MARC details
| 000 -LEADER |
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| fixed length control field |
03361nam a22003497a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
200826s20202020 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
2345-461X |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
10.22038/abjs.2019.39965.2072 [doi] |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
PMC7191977 [pmc] |
| 040 ## - CATALOGING SOURCE |
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| Original cataloging agency |
Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
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| PMID |
32490048 |
| 245 ## - TITLE STATEMENT |
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| Title |
Medicare Compensation Rates for Hand and Shoulder/Elbow Surgery by Operative Time: A Comparative Analysis. |
| 251 ## - Source |
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| Source |
Archives of Bone & Joint Surgery. 8(2):173-183, 2020 Mar. |
| 252 ## - Abbreviated Source |
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| Abbreviated source |
Arch. bone jt. surg.. 8(2):173-183, 2020 Mar. |
| 253 ## - Journal Name |
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| Journal name |
The archives of bone and joint surgery |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Year |
2020 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Manufacturer |
FY2020 |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
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| Publication status |
ppublish |
| 266 ## - Date added to catalog |
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| Date added to catalog |
2020-08-26 |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Background: There is a high demand for shoulder/elbow experience among hand-fellowship trainees due to the perception that this exposure will improve their professional "marketability" in a subspecialty they perceive as having higher compensation. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Conclusion: According to Medicare compensation, and when weighted by procedure frequency, hand procedures are associated with greater overall mean wRVUs/min, payments/min, charges/min, and reimbursement compared with shoulder and elbow procedures. Hand-surgery fellowship applicants should be aware that subspecialty compensation is complex in nature but should seek shoulder/elbow elective experience to acquire an additional surgical skill-set as opposed to primarily monetary reason. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Methods: Using Medicare data, we investigated the most common surgeries from these fields and determined which have the highest compensation [work relative value unit (wRVU), payment, charge, and reimbursement (payment-to-charge percentage] rates per operative time. We then determined whether the overall non-weighted and weighted (by surgical frequency/volume) compensation rates of shoulder/elbow surgery are greater than that of hand surgery. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Results: Among 30 shoulder/elbow procedures, arthroplasty and arthroscopic rotator cuff repair had the highest payment and wRVU assignments. Among 83 hand procedures, upper-extremity flaps, carpal stabilization, distal radius open reduction internal fixation (ORIF), both-bone ORIF, and interposition arthroplasty had the greatest wRVU assignments with correspondingly high payments. A non-weighted comparison of the two subspecialties showed that hand surgery has a higher mean payment/min ( |
| -- |
0.46+/-3.22 vs. |
| -- |
.52+/-2.89), charge/min ( |
| -- |
1.02+/-17.11 vs. |
| -- |
1.96+/-11.32), and reimbursement (21+/-4.7% vs. 18+/-5.1%) compared with shoulder/elbow surgery (all, P<0.01). Non-weighted mean wRVUs/min were similar (0.12+/-0.03 vs. 0.13+/-0.03, P = 0.12). When weighted by procedure frequency, hand surgery had greater wRVUs/min (0.15+/-0.036 vs. 0.13+/-0.032), payments/min ( |
| -- |
4.17+/-4.50 vs. |
| Linkage |
.97+/-2.26), charges/min ( |
| -- |
5.68+/-30.47 vs. |
| -- |
2.61+/-7.83), and reimbursement (20+/-5.0% vs. 17+/-6.0%) (all, P<0.01). |
| 546 ## - LANGUAGE NOTE |
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| Language note |
English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
IN PROCESS -- NOT YET INDEXED |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
Curtis National Hand Center |
| 657 ## - INDEX TERM--FUNCTION |
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| Medline publication type |
Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Giladi, Aviram M |
| 790 ## - Authors |
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| All authors |
Aziz KT, Giladi AM, LaPorte DM, Nayar SK, Sabharwal S, Srikumaran U |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
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| DOI |
<a href="https://dx.doi.org/10.22038/abjs.2019.39965.2072">https://dx.doi.org/10.22038/abjs.2019.39965.2072</a> |
| Public note |
https://dx.doi.org/10.22038/abjs.2019.39965.2072 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
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| Koha item type |
Journal Article |
| Item type description |
Article |
