September 2012
The essential resource for your practice
Volume XXI, Number 9

AUA Comments on CMS Proposed Rules

The AUA posted comments to CMS’ Medicare Physician Fee Schedule and Outpatient Perspective and Ambulatory Surgical Center proposed rules that highlight changes for the 2013 Calendar Year.

Table of Contents


Coding Corner:

Register Today for the October 20 Practice Management Update in Chicago!

United Healthcare Part B Specialty Drug Prior Authorization Program Effective October 1, 2012

United Healthcare recently released a directive in its September 2012 newsletter, Network Bulletin: Medicare Advantage Part B Specialty Drug Prior Authorization Program to include Seven More States – Effective October 1, 2012. The Part B Specialty Drug Prior Authorization Program has been implemented for California, Nebraska, New Jersey, New York, Tennessee, Utah and Western Iowa. 

For The Record

In the recent publication of the Electronic Health Record Incentive Program, Stage 2 (MU2) final rule by the Centers for Medicare & Medicaid Services (CMS) includes additional requirements for electronic interaction with patients. Most industry experts conclude that these new requirements make an Internet-based patient portal essential for practices who wish to continue to earn MU2 incentive payments. The complete final rule document can be found here. Many electronic health record (EHR) systems have a Web-based patient portal as a feature, but most portals are sold as an optional item that has not been widely adopted by physician practices.

AUA SUI Measures Reviewed by NQF Steering Committee

AUA Urges Members to Weigh in During Public Comment Period

Earlier this year the National Quality Forum (NQF) announced that it would test a new process for approving quality measures by launching a pilot project focused on gastrointestinal and genitourinary measures. The new process has two components — Stage 1, where the measure concept is reviewed, and Stage 2, in which the measures are tested (reliability, validity, usability and feasibility). The AUA seized this opportunity and submitted a set of five stress urinary incontinence (SUI) measures, which were developed in tandem with the American Congress of Obstetricians and Gynecologists. Click here to learn more about this collaborative development effort.  

The 18-person NQF Steering Committee (15 in attendance) met August 27-28, 2012, to review all of the measures submitted for Stage 1 of the pilot. The Steering Committee discussed all genitourinary measures on Monday, August 27.