2023
Burnout in U.S. hematologists and oncologists: impact of compensation models and advanced practice provider support
Lee A, Masselink LE, De Castro LM, Marshall AL, Connell NT, Dent GA, Fritz J, Homer M, Lucas TL, Naik RP, Nelson M, O'Connell C, Rajasekhar A, Reynolds R, Sharma D, Smith M, Weeks LD, Erikson CE. Burnout in U.S. hematologists and oncologists: impact of compensation models and advanced practice provider support. Blood Advances 2023, 7: 3058-3068. PMID: 35476017, PMCID: PMC10331414, DOI: 10.1182/bloodadvances.2021006140.Peer-Reviewed Original ResearchConceptsCommunity physiciansProvider supportMultivariate logistic regression modelOverall survey response rateClinical support staffCommunity practiceLogistic regression modelsHigh burnoutUS hematologistsSurvey response rateComplete responseFemale genderAMA MasterfileResponse rateSignificant associationHematologistsOncologistsFinal analysisPhysiciansLarge-scale studiesProvider UtilizationPractice surveyAmerican SocietyOne-thirdPhysician compensation
2022
Enhancing Use of Medications for Opioid Use Disorder Through External Coaching
Molfenter T, Kim H, Kim JS, Kisicki A, Knudsen HK, Horst J, Brown R, Madden LM, Toy A, Haram E, Jacobson N. Enhancing Use of Medications for Opioid Use Disorder Through External Coaching. Psychiatric Services 2022, 74: 265-271. PMID: 36196533, PMCID: PMC10836327, DOI: 10.1176/appi.ps.202100675.Peer-Reviewed Original ResearchConceptsOpioid use disorderBuprenorphine useControl armUse disordersUse of MOUDUse of medicationsInjectable naltrexoneNaltrexone administrationOutcome measuresCoaching armClinical sitesHealth systemProvider UtilizationTrial periodTreatment agenciesTrialsDelivery modalitiesHealth sitesMedicationsSignificant differencesDisordersArmSimilar patternMOUDNaltrexoneTrends 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 utilizationThe 2013 to 2019 Emergency Medicine Workforce: Clinician Entry and Attrition Across the US Geography
Gettel CJ, Courtney DM, Janke AT, Rothenberg C, Mills AM, Sun W, Venkatesh AK. The 2013 to 2019 Emergency Medicine Workforce: Clinician Entry and Attrition Across the US Geography. Annals Of Emergency Medicine 2022, 80: 260-271. PMID: 35717274, PMCID: PMC9398978, DOI: 10.1016/j.annemergmed.2022.04.031.Peer-Reviewed Original ResearchConceptsAdvanced practice providersEmergency physiciansPractice providersNonemergency physiciansEmergency cliniciansRural designationUrban emergency physiciansRepeated cross-sectional analysisEmergency medicine workforceCross-sectional analysisUnique cliniciansMedicare Part BStudy yearsCliniciansPhysiciansProvider UtilizationPhysician attritionSubstantial state-level variationResidency trainingLongitudinal trendsManagement servicesAttrition ratesState-level changesState-level variationTotal proportion
2021
Billing 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
Early Adoption of Dupilumab in the Medicare Population in 2017.
Cheraghlou S, Cohen JM. Early Adoption of Dupilumab in the Medicare Population in 2017. The Yale Journal Of Biology And Medicine 2020, 93: 675-677. PMID: 33380928, PMCID: PMC7757055.Peer-Reviewed Original ResearchConceptsAtopic dermatitisRural-Urban Continuum CodesMedicare populationHealth Statistics Urban-Rural Classification SchemeInjectable biologicsSevere atopic dermatitisRetrospective cohort studyCohort studyPatient outcomesDupilumabFirst drugMedicare Provider UtilizationFDA approvalUtilization trendsFirst FDAFuture interventionsProvider UtilizationPotential targetBiologicsDisease treatmentPatientsTreatmentFirst yearMore rural regionsContinuum CodesCharacterizing the providers of and reimbursement for chronic migraine chemodenervation among the Medicare population
Torabi SJ, Kasle DA, Savoca EL, Gottschalk CH, Manes RP. Characterizing the providers of and reimbursement for chronic migraine chemodenervation among the Medicare population. Headache The Journal Of Head And Face Pain 2020, 61: 373-384. PMID: 33337542, DOI: 10.1111/head.14040.Peer-Reviewed Original ResearchConceptsAdvanced practice providersHigh-volume providersMedicare populationTreatment modalitiesMedicare patientsPractice providersSubstantial geographic variationMedicare Provider UtilizationProcedure volumeCPT codesPopular treatmentHigher mean numberNeurologistsCross-sectional dataProvider UtilizationMean numberPhysiciansSubstantial proportionChemodenervationReimbursement trendsTreatmentTotal beneficiariesProvidersTotalTotal numberHigh-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 portionCharacteristics of cardiac catheterization laboratory directors at the 2017 U.S. News & World Report top 100 U.S. cardiovascular hospitals
Murugiah K, Annapureddy AR, Khera R, Lansky A, Curtis JP. Characteristics of cardiac catheterization laboratory directors at the 2017 U.S. News & World Report top 100 U.S. cardiovascular hospitals. Catheterization And Cardiovascular Interventions 2020, 97: e624-e626. PMID: 32833350, DOI: 10.1002/ccd.29217.Peer-Reviewed Original ResearchConceptsCardiac catheterization laboratoryCardiovascular HospitalFellowship trainingPercutaneous coronary interventionCardiac catheterization laboratory directorsStructural interventionsCoronary interventionMedian agePeripheral interventionsMedical school graduationCardiovascular programCatheterization laboratoryMedicare dataMedicare Provider UtilizationHospitalClinical focusMedian yearsProvider Utilization
2016
Use of Point‐of‐Care Ultrasound in the Emergency Department
Hall MK, Hall J, Gross CP, Harish NJ, Liu R, Maroongroge S, Moore CL, Raio CC, Taylor RA. Use of Point‐of‐Care Ultrasound in the Emergency Department. Journal Of Ultrasound In Medicine 2016, 35: 2467-2474. PMID: 27698180, DOI: 10.7863/ultra.16.01041.Peer-Reviewed Original ResearchConceptsCare ultrasoundEmergency departmentOdds ratioHealthcare Common Procedure Coding System codesMedicaid Services feeCare ultrasound useEmergency medicine practitionersMedical school graduation yearUse of pointPatient outcomesUltrasound examinationMedicare beneficiariesEM residenciesMedicare Part B feeUltrasound useMedicine practitionersPart B feePractice locationProvider UtilizationB feeService reimbursementEM practitionersReimbursementUltrasoundLower rates
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