News & Updates: May 2023
First Thursday Webinar Series
Athletic Trainers in the Physician Practice
WHEN: Thursday, June 1st, 1:00-2:00 PM (ET)

SPEAKER: Jennifer Kitano, MS, ATC, BCS-O 
In this webinar, Jennifer Kitano, MS, ATC, BCS-O, will cover:
  • Duties and responsibilities an athletic trainer can fulfill within your practice
  •  Scenarios where athletic trainers can add both direct and indirect value
  • Data demonstrating how athletic trainers can positively affect metrics such as patient satisfaction and clinic efficiency within your practice
Missed a Webinar? Check out the Webinar Archive!
The webinar is a free educational offering for our members.
Please follow the instructions to register for the event.
After registering, you will receive a confirmation email from Zoom containing information about joining the webinar. If you don't see the email within 24 hours of registering, please check your spam folder.
Legislative Updates
House Legislation Introduced to Prohibit Non-Compete Contracts
H 4488 General Bill, By Sessions, G.M. Smith, Hiott, Davis, M.M. Smith, B.L. Cox, Gatch, Lawson, O'Neal, Pace, Pedalino, Beach and Rutherford
Summary: Health Care Facilities

A bill to amend the South Carolina Code of Laws by adding Section 44-7-267 so as to prohibit the use of contractual agreements by health care facilities to limit a physician's ability to practice after termination of the contractual relationship, with exceptions. Click here for bill updates.
Celebrating CON Repeal Law
AAOS Representative Dr. James Saucedo thanks Governor Henry McMaster for supporting CON Repeal in SC.
(Republican Governors Association Corporate Policy Summit, Austin, TX)
R. 61-64 X-Rays (Title B) Final Regulation
The Notice of Final Regulation (NFR) for Regulation 61-64, X-Rays (Title B), went into effect May 26, 2023. You can view a copy of the NFR on page 206 of the State Register. Practices should be sure their imaging teams are aware of the updates.
Registration Underway: 2023 Annual Meeting
​2023 SCOA Annual Meeting
August 3-5, 2023
Sanctuary Hotel
Kiawah Island, SC
SCOA invites you to join us for three days full of education, collegiality, and networking in Kiawah Island!
The SCOA Hotel block is sold out. Villas remain available. The Sanctuary will offer our members a 10% discount from “standard” room rates based on availability. Register today to receive instructions for villa reservations.
DEA News
New DEA Education Requirement effective June 27, 2023
The new education requirement for all DEA-registered practitioners to complete 8 hours of training on “the treatment and management of patients with opioid or other substance use disorders” is effective June 27, 2023. AAOS has created a member resource center to help you meet this requirement. Click here to view. 
DEA Extends Telehealth Flexibilities
The following is a message from the American Medical Association (AMA):
The ability to prescribe controlled substances based on telehealth patient visits was set to expire when the COVID-19 Public Health Emergency ended on Thursday, May 11th. The U.S. Drug Enforcement Administration (DEA) initially issued two proposed rules establishing new policies for controlled substance prescriptions based on telehealth visits, one for buprenorphine and one for other controlled substances. The AMA weighed in on the policy with multiple arms of the Biden administration, including the DEA as well as Rahul Gupta, MD, the Director of the White House Office of National Drug Control Policy. After receiving more than 38,000 comment letters, however, the DEA has decided to extend the same policies that have been in place during COVID for an additional 6 months, until November 11, 2023. The AMA has issued a statement welcoming this extension.
Payer News
Cigna Delaying Implementation of the Modifier 25 Policy
Message from the American Medical Association (AMA):
We wanted to alert you that Cigna has updated its modifier 25 policy to announce a delay in implementing the required submission of documentation to support the use of modifier 25 when billed with E/M CPT codes 99212 – 99215 and a minor procedure. 
Although the AMA has not yet received a formal response to the sign-on letter sent in April to Cigna about the policy, we have received the following details regarding its announced delay:
  • Cigna is delaying the implementation of the modifier 25 policy.
  • Cigna is currently reevaluating this reimbursement policy update, which will delay implementation.
  • Cigna will look to implement this policy later, when it can optimize the provider experience and perform additional provider education in partnership with key national medical associations.
  • Cigna will communicate a new implementation date and additional details later.
