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 ResearchAdverse Events Associated With Bioabsorbable Nasal Implants: A MAUDE Database Analysis
Wilkins S, Sheth A, Kayastha D, Abdou H, Salehi P, Citardi M, Manes R. Adverse Events Associated With Bioabsorbable Nasal Implants: A MAUDE Database Analysis. Otolaryngology 2023, 168: 1253-1257. PMID: 36939542, DOI: 10.1002/ohn.227.Peer-Reviewed Original ResearchMeSH KeywordsAbsorbable ImplantsDatabases, FactualHumansUnited StatesUnited States Food and Drug AdministrationConceptsAdverse eventsNasal implantsPotential long-term complicationsMAUDE Database AnalysisLong-term complicationsPain/discomfortUser Facility Device Experience (MAUDE) databaseNasal valve collapseSteroid injectionTreatment sequelaeStandardized reporting templateCommon symptomsAdverse reactionsPathologic analysisValve collapseImplant protrusionAdjacent tissuesMAUDE databaseDevice reportsReporting templateDatabase analysisBioabsorbable implantsComplicationsImplantsExperience database
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 ResearchMeSH KeywordsAgedCerumenHumansMedicareOtolaryngologistsPractice Patterns, Physicians'Retrospective StudiesUnited StatesConceptsAdvanced 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 ResearchMeSH KeywordsAgedCross-Sectional StudiesHumansMedicareOtolaryngologistsOtolaryngologyRetrospective StudiesUnited StatesConceptsMedicare 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 ResearchMeSH KeywordsAgedCross-Sectional StudiesFemaleHumansMedicareOtolaryngologistsRetrospective StudiesUnited StatesConceptsFemale otolaryngologistsClinical volumeCurrent Procedural Terminology codesUnique Current Procedural Terminology (CPT) codesProcedural Terminology codesMedicare reimbursementClinical activityRetrospective analysisTerminology codesMedicare feeOtolaryngologistsPatientsBilling patternsMedianMedicare PhysicianUrban settingsRural settingsReimbursementService billingTemporal trendsSettingRural areasMilestones 2.0: Otolaryngology Resident Competency in the Postpandemic Era
Cabrera-Muffly C, Cusumano C, Freeman M, Jardine D, Lieu J, Manes R, Marple B, Puscas L, Svrakic M, Thorne M, Edgar L. Milestones 2.0: Otolaryngology Resident Competency in the Postpandemic Era. Otolaryngology 2021, 166: 605-607. PMID: 34313511, DOI: 10.1177/01945998211033235.Peer-Reviewed Original ResearchMeSH KeywordsAccreditationClinical CompetenceEducation, Medical, GraduateHumansInternship and ResidencyOtolaryngologyUnited StatesConceptsMilestones 2.0American Rhinologic Society expert practice statement: Postoperative pain management and opioid use after sinonasal surgery
Lee J, Levine C, Overdevest J, Higgins T, Manes R, Myhill J, Soler Z. American Rhinologic Society expert practice statement: Postoperative pain management and opioid use after sinonasal surgery. International Forum Of Allergy & Rhinology 2021, 11: 1296-1307. PMID: 34251080, DOI: 10.1002/alr.22847.Peer-Reviewed Original ResearchMeSH KeywordsAnalgesics, Non-NarcoticAnalgesics, OpioidConsensusHumansPain ManagementPain, PostoperativeUnited StatesConceptsPostoperative painPain managementSinonasal surgeryNonsteroidal anti-inflammatory drugsUse of gabapentinPostoperative pain managementUse of opioidsEvidence-based recommendationsAnti-inflammatory drugsNonopioid medicationsPain controlOpioid usePreoperative counselingLocal anesthesiaPractice statementsPainSurgeryDelphi approachMedicationsOpioidsGabapentinAnesthesiaBilling 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 UtilizationScansCTMedicareAdverse Events Associated With Corticosteroid-Eluting Sinus Stents: A MAUDE Database Analysis
Narwani V, Torabi SJ, Kasle DA, Patel RA, Lerner MZ, Manes RP. Adverse Events Associated With Corticosteroid-Eluting Sinus Stents: A MAUDE Database Analysis. Otolaryngology 2021, 166: 179-182. PMID: 33848437, DOI: 10.1177/01945998211006930.Peer-Reviewed Original ResearchConceptsCommon adverse eventsAdverse eventsPostoperative infectionMAUDE databasePatient-related adverse eventsRetrospective cross-sectional studyFungal infectionsMAUDE Database AnalysisDevice-related eventsEndoscopic sinus surgeryDrug Administration MAUDE databaseCross-sectional studyPeriorbital cellulitisSinus surgeryRevision surgerySurgical decisionSinus stentsUS FoodDrug AdministrationComplicationsPatientsInfectionStentsOperating roomDatabase analysisRole 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 settingsMedicareReimbursementMedianAdverse Events Associated With ClariFix Posterior Nasal Nerve Cryoablation: A MAUDE Database Analysis
Singh A, Kasle D, Torabi S, Manes R. Adverse Events Associated With ClariFix Posterior Nasal Nerve Cryoablation: A MAUDE Database Analysis. Otolaryngology 2021, 165: 597-601. PMID: 33528303, DOI: 10.1177/0194599820986581.Peer-Reviewed Original ResearchConceptsAdverse eventsMedical device reportsPNN cryoablationCommon adverse eventsMAUDE Database AnalysisNovel surgical techniqueDrug Administration ManufacturerChronic rhinitisCryosurgical ablationNasal swellingSurgical techniqueCryoablationDevice reportsDatabase analysisCertain populationsEpistaxisFurther studiesExperience databaseRhinitis
2020
Characterizing 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 portionCOVID-19’s Impact on the 2020-2021 Resident Match: A Survey of Otolaryngology Program Directors
Kasle DA, Torabi SJ, Izreig S, Rahmati RW, Manes RP. COVID-19’s Impact on the 2020-2021 Resident Match: A Survey of Otolaryngology Program Directors. Annals Of Otology Rhinology & Laryngology 2020, 130: 666-673. PMID: 33090015, PMCID: PMC8685750, DOI: 10.1177/0003489420967045.Peer-Reviewed Original ResearchIdeas and Innovations to Improve the Otolaryngology–Head and Neck Surgery Residency Application and Selection Process
Salehi PP, Heiser A, Salehi P, Manes RP, Judson BL, Azizzadeh B, Lee YH. Ideas and Innovations to Improve the Otolaryngology–Head and Neck Surgery Residency Application and Selection Process. Otolaryngology 2020, 164: 1001-1010. PMID: 33076735, DOI: 10.1177/0194599820961989.Peer-Reviewed Original ResearchOtolaryngology Match 2020-21: Survey of Prospective Applicants in the Setting of COVID-19
Izreig S, Torabi SJ, Kasle DA, Rahmati RW, Manes RP. Otolaryngology Match 2020-21: Survey of Prospective Applicants in the Setting of COVID-19. Annals Of Otology Rhinology & Laryngology 2020, 130: 450-458. PMID: 32814437, PMCID: PMC7481654, DOI: 10.1177/0003489420952470.Peer-Reviewed Original ResearchOutpatient 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 increaseTelehealth