AAOS Bulletin - August, 2005

In the news

Evidence-Based Practice Committee offers free primer

The AAOS Evidence-Based Practice Committee has developed a free primer on evidence-based practice for AAOS members. Evidence-Based Practice: A Primer is a self-contained, easy-to-follow overview of evidence-based practice and the clinical quality improvement cycle. The publication is available to all AAOS fellows, orthopaedic residents, and medical school programs. For your complimentary copy, contact Jill Elaine Hughes, Clinical Quality Improvement Coordinator, at (847) 384-4313 or email hughes@aaos.org

CMS announces timetable for submitting claims with NPI

The Centers for Medicare and Medicaid Services (CMS) has announced a transition timetable for submitting claims using the new National Provider Identifier (NPI). NPIs will be used to identify physicians and other providers covered under the Health Insurance Portability and Affordability Act (HIPAA). Applications for the NPI are currently being accepted.

From now until Jan. 2, 2006, CMS claims processing systems will accept an existing legacy Medicare number and reject, as unprocessable, any claim that includes only an NPI.

From Jan. 3 through Oct. 1, 2006, CMS systems will accept an existing legacy Medicare number or an NPI with an existing legacy Medicare number.

From Oct. 2, 2006 through May 22, 2007, CMS systems will accept an existing legacy Medicare number and/or an NPI.

Beginning May 23, 2007, CMS systems will only accept an NPI.

To apply for an NPI, visit: the CMS Web site. To request a paper application, call (800) 465-3203.

Congress passes device fee legislation

The Medical Device User Fee Stabilization Act of 2005 (MDUFS) passed both houses of Congress before the August recess and is now awaiting the president’s signature. The Act provides funding for the Center for Devices and Radiological Health of the Food and Drug Administration to hire additional medical device reviewers. MDUFS raises the ceiling in the definition of small device manufacturers (from $30 million to $100 million in annual revenues), requires prominent labeling for the reprocessor of reprocessed single-use devices, and provides for the development of an FDA guidance document on concerns about reprocessed single-use device labels. For more information, see the July 29 issue of the AAOS Legislative Update.

AAOS president responds to New York Times article on device performance

In response to a recall of implantable devices, the New York Times examined the difficulties in collecting information on the performance of medical devices. AAOS President Stuart L. Weinstein, MD, responded to the article with a letter on the collection of orthopaedic device data, particularly as such data collection contributes to patient safety and physician performance monitoring. The text of the letter follows:

“While it is important to collect data on orthopaedic devices and procedures, as stated in Barry Meier’s June 23, 2005 article, “A Choice for the Heart,” the American Academy of Orthopaedic Surgeons (AAOS) wishes to clarify that the collection of such information should be used to improve overall patient outcomes and increase patient safety for total joint arthroplasty. Collection of device data alone, as a means to monitor device performance, does not adequately demonstrate the many reasons a device may be removed from a patient and fails to identify other factors that might lead to a device’s replacement.

“The AAOS holds patient safety as its utmost concern. It is imperative that the entire medical community work together to create a unified medical device data collection system to provide information that will ultimately be used to ensure the highest quality of care and safety for our patients. Any effort that assigns sole responsibility for a poor outcome to one group is misleading and creates barriers to identifying appropriate medical solutions for our patients.”

Diversity Award nominations due Sept. 1

The AAOS Diversity Award, to be presented at the 2006 Annual Meeting in New Orleans, recognizes an Academy fellow who has significantly contributed to advancing culturally competent care and diversity in orthopaedics. The award includes a $5,000 donation to help the recipient continue his or her work in diversity. Any Academy fellow in good standing is eligible.

Apply now for AAOS/OREF Clinician Scientist Traveling Fellowship Program

Applications for AAOS candidate members and fellows to participate in the Fourth Annual AAOS/OREF Clinician Scientist Traveling Fellowship Program (CSTFP) are available on the AAOS Web site. The deadline for application submission is Oct. 3, 2005.

Orthopaedist named to AMA CPT Editorial Panel

The American Medical Association (AMA) Board of Trustees has appointed M. Bradford Henley, MD, to the AMA CPT Editorial Board. Dr. Henley is chair of the AAOS Coding, Coverage and Reimbursement Committee. This appointment will give orthopaedics a strong voice on matters concerning CPT codes for musculoskeletal services.

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