  • Cigna appreciates your partnership and patience and look forward to working more collaboratively with provider partners, medical associations, and their membership to ensure that modifier 25 is used appropriately and in alignment with national guidelines and industry standards.
Congress Extends Deadline for #FixPriorAuth Dear Colleague Letter!
The below message is from the American Medical Association (AMA):
Recently we alerted you that the #FixPriorAuth champions in the House and Senate had introduced "Dear Colleague" letters urging the Centers for Medicare & Medicaid Services (CMS) to strengthen and finalize proposed rules to improve the prior authorization process for physicians and patients.
Due to overwhelming action from advocates like you, the House and Senate sponsors were inundated with colleagues who wanted to sign-on - in fact, the response has been so great that the sponsors have extended the sign-on deadline to June 9!
Commercial Payers Delay Paying Out Claims to Providers
Content via Healthcare Finance:
Hospitals and health systems were optimistic about their financial performance to start the year, figuring that revenue and profit margins would rebound after a tough few years. But their financial performance has continued to struggle. A new Crowe analysis places much of the responsibility at the feet of commercial payers, finding frequent initial claims denials and other impediments to payments to hospitals. Click here to read more.
CMS News
CMS Issues Updated MLN Fact Sheet: Checking Medicare Claim Status
Health Insurance Portability and Accountability Act (HIPAA)-covered entities, like health plans, clearinghouses, and certain health care providers, must comply with federal operating rules for checking claims status. These rules streamline how you get claim status information electronically. Click here to access the updated fact sheet.
Article of Interest
Why Healthcare Spending’s Tipping Point Is In Sight
Dr. Christopher Crow, CEO, Forbes Councils Member
It’s hard to see reports of the astronomical costs of American healthcare and not become immediately desensitized to the enormity of it all. In 2021, fueled somewhat by the pandemic, American healthcare costs topped $4.3 trillion. By 2028, that number could surpass $6 trillion… Providers need to remember that they are the true value creators. They are the deliverers of care and navigators of health for patients. Ultimately, they own the decision for which channels they use to deliver that value, as well as how they wish to define what truly matters to them. Click here to read the full Forbes article. 
Leadership Book Nook
Have a Book that was Meaningful to your Professional Journey? Please Share!
Please consider sharing a short paragraph about lessons learned from a book that has shaped you as a leader. Send your summary to Sarah Thompson.
Past Recommendations Include:
  • The Five Dysfunctions of a Team by Patrick Lencioni
  • Strength to Strength: Finding Success, Happiness and Deep Purpose in the Second Half of Life by Arthur C. Brooks
  • The Powerful Purpose of Introverts: Why the World Needs YOU to be YOU by Holly Gerth
  • The 48 Laws of Power by Robert Greene
  • Impact Players: How to Take the Lead, Play Bigger and Multiply Your Impact by Liz Wiseman
  • Quiet: The Power of Introverts in a World That Can't Stop Talking by Susan Cain
  • What Exceptional Leaders Know & Exceptional Leaders Playbook by Tracy Spears and Wally Schmader
  • Dare to Lead by Brené Brown
  • The Traveler’s Gift: Seven Decisions that Determine Personal Success by Andy Andrews
  • Essentialism: The Disciplined Pursuit of Less by Greg McKeown
  • Multipliers by Liz Wiseman
  • Daring Greatly by Brené Brown
  • The Infinite Game by Simon Sinek
  • The Power of Moments by Chip & Dan Heath
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Is Your Administrator a Member of SAOE?
SC Orthopaedic Practice Administrators, Ortho Service Line Directors, and emerging leaders in both private and hospital settings are encouraged to join the Southeastern Association of Orthopaedic Executives (SAOE). SAOE offers ortho practice leaders from South Carolina, Georgia, and Tennessee a unique opportunity to collaborate, network and learn from one another. SAOE membership and attendance at the annual meeting is an affordable and sound investment in your administrative team members.
Member Benefit: Discover OrthoEvidence
Our members receive complimentary access to OrthoEvidence (OE), which is the global online source for high quality and timely orthopaedic-only evidence-based summaries, pre-appraised by orthopaedic medical experts.
Thank You To Our Corporate Partner:
South Carolina Orthopaedic Association