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Celebrating Over 75 Years Of Service

The American Academy of Otolaryngic Allergy (AAOA) represents over 2,700 Board-certified otolaryngologists and health care providers. Otolaryngology, frequently referred to as Ear, Nose, and Throat (ENT), uniquely combines medical and surgical expertise to care for patients with a variety of conditions affecting the ears, nose, and throat, as well as commonly related conditions. AAOA members devote part of their practice to the diagnosis and treatment of allergic disease. The AAOA actively supports its membership through education, research, and advocacy in the care of allergic patients.

"Dedicated to enhancing knowledge and skill in the care of the allergic patient."

ADVOCACY UPDATES

Your AAOA at the AMA

I want to urge you to consider membership in the AMA because your membership in…

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Fall Advocacy Update: USP 797, E/M Documentation and Payment

Revisions to USP Chapter 797 Open for Comment Since the United States Pharmacopeia (USP) released…

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Brief Update on the Final CY 2019 Physician Fee Schedule

On November 1, the Centers for Medicare and Medicaid Services released the final Physician Fee…

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Changes in MACRA

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Before the close of 2017, all physicians must take action to avoid the 4 percent cut that will be assessed in 2019 for not participating in the new Quality Payment Program (QPP) authorized by the Medicare Access and CHIP Reauthorization Act (MACRA).  Read More

CMS Announces Changes in MACRA Implementation Timeline. The Centers for Medicare and Medicaid Services (CMS) announced major changes to the implementation of the Medicare Access and CHIP Re-authorization (MACRA).
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Upcoming Dates

12/01/2018: Research Grant Cycle
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04/01/2019: 2019 Fellow Exam Application Deadline
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06/01/2019: Research Grant Cycle

06/7/19: Membership Application Deadline to be eligible for AAOA Member rate for the 2019 Basic Course

07/31/19: Membership Application Deadline to be voted in at the 2019 Annual Meeting and to be eligible for AAOA Member Rate (FREE) for the 2019 Annual Meeting
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EDUCATION

Codes/Guidelines

CMS Announces Changes in MACRA Implementation Timeline. The Centers for Medicare and Medicaid Services (CMS) announced major changes to the implementation of the Medicare Access and CHIP Re-authorization (MACRA).
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IFAR

IFAR Impact Factor: 2.135

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Changes in Managing Practices

Mission

Working together with AAOA staff, volunteer leadership and members will enable us to have a positive impact on our members’ practices.

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Live and Online CME

2019 Interactive Allergy & Rhinology Course
February 8-10, 2019 | Dallas, TX
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2019 Basic Course in Allergy & Immunology
June 27-29 | Minneapolis, MN
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2019 AAOA Annual Meeting
September 13-15 | New Orleans, LA
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2019 Advanced Course in Allergy & Immunology
December 12-14 | Austin, TX
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AAOA Clinical Insights
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PATIENT CORNER

OTC Allergy Medications

There seem to be more and more medications available for allergy treatment that  you can now purchase over the counter.
The FDA is allowing previously prescription only drugs to be made available directly to the consumer without a prescription — adding more to the over-the-counter options in the healthcare aisles.

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News and Updates

From the AAOA President, Matthew Ryan, MD

...the AAOA continues to be the organization that Otolaryngologists look to for up-to-date education and information on the…

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FDA Approves First Generic Version of EpiPen

The Food and Drug Administration approves the first generic version of EpiPen and EpiPen Jr.…

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Social and Networking Events at the 2018 AAOA Annual Meeting

This year’s Annual Meeting assures to be not only educational, interactive, and practice-centered, but also…

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Fall Advocacy Update: USP 797, E/M Documentation and Payment

Revisions to USP Chapter 797 Open for Comment

Since the United States Pharmacopeia (USP) released a proposed update to Chapter 797 in 2015, AAOA has been working with other concerned organizations including the American Academy of Allergy, Asthma & Immunology, the American College of Allergy, Asthma, and Immunology, and the American Medical Association, to ensure that the chapter does not limit members’ ability to compound allergen immunotherapy extracts in their offices, limiting patient access.

The initial proposal treated all sterile compounds, including allergen extracts, as equally and inherently dangerous. In response, AAOA, as well as AAAAI and ACAAI, submitted comments to USP about the negative impact finalizing this proposal would have on patient access and the cost of this therapy.   The Academy also participated in multiple roundtables with the USP and Food and Drug Administration (FDA) to prevent the initial proposal from being finalized.

This summer USP released a significantly revised Chapter 797. AAOA’s advocacy was a success. In this revision, the compounding of allergen extracts was restored as a separate section of the chapter, and the proposed revisions are aligned with current FDA guidance. The chapter articulates requirements for personnel training and evaluation, hygiene and garbing, and updated documentation requirements. There are specific requirements for the compounding surface and surrounding area. Notably, the controversial requirement that a hood be in place for compounding allergen extracts has been removed.

USP is accepting comments on the proposed Chapter 797 until November 30. The final chapter is expected to be released June 1, 2019 and to take effect on December 1, 2019. AAOA encourages members to comment in support of these revisions.

CMS Considering Changes to E/M Documentation and Payment

In the proposed CY 2019 Physician Fee Schedule (PFS), the Centers for Medicare and Medicaid Services (CMS) included a proposal to change how evaluation and management (E/M) services are documented and billed. The agency’s goal is to reduce the administrative burden of the documentation requirements on physicians.

Rather than requiring physicians to use the 1995/1997 guidelines, they would only be required to document a level 2 visit for new and established patients using either time, medical decision making, or the current guidelines under the proposal. CMS also proposed creating single payment levels for level 2-5 office visits for new and established patients to address the auditing concerns raised by the documentation proposal. They also proposed creating a primary care and complexity add-on code, the latter can be billed for allergy services, to address potential decreases in payment. Other payment proposals included a prolonged E/M service for an additional 30 minutes of time spent with the patient and applying a multiple procedure payment adjuster when certain procedures are billed with E/M visits.

One of the unintended consequences of this proposal was a proposed decrease in practice expense (PE) for certain allergy services. CMS created a new PE category for the single payment level E/M services, and this adversely impacted the indirect PE for allergy and other specialties. This change is of great concern to AAOA.

The physician community united in opposition to this proposal and urged CMS to implement certain documentation changes that could be implemented separately from the E/M payment changes and work with stakeholders to develop an alternative payment proposal. The American Medical Association has convened a joint CPT-RUC workgroup to develop an alternative coding proposal in response.

CMS is expected to release the final PFS rule on or around November 1 and only then will we know what policy will be finalized. It is unlikely that the agency will implement the policy as proposed, but it is hard to know how significantly it will be changed. AAOA will update members once a final policy is released and inform you how it will impact your practice.