2023
A Medicare Physician Fee Schedule Analysis of Reimbursement Trends in Laryngology from 2000 to 2021
Xu J, Lorenz R, Mulligan K, Otteson T, Maronian N, Manes R, Lerner M, Bryson P. A Medicare Physician Fee Schedule Analysis of Reimbursement Trends in Laryngology from 2000 to 2021. The Laryngoscope 2023, 134: 247-256. PMID: 37436137, DOI: 10.1002/lary.30874.Peer-Reviewed Original Research
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 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 areas
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 portionOutpatient Otolaryngology in the Era of COVID‐19: A Data‐Driven Analysis of Practice Patterns
Kasle DA, Torabi SJ, Savoca EL, Judson BL, Manes RP. Outpatient Otolaryngology in the Era of COVID‐19: A Data‐Driven Analysis of Practice Patterns. Otolaryngology 2020, 163: 138-144. PMID: 32393101, PMCID: PMC7218354, DOI: 10.1177/0194599820928987.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overBetacoronavirusChildChild, PreschoolCoronavirus InfectionsCOVID-19Data AnalysisDisease Transmission, InfectiousFemaleHumansMaleMiddle AgedOtolaryngologistsOtorhinolaryngologic DiseasesOutpatientsPandemicsPneumonia, ViralPractice Patterns, Physicians'Retrospective StudiesSARS-CoV-2TelemedicineUnited StatesYoung AdultConceptsDivision of OtolaryngologyTelehealth visitsOlder adultsHospital policy changesSingle-institution studyCoronavirus disease 2019Quantity of patientsOutpatient otolaryngologyRetrospective reviewAcute carePerson visitsOutpatient appointmentsPractice patternsDisease 2019Week 1Week 3VisitsYoung adultsOtolaryngologyCOVID-19Completion ratesOtolaryngologistsAdultsAssociated increaseTelehealthMedicare 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
2019
Margins in Sinonasal Squamous Cell Carcinoma: Predictors, Outcomes, and the Endoscopic Approach
Torabi SJ, Spock T, Cardoso B, Chao J, Morse E, Manes RP, Judson BL. Margins in Sinonasal Squamous Cell Carcinoma: Predictors, Outcomes, and the Endoscopic Approach. The Laryngoscope 2019, 130: e388-e396. PMID: 31755988, DOI: 10.1002/lary.28315.Peer-Reviewed Original ResearchConceptsSinonasal squamous cell carcinomaHigh-volume facilitiesNational Cancer DatabaseSquamous cell carcinomaPositive marginsOverall survivalSurgical approachMargin statusCell carcinomaEthmoid sinusEndoscopic approachMultivariable binary logistic regressionDecreased overall survivalHigher T stageBinary logistic regressionAdditional therapySelect patientsAdult patientsEndoscopic treatmentMultivariable analysisSurgical managementT stageTherapy administrationDifferentiated tumorsOpen surgery
2016
Survival Outcomes for Combined Modality Therapy for Sinonasal Undifferentiated Carcinoma
Kuo P, Manes RP, Schwam ZG, Judson BL. Survival Outcomes for Combined Modality Therapy for Sinonasal Undifferentiated Carcinoma. Otolaryngology 2016, 156: 132-136. PMID: 27703092, DOI: 10.1177/0194599816670146.Peer-Reviewed Original ResearchConceptsSinonasal undifferentiated carcinomaCombined modality therapyNational Cancer DatabaseUndifferentiated carcinomaChemoradiotherapy groupModality therapyOverall survivalSurvival outcomesTreatment modalitiesCancer DatabaseSurvival rateAdjuvant chemotherapy groupImproved survival outcomesMultivariate Cox regressionCumulative survival rateKaplan-Meier analysisMulti-institutional studyCases of SNUCAdjuvant chemotherapyChemotherapy groupMultimodality therapyModality treatmentPrognostic factorsCox regressionAggressive malignancy
