New Updates on Healthcare Regulations and Coding Changes

New News You Can Use James L Sublett MD President, Joint Council of Allergy, Asthma, & Immunology Clinical Professor & Chief, Allergy & Immunology University of Louisville School of Medicine Managing Partner, Family Allergy & Asthma Louisville, KY

Disclosures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Objectives ,[object Object],[object Object]

Joint Council of Allergy, Asthma, & Immunology ,[object Object],[object Object]

Who is the JCAAI? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Who is the JCAAI? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],Who is the JCAAI?

JCAAI Membership ,[object Object],[object Object],[object Object],[object Object],[object Object]

Allergy Practice Infringement by Chiropractors

JCAAI Action on Chiropractic Laser Centers ,[object Object],[object Object]

CPT Changes ,[object Object],[object Object],[object Object],[object Object]

Practice Parameter Forms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Proposed 2011 Medicare Physician Fee Schedule ,[object Object],[object Object]

Elimination of Consultation Codes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Medicare Fee Schedule 2010 *proposed for 2011 Code 2008 RVU 2009 RVU 2010 RVU 2011 RVU* 3 Year % Change 95004 Percutaneous 0.15 0.16 0.16 0.19 +26.67 95010 Perc Titration 0.45 0.47 0.48 0.53 +17.77 95015 ID Titr Drug/Bug 0.32 0.36 0.36 0.42 +31.25 95024 IDs 0.18 0.19 .19 0.21 +16.67 95070 Inhal Challenge 1.57 1.18 1.07 1.10 -29.94 95075 Food Challenge 1.57 1.72 1.73 1.88 +19.75 95115 Itx. Single Inject 0.33 0.29 0.27 0.30 -09.09 95117 Itx. Multi Inject 0.41 0.36 0.33 0.36 -12.19 95165 Multi-dose vials 0.29 0.31 0.33 0.37 +27.59

Increases for Venom Immunotherapy ,[object Object],[object Object],[object Object],[object Object]

MEI Rebasing/Revising ,[object Object],[object Object],[object Object],[object Object],[object Object]

MEI Rebasing/Revising ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Primary Care and General Surgery Bonuses ,[object Object],[object Object],[object Object]

Potentially Misvalued Codes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Potentially Misvalued Codes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Disclosure by Physicians When Referring for Advanced Imaging Services ,[object Object],[object Object],[object Object],[object Object],[object Object]

IVIG ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Food Allergy Challenges ,[object Object],[object Object],[object Object],[object Object]

Xolair ,[object Object],[object Object],[object Object],[object Object],[object Object]

USP 797 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

USP 797 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Meaningful Use ,[object Object],[object Object],[object Object]

Meaningful Use (cont) ,[object Object],[object Object],[object Object],[object Object],[object Object]

Meaningful Use (cont) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Meaningful Use – Mandatory Criteria ,[object Object],[object Object],[object Object],[object Object]

Meaningful Use – Mandatory Criteria ,[object Object],[object Object],[object Object],[object Object],[object Object]

Meaningful Use – Mandatory Criteria (cont) ,[object Object],[object Object],[object Object]

Meaningful Use- EP Menu – pick 5/10 ,[object Object],[object Object],[object Object],[object Object],[object Object]

Meaningful Use – EP menu – 5/10 (cont) ,[object Object],[object Object],[object Object]

Meaningful Use – EP menu – 5/10 (cont) ,[object Object],[object Object]

e-Prescribing ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Allergists Use of e-Prescribing ,[object Object],[object Object],[object Object],[object Object],[object Object]

ICD-10 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Health Care Reform – Where are we?

THE AFFORDABLE CARE ACT (ACA) ,[object Object],[object Object],[object Object],[object Object]

THE AFFORDABLE CARE ACT (ACA) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ACA (cont) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Health Care Reform – Where are we? ,[object Object],[object Object],[object Object]

Health Care Reform – Where are we? ,[object Object],[object Object],[object Object],[object Object]

Sustainable Growth Rate ,[object Object],[object Object],[object Object],[object Object]

Comparative Effectiveness Research ,[object Object],[object Object],[object Object],[object Object]

Comparative Effectiveness Research in Allergy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Pay for Performance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Health Care Reform & Allergy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Health Care reform (cont) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Medical Home ,[object Object],[object Object]

Principles of the PCMH ,[object Object],[object Object],[object Object],[object Object]

The Medical Neighborhood ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Accountable Care Organization ,[object Object],[object Object],[object Object],[object Object]

ACO – Value Proposition ,[object Object],[object Object],[object Object],[object Object]

ACO: Types of Organizations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ACO Conclusions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PQRI ,[object Object],[object Object],[object Object]

PQRI – Allergy Measures ,[object Object],[object Object],[object Object],[object Object]

PQRI - Proposed Allergy Measures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Graduate Medical Education (GME) ,[object Object],[object Object],[object Object],[object Object],[object Object]

Lobbying Strike Force ,[object Object],[object Object],[object Object],[object Object],[object Object]

New Updates on Healthcare Regulations and Coding Changes

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New Updates on Healthcare Regulations and Coding Changes