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 Weekly Member Update - April 6, 2012

AMA Membership Update

Health Volunteers Overseas (HVO) Opportunities

OCC Webinar Monday Night: 'Thumb CMC Arthritis'

Listserv Hot Topic: Medicare E-Prescribing

Study in JHS Concludes NA a Viable Treatment for Dupuytren Contracture

Confirm Your Self-Assessment Exam Registration

ASSH Social Media: Member Part of Big Story in Major League Baseball

Thank You to AFSH Donors

CPT® Network Provides Coding Answers Straight From the Source

HIPAA Version 5010 Electronic Billing Transaction Enforcement Extended

CMS Delays New Place of Service Coding Requirement

AMA Membership Update

AMA rules stipulate that in order to qualify for a seat in the AMA House of Delegates, 25% of our members must be AMA members.  We remain 31 members shy of the 25% mark, following a week in which the ASSH Central Office received no notifications of Hand Society members who've recently joined or rejoined the AMA.

Having a seat in the AMA House of Delegates allows the ASSH to have a voice in decisions that directly affect you and your patients.

Have you joined or rejoined the AMA since January 1, 2012?  Please let us know by contacting so we can track the progress of your AMA membership.  The ASSH will reconcile our membership list with the AMA to get credit for our members.
Have your voice heard: Join the AMA.

Health Volunteers Overseas (HVO) Opportunities
Bhutan (urgent need): Volunteers are needed for one-month assignments in Bhutan for this fall.  Please contact the program department for more information.
Hand Surgery/Hand Therapy

Nicaragua: A certified hand therapist and a board-certified hand surgeon are needed from June 2-9, 2012.  PTs and OTs provide clinical training as part of a team of two hand therapists and two hand surgeons.  Please contact the program department for more information.

OCC Webinar Monday Night: 'Thumb CMC Arthritis'
Register now for the Online Consultation Corner webinar "Thumb CMC Arthritis" on Monday, April 9, at 7:30 p.m. CST.
Moderator David Bozentka, MD, will discuss three to five submitted cases with expert consultants Peter C. Amadio, MD, David J. Bozentka, MD and Aaron Daluiski, MD. 
You can submit your case or questions for the discussion to the ASSH using the online Image Library, or email by 11 a.m. CST on Monday.
Registration is limited to the first 95 ASSH members.

Listserv Hot Topic: Medicare E-Prescribing
The most popular thread on the ASSH Physician Listserv this week revolved around Medicare e-prescribing and the financial penalties physicians face if they don't comply with federal regulations.

If you have already signed up for the Listserv, you can view or contribute to the discussion by visiting the archives and scrolling down to the thread titled "Medicare E-Prescribing."  If you don't know or remember your Listserv password, you can reset your password here.
To sign up for the Listserv, visit the Listserv page.

Study in JHS Concludes NA a Viable Treatment for Dupuytren Contracture


The April issue of the Journal of Hand Surgery features a study that examines the efficacy of needle aponeurotomy (NA) for the treatment of Dupuytren contracture.

The research team conducted a retrospective study of 474 patients (1,013 fingers) treated with NA for metacarpophalangeal (MP) or proximal interphalangeal (PIP) joint contracture of 20 degrees or greater from March 2005 to May 2008.  To read the entire report – as well as other articles – visit the JHS website.

An ASSH member benefit, JHS publishes original, peer-reviewed articles related to the diagnosis, treatment, and pathophysiology of diseases and conditions of the upper extremity; these include both clinical and basic science studies, along with case reports.

Special features include Clinical Perspective and History of Hand Surgery articles, Comprehensive Review manuscripts, and Surgical Technique articles that provide an overview of hand surgery, technical aspects of surgery, and current controversial topics.

Confirm Your Self-Assessment Exam Registration
Have you registered for the 2012 Self-Assessment Exam?  Confirm your registration by checking our list of registrants (last updated at 7:30 am, CST, April 4, 2012).
If you registered for the exam, and your name isn't on our list, please contact Alex Mitchell at, and he will ensure that your registration is completed.
ASSH Social Media: Member Part of Big Story in Major League Baseball


It's baseball season again, and ASSH member Thomas J. Graham, MD, played a central role in a story that made headlines across the country.

Dr. Graham performed successful thumb surgery on Boston Red Sox relief pitcher Andrew Bailey on Wednesday.  The injury will keep Bailey, a key player on Boston's roster, out for months.

