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February 2017 - Vol. 36, No. 01

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The Leading Edge

Change and Plan B

Things change. Medicine changes. The Affordable Care Act represented change, and now that may change.

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Challenges and opportunities ahead

Following most elections in which a new administration and Members of Congress are seated, there is considerable discussion and anxiety over what changes will ensue. The current transition is particularly interesting given that we are in the middle of a major evolution in the healthcare delivery system that started with the previous administration.

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At The Forefront

BOARD OF GOVERNORS
The BOG and the Leadership Forum

What is the easiest way  to get involved with the  Academy? The Board of Governors (BOG)!

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PRACTICE PROFILE
North Texas Ear, Nose & Throat Associates, PA

North Texas Ear, Nose & Throat Associates (NTENT) was established in 1995 with a shared vision by eight otolaryngologists who joined together in response to changing market forces in Dallas, TX. Dr. Lee, together with co-founder John Moore, MD, grew NTENT to almost 100 members by 2013. Initially, all the member physicians were geographically located in the Dallas-Fort Worth metroplex.

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Reg-ent℠: the right registry at the right time

The AAO-HNS/F’s Reg-ent is an otolaryngology-specific clinical data registry that is becoming the foundation for quality reporting, quality indicators, quality improvement, clinical and product research, and support for maintenance of certification and licensure.

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Frequently asked questions on MIPS reporting in 2017

On January 1, 2017, eligible clinicians (ECs) could begin reporting for the Merit-based Incentive Payment System (MIPS) program. Under MIPS, ECs will report on multiple categories and receive a composite performance score (CPS). The Academy has received several inquiries from Members asking about the MIPS program and how they can report in 2017. In response to these questions, the Academy has put together a frequently asked questions document to help Members.

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The first 100 days

After a hyper-partisan campaign  season and some November election surprises, the dust slowly began to settle on Capitol Hill in late 2016.  During that time, President-elect Trump’s “Transition Team” arrived in the nation’s capital and both chambers of Congress,  without much fanfare, reaffirmed their respective leadership. Then, the planning began.

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Leaders of the PAC
Expanded from the print edition

The ENT PAC Board of Advisors thanks our Leadership Club Investors for their generous support to ensure the specialty has a powerful voice on Capitol Hill. With your support, otolaryngology-head and neck surgery is guaranteed a seat at the table on issues impacting our profession, our practices, and our patients. Program year: January 1, 2016 through December 31, 2016. Chairman’s Club Investment of $1,000+ Carol R. Bradford, MD Leonard W. Brown, MD Sujana S. Chandrasekhar, [...]

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WIO Endowment opportunities

The Women in Otolaryngology (WIO) Endowment was established in 2010 with the generous donations of many forward-thinking men and women who understood the challenges that women in otolaryngology-head and neck surgery face. The idea of an endowment to provide a perpetual stream of earnings, which could be used to address and eliminate the obstacles to career success, struck a chord with many.

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Become a mentor/mentee on mENTorConnect today

mENTorConnect is designed to help bring AAO-HNS Members together to provide a unique opportunity for personal and professional growth through the creation of mentor relationships.

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Practice Management eCourses

Eleven new eCourses from AcademyU®, will help you understand and manage your otolaryngology practice and get some credit too.

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Examining diversity in the AAO-HNS

Diversity and inclusion, as well as cultural competency, are now well-known focuses in most organizations and institutions. Studies have proved that diverse work places and environments lead to increased productivity, creativity, and overall success in the workplace. Our Academy is striving to define our diversity and inclusion as well as create a strong element of cultural competency.

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AAO-HNS/F Seeks Chair for Ethics Committee

AAO-HNS/F Boards of Directors are seeking applications for the position of Chair of the AAO-HNS/F Ethics Committee. The chair-elect would serve from October 1, 2017, through September 30, 2018, then as chair for a term of four years beginning October 1, 2018, with a possible two-year extension at the discretion of the Executive Committee.

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NYU team provides surgical care in Haiti

ylan Francis Roden, MD, MPH, and a group of 10 from New York University (NYU) worked alongside Haitian surgeons, nurses, surgical technicians, and anesthetists for a week in September 2016 performing surgeries for compressive goiter, dermoids, papillary thyroid cancers, and salivary gland tumors at Hopital Sacre Coeur, in Milot in northern Haiti.

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CLINICAL PRACTICE GUIDELINE
Improving Nasal Form and Function after Rhinoplasty

The primary purpose of the “Clinical Practice Guideline: Improving Nasal Form and Function after Rhinoplasty” is twofold: 1. to fill the current void of multidisciplinary clinical practice guidelines available to clinicians and patients and 2. to provide evidence-based recommendations for clinicians, who either perform rhinoplasty or are involved in the care of a rhinoplasty candidate, to optimize patient care, promote effective diagnosis and therapy, and reduce harmful or unnecessary variations in care.

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Call for 2017 Jerome C. Goldstein, MD Public Service Award nominees

The Jerome C. Goldstein, MD Public Service Award is given annually to recognize an outstanding Member for his or her commitment and achievement in service within the United States, either to the public or to other organizations, when such service promises to improve patient welfare. Any Academy Member in good standing is eligible to be nominated, or to nominate another Member, for this prestigious award. The finalist will be selected on March 11, 2017, by the Executive Committee of [...]

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Features

Managing cerumen in children

Infants and children have frequent contact with their primary care physicians, both for regular well-child visits and for times of sickness. Otoscopic examination is typically performed at most visits, and cerumen is commonly identified, with studies citing a 10 percent prevalence of cerumen in the pediatric population and up to three-fold that amount in individuals with significant cognitive disabilities.

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Academy updates CPT for ENT articles

As part of a process to continue to provide the most up-to-date resources for our membership, Academy Current Procedural Terminology (CPT) experts have begun to re-evaluate and update the Academy’s list of CPT for ENT articles.

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CPT changes for 2017: What ENTs Need to Know

There are several Current Procedural Terminology® (CPT) code changes for 2017 applicable to otolaryngologist-head and neck surgeons.  Below is a summary of these changes. If you have any questions regarding CPT code changes for 2017, please contact the Health Policy team.

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Top 100 ENT services for 2017

The Academy has prepared resources outlining the 100 most frequently reported Current Procedural Terminology (CPT) codes by providers with subspecialty designation “4-Otolaryngology” within the Medicare enrollment database. In order to continue to provide the most up-to-date resources for our membership, two updated charts are now available for the 2017 Top 100 ENT Codes Billed in a Physician Office and the 2017 Top 100 ENT Codes Billed in the Hospital Outpatient Department.

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AAO-HNS Member Call to Action

Join the Stop the Bleed® initiative and the bleeding control initiative from the American College of Surgeons (ACS), the ACS Committee on Trauma, and the Hartford Consensus. This is a nationwide campaign empowering individuals to act quickly and save lives—much like the successful CPR education campaigns that began decades ago.

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Hypoglossal  nerve stimulator
New Category III codes

New Category III codes have been established in the Current Procedural Terminology (CPT®) 2017 code set to report implantation of a hypoglossal nerve stimulation system that includes the placement of a chest wall sensor. Previously, this entire service was reported with code 64999, Unlisted procedure, nervous system (see CPT Assistant September 2011). This article provides an overview of these changes.

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