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Prior authorization and step therapy: My visit to Capitol Hill

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As an early-career gastroenterologist, I have become increasingly aware of the impact of advocacy in championing legislation important to our patients. Initially naive about health care advocacy, I owe much to AGA in preparing and arranging for opportunities to speak with elected officials and their staff on GI-related priorities and bills. As a member of the AGA Congressional Advocates Program, I received training and support in visiting Capitol Hill, discussing specific legislation and upcoming bills, writing op-eds, and hosting site visits.

Most recently, AGA sponsored my attendance at the Alliance of Specialty Medicine Annual Advocacy Fly In. With colleagues from around the country – in specialties ranging from ophthalmology to dermatology – we listened to invited congressional representatives and senators on important bills that can directly affect the care we provide to our patients. We had the opportunity to ask questions of these legislators, many of whom were fellow physicians, and gain advice on effective advocacy, as well as build camaraderie with our colleagues in other specialties who face similar issues.

With colleagues from Texas, and assisted by Kathleen Teixeira, AGA vice president, government affairs, we visited the offices of our congressional representatives and senators throughout the afternoon. During our meetings with congressional staff, we stressed the importance of making changes to current prior authorization and step-therapy approaches to make it easier for our patients to access the right treatments as soon as possible. We also discussed the importance of supporting graduate medical education to ensure we have a future cohort of gastroenterologists and other specialists to meet the rising demands of our population. We were well received, and the briefs prepared by the alliance and AGA, as well as tips on effectively communicating our positions, made the whole process seamless. Discussing our own personal experiences and sharing patient stories, we found our meetings to be productive and insightful.

Now, I hope to host my congresswoman, Rep. Lizzie Fletcher, D-Tex., for a site visit locally at Baylor, after a successful meeting with her aide on Capitol Hill.

None of this would have been possible without AGA’s support in arranging these presentations, meetings, and physically supporting us throughout the process. I encourage all of you to utilize AGA in advocating for our patients. It is fun, high impact, and incredibly insightful!
 

How to get involved in advocacy

Interested in advocacy but not sure how or whether you have time in your busy schedule? AGA has an array of options for how you can be active in advocacy. Some take as little as 5 minutes.

Letter writing. AGA uses GovPredict, an online advocacy platform that allows members to contact their member of Congress with just a few clicks. AGA develops messages on significant pieces of legislation, key efforts in Congress or on issues being advanced by federal agencies that have a great effect on gastroenterology. AGA’s ongoing letter writing campaigns can always be found on gastro.org, but be sure to keep an eye out for advocacy emails, AGA eDigest, and social media, so you do not miss your opportunity to take action on timely issues. AGA encourages its members to share letter writing campaigns with their colleagues, as well as posting them on social media.

Meetings with your member of Congress. In-person meetings are an excellent opportunity to share with your member of Congress, or their staff, how the issues that affect gastroenterology affect you, your patients, and your practice. AGA has a plethora of resources to help you set up a meeting with your member of Congress, including up-to-date issue briefs, tips and tricks for productive meetings, and webinars on how to host an on-site visit. AGA staff is always more than happy to help you arrange a meeting either in Washington, DC, or your home state. If you are interested in arranging a meeting with your member of Congress, please contact AGA Public Policy Coordinator, Jonathan Sollish, at [email protected] or 240-482-3228.

 

 

AGA PAC. AGA PAC is a voluntary, nonpartisan political organization affiliated with and supported by AGA. The only political action committee supported by a national gastroenterology society, its mission is to give gastroenterologists a greater presence on Capitol Hill and a more effective voice in policy discussions. AGA PAC supports candidates who support our policy priorities, such as fair reimbursement, cutting regulatory red tape, supporting patient protections and access to specialty care, and sustained federal funding of digestive disease research. If you are interested in learning more, contact AGA Government and Political Affairs Manager, Navneet Buttar, at [email protected] or 240-482-3221.

Congressional Advocates Program. This grassroots program is aimed at establishing a stronger foundation for our current and future advocacy initiatives by creating state teams to work on advocacy on the local, state, and national levels. Participation can include a wide variety of activities, ranging from creating educational posts on social media to meeting with members of Congress. Members of the Congressional Advocates Program are mentored and receive advocacy training by AGA leadership and staff. Participating members receive an AGA Congressional Advocate Program Certificate, a Digestive Disease Week® (DDW) badge ribbon, policy badge on the AGA Community, and recognition on AGA’s website. Applications for the next cycle will be released in 2019.
 

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As an early-career gastroenterologist, I have become increasingly aware of the impact of advocacy in championing legislation important to our patients. Initially naive about health care advocacy, I owe much to AGA in preparing and arranging for opportunities to speak with elected officials and their staff on GI-related priorities and bills. As a member of the AGA Congressional Advocates Program, I received training and support in visiting Capitol Hill, discussing specific legislation and upcoming bills, writing op-eds, and hosting site visits.

Most recently, AGA sponsored my attendance at the Alliance of Specialty Medicine Annual Advocacy Fly In. With colleagues from around the country – in specialties ranging from ophthalmology to dermatology – we listened to invited congressional representatives and senators on important bills that can directly affect the care we provide to our patients. We had the opportunity to ask questions of these legislators, many of whom were fellow physicians, and gain advice on effective advocacy, as well as build camaraderie with our colleagues in other specialties who face similar issues.

With colleagues from Texas, and assisted by Kathleen Teixeira, AGA vice president, government affairs, we visited the offices of our congressional representatives and senators throughout the afternoon. During our meetings with congressional staff, we stressed the importance of making changes to current prior authorization and step-therapy approaches to make it easier for our patients to access the right treatments as soon as possible. We also discussed the importance of supporting graduate medical education to ensure we have a future cohort of gastroenterologists and other specialists to meet the rising demands of our population. We were well received, and the briefs prepared by the alliance and AGA, as well as tips on effectively communicating our positions, made the whole process seamless. Discussing our own personal experiences and sharing patient stories, we found our meetings to be productive and insightful.

