February 21, 2017



AAOS Applauds House for Introducing Legislation to Lift Hospital BanEnerg

CMS Proposes Significant Changes to Medicare Standards for Providers and Suppliers of Prosthetics and Custom-Fabricated Orthotics

CMS Nominee Questioned by Senate Finance Committee

AMA Discusses Regulatory Burden

California Orthopaedic Association Produces Two White Papers on Value-Based Reimbursement

Residents! Attend the Orthopaedic PAC Resident Networking Reception at the 2017 AAOS Annual Meeting

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CMS Issues Proposed Rule to Increase Patients’ Health Insurance Choices for 2018

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Quality Payment Program Resources

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AMA Discuses Regulatory Burden

On Wednesday, February 15th, the AMA held a meeting to discuss reducing the burden of non-MACRA/QPP related regulations. Representatives of more than two dozen specialty societies participated in the discussion, including AAOS, and were able to emphasize some of the shared regulatory challenges facing physicians. As part of continuing that discussion and addressing the concerns that arose, the AMA will be forming three new working groups on Medicaid, insurance markets, and on regulatory relief more generally.

Among the issues discussed were the societies’ top regulatory priorities within the broader category of new certification/recertification and documentation requirements. One particular area of concern was the continuing burden of having to recertify on matters related to chronic conditions, as well as the question of whether providers can bill for the cost of translation services. Several specialty societies present expressed that both of these problems remain a top concern for their members.

Other regulatory topics that representatives considered important for their members were Open Payment compliance and resolving reporting mistakes; the workflow and administrative consequences of UDI inclusion on claims forms; and a host of issues related to prior authorization, including the desire for transparent rationales for any prior authorization decision. These discussions will continue to further refine specialty societies’ regulatory concerns, and to develop meaningful approaches through the new working groups.