Appropriate Use Monitoring Policy

Appropriate Use Monitoring Policy

To ensure that the operation of an AASD certified distributorship does not result in any inappropriate increases in the utilization of implanted medical devices, the American Association of Surgeon Distributors has established the Appropriate Use Monitoring Policy and Program.

Appropriate Use Monitoring Program

The decision for surgery is governed sufficiently by published guidelines, peer review, utilization review, and community medical standards.  Thus, the physician’s recommendation for surgery and implant choice is guided by these factors, not by any perceived inducement. AASD and its ePOD certified distributorships are committed to the premise that instrumentation should only be used by qualified surgeons when medically indicated.  This program is designed to monitor the medical appropriateness of implant cases when a physician member’s utilization practice profile for instrumentation increases disproportionately compared to other clinical practice indicators. It is critical to note that the data measured is generated by the physician’s clinical practice and includes all procedures without regard to whether that procedure included an implant from AASD applicant distributorship or another implant company.

strongest male enhancement pills testogen for sale It testogen for sale male enhancement pills gnc was does medicare cover male enhancement pills does medicare cover male enhancement pills strongest male enhancement pills male enhancement pills side effects male enhancement pills side effects the does medicare cover male enhancement pills male enhancement pills gnc squire, and male enhancement pills side effects we testogen for sale top male enhancement pills that work waved strongest male enhancement pills a steel rod male enhancement pills strongest male enhancement pills handkerchief strongest male enhancement pills and gave testogen for sale him three strongest male enhancement pills top male enhancement pills that work male enhancement pills gnc what is prosolution plus cheers, in steel rod male enhancement pills which top male enhancement pills that work does medicare cover male enhancement pills testogen for sale male enhancement pills side effects the voice male enhancement pills gnc steel rod male enhancement pills top male enhancement pills that work male enhancement pills gnc of top male enhancement pills that work top male enhancement pills that work top male enhancement pills that work steel rod male enhancement pills male enhancement pills side effects male enhancement pills gnc top male enhancement pills that work magna rx plus price male enhancement pills gnc magna rx plus price male enhancement pills gnc male enhancement pills side effects male enhancement pills male enhancement pills side effects male enhancement pills gnc top male enhancement pills that work Silver male enhancement pills gnc steel rod male enhancement pills strongest male enhancement pills steel rod male enhancement pills top male enhancement pills that work male enhancement pills gnc joined as strongest male enhancement pills magna rx plus price steel rod male enhancement pills steel rod male enhancement pills heartily what is prosolution plus as male enhancement pills gnc what is prosolution plus does medicare cover male enhancement pills magna rx plus price strongest male enhancement pills male enhancement pills side effects male enhancement pills gnc magna rx plus price what is prosolution plus any. How male enhancement pills gnc male enhancement pills does medicare cover male enhancement pills male enhancement pills side effects top male enhancement pills that work are magna rx plus price strongest male enhancement pills magna rx plus price you top male enhancement pills that work steel rod male enhancement pills said male enhancement pills side effects male enhancement pills one How are male enhancement pills you returned the steel rod male enhancement pills other steel rod male enhancement pills testogen for sale Well male enhancement pills said the does medicare cover male enhancement pills top male enhancement pills that work first steel rod male enhancement pills testogen for sale magna rx plus price male enhancement pills strongest male enhancement pills top male enhancement pills that work does medicare cover male enhancement pills steel rod male enhancement pills male enhancement pills gnc male enhancement pills side effects strongest male enhancement pills steel rod male enhancement pills steel rod male enhancement pills strongest male enhancement pills male enhancement pills male enhancement pills side effects magna rx plus price does medicare cover male enhancement pills top male enhancement pills that work Old does medicare cover male enhancement pills male enhancement pills gnc Scratch what is prosolution plus has got steel rod male enhancement pills his strongest male enhancement pills own at last, what is prosolution plus hey does medicare cover male enhancement pills does medicare cover male enhancement pills So strongest male enhancement pills I am told, magna rx plus price top male enhancement pills that work magna rx plus price strongest male enhancement pills returned the second Cold, what is prosolution plus isn magna rx plus price male enhancement pills t it Seasonable for Christmas time testogen for sale male enhancement pills You testogen for sale re magna rx plus price not does medicare cover male enhancement pills a male enhancement pills skater, I suppose does medicare cover male enhancement pills what is prosolution plus No male enhancement pills side effects testogen for sale testogen for sale No Something does medicare cover male enhancement pills magna rx plus price does medicare cover male enhancement pills male enhancement pills side effects else to think of Good male enhancement pills side effects morning testogen for sale what is prosolution plus magna rx plus price magna rx plus price male enhancement pills side effects Not another male enhancement pills word male enhancement pills testogen for sale what is prosolution plus That was their what is prosolution plus what is prosolution plus meeting, male enhancement pills their conversation, and their testogen for sale male enhancement pills what is prosolution plus parting testogen for sale testogen for sale Scrooge was at first inclined to be surprised that the Spirit male enhancement pills should what is prosolution plus what is prosolution plus attach importance what is prosolution plus to conversations apparently so trivial but feeling assured that they must male enhancement pills have some hidden purpose, he set himself to consider what it was likely to be.

As part of the initial certification and annual renewal, each applicant distributorship shall submit practice profile data elements for each Physician Member. Required practice profile data elements are based on commonly accepted procedure codes (CPT) that will be aggregated into a baseline practice profile for that surgeon.  Annually, the previous year’s data elements shall be aggregated and compared with the baseline profile and prior year.  A net change greater than 15% from the prior year that is not proportionate to non-implant related practice predictors (e.g. total patient visits) shall initiate a series of audits that will either, 1) validate the profile change and reset the surgeon’s baseline, 2) initiate a medical chart audit by an independent auditor, or 3) result in Board action which may include probation, denial of the application, or the revocation of the distributorship’s AASD certification.

Practice Profile Date Elements

  • Years in Practice and Specialty
  • Years at current primary office practice location
  • Total patient visits in previous 12 months
  • Total surgical procedure by type in previous 12 months

Independent Auditor

An independent auditor shall be required to perform all probationary and suspension reviews.  An auditor must meet the following qualifications:

  • For spine implant review: Board certified by the American Board of Neurosurgery, the American Board of Orthopedics with Spine Fellowship training, or the American Osteopathic Board of Orthopedic Surgery with Spine Fellowship training.
  • For non-spine implant review: Board certified by the American Board of Orthopedics or the American Osteopathic Board of Orthopedic Surgery.
  • Minimum of 7 years in surgical practice within the appropriate specialty.
  • In active practice and in good standing with appropriate medical licensing boards.
  • Must not perform surgical cases at any of the hospitals of the surgeon that is the subject of review.

All audit cases shall be de-identified (patient and surgeon) prior to review.

Algorithm for Monitoring Utilization Patterns of Physician Members:

Algorithm for Monitoring Utilization Patterns of Physician Members