www.entnet.orgCurrent IssueArchivesAnnual MeetingAdvertise with the BulletinENTConnectJune 2018 – Vol. 37, No. 5Advocacy: Making the specialty's voice heard: AAO-HNS takes lead role in first FDA sleep disordered breathing workshopOn April 16, the U.S. Food and Drug Administration (FDA) held its first workshop on sleep disordered breathing (SDB) devices, focusing on the appropriate design of clinical studies to evaluate devices and digital health technologies intended for the diagnosis, monitoring, and treatment of SDB in adults.Leading EdgeData and evidenceOne of the most frustrating subjects permeating the medical community revolves around data and evidence. There has been a steady progression, particularly over the last decade, of the realization and acceptance that data and evidence should be the foundation of the diagnosis and treatment of medical problems.James C. Denneny III, MD, AAO-HNS/F EVP/CEOPractice in an era of healthcare disruptionMore health systems are feeling the pressure of impending consolidation due to a number of factors, including narrowing margins, tightened net incomes, unpredictable national health policy, costs, increasing regulatory burdens, and time to build a population health infrastructure.Gavin Setzen, MD, AAO-HNS/F Past PresidentState of States: Mid-year 2018With all but four state legislatures convening in 2018, it has been an active year for the AAO-HNS state advocacy program. However, many of those state sessions have been abbreviated. Oregon, for example, had a historically short session lasting only 27 days. This year, most of the legislatures were slated to concentrate on their state budgets.Federal legislative accomplishments115th Congress – 2017/2018AAO-HNS leads efforts to oppose audiology direct access/physician status legislationThe AAO-HNS strongly believes a physician-led hearing healthcare team, with coordination of services, is the best approach for providing the highest quality care to patients. However, some in the audiology community continue to pursue legislation that would threaten patient safety by removing existing physician referral requirements within the Medicare program and redefining audiologists as “limited license physicians.”Speak with a collective voiceENT PAC, the political action committee of the AAO-HNS, financially supports congressional candidates and incumbents who will advance issues important to otolaryngology-head and neck surgery.Payment advocacy spotlight: Wins and recent actionsThe AAO-HNS ramped up its private payment advocacy efforts this year due to increased actions by payers to reduce/eliminate physician reimbursements or limit their coverage decisions. Strategic efforts were re-aligned to more actively advocate for full coverage and appropriate payment for patient procedures.Now available: CPT Assistant on “Updated Endoscopic Nasal Sinus Surgery” codesFor the Current Procedural Terminology (CPT®) 2018 code set, significant changes were made to the Endoscopic Sinus Surgery (FESS) and Sinus Ostial Dilation (e.g., balloon sinus dilation or BSD) family of CPT codes. To help members understand the code changes and accurately report these procedures, the AAO-HNS partnered with the American Medical Association (AMA) to develop a CPT Assistant on the updated codes.Join AAO-HNSF in new humanitarian effort: Donate medical supplies and instruments today!Imagine turning patients away because you don’t have surgical gloves to treat them, or not being able to perform life-altering surgery on a child because you don’t have the correct instruments or supplies. This happens every day in places around the world. But you can help to change that.International Guest of Honor Series: The Colombian ENT surgeon is the product of a wonderful landThe Colombian Association of Otolaryngology, Head and Neck Surgery (ACORL) was founded in 1961 in Bogota, Colombia, as a nonprofit scientific organization. Until then referred to as specialists in Organs of the Senses, ACORL was formed to become independent of the Colombian Society of Ophthalmology and Otolaryngology and is certified under ISO 9001: 2008 Quality Standard since 2010.Welcome to Atlanta: Our townIn the middle of an urban resurgence, Atlanta is one of America’s most accessible cities, featuring vibrant and unique neighborhoods, chic dining, and a rich history. Around every corner is a new attraction, restaurant, or shopping opportunity. If you haven’t visited Atlanta in a few years, you haven’t really seen Atlanta.#OTOMTG18 Honorary Guest LecturersPresented in order of appearance, October 8 and 9, 2018.Proposed fiscal year 2019 (FY19) combined budgetScott P. Stringer, MD AAO-HNS/F Secretary-Treasurer The Executive Committees of the Boards of Directors (BODs) were presented with the Finance and Investment Subcommittee (FISC) proposed budget for the next fiscal year, July 1, 2018-June 30, 2019 (FY19), and endorsed it for approval by the BODs.Humanitarian service in BelizeThis past February, I had the privilege of serving on a medical mission to the Corozal Community Hospital in Corozal, Belize. It was one of the most humbling and rewarding experiences of my life.Clinical Practice Guideline: A Consumer’s Perspective Commentary: New clinical practice guideline on hoarseness (dysphonia) with permission from the National Spasmodic Dysphonia AssociationThe Clinical Practice Guideline: Hoarseness (Dysphonia) is designed to provide doctors with evidence-based recommendations for treating patients with dysphonia.International Advisory Board (IAB) Chair electionThe AAO-HNS call for nominees for the next Chair of the International Advisory Board (IAB) was highly successful and resulted in the submission of several highly qualified candidates for the position.Reg-ent℠: MIPS 2018 reporting FAQsHow will the Reg-ent registry help my practice with MIPS 2018 reporting?Board of Governors: Mentorship through Academy meetingsDuring my residency and first few years of practice, I looked forward to attending the AAO-HNSF Annual Meeting because of the dynamic speakers and exciting courses to further develop my surgical skill set.Joint Commission: Meaningful change?The expanding list of rules governing how one practices medicine both in the hospital and outpatient setting has been recognized as one of the greatest threats to physician well-being in the medical community today.