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Welcome

Celebrating 80 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.

"Advance the comprehensive management of allergy and inflammatory disease in Otolaryngology-Head and Neck Surgery through training, education, and advocacy."

ADVOCACY UPDATES

Changes To E/M Codes Beginning On January 1st

Effective January 1, 2021, the Centers for Medicare & Medicaid (CMS) finalized significant changes to…

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Additional COVID-19 Relief Up in the Air

House Speaker Nancy Pelosi (D-CA) and Treasury Secretary Steven Mnuchin appeared to be moving closer…

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CY 2021 Physician Fee Schedule Proposed Rule Summary

On August 3, the Centers for Medicare & Medicaid Services (CMS) released the Medicare Physician…

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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

03/15/21: 2021 Annual Meeting Crowdsourcing
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03/15/21: Call for Proposals
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04/01/21: Fellow Exam Application Deadline
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06/01/21: Research Grant Cycle
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06/26/21: Membership Application Deadline to be eligible for AAOA Member rate for the 2021 Basic Course

07/15/21: Call for Scientific Papers

09/01/21: Membership Application Deadline to be voted in at the 2021 Annual Meeting

12/01/21: Research Grant Cycle
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EDUCATION

Don't miss the opportunity to curate content you need now conveniently in your own office or home! The content will only be available until March 25th!

NEW YEAR, SAME PANDEMIC

Looking for insights as you focus on 2021 and practice growth? Still struggling with some of the reboot challenges from COVID? AAOA is re-releasing core content from its summer Pandemic course to help give you access to content you need now. Register now for the great way to gain insights, earn up to 13 hrs CME, and help meet your maintenance of certification (MOC) requirements.

JUST THE BASICS

Do you have new staff and need help training them on the core concepts of allergy diagnosis and management in ENT? In your practice reboot, are you reconsidering your practice set up or considering adding allergy to your practice? Are you looking for great review tools for you and your staff?

To help you we are offering time-limited access to our core allergy education library to give you and your staff the tools you need to get up to speed or refresh on the key concepts in allergy diagnosis and management. Register today and earn up to 8.75 hrs of CME (MOC eligible).

IFAR

IFAR Impact Factor: 2.454

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IFAR Featured Content: COVID-19 - Free Access
Endonasal instrumentation and aerosolization risk in the era of COVID‐19: simulation, literature review, and proposed mitigation strategies . Read More

Now Available

Changes in Managing Practices

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

New Year, Same Pandemic
January 25-March 25 | On-Demand
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Just the Basics
January 25-March 25 | On-Demand
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2021 Basic Course in Allergy & Immunology
On-demand Mid-June Live Stream Targeted For July 8-11 | Virtual
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USP 797 Online Module
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2021 AAOA Annual Meeting
Pre-launch Mid-September
Live Stream Starting on Oct 16 | Virtual
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News and Updates

CMS Coding 2021 – AAOA Zoomcast

A brief summary of the CMS Coding 2021 – AAOA Zoomcast Series: Just In Time…

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Re-Engaging Patients During and Post COVID-19 Pandemic – AAOA Zoomcast

A brief summary of the Re-Engaging Patients 2021 - AAOA Zoomcast Series: Just In Time…

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College Allergy Symptoms Treatment Back to Shcool

PRACTICE RESOURCES

AAOA Practice Resource Tool Kit

The American Academy of Otolaryngic Allergy (AAOA) Practice Resource Tool Kit is intended as a guide to help AAOA members integrate allergy into their otolaryngology practice and to continually improve on this integration as new information, regulations, and resources become available.

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PATIENT CORNER

CY 2021 Physician Fee Schedule Proposed Rule Summary

On August 3, the Centers for Medicare & Medicaid Services (CMS) released the Medicare Physician Fee Schedule (MPFS) proposed rule for CY 2021. This proposal updates payment policies and payment rates for Part B services furnished under the MPFS, as well as makes changes to the Quality Payment Program (QPP). The rule in its entirety and the addenda, including Addendum B, which lists the proposed RVUs for each CPT code can be found here.

The proposal is currently open for comment through October 5. The rule’s provisions, if finalized, will beeff ective January 1, 2021 unless stated otherwise. The following summarizes the major policies in the proposal.

Planned 30-day Delayed Effective Date for the Final Rule (p. 801)

Normally, CMS provides a 60-day delay in the effective date of final rules after the date that they are issued. However, the Congressional Review Act allows an agency to change the effective date if there is good cause to not follow regular notice and public procedures. Since CMS is prioritizing efforts to contain and combat the COVID-19 public health emergency (PHE), the work needed to complete the PFS payment rule will not be completed in accordance with their usual schedule, which aims for a publication date of at least 60 days before the start of the applicable fiscal year, approximately November 1. The agency expects to need at least 30 additional days to complete the work on the payment rule. Therefore, the agency expects that the PFS final rule will be released December 1 and will have an effective 30 days after publication of January 1.

Conversion Factor and Specialty Impact (p. 894)

The proposed conversion factor for 2021 is $32.26, a decrease of almost $4 from the current conversion factor of $36.09. This reduction of 10.61 percent stems from adjustments that statutorily required to accommodate the new spending on the outpatient evaluation and management (E/M) changes as well as other changes in the budget neutral system. Table 90 (see Appendix A), extracted from the rule, provides a summary of the impact of the changes in the proposed rule by specialty. The changes in the rule are budgetneutral in the aggregate, which explains why the impact for all physicians is shown as zero. The proposed rule shows changes in the range of minus 11 percent to plus 17 percent with allergy and otolaryngology seeing 9 and 7 percent increases respectively. However, the ultimate impact on an individual physician’s reimbursement will depend on their case mix as the majority of services that are not E/M have decreased.
As you will see in the attached chart, the budget neutrality adjustment is resulting in significant increases to many of the specific codes billed by AAOA members.

Refinements to Values for Certain Services to Reflect Revisions to Payment for Office/Outpatient Evaluation and Management (E/M) Visits and Promote Payment Stability during the COVID-19 Pandemic (p. 144)

BACKGROUND: In the CY 2020 PFS final rule, CMS adopted the CPT Panel’s changes to the outpatient E/M family that will be effective on January 1, 2021. Providers will no longer use history and physical exam to select the appropriate visit level, and E/M visits will include a medically appropriate history and exam when it is reasonable and necessary, and clinically appropriate. Visit level selection will be based on either the level of medical decision making (MDM) as redefined by CPT or the total face-to-face and non-face-toface time spent by the reporting practitioner on the day of the visit.

Read the full summary here.

Download the AAOA Proposed 2021 MPFS Codes

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