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AOA NOW: April 11, 2018
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April 11, 2018

NEWS & ASSOCIATION UPDATES

Join Today's Webinar

Are you effectively managing your revenue cycle? Are you ready for changes coming our way with value-based payments? Join today's webinar, "Manage Revenue Cycle and Increase Your Bottom Line," 1:00 p.m. - 2:00 p.m. Eastern to find out! Owen Dahl, a nationally recognized medical practice management consultant, will be covering the following educational objectives:

 

  • Review processes as they relate to key performance indicators.
  • Identify how to plan to manage revenue in the value-based reimbursement world.
  • Go beyond revenue and understand the big picture and bottom line.
  • Provide practical tools and ideas to address the above issues in your changing environment

 

Audiology Direct Access Legislation Introduced in U.S. Senate

Source: Capwiz
The Audiology Patient Choice Act (S. 2575) was recently introduced in the U.S. Senate by Senators Elizabeth Warren (D-MA) and Rand Paul, MD (R-KY).If enacted, S. 2575 would:

 

  1. Provide audiologists with unlimited direct access to Medicare patients without a physician referral, and
  2. Inappropriately add “audiologist” to Medicare’s definition of a physician.

 

S. 2575 is the companion bill to the audiology direct access/physician status legislation introduced last year in the U.S. House of Representatives (H.R. 2276). More than 130 national, state, and local medical societies, including the AAO-HNS and AOA, have opposed this effort in the House.

Please find the link to send an email to ask your physician to contact their Senator today. As an administrator, please feel free to modify the email to fit administrators and you can call the Capitol Switchboard and talk to the Health Legislative Assistant or leave a message that you are opposed to the bill. 
Learn about how you can take action on Capwiz's website.

 

engagemENT LIVE
Interested in receiving weekly otolaryngology polls from the AOA?Text "engagement" to 25101 to opt in. The system will prompt you to enter your full name and then email address, and you're all set to begin receiving messages! You can also sign up online.

 

Job Descriptions Toolkit

Make sure your practice is compliant and on track with AOA’s resource, the Job Descriptions Toolkit!This is the perfect resource for any practice to ensure that your employees – and YOU – understand one another’s roles and expectations around the office. Be sure to log into the AOA website to receive your member discount when you purchase your copy.

 

MANAGER'S MINUTE

How to Recognize Burnout Before You're Burned Out

Source: New York Times
In today’s era of workplace burnout, achieving a simpatico work-life relationship seems practically out of reach. Being tired, ambivalent, stressed, cynical and overextended has become a normal part of a working professionals life. The General Social Survey of 2016, a nationwide survey that since 1972 has tracked the attitudes and behaviors of American society, found that 50 percent of respondents are consistently exhausted because of work, compared with 18 percent two decades ago. Read the full story about how to recognize burnout on New York Times' website.

 

BEST OF THE BOARD
Audits
The AOA's member platform - engagemENT - is a great place to start a discussion with your otolaryngology peers! This week's highlight looks at the topic of audits. Be sure to check out the highlight below or view the discussion on the engagemENT website.

 

Q:Hi all, I am looking for the best place to get help if we feel like an insurance company is being unfair with justification for an audit. We are currently waiting to hear back from an appeal that we filed with the 3rd party that was hired to do the audit. The insurance company is auditing mainly the 25 modifier they are approving all of our scopes but denying all of the E+M even on new patients. We have counsel through our malpractice carrier assisting with the appeal because of the money amount.

 

A: Thus far here in New Jersey, we have one payer who pays for the procedure and 50% of the E/M visit. We had another payer who sent notice that they were going to institute same policy, however, rescinded this policy. That is all we have seen thus far thank goodness. I also do not understand how they can apply this policy for a new patient. The one payer who has instituted it is not reducing if the patient is a new patient.

A: I wish I could offer a suggestion however we are in the same position with in-office balloon sinuplasty surgery. We have several that we can not get paid! We have followed all the appeal processes with no resolve. Our insurance reps are of no value! If I get any help I will forward it on.

 

A: Your State Society, AOA-HNS and ACS have all been helpful from time to time. Also getting the employer involved calling the carrier with the patient on the line we have had success with. The state insurance commission should be a help as well, but in our State (Ohio), not so much. Also going as high on the food chain as possible to talk with someone that can and will actually do something is time consuming but does yield results.

A: The best is to prevent this by accurate coding and documentation
if you have a second diagnosis different from the scope; it is hard to bundle
think of stuffy nose, ear wax, smoking cessation, obesity counseling and the other oh by the way minor complaints that patients ask about. Document and coding these secondary diagnoses should help.

 

AOA RESOURCES
Are You Reading FAST Practice?
Did you know that your AOA membership comes with a complimentary subscription to the FAST Practice newsletter? Created by Greenbranch Publishing, this monthly newsletter is built on the journal club concept, and expert editors select and summarize 16 of the most valuable practice management articles from current literature. This is a $219 a year value! Check your inbox around the 15th of each month for the latest edition and access instructions.

 

UPCOMING WEBINARS
Educate yourself and your office with AOA webinars. Learn about several upcoming titles below, and visit the AOA Webinars page to register. Secure your education for 2018 with the 2018 AOA webinar subscription for the low member rate of just $349.

April 11@ 1p.m. Eastern | "
Manage Revenue Cycle and Increase Your Bottom Line" presented by Owen J. Dahl, MBA, FACHE, CHBC, LSSMBB
April 28@ 2p.m. Eastern | "
Anti-Harassment Policy Training" presented by Lori Kleiman

May 16 @ 1 p.m. Eastern | "Pricing Hearing Services in the 21st Century" presented by Kim Cavitt, AuD

May 23 @ 1 p.m. Eastern| "Is It All In Your Head? Master Mindfullness, Reduce Stress, and Increase Productivity!" presented by Julie Alexander, CSP

June 13 @ 1 p.m. Eastern| "Managing the Unmanageable: Let's Make This Fun!" presented by Lee Silber

 

Association of Otolaryngology Administrators
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Pittsburgh, PA 15221
p: 412-243-5156 | e: info@AOAnow.org

AOA Office

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Pittsburgh, PA 15221
Phone: 412-243-5156
Fax: 412-243-5160

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