2022
Trends in Billing and Medicare Reimbursement for In-Office Cerumen Removal by Otolaryngologists and Other Providers
Patel R, Torabi S, Kasle D, Kayastha D, Manes R. Trends in Billing and Medicare Reimbursement for In-Office Cerumen Removal by Otolaryngologists and Other Providers. Annals Of Otology Rhinology & Laryngology 2022, 132: 410-416. PMID: 35894062, DOI: 10.1177/00034894221096980.Peer-Reviewed Original ResearchConceptsAdvanced practice providersGeneral physiciansProvider typeCerumen removalMedicare reimbursementRural settingsTotal Medicare reimbursementRetrospective studyPractice providersMedicare Part BOtolaryngologistsNumber of otolaryngologistsBilling patternsNumber of providersPhysiciansProvider UtilizationPatientsReimbursementMedical practiceMedicare Utilization and Reimbursement Variation Between Rural and Urban Otolaryngologists
Patel R, Torabi S, Kayastha D, Kuan E, Manes R. Medicare Utilization and Reimbursement Variation Between Rural and Urban Otolaryngologists. Otolaryngology 2022, 168: 528-535. PMID: 35852873, DOI: 10.1177/01945998221113550.Peer-Reviewed Original ResearchConceptsMedicare patientsRetrospective cross-sectional studyPatient's comorbidity profileHealthcare Common Procedure Coding System codesNumber of patientsCross-sectional studyReimbursement variationComorbidity profilesPatient populationRisk scoreMedicare Provider UtilizationLarge urban settingUrban settingsOlder ageMore Medicare patientsPhysician populationPatientsPhysiciansComplexity of proceduresHCPCS codesProvider UtilizationReimbursement ratesOtolaryngologyRural practiceMedicare utilization
2021
Ambulatory surgery centers: A 2012 to 2018 analysis on growth in number of centers, utilization, Medicare services, and Medicare reimbursements
Torabi S, Patel R, Birkenbeuel J, Nie J, Kasle D, Manes R. Ambulatory surgery centers: A 2012 to 2018 analysis on growth in number of centers, utilization, Medicare services, and Medicare reimbursements. Surgery 2021, 172: 2-8. PMID: 34973814, DOI: 10.1016/j.surg.2021.11.033.Peer-Reviewed Original ResearchRhinology Medicare reimbursements have not been keeping up with inflation
Torabi SJ, Patel RA, Kasle DA, Fujita K, Bhandarkar ND, Kuan EC, Manes RP. Rhinology Medicare reimbursements have not been keeping up with inflation. International Forum Of Allergy & Rhinology 2021, 12: 714-725. PMID: 34783462, DOI: 10.1002/alr.22912.Peer-Reviewed Original ResearchProcedural and geographic variation in price markup of common rhinology procedures by otolaryngologists in the United States
Patel R, Torabi S, Kasle D, Kayastha D, Manes R. Procedural and geographic variation in price markup of common rhinology procedures by otolaryngologists in the United States. International Forum Of Allergy & Rhinology 2021, 12: 227-232. PMID: 34569169, DOI: 10.1002/alr.22893.Peer-Reviewed Original ResearchCharacterizing Medicare Reimbursements and Clinical Activity Among Female Otolaryngologists
Panth N, Torabi SJ, Kasle DA, Savoca EL, Zogg CK, O’Brien E, Manes RP. Characterizing Medicare Reimbursements and Clinical Activity Among Female Otolaryngologists. Annals Of Otology Rhinology & Laryngology 2021, 131: 749-759. PMID: 34467771, DOI: 10.1177/00034894211042445.Peer-Reviewed Original ResearchConceptsFemale otolaryngologistsClinical volumeCurrent Procedural Terminology codesUnique Current Procedural Terminology (CPT) codesProcedural Terminology codesMedicare reimbursementClinical activityRetrospective analysisTerminology codesMedicare feeOtolaryngologistsPatientsBilling patternsMedianMedicare PhysicianUrban settingsRural settingsReimbursementService billingTemporal trendsSettingRural areasBilling patterns for in-office computerized tomography scans of the face/sinus by otolaryngologists
Patel R, Torabi S, Kasle D, Narwani V, Manes R. Billing patterns for in-office computerized tomography scans of the face/sinus by otolaryngologists. American Journal Of Otolaryngology 2021, 42: 103140. PMID: 34175773, DOI: 10.1016/j.amjoto.2021.103140.Peer-Reviewed Original ResearchConceptsComputerized tomography scanCT scanTomography scanMedicare reimbursementMedicare FFS patientsMedicare FFS populationNumber of patientsFFS patientsRetrospective studyService patientsPathologic diagnosisMedian numberFFS populationPatient convenienceMedicare feeMedicare Part BOtolaryngologistsPractice settingsPreoperative planningPatientsBilling patternsProvider UtilizationScansCTMedicareRole and Growth of Independent Medicare-Billing Otolaryngologic Advanced Practice Providers
Patel R, Torabi S, Kasle D, Pivirotto A, Manes R. Role and Growth of Independent Medicare-Billing Otolaryngologic Advanced Practice Providers. Otolaryngology 2021, 165: 809-815. PMID: 33687283, DOI: 10.1177/0194599821994820.Peer-Reviewed Original ResearchConceptsAdvanced practice providersPractice providersRetrospective cross-sectional studyMedicare FFS patientsNumber of patientsCross-sectional studyMedicare reimbursementScope of practiceFFS patientsRetrospective reviewService patientsSex distributionMedicare populationMedicare feeMedicare Provider UtilizationPatientsCurrent ProceduralTotal MedicareProvider UtilizationTotal numberPhysiciansRural settingsMedicareReimbursementMedian
2020
High-Volume Billing and Reimbursement Trends for Endoscopic Swallowing Studies in the Medicare Population
Kasle DA, Torabi SJ, Savoca EL, Lerner M, Manes RP. High-Volume Billing and Reimbursement Trends for Endoscopic Swallowing Studies in the Medicare Population. Dysphagia 2020, 36: 919-924. PMID: 33215264, DOI: 10.1007/s00455-020-10215-x.Peer-Reviewed Original ResearchConceptsSensory testingBarium swallow studyFiberoptic endoscopic evaluationHigh-volume providersReimbursement trendsType of providerEndoscopic evaluationSwallow studySwallowing studyFEESSTMedicare populationMedicare feeMedicare Provider UtilizationReimbursement dataFEESProvider UtilizationSignificant riseService populationPathology portionMedicare Reimbursement for Balloon Catheter Dilations Among Surgeons Performing High Volumes of the Procedures to Treat Chronic Rhinosinusitis
Kasle DA, Torabi SJ, Narwani V, Manes RP. Medicare Reimbursement for Balloon Catheter Dilations Among Surgeons Performing High Volumes of the Procedures to Treat Chronic Rhinosinusitis. JAMA Otolaryngology - Head & Neck Surgery 2020, 146: 264-269. PMID: 31971549, PMCID: PMC6990810, DOI: 10.1001/jamaoto.2019.4357.Peer-Reviewed Original ResearchConceptsBalloon catheter dilationCatheter dilationChronic rhinosinusitisENT surgeonsEndoscopic sinus surgeryPercentage of proceduresMedicare Part B National Summary Data FilesRetrospective reviewCostly conditionSurgical interventionSinus surgeryBalloon catheterThroat surgeonsInvasive alternativeParanasal sinusesMedian numberMAIN OUTCOMEMedicare populationMedical treatmentMedicare Provider UtilizationProcedure volumeOverall reimbursementRhinosinusitisSurgeonsPhysicians