges along with a new Practice Essentials workshop, which will feature a half-day program exploring the essential tools to optimize your practice (effective financial processes for ...
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This week’s update includes information on this week’s American Medical Association (AMA) House of Delegates meeting, Independent Payment Advisory Board (IPAB) repeal, and our advocacy for 2018 appropriations requests for research funding during One Voice Against Cancer Coalition’s fly in. AMA House of Delegates Meeting: AUA Testifies on Urology Match, Infertility, and More New for 2017, the AUA posted daily blogs updating members on the AMA House of Delegates meeting.  These blogs are posted here . AUA Delegates Dr. Aaron Spitz and Dr. Willie Underwood; Alternate Delegates Drs. Terry Grimm and William F. Gee; and Resident and Fellow Delegate Dr. Hans ...
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This article is part of a five-part series of updates from the June 2017 AMA House of Delegates meeting. Additional updates are available from the June 10 , June 11 , June 12 and June 13 sessions. AUA Association Delegates Dr. Aaron Spitz and Dr. Willie Underwood; Alternate Delegates Drs. Terry Grimm and William F. Gee; and Resident and Fellow Delegate Dr. Hans Arora continue to work with hundreds of other physicians at this week’s American Medical Association’s House of Delegates by considering resolutions and reports covering clinical practice, payment, medical education, and public health topics.  On the final day of the meeting, the delegates ...
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This article is part of a five-part series of updates from the June 2017 AMA House of Delegates meeting. Additional updates are available from the June 10 , June 11 , June 12 and June 14 sessions. AUA Delegates Dr. Aaron Spitz and Dr. Willie Underwood; Alternate Delegates Drs. Terry Grimm and William F. Gee; and Resident and Fellow Delegate Dr. Hans Arora continued to work with hundreds of other physicians at this week’s American Medical Association’s House of Delegates by considering resolutions and reports covering clinical practice, payment, medical education, and public health topics. Regular updates will be posted to the Policy & Advocacy Brief ...
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With the volume of urologic coverage policies that flood the AUA every day, it is imperative that each policy is reviewed to ensure that our physician membership is receiving the proper reimbursement for the services that are rendered to their patients. Here are the latest insurance issues relevant to urology. United Healthcare Online Chemotherapy Prior Authorization Tool to Display Outcomes Findings Beginning in the third quarter of 2017, United Healthcare is adding a new feature to its online chemotherapy prior authorization tool. The following outcomes data will be provided to practices that request an authorization for chemotherapy treatment. ...
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  AUA delegates represent urology during the general business  session at the AMA House of Delegates meeting. This article is part of a five-part series of updates from the June 2017 AMA House of Delegates meeting. Additional updates are available from the June 10 , June 11 , June 13 and June 14 sessions. AUA Delegates Dr. Aaron Spitz and Dr. Willie Underwood, Alternate Delegates Drs. Terry Grimm and William F. Gee and Resident and Fellow Delegate Dr. Hans Arora continued to work with hundreds of other physicians at this week’s American Medical Association’s House of Delegates by considering resolutions ...
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This week, the U.S. House of Representatives will have an opportunity to pass comprehensive medical liability reform. H.R. 1215, the Protecting Access to Care Act (PACA), contains comprehensive medical liability reforms that are critical to bringing down health care costs and ensuring access to care for all patients. The AUA is urging you to contact your member of Congress today and ask him/her to support medical liability reform by voting for H.R. 1215 when it comes to the floor in the next few days. Among the numerous medical liability reforms put in place by PACA, the bill would fully compensate patients for medical/economic damages and place a $250,000 ...
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AUA delegate Dr. Hans Arora rose in support of Resolution 307 “ Formal Business and Practice Management Training During Medical Education” and suggested that health policy & advocacy training be added to education of future physicians. This article is part of a five-part series of updates from the June 2017 AMA House of Delegates meeting. Additional updates are available from the June 10 , June 12 , June 13 and June 14 sessions. Yesterday , we shared that the American Urological Association Delegates Dr. Aaron Spitz and Dr. Willie Underwood; Alternate Delegates Drs. Terry Grimm and William F. Gee; and ...
