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Dr. Hans Arora, the 2016-17 H. Logan Holtgrewe Legislative Fellow, is currently a resident physician in urology at the Cleveland Clinic in Ohio. As part of this fellowship, Dr. Arora will spend four weeks working in the office of Congressman Patrick J. Tiberi (OH-12). We sat down with him before the experience to get a sense on what he was expecting. Editors Note: On March 6, Dr. Aroras first day working on Capitol Hill, Rep. Paul Ryan (R-WI-1) introduced the American Health Care Act, the GOP bill to repeal and replace the Affordable Care Act. Q: Youre about to start your time on Capitol Hill, What do you hope to gain from the experience? ...
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Draft recommendations to reduce growth in Medicare Part B drug spending and strategies to encourage transition from the Merit-based Incentive Payment System (MIPS) to advanced alternative payment models (APMs) were leading topics for Medicare Payment Advisory Commission (MedPAC) at its most-recent meeting, held March 2-3, 2017. Since 2009, Part B drug spending has grown 9 percent annually. In 2015, Part B drug spending was $26 billion up from $23 billion in 2014. A series of draft recommendations to reform Medicare payment for Part B drugs and biological were proposed by MedPAC Chair Francis J. Crosson, MD. Potential reforms, if implemented, would modify ...
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Providers in Massachusetts are accessing the states prescription drug monitoring program database approximately 28,000 times per weekday, as compared to 6,000 per day last summer, according to data from the states Department of Public Health. The increase is the result of increased outreach efforts by the state and new legislation going into effect. As of Oct. 15, 2016, providers are required by law to check the database before prescribing many controlled substances. Opioid-related deaths have hit all-time highs in the state recently, with most involving the drug fentanyl. A recent report presented by Governor Charlie Baker (R) estimates that roughly ...
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Arkansas Governor Asa Hutchinson (R) has recently announced his plan to alter his states Medicaid expansion efforts. Specifically, Gov. Hutchinson would like to add work requirements and lower the programs eligibility cap to 100 percent of the Federal Poverty Level. As Medicaid is a program receiving both federal and state funding, the Centers for Medicare & Medicaid Services (CMS must approve any changes.). Such a request is likely to have a more friendly audience with Republican administration than the previous Democratic one. However, given the uncertainty surrounding the law and the future of Medicaid expansion, the plans success is not a forgone ...
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Physician Compare , a website operated by the Centers for Medicare & Medicaid Services (CMS), provides patients with useful information about physicians and other health care professionals who take part in Medicare. General provider information, such as name, address, clinical training, and hospital affiliations, is listed. therefore, it is important to verify that your data are correct. The primary source for data on Physician Compare is the Provider Enrollment, Chain and Ownership System (PECOS). In order to update any of your information on Physician Compare, including phone number and practice location, you will need to update your information in Internet-based ...
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The Food and Drug Administration (FDA) is advising consumers not to purchase or use a group of supplements promoted for sexual enhancement because an FDA laboratory analysis confirmed they contain hidden ingredients. The supplements and the undeclared products contained are: Arouse-Plus - tadalafil Bazook Bullet aminotadalafil Tadalafil and aminotadalafil are active ingredients used in FDA-approved prescription drugs used to treat erectile dysfunction. While there are no reports of illness associated with the list of supplements, they could pose a threat to consumers because the undeclared product can interact with nitrates found in some prescription ...
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This weeks advocacy update includes information on prior authorization reform, as well as AUA advocacy on Department of Defense funding for bladder cancer, Independent Payment Advisory Board repeal and U.S. Preventive Services Task Force reform. Prior Authorization: Call for Your Participation in 35-Question AUA, Alliance Survey, AMA Call Last week, we shared a link to the Alliance of Specialty Medicines survey on access to specialty care. The Alliance, of which AUA is a member, will use the results of the survey in our advocacy with federal lawmakers and regulators to advance issues of shared interest to the specialty medicine community. The survey ...
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This weeks advocacy updates include information on urologic ICD-10 codes, our grassroots alert on U.S. Preventive Services Task Force (USPSTF) reform, Affordable Care Act replace and repeal hearings, and successful state advocacy in Maryland and West Virginia. RUC Meeting: AUA to Present on CPT Codes 74420, 76870 The AUA will be attending the American Medical Association/Specialty Society Relative Value Scale Update Committee (RUC) meeting on April 26-29. AUA RUC Advisor Dr. Thomas Turk and AUA RUC group presenter Dr. James Dupree will present survey data on CPT codes 74420 (urography, retrograde, with or without KUB) and 76870 (ultrasound, scrotum and contents) ...
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The Pre-Announcement is now available for the new Urology Care Foundation Physician Scientist Residency Training Award. Recently approved by the AUA Board of Directors, this pilot program is the latest addition to our mentored research grants portfolio and is designed to grow the population of surgeon-scientists who can effectively lead robust research programs. Physician Scientist Residency Training Award | Pre-Announcement Available The Pre-Announcement for the new Urology Care Foundation Physician Scientist Residency Training Award is now available. This pilot program will support a three-year research training program embedded within residency and ...
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On May 11, as part of the 2017 AUA Practice Management Conference in Boston, Dr. Michael Fabrizio, Urologist at Urology of Virginia in Virginia Beach, Virginia , will lead a presentation entitled In-Office Dispensing for your Practice. Dr. Michael Fabrizio is a professor of Urology at Eastern Virginia Medical School , regularly shares his knowledge and expertise from his urologic practice. During his presentation at our conference, Dr. Fabrizio will discuss the pros and cons of having an in-office dispensary for your practice and how to establish one. In-office dispensing and specialty pharmacy dispensing is very important for our patients. These new ...