Prior to seeing Dr. Graham, Bailey was also examined by Hand Society member Mark R. Belsky, MD. To view the entire story, visit the ASSH Facebook page or Twitter account.  Those who don't have Facebook or Twitter accounts and read the article on the Sporting News website
Thank You to AFSH Donors
Ned B. Armstrong, MD
Mark R. Belsky, MD
James H. Calandruccio, MD
David A. Cautilli, MD
Jonathan F. Cook, MD
Jeanne L. DelSignore, MD
Alphonsus L. Doerr, MD
Gerald F. Dreher, MD
Stephen C. Drukker, MD
Brian H. Fingado, MD
John A. Furrey, MD
John D. Hand, MD
Ali R. Hashemi, MD
Edward H. Holliger, IV, MD
Richard F. Howard, DO
Jerry I. Huang, MD
Leonard F. Hubbard, MD
Sohail N. Husain, MD
Jeffrey B. Husband, MD
Heidi E. Jost, MD
Tosca Kinchelow Kulendran, MD
Timothy P. Leddy, MD
Michael T. LeGeyt, MD
Andrew J. Leo, MD
Fraser J. Leversedge, MD
Pamela Levine, MD
Scott D. Lifchez, MD
Mary Ling, MD
Ira G. Lown, MD, FACS
Mathias A. Masem, MD
Brandon Z. Massey, MD
Clinton G. McAlister, MD
Reginald V. McCoy, MD
Michael A. Milek, MD
Helmut Pfalz, MD
David R. Pichora, MD
Eghtedar Sadeghpour, MD
Michael Ramana Sathy, MD
Harrison B. Solomon, MD
Patrick K. Stewart, MD
Desmond J. Stutzman, DO
Peter C. Tsai, MD
Tedman L. Vance, MD
Josh C. Vella, MD
Lance G. Warhold, MD
Stephen K. Westly, MD, PhD
Otto W. Wickstrom, III, MD
Curtis S. Young, MD, MS, FACS
Did you know you can now support the Foundation (AFSH) through automated monthly payments?  Visit to complete an auto-pay form, or contact

CPT® Network Provides Coding Answers Straight From the Source - from AMA

CPT.jpgDetermining the appropriate way to code a clinical scenario can be tricky.  That's why one of the basic benefits of AMA membership is free CPT® coding guidance.

With access to the AMA CPT® Network, physicians can find answers to frequently asked coding questions or submit an electronic inquiry directly to AMA coding experts.  The CPT Network's Knowledge Base offers answers to more than 5,000 common CPT coding questions and hundreds of clinical examples.

Updated monthly, this database is easily searched by code or keyword so physicians can quickly access all the relevant information to their specific coding situation. Questions and answers that appear in the CPT® Assistant are routinely added to the database, along with additional clinical examples.  Read more.

HIPAA Version 5010 Electronic Billing Transaction Enforcement Extended - from ASPS

The compliance deadline for switching to HIPAA 5010 has been pushed back to June 30, 2012.
The deadline originally was January 1, 2012, and the CMS subsequently announced that it would not enforce the rule until March 31, 2012.  Beginning July 1, 2012, electronic claims will be rejected if they are not submitted with HIPAA 5010.  All entities involved in your electronic claims submissions must use Version 5010 as of July 1, 2012.

HIPAA 5010 is a new set of standards regulating electronic transactions, including claims, eligibility, referrals and remittances.  One new requirement of HIPAA 5010 is that all electronic and paper claims will have to use actual physical addresses; P.O. Box numbers will no longer be acceptable.
Another new requirement is to use a 9-digit ZIP code on all electronic and paper claims for providers and facilities.  For more information, review the AMA's HIPAA 5010 Toolkit - The Physician's Practical Guide to Implementing HIPAA Version 5010.

CMS Delays New Place of Service Coding Requirement - from AMA

In response to concerns raised by the AMA and several state and specialty medical societies, the Centers for Medicare & Medicaid Services (CMS) announced this week that it will delay a transmittal establishing a new national policy for coding place of service under Medicare’s physician fee schedule.

The April 1 effective date has been pushed back to October 2012.

The new policy, which was intended to address issues raised in a report from the HHS Office of Inspector General, also included special instructions for assigning place of service for the professional and technical components of diagnostic tests.

Among other things, it would have required the use of two different site-of-service and zip codes when a diagnostic test is performed at a hospital or other facility and then interpreted by a physician in the office or other facility.

Because the change was implemented through a transmittal modifying the manual used by Medicare contractors, most physicians were unaware of the new rules.  As a result, the April 1 effective date called for in the original transmittal would have put many at risk of violating rules they were not aware existed.  In addition, the new rules relating to diagnostic tests raised many technical issues that contractors were not prepared to answer.

Specialty societies representing pathologists and radiologists along with the AMA, the North Carolina Medical Society and the Medical Group Management Association all raised concerns to CMS and, on March 29, the agency announced that it is delaying implementation of the transmittal until October 2012; any necessary changes to address these concerns will be made in the interim.