2014
Electromagnetic Image-Guided Orbital Decompression: Technique, Principles, and Preliminary Experience with 6 Consecutive Cases
Servat JJ, Elia MD, Gong D, Manes RP, Black EH, Levin F. Electromagnetic Image-Guided Orbital Decompression: Technique, Principles, and Preliminary Experience with 6 Consecutive Cases. Orbit 2014, 33: 433-436. PMID: 25207388, DOI: 10.3109/01676830.2014.950284.Peer-Reviewed Original ResearchConceptsOrbital decompressionWall orbital decompressionNon-contrast CTElectromagnetic image guidanceDisease inactivityConsecutive patientsHertel exophthalmometryConsecutive casesMaxillary sinusReduced riskElectromagnetic guidance systemInferior aspectPatientsPreliminary experienceFrontal sinusSuperior aspectOrbital surgeryRoutine useNasal tipDecompressionImage guidance systemSurgical navigation systemImage guidanceSinus
2011
Prospective evaluation of intraoperative computed tomography imaging for endoscopic sinonasal and skull‐base surgery
Batra PS, Manes RP, Ryan MW, Marple BF. Prospective evaluation of intraoperative computed tomography imaging for endoscopic sinonasal and skull‐base surgery. International Forum Of Allergy & Rhinology 2011, 1: 481-487. PMID: 22144058, DOI: 10.1002/alr.20076.Peer-Reviewed Original ResearchConceptsEndoscopic sinonasal surgeryEndoscopic sinonasalIntraoperative computed tomographyAdditional interventionsComputed tomographySkull base proceduresTumor resectionMean Lund-Mackay scoreIntraoperative imagingLund-Mackay scoreFuture clinical trialsMalignant tumor resectionEndoscopic tumor biopsyPresence of tumorIntraoperative CT scanningBase proceduresPresence of polypsSkull base surgeryPrevious surgeryProspective evaluationSinonasal surgeryMean agePredictive factorsFemale ratioClinical trialsUtility of novel 3‐dimensional stereoscopic vision system for endoscopic sinonasal and skull‐base surgery
Manes RP, Barnett S, Batra PS. Utility of novel 3‐dimensional stereoscopic vision system for endoscopic sinonasal and skull‐base surgery. International Forum Of Allergy & Rhinology 2011, 1: 191-197. PMID: 22287372, DOI: 10.1002/alr.20012.Peer-Reviewed Original ResearchConceptsCompleteness of surgerySkull base surgeryEndoscopic sinonasalTumor resectionAnterior skull base tumor resectionsTertiary care academic medical centerSkull base tumor resectionAllergic fungal rhinosinusitisAcademic medical centerOptic nervePatient seriesFungal rhinosinusitisMean ageFemale ratioPotential complicationsAdditional interventionsIndependent surgeonsMedical CenterSurgeryFrontal cellsSurgical paradigmComplicationsPilot studySinonasalASB reconstruction
2010
Initial Clinical Experience with Balloon Dilation in Revision Frontal Sinus Surgery
Wycherly BJ, Manes RP, Mikula SK. Initial Clinical Experience with Balloon Dilation in Revision Frontal Sinus Surgery. Annals Of Otology Rhinology & Laryngology 2010, 119: 468-471. PMID: 20734968, DOI: 10.1177/000348941011900707.Peer-Reviewed Original ResearchConceptsRevision frontal sinus surgeryFrontal sinus surgeryLund-Mackay scoreBalloon dilationFrontal ostiumSinus surgeryPostoperative infectionAverage Lund-Mackay scoreEndoscopic frontal sinus surgeryFrontal sinus diseaseInitial clinical experienceEndoscopic patencyPersistent sinusitisRadiographic improvementFrontal headacheSinus diseasePatency ratesTomography scanInvasive techniquesOutcome measurementsPatientsClinical experienceOstiumAdditional proceduresSurgery