AAO24: Allergic Rhinitis: Avoidance of Leukotriene Inhibitors+
Quality MeasureDownload PDF High Priority: Yes; Appropriate Use NQF Number: N/A Percentage of patients age 2 years and older patients with allergic rhinitis who do not receive leukotriene inhibitors. Denominator: All patients age 2 years and older with allergic rhinitis who do not have an…
ASPS26: Patient Satisfaction with Information Prior to Facial Reconstruction After Skin Cancer Resection Procedures+
Quality MeasureDownload PDF High Priority: Yes; Patient Experience NQF Number: N/A Percentage of patients aged 18 and older who underwent facial reconstruction after skin cancer resection who responded to the (6 question) Face-Q Satisfaction with Information: Appearance Module within 60 days of the procedure…
ASPS17: Patient Satisfaction with Rhinoplasty Procedure+*
Quality MeasureDownload PDF High Priority: Yes; Outcome NQF Number: N/A Percentage of patients aged 15 years and older who had a rhinoplasty procedure who demonstrated improvement* in functional and/or aesthetic satisfaction using a validated patient satisfaction tool (such as SCHNOS, NOSE, SNOT, RHINO) within…
CMS Releases CY 2019 MPFS/QPP Proposed Rule
Regulatory ReliefOn July 12, 2018, the Centers for Medicare & Medicaid Services (CMS) released the CY 2019 Proposed Rule for the Medicare Physician Fee Schedule (MPFS). While in previous years regulations for the Quality Payment Program (QPP) were released independently, the 2019 MPFS proposed rule includes proposals…
AAO-HNS Submits Comments on Medicare Physician Fee Schedule Proposed Rule
Regulatory ReliefOn September 10, the AAO-HNS submitted a comment letter to the Centers for Medicare & Medicaid Services (CMS) addressing several components of the CY 2019 Medicare Physician Fee Schedule (MPFS) proposed rule. The Academy’s comments focused on Medicare’s proposed changes to documentation requirements…
AAO-HNS Comments on Medicare CY 2019 Hospital Outpatient Proposed Rule
Regulatory ReliefOn September 24, the AAO-HNS submitted a comment letter to CMS regarding the CY 2019 Medicare Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System proposed rule. The Academy’s comments included support for Medicare’s proposed changes to reduce…
CMS Releases CY 2019 OPPS and ASC Final Rule
Regulatory ReliefOn November 2, 2018, CMS released a final rule implementing changes to the Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System for Calendar Year 2019. CMS continued its drive toward site neutrality for outpatient services, specifically clinic visits for outpatient…
AAO-HNS Comments on CY 2019 Medicare Physician Fee Schedule Final Rule
Regulatory ReliefOn December 31, the AAO-HNS submitted a comment letter on the CY 2019 PFS Final Rule thanking CMS for implementing multiple policy changes positively impacting the specialty. Our comments to the agency focused on the following issue areas: 1) application of MPPR to E…
CMS Releases CY 2020 MPFS/QPP Proposed Rule
Regulatory ReliefOn July 29, 2019, the Centers for Medicare and Medicaid Services (CMS) released the CY 2020 Proposed Rule for the Medicare Physician Fee Schedule (MPFS), which also includes proposals related to the Quality Payment Program (QPP). The proposed regulations will be published in the Federal…
CMS Heeds AAO-HNS Concerns on CY 2019 MPFS
Regulatory ReliefOn November 1, 2018, CMS released a final rule implementing changes to the 2019 Medicare Physician Fee Schedule. In response to AAO-HNS advocacy and coordinated efforts across the house of medicine, CMS opted to rescind its proposal to apply an MPPR/Modifier 25 reduction…
AAO-HNS Comments on Medicare Physician Fee Schedule Proposed Rule
Regulatory ReliefOn August 30, the AAO-HNS submitted a comment letter to the Centers for Medicare & Medicaid Services (CMS) on the CY 2020 Medicare Physician Fee Schedule and Quality Payment Program proposed rule. The Academy’s comments focused on the agency’s proposed changes to E…
AAO-HNS Comments on Medicare CY 2020 Hospital Outpatient Proposed Rule
Regulatory ReliefOn September 27, the AAO-HNS submitted a comment letter to CMS regarding the CY 2020 Medicare Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System proposed rule. The Academy’s comments included support for Medicare’s proposed changes to increase…
AAO-HNS Comments on Medicare Physician Fee Schedule Final Rule
Regulatory ReliefOn December 30, the AAO-HNS submitted comments to CMS regarding the CY 2020 Medicare Physician Fee Schedule final rule. In the November 15 federal register notice rule publication, the agency indicated its willingness to solely consider comments on the sections of the rule describing…
Medicare to Require Prior Authorization for Certain Outpatient Department Services Starting July 1, 2020
Regulatory ReliefIn the Calendar Year 2020 Outpatient Prospective Payment System/Ambulatory Surgical Center Final Rule (2020 OPPS Final Rule), the Centers for Medicare and Medicaid Services (CMS) established a prior authorization process and requirements for certain hospital outpatient department (OPD) services in order to help control…
AAO-HNS Preliminary Summary of CY 2021 MPFS Final Rule
Regulatory ReliefOn December 1 the Centers for Medicare and Medicaid Services (CMS) released the 2021 Final Rule for the Medicare Physician Fee Schedule (MPFS) and Quality Payment Program (QPP). Key provisions affecting otolaryngologist-head and neck surgeons include revisions to payment and documentation for evaluation and…
CMS Releases Calendar Year 2021 HOPPS Final Rule
Regulatory ReliefOn December 2 the Centers for Medicare and Medicaid Services (CMS) released the calendar year 2021 Hospital Outpatient Prospective Payment System (HOPPS) final rule. Key provisions affecting otolaryngologist-head and neck surgeons include: facility payment for the new eustachian tube balloon dilation (ETBD) codes, prior…
AAO-HNS Comments on CY 2021 HOPPS Final Rule
Regulatory ReliefOn January 4 the AAO-HNS submitted a comment letter to the Centers for Medicare and Medicare Services on the Calendar Year 2021 Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center (HOPPS) final rule. In response to AAO-HNS advocacy and stakeholder comments received…
CMS Releases Revised 2021 Physician Fee Schedule Conversion Factor
Regulatory ReliefOn January 7 the Centers for Medicare and Medicaid Services (CMS) announced modifications to the calendar year 2021 Medicare Physician Fee Schedule (MPFS) based on the Consolidated Appropriations Act, 2021, signed into law on December 27. Cumulative changes included in the Act result in an…
