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IN THIS ISSUE ...

Making Headlines at AAOE this week
  • Member to Member: ICD-10 Webinar Series Overview — Part 2
  • Be a Mentor — Join ALPS!

  • Compliance Corner
  • Payments and Gifts to Physicians to Become Public Under the Sunshine Act

  • Calendar of Events
  • Calendar

  • Leak of the week
  • The Preliminary Program is Now Available!

  • Meet Your Leadership
  • Committee Member Spotlight: Steve Fiore
  • Leadership Quote of the Week

  • Within Your Practice Walls
  • Under healthcare act, millions eligible for free policies
  • 3.5 million Americans have now had their health insurance policies canceled thanks to Obamacare
  • Blue Button gets boost from AHIMA
  • Medicare pays $23 million in dead claims
  • Official who oversaw botched Healthcare.gov launch resigns
  • Consumers must also be held accountable for medical credit cards
  • Obama's 'crisis of confidence' on healthcare reform implementation
  • Sebelius assures fixes are being made to HealthCare.gov
  • The 4 new rules of the healthcare reform game
  • Malpractice insurance strategies evolve as docs get hired


  • MAKING HEADLINES AT AAOE THIS WEEK

    Member to Member: ICD-10 Webinar Series Overview — Part 2
    By: Jennifer Ale Ebrahim

    AAOE
    Overview of the AAOE-ICD-10 Webinar Series
    Part 2- ICD-10 CM for Hand Surgery
    John Burns, CPC, CPMA, CPC-1, CEMC
    ICD-10 Ambassador & AHIMA Approved Trainer

    Author-Jennifer Ale-Ebrahim, BSBA, BSSTL
    AAOE Board Secretary

    Mr. Burns began this session with some reference tools located on the CMS.gov website called GEMS-general equivalence mappings, which allow the user to crosswalk ICD9-ICD-10 codes. I found this session to be more relevant to fracture care than hand surgery specifically. The coding of fracture care will require familiarity with ICD-10 CM Chapter 13-Diseases of the Musculoskeletal System (M00-M99) and Chapter 19-Injury, poisoning and other consequences of external causes (S00-T88). All ICD-10 coding begins with a 3 digit alpha-numeric code which references a category, such as M for Musculoskeletal. Subsequently, this is followed by 2 numeric digits to further specify the disease or condition, (M79. = Pain in limb). The 4th, 5th, 6th and sometimes 7th digits in ICD-10 all are used to further describe specific regions, body areas, laterality or episode of care. While ICD-10 coding allows for specificity in documentation laterality, payers will still require modifiers for procedural coding such as RT, LT and 50. Also, for certain conditions the bone may be affected at the upper or lower end of the bone (AVN of the bone M87. Or Osteoporosis M80., M81.), even though a portion of the bone may be affected at the joint, the site designation will be the bone and not the joint. Most musculoskeletal conditions are the result of a previous injury or trauma to a site or are a recurrent condition and most will be coded from Chapter 13, but any current or acute injury will come from Chapter 19.
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    Be a Mentor — Join ALPS!
    AAOE
    Are you an AAOE seasoned member? If so, we are currently looking for mentors to apply to the AAOE Leaders in Practice Success (ALPS) Mentor Program. ALPS unites experienced orthopaedic practice executives with new orthopaedic practice executives. Leaders will provide guidance, insight and assistance to the personal growth, development and education of applicants. ALPS participants will enhance their abilities and increase the skills needed to successfully conduct the day-to-day management of an orthopaedic practice. Both mentors and participants mutually benefit from participation in this program. Click here to find out more!

    "It (ALPS) has helped me realize that much of what I often take for granted as 'part of the business' can be very valuable information for someone just starting out. There is real value in the little bits of knowledge we all tuck away. As a mentor I can tell my experience and knowledge are truly valued and appreciated. That means a lot." Samantha (Sami) Spencer

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    COMPLIANCE CORNER


    Payments and Gifts to Physicians to Become Public Under the Sunshine Act
    AAOE
    The Sunshine Act is part of the Affordable Care Act of 2010, and was implemented to provide important ownership transparency by requiring applicable manufacturers and group purchasing organizations to regularly report the following items to the Centers for Medicare & Medicaid Service (CMS):
    • payments or gifts to physicians, and
    • physician or immediate family ownership and investment interests (some examples of these include stock, partnership shares, and limited liability company memberships)
    The goal is to discourage conflicts of interest by making the information public.

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    PRODUCT SHOWCASE
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    • Compliments any EMR
    • Requires no new equipment
    • Contains 95% of what a physician normally dictates

    Eliminate transcription forever. Get ONE™. Be Done!
     


