October 2017 Advocacy News

October 2017 | Join us in Chicago for SUNucate beach party and advocacy sessions!
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Compounding Update


AMA hosts USP senior staff and medical specialties to discuss in-office preparation of medications

ASDSA staff attended a briefing with senior staff from the United States Pharmacopeia (USP) to gather more information on how physicians prepare medications in their office. USP is planning to issue a second draft of chapter 797 in mid-2018 for comment (which covers in-office compounding of sterile medications). It has received over 9,000 comments on its first draft and will be making an effort to reach out and hear from the practicing physician community. They have an interest in scientific studies related to in-office preparation of medications, and will also be doing an economic impact analysis of its revised chapter. USP is a voluntary, private standard-setting body, whose standards are often adopted by state boards of pharmacy and/or FDA when making regulations.

Update on prescriber compounding in Ohio

Kudos to the Ohio Medical Association, who successfully worked the Ohio Board of Pharmacy to reopen the compounding regulations for public comment. ASDSA will continue to assist with this endeavor and will be preparing comments to submit to the Board.

FDA works to improve process to register as outsourcing facility

Scott Gottlieb, MD, Commissioner of the FDA, issued a statement reiterating the importance of outsourcing facilities for compounded medications and the goal to make it feasible for pharmacies to register as outsourcing facilities. As a member of the DQSA Coalition, ASDSA stands by the need for our members to access compounded medications on behalf of their patients and will continue to ensure that the Drug Quality and Security Act is executed in the manner it was intended. 

2018 Medicare Physician Fee Schedule

ASDSA signed on to a group letter to the Centers for Medicare and Medicaid Services (CMS) with comments and concerns regarding the CY 2018 Medicare Physician Fee Schedule along with other members of the Alliance of Specialty Medicine (ASM). Items of interest include:
  • Addressing potentially misvalued services and valuation of specific codes 
  • Malpractice Relative Values 
  • Updates on E/M guidelines and care management 
  • Limiting penalties for the Physician Quality Reporting System (PQRS), Electronic Health Record (EHR) Incentive Program and the Value-based payment modifier 
  • New MACRA patient relationship categories and codes and the Medicare Shared Savings Program  
ASDSA will continue to work for fair reimbursement policies for dermatologic surgeons and their patients and update you as new developments occur.  

Information for those impacted by hurricanes/disasters

To our members who have been affected by Hurricanes Harvey, Irma and Maria, the Federation of State Medical Boards has information on expediting medical licenses and credentials verification for those impacted by a disaster or traveling to assist those areas.
ASDSA has endorsed the Interstate Medical Licensure Compact (IMLC) and has worked to support states seeking to become a part of the effort. The IMLC provides a vehicle for working in multiple states, whether it be for telemedicine or moving to a new state for work due to natural disasters. It also assures the public is protected by ensuring proper background checks and verifying physician licensure.
Since 2015, 22 states have enacted legislation to expedite multi-state medical licensure, including AL, AZ, CO, ID, IL, IA, KS, ME, MN, MS, MT, NE, NV, NH, PA, SD, TN, UT, WA, WV, WI and WY. The initiative remains under consideration in MI, RI, TX, DC and Guam. ASDSA is keeping those members whose practices were impacted by the storms in our thoughts and prayers. Please email advocacy@asds.net with any questions.

Don’t miss advocacy sessions at the Annual Meeting!

ASDSA staff hopes to see you this week in Chicago at the 2017 ASDS Annual Meeting. Be sure to attend our advocacy and practice affairs sessions; both are complementary and seating is on a first-come, first-serve basis.
  • Effective Advocacy in Congressional Offices: the ASDSA Virtual Fly-in Experience: Members of the Federal Affairs Work Group will share their experience working in Congress and helpful tips when talking to your legislator about ASDSA advocacy efforts (Thurs., Oct. 5, 8:00 – 9:15 a.m., Columbus Hall H) 
  • Dermatologic Surgery Reimbursement and Coding Update: Attendees will gain an understanding of emerging reimbursement issues and CPT coding tips, focusing on reconstructive surgery and special anatomic locations (Fri., Oct. 6, 1:45 – 3:00 p.m., Columbus Hall AB)  
Be sure to attend our Beach Party in the ASDS / ASDSA Resource Center, located at booth 616, on Thurs., Oct. 5, in the exhibit hall from 3:15 – 4:15 p.m. Come meet members of the State Affairs Work Group, play games and learn about SUNucate and our model bill; the first 100 members to join us will also receive a pair of sunglasses. See you there! 

MIPS and Quality Improvement Update

First-year physicians will need to report information to CMS for the first time this year under the new Quality Payment Program (QPP). Physicians are allowed to pick their pace of reporting for 2017 under the Merit-based Incentive Payment System (MIPS); the American Medical Association (AMA) has prepared a video on their “One patient, one measure, no penalty” initiative, along with additional resources, such as the MIPS Action Plan, to help physicians avoid penalties.
Additionally, the AMA is hosting two webinars in the upcoming months. Thriving Under MIPS—Where to start? Breaking down the complexity of MIPS (Wed., Oct. 18, 1:00-2:00 p.m. EST) will cover how to use the MIPS Action Plan to create and/or validate strategies for MIPS implementation in 2017.
The Quality Improvement Webinar—Root cause analysis: Digging deep to improve (Wed., Nov. 29, 1:00-2:00 p.m. EST) will cover three common forms of root-cause analysis; discuss the advantages of applying these methods to different circumstances and environments; and how root-cause analysis is used as the basis for creating and implementing ideas that lead to improvement. 

Advocacy Addendum:

  • Make sure to check the Open Forum and Reconstruction/Skin Cancer discussion groups on Quest for updates on the lidocaine shortage. See how other members are handling this issue in their practice and ask questions about alternative solutions. 
  • ASDSA is proud to announce the Indiana Academy of Dermatology (IAD) and the Arizona Dermatology and Dermatologic Surgery Society (ADDSS) as recipients of Ignite Grants. IAD will be focusing on bringing the SUNucate model bill to IN and ADDSS will be working to pass the Safe Laser and Energy-based Device Act in AZ. 
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