Weekly Member Update - October 15th, 2010

October 15th, 2010

Thank You to ASSH Annual Meeting Organizers and Attendees!

One Question

Boston Annual Meeting Photo Contest

Webinar: Congenital Deformities of the Hand

Thank You to AFSH Donors

Health Volunteers Overseas

Don't Write off Claim Denials: Fight for Accurate Payment with Free Online Tool - From AMA

AMA Urges Changes to Antitrust and Fraud and Abuse Laws at Federal Workshop on ACOs - From AMA


Thank You to ASSH Annual Meeting Organizers and Attendees!

Thank you to all who helped make the ASSH Annual Meeting in Boston a success!  This year’s meeting attendance was the highest on record.  Special thanks goes to the Boston Annual Meeting Program Chairs, Ghazi M. Rayan, MD and Alexander Y. Shin, MD.  Read the Weekly Member Update in the coming weeks to find out what exciting changes and decisions stemmed from the meeting. 


One Question

We would like to know your thoughts on webinars hosted by the ASSH and other organizations.  Answer this week's One Question.


Boston Annual Meeting Photo Contest

There is still time to submit photos from the Boston ASSH Annual Meeting!  If you took interesting pictures while you were there, share them with us for a chance to win 1/2 off your registration to next year's Annual Meeting in Las Vegas!  To see submitted photos or submit your own, visit the ASSH Facebook page.  The contest is open until October 20th and attendees can post their pictures on the Facebook page, or email them to thavenga@assh.org.


Webinar: Congenital Deformities of the Hand

October 19, 2010
Live Webinar - Online

This webinar is being hosted by The Hand Club, Brazil.  Faculty will include Professor Sergio Gama, among others.  To see who else is presenting, or to register, visit the club's website.


Thank You to AFSH Donors

The American Foundation for Surgery of the Hand wishes to thank the following donors for their recent contributions:

Charles S. Day, MD
John W. Durham, MD
J. Mark Evans, MD
Sigrid Fostvedt
Avrum I. Froimson, MD
Warren C. Hammert, MD
Steven J. Heithoff, DO
M. Patricia Howson, MD
Ernie Hunnils
Kurt Hunnius
Donald H. Lee, MD
Steve K. Lee, MD
Richard M. Magill, MD
Alexander M. Marcus, MD
Roy A. Meals, MD
A. Lee Osterman, MD
Elizabeth A. Ouellette, MD, MBA
Christine Pontuso
Kim Ross
Lawrence H. Schneider, MD
Keith A. Segalman, MD
Lynne Stewart

Learn more about the AFSH.


Health Volunteers Overseas

For a complete list of volunteer opportunities, visit www.hvousa.org or call 202-296-0928.  The following areas need volunteers:

Orthopaedics - Cameroon & Malawi

Orthopaedic surgeons are needed for 1 month assignments in Cameroon and Malawi.  In Cameroon, volunteers provide training to residents and to participants in an orthopaedic officer training program at Mbingo Baptist Hospital.  In Malawi, volunteers provide educational support to Orthopaedic Clinical Officers at Queen Elizabeth Central Hospital.  Contact the program department for more information.


Don't Write off Claim Denials: Fight for Accurate Payment with Free Online Tool - From AMA

Streamline your practice's process of reviewing and appealing claims that have been inappropriately paid or denied.  For practices that submit claims electronically, there's now a free online tool to help you secure accurate payment from health insurers for inappropriately denied claims.

With the Claims Workflow Assistant from the American Medical Association (AMA) Practice Management Center, you can look up the reasons health insurers reported for denying claims on the electronic remittance advices (ERAs) you receive.  Then, you can determine the best steps for your practice to reverse the denials.  The Claims Workflow Assistant even helps you get started with recommended workflows for top denials and provides numerous template appeal letters that AMA members can easily modify to use in their practices.

Visit the AMA website to watch a free archived webinar on reviewing and appealing claims, access the Claims Workflow Assistant and its template appeal letters, and pledge to do your part to heal the claims process by reviewing and appealing claims as appropriate.


AMA Urges Changes to Antitrust and Fraud and Abuse Laws at Federal Workshop on ACOs - From AMA

AMA President Cecil B. Wilson, MD, participated in an Oct. 5 federal workshop on legal issues and accountable care organizations (ACOs).  The Federal Trade Commission (FTC), the Centers for Medicare & Medicaid Services (CMS) and the Office of Inspector General (OIG) sponsored the workshop.

Among the topics covered during the workshop was the ACO/Shared Savings model, which is one method of delivery and payment reform authorized in the Affordable Care Act (ACA).  The CMS must implement this voluntary program beginning Jan. 1, 2012, and is drafting a proposed rule that will specify the structure and requirements any entity must meet in order to voluntarily participate in the program.  The proposed rule is expected to be issued by the end of this year.

The AMA has long argued that antitrust enforcement and applications of the fraud and abuse statutes, such as the Stark, anti-kickback and civil monetary penalties, conflict with efforts by physicians to implement innovative delivery reforms around care coordination and integration, such as adopting health IT.

Recognizing the potential for these laws to hamper the adoption of delivery reforms that encourage integration, such as ACOs, the FTC, the CMS and the OIG have been working in an unprecedented cross-agency collaboration to address physicians' and other providers' concerns.

During the workshop, FTC Chairman Jon Leibowitz and Inspector General Dan Levinson both said they are willing to contemplate certain safe harbors or waivers from the application of the antitrust and fraud and abuse statutes for entities that volunteer and qualify for the ACO/Shared Savings program.  Read more