    CALENDAR OF EVENTS

    Date Time (EST) Event More Information
    Nov. 14 12 - 1:30 p.m. Bundled Payments [P2P] Details
    Nov. 15-16 The American Orthopaedic Association Details
    Dec. 5 12 - 1 p.m. The Future of Orthopaedics in a Volatile Health Care Environment [HTW] Details
    Dec. 19 12 - 1:30 p.m. Impending Doom or True Access to Affordable Healthcare – What is all the fuss about? [P2P] Details
    Jan. 10-11, 2014 2014 BONES Society of Florida Coding and Reimbursement Conference Details
    April 4-5, 2014 Midwest AAOE Spring Meeting Details
    May 31-June 3, 2014 AAOE Annual Conference Details
    July 31- Aug.3, 2041 2014 South Carolina Association of Orthopaedic Executive Details
    Sept. 12-14, 2014 BONES Society of Florida Annual Meeting Details

       [P2P]: AAOE Peer-to-Peer Audio Conference
       [HTW]: Hot Topic Webinar


    LEAK OF THE WEEK


    The Preliminary Program is Now Available!
    AAOE
    Everything you need to plan your trip to AAOE's 45th Annual Conference is included. See all of the sessions and their descriptions to help plan the education that you need. See what exhibitors have registered so far. The Justification Toolkit is available to help show the importance of you and your staff's attendance at the Annual Conference. Get all the registration, hotel and travel information that you need. The Preliminary Program is your premier conference planner!
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    SPONSORED CONTENT


    MEET YOUR LEADERSHIP


    Committee Member Spotlight: Steve Fiore, MBA, FACMPE
    AAOE
    Name: Steve P. Fiore, MBA, FACMPE
    Council/ Committee Name: 2014 Annual Conference Committee, Past President
    Practice Name: Orthopaedic Specialty Group, PC
    City/State: Fairfield, CT
    Group Size: 23 Physicians, 9 PA-Cs, 3 Locations, 200 Employees
    Hobby: Golf & Boating
    Favorite quote: "Neither a wise man nor a brave man lies down on the tracks of history to wait for the train of the future to run over him." — Dwight D. Eisenhower.
    Best book ever read: All Books written by David Baldacci
    Favorite movie: Patton
    Any other information you would like to share: I have been a member of Bones/AAOE for over 25 years, and have made some of my closest friends as a result of this organization. I could not have asked for a better group of professionals that are as willing to share information, offer support, and pick me up and dust me off when I need it.

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    Leadership Quote of the Week
    William Shedo
    "A ship in the harbor is safe, but that is not what ships are built for."
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    PRODUCT SHOWCASE
     
    Integrated EMR & Image Management for Orthopedics

    Merge orthopedic-specific EMR, image management and digital templating/surgical pre-planning tools work together to help you optimize workflow and provide faster care, as well as meet Meaningful Use. View this 5-minute day-in-the-life example of Merge Orthopedic solutions helping to manage patient data and images.
     


    WITHIN YOUR PRACTICE WALLS


    Under healthcare act, millions eligible for free policies
    The New York Times
    Millions of people could qualify for federal subsidies that will pay the entire monthly cost of some healthcare plans being offered in the online marketplaces set up under President Barack Obama's healthcare law, a surprising figure that has not garnered much attention, in part because the zero-premium plans come with serious trade-offs.
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    3.5 million Americans have now had their health insurance policies canceled thanks to Obamacare
    The Associated Press via Business Insider
    Now is when Americans start figuring out that President Barack Obama's healthcare law goes beyond political talk, and really does affect them and people they know. With a cranky federal website complicating access to new coverage and some consumers being notified their existing plans are going away, the potential for winners and losers is creating anxiety and confusion.
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    PRODUCT SHOWCASE
      Turnkey Orthopedic Imaging Systems
    Comprehensive Orthopedic Digital Imaging Solutions

    Viztek offers the latest in digital imaging hardware and software to save Orthopedics time and money. Opal-Ortho PACS provides immediate access to priors and outside CD's, while integrating with any EMR or PM. Images are accessible from any computer, smartphone, or tablet device. Upgrade your X-Ray room to Viztek DR for increased throughput and image quality. Click for more info or call for more information at 800-366-5343.
     


