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Text Version   RSS   Subscribe   Unsubscribe   Archive   Media Kit          November 07, 2014

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President's Perspective: Not the death of vaginal hysterectomy ... yet!
As most of you know, we have all been notified since October 1 that our vaginal reconstructive surgical procedures will not be reimbursed at the time of vaginal hysterectomy. CMS has bundled them all together. As we also know, this does not serve our patient or our members. For those who asked why we weren't proactive sooner, we were not informed of most of these new edits in our comment period last summer, they were foisted upon us in October.

I want to provide you with an update regarding AUGS' efforts to reverse the National Correct Coding Initiative (NCCI) Oct. 1, 2014 edits regarding vaginal hysterectomy procedure (CPT code 58260) and colporrhaphy, colpopexy, and vaginal repair procedures (CPT codes 57240 - 57282). AUGS has created a coalition of the various medical societies with like interests concerning this issue, ACOG, SGS, SUFU and AUA. With this coalition, we reached out to the NCCI staff and were able to gain their agreement to re-open this issue. We quickly put together a new letter and materials supporting our clinical rationale for why these codes should not be "bundled or edited," together. These materials were reviewed this past week by NCCI and we look forward to hearing feedback and a possible decision in the near future. I would like to thank Dr. Doug Hale for his outreach to the NCCI, the AUGS Coding and Reimbursement Committee for their effort with the building the rationale and our sister organizations quickly providing their input and approval, as well as joining AUGS on this journey. Click here to read the recent letter to NCCI. Our volunteers have been working overtime on behalf of the society.

AUGS, on behalf of this newly formed coalition, has reached out to the Centers for Medicare and Medicaid Services (CMS) for a meeting on this issue. CMS has agreed to meet and we are working to find a time that works for all involved. Again, we are targeting to have this meeting as soon as possible. The AUGS Coding and Reimbursement Committee is working on a draft slide set, following the content in the letter, for this meeting.

Please know that AUGS will be updating you, our members, on each development and we may be coming to you to ask for assistance so please visit the AUGS website for new information regarding this issue on a routine basis.

On another note, the CY 2015 Final Medicare Physician Fee Schedule will be coming out from CMS in the next few days. This rule, which AUGS commented on this past summer, will finalize CMS’ proposals regarding payments and quality reporting for physicians for 2015. AUGS will be sharing information about this final rule on our website and in our weekly publications and I encourage all members to read these materials.
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AUGS survey request: Research study on hysteropexy
Dr. Miriam Seitz, a fellow at the NorthShore University Health System, is conducting a research study about hysteropexy. AUGS has granted Dr. Seitz permission to survey the AUGS membership. This survey is being conducted electronically and has been reviewed and approved by the AUGS Research Committee.

Please take a moment to complete the short survey by Friday, Nov. 14.

Participation in this electronic survey is for research purposes. At no time are the results identified. Participation is entirely voluntary, refusal to answer or discontinuation of the survey will in no way lead to penalty. If undue stress, fatigue, or frustration is encountered, one can stop at any time.

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Does the prevalence of levator avulsion differ using tomographic ultrasound imaging at rest versus maximum contraction?
Ultrasound Obstetrics Gynecology via Wiley
It has been suggested that images obtained during maximum pelvic floor muscle contraction rather than at rest improve diagnosis of levator ani muscle (LAM) avulsion on transperineal ultrasound. The objective was to establish the correlation of LAM avulsion diagnosis made using tomographic ultrasound imaging (TUI) at rest and contraction.
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Differences in recurrent prolapse at 1 year after total vs. supracervical hysterectomy and robotic sacrocolpopexy
International Urogynecology Journal via Springer
Optimal management of the cervix at the time of hysterectomy and sacrocolpopexy for primary uterovaginal prolapse is unknown. Our hypothesis was that recurrent prolapse at one year would be more likely after a supracervical robotic hysterectomy compared with a total robotic hysterectomy at the time of robotic sacrocolpopexy for uterovaginal prolapse.
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Randomized prospective study comparing Monarc and Miniarc suburethral slings
Journal of Obstetrics and Gynecology Research via Wiley
Recently a miniature version of the Monarc suburethral sling has been introduced. This paper aims to evaluate the postoperative recovery, effectiveness and complications of these two types of suburethral sling.
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Office-based Neuromodulation for OAB
Leslie Wooldridge, GNP-BC, explains how to deliver Urgent® PC in an efficient way with shared or staggered treatments. To view the practice tip: CLICK HERE
Lantheus Proven Success
Discovering, developing and marketing innovative medical imaging agents provides a strong platform from which to bring forward new breakthrough tools for the diagnosis and management of disease. MORE

Introduction to a new technology for measuring urethral pressures: 3-D high-resolution manometry
International Urogynecology Journal via PubMed
This video introduces a 3-D high-resolution manometry system to the field of urogynecology. We demonstrate how to obtain and interpret dynamic urethral pressures with this measurement system and use it to evaluate pre- and postoperative women.
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The status of the pelvic floor in young primiparous women
Ultrasound Obstetrics Gynecology via PubMed
To investigate the postnatal prevalence of sonographically diagnosed pelvic floor trauma, and the correlations with various antenatal/intrapartum predictors in primiparous women.
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Postoperative detrusor contractility temporarily decreases in patients undergoing pelvic organ prolapse surgery
International Journal of Urology via Wiley
The objective of this study was to assess the postoperative lower urinary tract function in patients undergoing pelvic organ prolapse surgery.
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Dyspareunia in women
American Academy of Family Physicians via PubMed
Dyspareunia is recurrent or persistent pain with sexual activity that causes marked distress or interpersonal conflict. It affects approximately 10 percent to 20 percent of U.S. women. Dyspareunia can have a significant impact on a woman's mental and physical health, body image, relationships with partners, and efforts to conceive.
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New guidelines for urinary incontinence focus on nonsurgical management
Clinical Advisor
The American College of Physicians recommends Kegel exercises, bladder training and weight loss and exercise as the preferred nonsurgical treatment options for women with urinary incontinence, according to new evidence-based clinical practice guidelines published in Annals of Internal Medicine.
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Chiaro reboots the pelvic floor exerciser as a sleek connected wearable called Elvie
Pelvic floor/kegel exercises have had known benefits for women for decades, especially post-child birth, for strengthening bladder muscles, reducing the risk of pelvic prolapse and improving sex. It's the same core strength promise of popular activities such as pilates and yoga but without the easy availability of motivating group exercise classes.
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Colby Horton, Vice President of Publishing, 469.420.2601
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Caitlin McNeely, Senior Editor, 469.420.2692  
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