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American Association of Hip and Knee Surgeons

Advocacy, Education, Research

‘Practice Management’

AMA Helps Physicians Save Money and Reduce Administrative Burdens

During the Keynote session at the 2017 AAHKS Annual Meeting, Andrew W. Gurman, MD, Immediate Past President, American Medical Association (AMA) noted that the AMA recently lobbied to insure that health plans can’t force physicians to accept payment via virtual credit cards, as these cards are associated with exorbitant fees. The AMA offers electronic transaction toolkits for extensive… Read More

AAHKS Issues Position Statement on CDC Antibiotics Guideline

The Centers for Disease Control and Prevention (CDC) released their 2017 Guideline for the Prevention of Surgical Site Infection, which recommends against the use of post-operative prophylactic antibiotics – including patients undergoing total joint arthroplasty (TJA). At this time, we do not agree with this recommendation vis a vis TJA in that it contradicts current international standards of… Read More

We Need Your Input! CMS Field Testing Knee Arthroplasty Measure

The Centers for Medicare & Medicaid Services (CMS) and its contractor, Acumen, LLC, will be conducting field testing for eight episode-based cost measures before consideration of their potential use in the cost performance category of the Merit-based Incentive Payment System (MIPS) of the Quality Payment Program (QPP). These measures, which were developed with input from AAHKS and AAOS,… Read More

Arthroplasty Today Publishes First White Paper

The September edition of Arthroplasty Today features the first white paper published in the open-access journal. “Help, my rating looks bad! Coding comorbidities in arthroplasty,” by Joseph W. Galloway, MD and Frank R. Voss, MD. Dr. Voss is Chair of the AAHKS Practice Management Committee, and this white paper represents work endorsed by that committee. The paper outlines… Read More

Orthopedics This Week Features Quality Collaboration

Orthopedics This Week interviewed Daniel J. Berry, MD, American Joint Replacement Registry (AJRR) Board of Directors member and AAHKS Past President, regarding the collaboration between AAHKS, the AJRR and The American Orthopaedic Association which aligns our quality initiatives and reporting through the AJRR’s Orthopaedic Quality Resource Center. “At the heart of our Registry, we’ve always strived to be as… Read More

Keep in Touch with AAHKS Regarding Precertification Programs

We are collecting feedback on issues with precertification and utilization review processes for all payors. AAHKS leaders meet periodically with CMS and insurance companies to address your concerns. Let us know if your staff experienced denials or delays in authorization by emailing Joshua Kerr, Director of Advocacy and International Activities at jkerr@aahks.org.

Keep in Touch with AAHKS Regarding New Cigna Precertification

Cigna (through eviCore) has implemented a pre-certification process for total joint arthroplasty patients. To access the Cigna/EviCore approval process, visit https://myportal.medsolutions.com or call 888-693-3297. If your staff has problems getting cases approved in a timely fashion, it is essential that that you make this clear to eviCore and Cigna. It is also essential that you inform AAHKS if… Read More

CMS Reports Fraction of ICD-10 Claims Rejected

Healthcare Finance News reports that of the 10 percent of claims filed under ICD-10, only a fraction have been rejected by CMS due to coding errors. Rejections were DUE to incorrectly submitted ICD-9 codes and incomplete or incorrect information. The article points out, “Since the transition, claims are processing normally. Medicare claims take several days to be processed… Read More

Cigna Announces Precertification Program for Arthroplasty

Cigna has announced that it will implement a musculoskeletal precertification program beginning January 1, 2016. According to a letter sent to AAHKS, “ordering physicians will need to request precertification directly through eviCore for certain musculoskeletal services, including interventional pain management and major joint surgery services related to the hip, knee, and shoulder.” Cigna has partnered with eviCore Healthcare… Read More

Taking HIPAA Seriously

A recent $750,000 settlement between the Department of Health and Human Services and a physician group stands as a reminder that HIPAA compliance must be taken seriously. The new AAHKS Advocacy firm, Epstein Becker & Green, takes a look at this case and the lessons that can be learned. “The penalty and corrective action plan serve as a… Read More