    Blue Button gets boost from AHIMA
    By Pamela Lewis Dolan
    During its annual meeting Oct. 28 in Atlanta, the American Health Information Management Association launched an initiative aimed at expanding use of Blue Button technology. Blue Button was launched in 2010 by the U.S. Department of Veterans Affairs as a way of making health information more accessible to veterans. Soon after, the concept was embraced by the Centers for Medicare and Medicaid Services and the Department of Defense and quickly became the gold standard in patient engagement. Now, more than 80 million Americans have access to their records via Blue Button.
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    Medicare pays $23 million in dead claims
    HealthLeaders Media
    A federal investigation finds that although CMS has safeguards to prevent and recover Medicare payments made on behalf of deceased beneficiaries, claims have slipped through and been paid. Medicare reimbursed providers and suppliers $23 million for healthcare services to beneficiaries in 2011, despite the fact that those beneficiaries had died more than a month earlier, according to an Office of Inspector General's report issued Oct. 31.
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    Official who oversaw botched Healthcare.gov launch resigns
    The Verge
    We may have just witnessed the first administration official to take a fall for the disastrous launch of federal insurance marketplace Healthcare.gov. Tony Trenkle, the chief information officer for the Centers for Medicare and Medicaid Services, the health department agency that oversaw the website's development, is stepping down.
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    FEATURED ARTICLE
    TRENDING ARTICLE
    MOST POPULAR ARTICLE
    Member to Member: ICD-10 Webinar Series Overview — Part 2
    By: Jennifer Ale Ebrahim

    AAOE
    Mr. Burns began this session with some reference tools located on the CMS.gov website called GEMS-general equivalence mappings, which allow the user to crosswalk ICD9-ICD-10 codes. I found this session to be more relevant to fracture care than hand surgery specifically.

    Share on FacebookTwitterShare on LinkedinE-mail article
    read more
    Infection Control: Cleaning and Disinfecting
    AAOE
    For all healthcare facilities, it is important and necessary to practice precautionary measures relating to infection control utilizing the cleaning and disinfecting guidelines of the Centers for Disease Control and Prevention (CDC).

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    Member to Member: ICD-10 Webinar Series — Part 1 Overview
    AAOE
    Mr. Burns began his webinar with a humorous and robust history of the ICD-10 implementation challenges in America. The International Classification of Diseases is owned and maintained by the World Health Organization and ICD is used around the world. In fact, the US & Italy are the last two countries to adopt ICD-10.

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    Consumers must also be held accountable for medical credit cards
    By Dr. Jonathan Kaplan
    Consumers interested in various veterinary or medical services that are typically out-of-pocket may pay for those services with a credit card. But if they don't have a credit card due to a less-than-stellar credit rating, they may have to turn to a medical credit card. These come in the form of iCare and CareCredit. These medical credit cards have come under fire lately in a recent New York Times article and follow-up editorial. The articles shine a light on potential consumer abuses by these medical card companies. But it's important to avoid completely exonerating the consumer from any responsibility when applying for credit.
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    Obama's 'crisis of confidence' on healthcare reform implementation
    National Journal via NBC News
    When Sen. Barbara Mikulski speaks, President Barack Obama ought to listen. Mikulski, after all, was a social worker before Obama was 5 and a successful community organizer before he was 10. She led a campaign to stop a proposed 16-lane highway from plowing through her native Highlandtown neighborhood in East Baltimore. She was elected to the City Council in 1971, the U.S. House in 1976, and the Senate in 1986. Mikulski is the dean of the Senate women, and she sports a career voting record of 93.3 with Americans for Democratic Action. She passionately supports Obamacare.
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    Sebelius assures fixes are being made to HealthCare.gov
    The Washington Post
    Health and Human Services Secretary Kathleen Sebelius said the government is working to fix a "couple of hundred" problems with the federal health insurance website and that once the site is running smoothly, she will "re-invite" people who have been turned off by the technical headaches. Sebelius, appearing before the Senate Finance Committee, rejected calls from politicians in both parties to delay aspects of the health-care law, including by extending the initial open enrollment period beyond March 31 for buying insurance on the new online marketplaces.
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    The 4 new rules of the healthcare reform game
    Forbes
    The passage of the Affordable Care Act, also known as Obamacare, has created a "strategic inflection point" in U.S. healthcare. It's that defining moment when the rules of the game begin to change. A strategic inflection point drives a fundamental shift in business strategy for all affected parties. It's expressed when the elements that once defined an organization's success are no longer enough to sustain its market position. As a result, the winners of the past often grow obsolete.
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    Malpractice insurance strategies evolve as docs get hired
    HealthLeaders Media
    Many hospitals and health systems are paying for prior acts malpractice insurance as a way of attracting physicians, but how are they absorbing that expense once they've committed to it? Healthcare leaders know that to keep pace with the impending changes in the industry — such as the influx of newly insured Medicaid patients that the Patient Protection and Affordable Care Act is projected to bring into the system and the movement toward population health management — they must have the right people in the right places in their clinical settings.
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