Scott H. Kozin, MD
Members of the Touching Hands Project Medical Advisory Board have been working behind the scenes to build a hands-on volunteer program for ASSH. We are starting by building relationships with organizations that have existing infrastructure to partner our resources for early missions. Partnering will allow us to learn from the expertise of seasoned programs and lend a hand in places that need help the most. Eventually we will build a self-sufficient program for upper extremity outreach.
Our first Touching Hands Project mission, funded by the American Foundation for Surgery of the Hand, will be a visit to Haiti in early 2014. Seven to eight individuals will participate in the mission, expected to take place in February. Stay tuned; we are already working on another mission for 2015.
By Peter J. Stern, MD
Two Sunday mornings ago, I was at my computer making last minute revisions for my upcoming talk at the ASSH Annual Meeting. I received a characteristically brief email from Graham Lister, MD: "Harold Kleinert died yesterday, September 28, 1913. He would have been 92 on October 5." Like all that knew him, I was left with a lump in my throat and became deeply reflective. Why? Because he had a profound effect on me as a person, my career, and how I approach the many problems we deal with in our discipline.
There are many qualities that made Harold E. Kleinert (or HEK as his office staff called him) an extraordinary man:
First, and foremost, his interpersonal skills were unequalled. His outpatient clinics were fabled; beginning at 8:00am and often lasting until midnight. The flow of patients was never-ending; offices were packed and some days patients waited in the stairwell. They came from all over the world and frequently waited 3-4 hours to see him. His ability to interact and care for patients from all walks of life, rich and poor, famous and infamous, was unsurpassed. He had a mesmerizing effect on them; they hung on every word. No one ever second guessed him; or even wanted to – his word was gospel. He was NEVER rushed, never raised his voice, and instilled unparalleled trust. He was confident, yet never arrogant. I still am amazed by the number of patients who said: “Dr. Kleinert, I trust you.” I remember evaluating a particularly haughty trial attorney who had come from the East Coast for a third opinion. Within minutes the attorney accepted HEK’s recommendations, subsequently had surgery and left effusively thankful for HEK’S care. Read more
To Harold’s Dear Fellows,
With our hearts broken at this sad time, it is hard to send greetings. I understand that Harold Kleinert played a very influential role in your lives, professional and sometimes personal, and so many of you are grateful for having had the opportunity of learning from him (and likewise sometimes teaching him.) He was a supremely humane teacher of patient care and surgical technique, of thinking outside the box with a goal of improving final results, sometimes through fearless innovation. Read more
Registration is now open for the new Practice Management webinar "Understanding Causation and Return to Work Issues in Workers' Compensation," scheduled for Wednesday, November 20, 2013. Presented by Mark Melhorn, MD and Jay Pomerance, MD, this course will focus on how to determine causation for workplace injuries and how to develop effective return-to-work approaches.
This webinar comes as a $75 package that includes the live presentation and a recording. Learn more about this webinar on the registration page
In addition to the webinar, check out our brand-new eBook, Workers' Compensation: A Primer for Hand Surgeons
, edited by webinar co-presentener Jay Pomerance, MD and Matthew D. Putnam, MD. Drawing from expert knowledge in the fields of medicine, business and law, this eBook will prepare the hand surgeon to manage patients in the workers' compensation system.
The abstract submission site for the 2014 Annual Meeting is now open. Submit your proposal for Instructional Course Lectures (ICL), Symposia, Scientific Papers, E-Posters and Residents and Fellows Papers and E-posters. Read the Call for Abstracts and submit your proposals here
|Instructional Course Lecture
||November 11, 2013|
||November 11, 2013|
|Residents and Fellows Papers/E-Posters
||February 17, 2014|
||February 17, 2014|
||February 17, 2014|
CME for last week's 68th ASSH Annual Meeting is now available online. Follow these instructions
to claim your credits.
Did you miss Symposium 02: Health Policy: Practicing Medicine with Increasing Governmental
Regulation at Annual Meeting in San Francisco? Whether you missed this session or attended and are seeking a recap, you can download the full presentation made by Bruce Leslie, MD by clicking here
While the AMA continues its efforts to stop ICD-10 in its tracks, physicians should be prepared for implementation of the massive new code set. The compliance deadline now is less than one year away: Oct. 1, 2014.
The AMA has been working for years to prevent the roll-out of ICD-10, which will require physicians and their office staff to contend with about 68,000 outpatient diagnostic codes in place of the 13,000 codes used under the ICD-9 code set. But if physicians wait for a possible stay on implementation later this year, it may be too late to prepare their practices for the rigorous transition.
Experts say physicians who have not begun preparations for ICD-10 should begin now. Among the many changes that may be required are such comprehensive measures as:
- Upgrading billing, claims processing and electronic health record software
- Revising forms and coding support tools
- Training staff
- Updating payer contracts and fee schedules
- Identifying coverage changes
- Testing updated systems
- Stockpiling cash reserves to preserve cash flow
Beginning Oct. 1, 2014, services that are not coded in ICD-10 will be rejected and go unpaid.
include answers to frequently asked questions, a 12-step action plan, a checklist and a project
In the Affordable Care Act, Congress required CMS to apply a Value-Based Modifier (VBM) to all
physicians’ Medicare payments by 2017 and to some physicians’ payment starting in 2015. In
response, CMS intends to apply a 1 percent VBM penalty to the Medicare payments of physicians in
groups of 100 or more that did not engage in GROUP participation in the Physician Quality Reporting System (PQRS) in 2013. This VBM penalty would be in addition to another 1.5 percent penalty that would apply to all physicians who did not participate in PQRS either as an individual or as part of a group.
To avoid these penalties, physicians in groups of 100 or more should ensure that their GROUP is
registered for one of the PQRS group participation options. Physicians who are not subject to VBM
and are not yet participating in PQRS can still avoid the 2015 payment cut by registering for the
CMS-calculated administrative claims reporting mechanism in 2013. The PQRS registration system,
CMS suggests that several hundred group practices who must register have not done so.
Use of the system requires an Individuals Authorized Access to the CMS Computer Services (IACS)
number, which can be acquired at https://applications.cms.hhs.gov
. Additional information regarding registration and obtaining or modifying an IACS account is available at the Self
Nomination/Registration web page. If a practice experiences technical problems, such as an
Click on the image above to view Member Taizoon Baxamusa, MD in a new web series on the hand.
Are you interested in volunteering abroad? Health Volunteers Overseas is offering three opportunities relevant to hand and upper-extremity specialists:
Sub-specialists needed for 1 month assignments from December 2013 to February 2014. For more
The American Association for Hand Surgery's 2014 Annual Meeting is being held at the Grand Hyatt Kauai, January 8-11, 2014, in Kauai. The Preliminary Program
for the Annual Meeting is now online. Register before Friday, November 8, 2013 to receive the Early Bird Registration Rates! Registration rates will increase after Friday, November 8, 2013. Register now
Thomas F. Hitchcock, MD
Peter J. Stern, MD
David S. Zelouf, MD
Join these colleagues and the 400 others (so far) who have already made their annual donation to the AFSH. Visit www.afsh.org/donate
now to support the Foundation that supports the future of our specialty.