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Text Version   RSS   Subscribe   Unsubscribe   Archive   Media Kit          November 21, 2014

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President's Perspective: AUGS leads efforts with CMS to reverse NCCI edits for vaginal hysterectomy
I wanted to update you, our AUGS members, regarding the activities of the Society in our efforts to reverse the NCCI edits that impact vaginal hysterectomy and reconstructive procedures, such as colpopexy.

Working in concert with ACOG, SGS, SUFU and AUA, we had a conference call meeting on Nov. 17, 2014 with the medical officers for the Centers for Medicare and Medicaid Services and the staff from the National Correct Coding Initiative (NCCI) to discuss our opposition to the Oct. 1, 2014 edits and the need to correct them as soon as possible with the edits that include CPT code 58260 as the immediate priority. ACOG presented a chart outlining their coding manual and how the edits were in conflict and did not represent what was included in their manual. AUGS presented arguments regarding the clinical elements of the procedures and how the procedures are not inherent to each other. SGS, SUFU and AUA were helpful with questions and clarifications for the CMS staff. Prior to the call, all five organizations worked together to prepare the materials for the meeting and had a pre-call to review the agenda.

CMS is now reviewing all the information and we will continue to follow-up with CMS, starting with a thank you letter for the call, reiterating some of the information that was presented. We hope to have a decision to share with all of you in the near future.

However, in the meantime, it is imperative that AUGS members retain copies of all your claims that have been submitted since Oct. 1, 2014 where a procedure was performed that included one of the codes in these edits. We have asked CMS to reverse these edits, effective Oct. 1, 2014. It is possible that physicians would be required to re-submit their claims to their Medicare contractor for adjustment and thus you would need to be able to re-identify those claims to re-submit. We do not want any AUGS members to not be able to perform this activity, if needed. Therefore, all AUGS members need to contact their coding and billing departments regarding this possibility.

As always, if you have any questions, please contact AUGS at or 202-367-1167.
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Break Free from PFD webinar
During Bladder Health Week, Nov. 10-14, close to 80 Break Free from PFDs Local Events were hosted around the country by AUGS members. The population of women that AUGS is trying to reach with the Break Free from PFDs campaign cannot always attend in-person events due to accessibility, disabilities, location, and other issues. That is why AUGS hosted a Break Free from PFDs event as a live webinar during Bladder Health Week. Amy Park, MD and Cheryl Iglesia, MD lead the webinar and were joined by two patients who shared their experience with PFD. The webinar was recorded and uploaded to the Voices for PFD YouTube Channel.

Please share this new resource with your patients, by directing them to visit: Now even more women will understand the facts about PFDs and be empowered to pursue solutions to improve their quality of life.

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A systematic review and meta-analysis comparing immediate and delayed catheter removal following uncomplicated hysterectomy
International Urogynecology Journal via Springer
The use of an indwelling catheter after uncomplicated hysterectomy is common, but remains controversial because of the occurrence of catheter-associated urinary tract infections and discomfort.
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Neuromodulation for OAB symptoms
Incontinence experts discuss the prevalence of refractory OAB and how Urgent® PC can help this undertreated population. To view the supplement:
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

Acupuncture for overactive bladder in female adult: A randomized controlled trial
World Journal of Urology via PubMed
After we excluded other causes for storage symptoms, a total of 240 consecutive female patients with overactive bladder were enrolled and completed all aspects of this prospective randomized controlled trial, of which 118 cases were randomly assigned to receive a weekly acupuncture treatment, while the other 122 cases were given a pharmacological treatment of oral tolterodine tartrate 2 mg twice daily for 4 weeks.
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A multicenter, prospective trial to evaluate mesh-augmented sacrospinous hysteropexy for uterovaginal prolapse
International Urogynecology Journal via Springer
Hysterectomy is often part of pelvic organ prolapse repair. However, this may offer no benefit when compared to uterine preservation. We aimed to prospectively evaluate a minimally invasive bilateral sacrospinous hysteropexy using polypropylene mesh. We hypothesized that anatomic success and patient satisfaction can be achieved with this technique.
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Vaginal estrogen use in postmenopausal women with pelvic floor disorders: Systematic review and practice guidelines
International Urogynecology Journal via PubMed
Risk of pelvic floor disorders increases after menopause and may be linked to estrogen deficiency. We aimed to systematically and critically assess the literature on vaginal estrogen in the management of pelvic floor disorders in postmenopausal women and provide evidence-based clinical practice guidelines.
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Conservative management for female urinary incontinence and pelvic organ prolapse review 2013: Summary of the 5th international consultation on incontinence
Neurourology and Urodynamics via Wiley
The objective of the 5th International Consultation on Incontinence chapter on Adult Conservative Management was to review and summarize the new evidence on conservative management of urinary incontinence and pelvic organ prolapse in order to compile a current reference source for clinicians, health researchers, and service planners. In this paper, we present the review highlights and new evidence on female conservative management.
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3 T MRI-based measurements for the integrity of the female pelvic floor in 25 healthy nulliparous women
Neurourology and Urodynamics via PubMed
Measurements indicating a loss of integrity of the levator ani muscle, which is an integral part of the pelvic floor, have been subject of recent studies using translabial ultrasound and 3D-MRI-models. We transferred these measurements into 2D-3 T-MR-images for clinical routine, as it is objective and does not need exhaustive post-processing.
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Multidisciplinary approach benefits provoked vestibulodynia
For women with provoked vestibulodynia, a multidisciplinary vulvodynia program integrating psychological skills training, pelvic floor therapy, and medical management is associated with improvements in dyspareunia and sexual functioning, according to a study published online the Journal of Sexual Medicine.
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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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