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Hundreds of your colleagues have traveled to Washington, DC for the Joint Advocacy Conference. Today, they are meeting with members of Congress on the very important issue of reforming the U.S. Preventive Services Task Force (USPSTF) recommendations process. Help us amplify our reach by contacting your lawmaker now ! While the USPSTF has issued several controversial recommendations in recent years, urology is specifically concerned about its 2012 "D" recommendation against prostate-specific antigen (PSA) based screening for prostate cancer in all men, regardless of their individual risk. This "D" grade does a great disservice to the many men who could benefit ...
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If you have not submitted your 2016 Physician Quality Reporting System (PQRS) data, it is not too late. The Centers for Medicare & Medicaid Services (CMS), which oversees the PQRS, has extended several of the reporting deadlines. The new reporting deadlines for the 2016 PQRS program year are: Friday, March 31, 2017: Electronic Health Record (Either Direct or Data Submission Vendor) Friday, March 31, 2017: Qualified Clinical Data Registry (QCDR) Reporting Friday, March 31, 2017: Traditional or Clinical Registry Reporting While these deadlines have been extended, most vendors impose additional deadlines prior to the CMS deadlines. ...
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If you are an AUA member, theres never been a better time join the AQUA Registry! Starting April 1, 2017, all new AQUA Registry subscriptions are subject to an installation fee of $500 for AUA members and $1,000 for non-members. Sign up today to avoid installation fees! Developed by urologists for urologists, the AQUA Registry is the only urology-specific Qualified Clinical Data Registry designed to measure, report and improve healthcare quality and patient outcomes. Launched by the AUA in 2014, the AQUA Registry offers participants the opportunity for national benchmarking on diagnosis, treatment and physician performance; assistance with measure ...
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This weeks advocacy update comes to you from Capitol Hill, where more than 150 urologists are meeting with lawmakers on issues of importance to urology. This weeks column shares information on our comments on the non-recommended PSA-based screening measure, our upcoming Centers for Medicare & Medicaid Services (CMS) meeting on physician burnout, medical liability reform, the Veterans Affairs Handbook, and patient advocacy. The AUA will be releasing two RUC surveys this week on radiology codes 74420 retrograde urography and 76870 ultrasound of scrotum and contents. If you receive an email asking you to provide input, we urge you to take time to provide this ...
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For the first time in many years, significant and far reaching medical liability reform legislation is progressing in Congress. The bill, the Protecting Access to Care Act or PACA (H.R. 1215), would enact traditional medical liability reforms, such as caps on non-economic damages, limiting attorney contingency fees, and allowing for periodic payment of future damages. Republican control of both houses of Congress and the White House has led to new hope that reform is achievable during the 115 th Congress. The legislation establishes a nationwide baseline for these reforms, and allows states flexibility to adjust the law to their needs. In late February ...
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After years of political and legal battles in Texas, telemedicine companies and the states providers appear to have reached a compromise. The longstanding feud between the Texas Medical Board (TMB) and national telemedicine company Teledoc has centered over key definitions of telemedicine and how it can be safely practiced in the state, specifically treating new patients via phone consultations. This compromise was announced in mid-February, shortly after Teledoc announced the suspension of its lawsuit against the TMB. State Senator Charles Schertner, MD, who chairs the Senate Committee on Health and Human Services, has authored a bill to reflect this ...
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On February 27, the AUA sent a letter to members of the House/Senate Committee on Veterans Affairs expressing concern with the U.S. Department of Veterans Affairs (VA) final rule allowing advanced-practice registered nurses (excluding certified registered nurse anesthetists) to practice to their full authority at VA clinics independently of a physicians clinical oversight and regardless of individual state law. The rule, which took effect in mid-January, was developed in an attempt to make it easier for veterans to be seen by medical professionals by increasing the number of available primary care providers. Undoubtedly, there remains a real shortage of ...
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Make plans now for your team to attend the AUAs next Coding Seminar, to be held March 31-April 1 in Tampa, FL, at the Westshore Grand Hotel. This course is taught by highly respected urology coding experts who provide updates on coding changes, discussions of common coding questions and payment denials gathered from the AUA Coding Hotline, and practical exercises to hone the skills of anyone in the practice who is involved with CPT, HCPCS or ICD coding. To ensure optimum reimbursement for patient care, every practice should send individuals to these essential coding updates. Physician's CME and Coder's CEUs are available. A continental breakfast and ...
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Endo Pharmaceuticals Inc. is recalling one lot of Edex (alprostadil for injection) 10 mcg to the consumer level. This product recall is due to the detection by Endo of a defect in the crimp caps used in the manufacture of the subject product lot. This defect has the potential to lead to a loss of container closure integrity, which could impact the products sterility assurance and may lead to serious adverse events such as infections, both localized at the site of injection and systemically. The recall applies to the 10 mcg strength, packaged in a two-pack carton, (NDC 52244-010-02), product lot number 207386, Expiration Date: May 2019. The affected lot ...
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On January 13, 2017, the Centers for Medicare & Medicaid Services (CMS) released the Medicare Advantage Organization (MAO) report, which outlines the online provider directories of 54 Medicare Advantage (MA) plans and the inaccuracies that exist within the directories. The first round of reviews spanned from February through August 2016. There were multiple different types of inaccuracies, which included whether providers were accepting new patients, incorrect addresses and telephone numbers, and retirement status for some providers. The review was an enormous undertaking as reviewers placed calls to each providers office(s) to verify the accuracy of the information ...
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