Advocacy News
February 18, 2014



SGR Repeal, Replacement Legislation Introduced

Bonefied News

Payment Reform Webinar Series Continues

Orthopaedic Surgeons Discuss Imaging Study in Washington, DC

FDA Medical Device Fellowship Program

Liaison Appointments

Orthopaedic PAC Members: Visit the Exclusive AAOS PAC Lounge at the 2014 Annual Meeting!

AAOS Orthopaedic PAC Online Contribution Center Reopens

State Contributions
Leader Board: Announcing the 2013 Leaders!


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Orthopaedic Surgeons Discuss Imaging Study in Washington, DC

imageOn Thursday, February 11, 2014, Steve McCollam, MD, James York, MD, Larry Halperin, MD, and AAOS Medical Director Will Shaffer, MD, visited Capitol Hill in Washington, DC to meet with targeted offices and discuss the results of a study on imaging self-referral commissioned by AAOS. The results of the study of Medicare claims data on in-office MRI equipment ownership among orthopaedic surgery practices will provide tremendous support for the effort to protect in-office ancillary services. The study found no statistically significant difference in MRI utilization behavior of orthopaedic surgeons who obtain an on-site MRI and those who do not, when controlling for other variables such as practice size and payer mix. This has significant policy implications. The findings indicate that any changes in Medicare policy related to the current law which allows self-referral for certain physician activities such as imaging (as well as in-office therapy services, in office pathology, and in office provision of Durable Medical Equipment) will not lead to reduced advanced imaging utilization.

The doctors met with offices of key members of the Senate Finance Committee, including Senators Cardin (D-MD), Portman (R-OH), Nelson (D-FL), Enzi (R-WY), Isakson (R-GA), Crapo (R-ID), and Grassley (R-IA).  They also had lunch with Representative Shimkus (R-IL), who is on the Health Subcommittee of the Energy and Commerce Committee, one of the main committees which has jurisdiction over in-office ancillary services.

The feedback on the study was very positive. Most felt it was extremely helpful to have solid data to back up arguments for protecting in-office ancillary service. The study was paid for by the AAOS State Legislative and Regulatory Initiatives Committee.