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Dr Gee addresses the Surgical Caucus to oppose CME Report 6, which recommends moving ophthalmology, urology to the NRMP. This article is part of a five-part series of updates from the June 2017 AMA House of Delegates meeting. Additional updates are available from the June 11 , June 12 , June 13 and June 14 sessions. The American Urological Association Delegates Dr. Aaron Spitz and Dr. Willie Underwood as well as Alternate Delegates Drs. Terry Grimm and William F. Gee joined hundreds of physicians at this week’s American Medical Association’s House of Delegates to consider resolutions and reports covering ...
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The AUA has announced that Virginia urologist Dr. Joshua Langston has been named the 2017-2018 H. Logan Holtgrewe Legislative Fellow, a program that is designed to prepare and educate urology residents and fellows in the legislative aspect of health policy. As the AUA’s Holtgrewe Fellow, Dr. Langston will participate in major AUA advocacy initiatives, including the Annual Urology Advocacy Summit and meetings of the AUA’s Public Policy Council and Legislative Affairs Committee. He also will attend the Brandeis University Executive Leadership Program in Health Policy & Management and complete a four-week fellowship with a legislative office in Washington, ...
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On May 18, 2017, the Food and Drug Administration granted regular approval to pembrolizumab (KEYTRUDA, Merck and Co., Inc.) for patients with locally advanced or metastatic urothelial carcinoma who have disease progression during or following platinum-containing chemotherapy or within 12 months of neoadjuvant or adjuvant treatment with platinum-containing chemotherapy.  Learn
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The registration deadline for the Centers for Medicare & Medicaid Services’ (CMS) Web Interface and the Consumer Assessment of Health Providers and Systems (CAHPS) for MIPS survey is June 30, 2017. If you wish to use either option for CMS Quality reporting, you must register with CMS before this date. Quality reporting is one part of the new Merit-based Incentive Payment System (MIPS) track of the Quality Payment Program (QPP). Much like its predecessor program, the Physician Quality Reporting System or PQRS, there are many options for submitting Quality data to the CMS. First, a provider must determine if he/she will report individually or join with others ...
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The Centers for Medicare & Medicaid Services has released a new tool to help providers learn if they must participate in the Merit-based Incentive Payment System (MIPS) in 2017. To determine one’s status, a clinician will enter his/her national provider identifier (NPI) into the field on the tool found on the Quality Payment Program website. Information about one’s status will then be provided as well as where to find participation resources.  Participation Criteria Participation in MIPS in 2017 is required if you: Bill Medicare Part B more than $30,000 a year AND See more than 100 Medicare patients a year. One must also be a: ...
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Over the past three years, the AUA has awarded a total of 10 data grants to help fund short-term research projects that address key knowledge gaps in urological care delivery, workforce development and health policy. Research topics considered for this funding opportunity should focus on population-based, data-driven, specialty generalizable studies. AUA Data Grant applicants do not have to have a statistician on staff. Requests for data analysis can be included and budgeted within their grant application. The AUA can provide the full spectrum of data and statistical support needed to execute funded projects. The AUA Data Grant program is opened annually ...
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This week’s update includes information on this weekend’s start of the American Medical Association (AMA) House of Delegates meeting, selection of the Holtgrewe Fellow, and our upcoming meeting with the Centers for Medicare & Medicaid Services on regulatory relief. AMA House of Delegates Meeting: AUA Analyzes More than 160 Resolutions Last week, your AUA delegates to the American Medical Association (AMA) House of Delegates held their strategy call to analyze and determine a position on 166 resolutions that are up for debate at the 2017 Annual Meeting on June 10-14. Lead AUA Delegate Dr. Aaron Spitz, Delegate Dr. Willie Underwood, Alternate Delegates ...
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