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Celebrating Over 80 Years Of Service!

The American Academy of Otolaryngic Allergy (AAOA) represents over 2,700 Board-certified otolaryngologists and health care providers. Otolaryngology, frequently referred to as Ear, Nose, and Throat (ENT), uniquely combines medical and surgical expertise to care for patients with a variety of conditions affecting the ears, nose, and throat, as well as commonly related conditions. AAOA members devote part of their practice to the diagnosis and treatment of allergic disease. The AAOA actively supports its membership through education, research, and advocacy in the care of allergic patients.

"Advance the comprehensive management of allergy and inflammatory disease in Otolaryngology-Head and Neck Surgery through training, education, and advocacy."


United Healthcare Home Immunotherapy Policy Change

United Healthcare has recently announced a policy change. Effective January 1, 2023, UHC will no longer…

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Medicare 2022 Conversion Factor Update

Thanks to lobbying efforts from the House of Medicine, Congress took action this month. The…

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CY 2022 Physician Fee Schedule Proposed Rule Summary

On July 13, the Centers for Medicare & Medicaid Services (CMS) released the Medicare Physician…

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Changes in MACRA

Macra 101 Image

Before the close of 2017, all physicians must take action to avoid the 4 percent cut that will be assessed in 2019 for not participating in the new Quality Payment Program (QPP) authorized by the Medicare Access and CHIP Reauthorization Act (MACRA).  Read More

CMS Announces Changes in MACRA Implementation Timeline. The Centers for Medicare and Medicaid Services (CMS) announced major changes to the implementation of the Medicare Access and CHIP Re-authorization (MACRA).
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Upcoming Dates

04/01/23: Fellow Exam Application Deadline
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06/01/23: Research Grant Cycle
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06/26/23: Membership Application Deadline to be eligible for AAOA Member rate for the 2023 Basic Course

07/01/23: Scientific Abstract Submission Deadline
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12/01/23: Research Grant Cycle
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2023 AAOA Basic Course

The hybrid 2023 AAOA Basic Course in Allergy & Immunology will take place from Thursday, June 29 – Saturday, July 1, 2023 at the Hyatt Regency, Seattle, WA & Virtually. The Pre-Work On-Demand content will be released on Thursday, June 1, 2023. The Post Course On-Demand Access will be available until September 1, 2023. Learn More and Register Today


For information about Resident opportunities, DosedDaily, research grants, and other resources. Learn More


Available Now


IFAR Impact Factor: 2.454

IFAR Featured Content: COVID-19 - Free Access
Endonasal instrumentation and aerosolization risk in the era of COVID‐19: simulation, literature review, and proposed mitigation strategies . Read More

Changes in Managing Practices

Working together with AAOA staff, volunteer leadership and members will enable us to have a positive impact on our members’ practices.

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Live and Online CME

AAOA Educational Stacks
Next Availability - November 1, 2023

2023 AAOA Advanced Course in Allergy & Immunology - Hybrid
March 30 - April 1, 2023
The Hythe Vail
Formerly the Vail Marriott Mountain Resort
Learn More and Register

2023 AAOA Basic Course in Allergy & Immunology - Hybrid
June 1 - Pre-Work On-Demand
June 29 – July 1 - Live
September 1 - Access
Hyatt Regency Seattle
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2023 AAOA Annual Meeting - Hybrid
September 29 – October 1, 2023
Embassy Suites by Hilton Nashville Downtown
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USP 797 Online Module
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News and Updates

American Elm Shortage

American Elm is dying from Dutch Elm Disease. This may explain the concentrate shortage many practices…

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USP General Chapter Released

After a multi-year effort, the long-awaited revision of Chapter 797 Standards for Sterile Compounding (797) of…

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College Allergy Symptoms Treatment Back to Shcool


AAOA Practice Resource Tool Kit

The American Academy of Otolaryngic Allergy (AAOA) Practice Resource Tool Kit is intended as a guide to help AAOA members integrate allergy into their otolaryngology practice and to continually improve on this integration as new information, regulations, and resources become available.

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AAOA has launched a Partner Resource Center to bring you partner resources that can assist your practice and patient care.

Visit the New Center>


CMS Coding 2021 – AAOA Zoomcast

A brief summary of the CMS Coding 2021 – AAOA Zoomcast Series: Just In Time Content for AAOA Members, Part II. Written by Christie DeMason MD, FAAOA.

Panelists: James Connolly, MD; Ayesha Khalid, MD, MBA; Nalin Patel, MD; Robert Stachler, MD.

Moderator: Jennifer Villwock, MD.

Goal of Panel: Highlight some of the new CMS coding

How Will the Changes Impacting the Practice

  • Still too early to know but hopefully positive changes
  • Otolaryngologist are likely going to benefit given the level of office complexity/decision making and use of office procedures
  • Need to show your decision making thought processes (ex: surgery vs. medical therapy)
    • Less documenting a checklist in the EMR than before
    • Hopefully will be more beneficial
  • Now can count time reviewing chart and coordinating care

Changing Templates

  • Put in the thought process more and document time spent on all task
    • Then decide if better to code complexity vs. time
    • Important to document as much as possible
      • If review something (order, image, etc.) need to document it
      • Make sure if prescribing or ordering medication to document why you are doing this/what you explained to patient
  • May want new smart phase templates for the Assessment&Plan Section   
    • May want to meet with coder before making templates
    • Notes should focus more on risk
      • Ex: risk of missing diagnosis; risk of medications (i.e. prednisone; singular); risk of anaphylaxis with allergy immunotherapy/testing
    • All the things said to the patient should be listed (things that in past often were not documented)
      • Ex: risk of CT and MRI; listing next steps “if CT scan reveals sinus disease and fails medical treatment will need surgery”
  • Consider removing parts of template that aren’t as important
    • Doing more focus physical exam (PE) (ex: removing listening to the lungs)
    • Review of System (ROS), PE and past history are less important to document
      • May want to hold off on getting rid of some of these things such as ROS as it can help prove complexity and decision making
    • Hopefully this will help to shift away from the auto-populated charts and to more meaningful information in the charts

Recommendation for Auditing

  • Recommend doing audit given coding changes
    • Especially if anticipating large change in billing
    • Coder can help you make sure you actual do make these changes in your billing behaviors and get credit for things you already do
    • Will be important as we don’t know if the payers will actually pay for these changes and if payors will do more auditing because of the new system
    • There are nuances that auditor may pick up on that aren’t specifically in the new coding guidelines
      • Ex: Changes with audiogram and documentation
  • Before new changes most did biannually vs. yearly – at least 10 ( usually 10-20) across different providers
    • Can help find areas of under-maximizing revenue too
    • Beneficial to get same company/same auditor each time if possible  
    • Also helpful to do monthly audit on billing/codes and compare to partners, nation and state – ideally want to be similar

Changes Everyone Should Know

  • Make sure to add the risks (ex: topical steroid spray, CT scans)
    • Esp. important if patients are able to read their own charts
  • Make sure to include in notes/consider templates for medication risk, differential diagnosis, risk of no treatment vs. conservative treatment vs. aggressive management
  • Time on all task (pre-charting, looking at past history, writing orders and documenting) can change level of billing  
  • Will continue to need to continue to be flexible with new coding system
    • Talk with other doctors and get input
    • Get comfortable with new terminology

For Further Information visit the AAOA website

  • Resources available on the website (
  • Prior education offerings on coding from AAOA that could be found in your AAOA Member profile.

View the CMS Coding 2021 Zoomcast.

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