Now, I hope to host my congresswoman, Rep. Lizzie Fletcher, D-Tex., for a site visit locally at Baylor, after a successful meeting with her aide on Capitol Hill.

None of this would have been possible without AGA’s support in arranging these presentations, meetings, and physically supporting us throughout the process. I encourage all of you to utilize AGA in advocating for our patients. It is fun, high impact, and incredibly insightful!
 

How to get involved in advocacy

Interested in advocacy but not sure how or whether you have time in your busy schedule? AGA has an array of options for how you can be active in advocacy. Some take as little as 5 minutes.

Letter writing. AGA uses GovPredict, an online advocacy platform that allows members to contact their member of Congress with just a few clicks. AGA develops messages on significant pieces of legislation, key efforts in Congress or on issues being advanced by federal agencies that have a great effect on gastroenterology. AGA’s ongoing letter writing campaigns can always be found on gastro.org, but be sure to keep an eye out for advocacy emails, AGA eDigest, and social media, so you do not miss your opportunity to take action on timely issues. AGA encourages its members to share letter writing campaigns with their colleagues, as well as posting them on social media.

Meetings with your member of Congress. In-person meetings are an excellent opportunity to share with your member of Congress, or their staff, how the issues that affect gastroenterology affect you, your patients, and your practice. AGA has a plethora of resources to help you set up a meeting with your member of Congress, including up-to-date issue briefs, tips and tricks for productive meetings, and webinars on how to host an on-site visit. AGA staff is always more than happy to help you arrange a meeting either in Washington, DC, or your home state. If you are interested in arranging a meeting with your member of Congress, please contact AGA Public Policy Coordinator, Jonathan Sollish, at [email protected] or 240-482-3228.

 

 

AGA PAC. AGA PAC is a voluntary, nonpartisan political organization affiliated with and supported by AGA. The only political action committee supported by a national gastroenterology society, its mission is to give gastroenterologists a greater presence on Capitol Hill and a more effective voice in policy discussions. AGA PAC supports candidates who support our policy priorities, such as fair reimbursement, cutting regulatory red tape, supporting patient protections and access to specialty care, and sustained federal funding of digestive disease research. If you are interested in learning more, contact AGA Government and Political Affairs Manager, Navneet Buttar, at [email protected] or 240-482-3221.

Congressional Advocates Program. This grassroots program is aimed at establishing a stronger foundation for our current and future advocacy initiatives by creating state teams to work on advocacy on the local, state, and national levels. Participation can include a wide variety of activities, ranging from creating educational posts on social media to meeting with members of Congress. Members of the Congressional Advocates Program are mentored and receive advocacy training by AGA leadership and staff. Participating members receive an AGA Congressional Advocate Program Certificate, a Digestive Disease Week® (DDW) badge ribbon, policy badge on the AGA Community, and recognition on AGA’s website. Applications for the next cycle will be released in 2019.
 

 

As an early-career gastroenterologist, I have become increasingly aware of the impact of advocacy in championing legislation important to our patients. Initially naive about health care advocacy, I owe much to AGA in preparing and arranging for opportunities to speak with elected officials and their staff on GI-related priorities and bills. As a member of the AGA Congressional Advocates Program, I received training and support in visiting Capitol Hill, discussing specific legislation and upcoming bills, writing op-eds, and hosting site visits.

Most recently, AGA sponsored my attendance at the Alliance of Specialty Medicine Annual Advocacy Fly In. With colleagues from around the country – in specialties ranging from ophthalmology to dermatology – we listened to invited congressional representatives and senators on important bills that can directly affect the care we provide to our patients. We had the opportunity to ask questions of these legislators, many of whom were fellow physicians, and gain advice on effective advocacy, as well as build camaraderie with our colleagues in other specialties who face similar issues.

With colleagues from Texas, and assisted by Kathleen Teixeira, AGA vice president, government affairs, we visited the offices of our congressional representatives and senators throughout the afternoon. During our meetings with congressional staff, we stressed the importance of making changes to current prior authorization and step-therapy approaches to make it easier for our patients to access the right treatments as soon as possible. We also discussed the importance of supporting graduate medical education to ensure we have a future cohort of gastroenterologists and other specialists to meet the rising demands of our population. We were well received, and the briefs prepared by the alliance and AGA, as well as tips on effectively communicating our positions, made the whole process seamless. Discussing our own personal experiences and sharing patient stories, we found our meetings to be productive and insightful.

Now, I hope to host my congresswoman, Rep. Lizzie Fletcher, D-Tex., for a site visit locally at Baylor, after a successful meeting with her aide on Capitol Hill.

None of this would have been possible without AGA’s support in arranging these presentations, meetings, and physically supporting us throughout the process. I encourage all of you to utilize AGA in advocating for our patients. It is fun, high impact, and incredibly insightful!
 

How to get involved in advocacy

Interested in advocacy but not sure how or whether you have time in your busy schedule? AGA has an array of options for how you can be active in advocacy. Some take as little as 5 minutes.

Letter writing. AGA uses GovPredict, an online advocacy platform that allows members to contact their member of Congress with just a few clicks. AGA develops messages on significant pieces of legislation, key efforts in Congress or on issues being advanced by federal agencies that have a great effect on gastroenterology. AGA’s ongoing letter writing campaigns can always be found on gastro.org, but be sure to keep an eye out for advocacy emails, AGA eDigest, and social media, so you do not miss your opportunity to take action on timely issues. AGA encourages its members to share letter writing campaigns with their colleagues, as well as posting them on social media.

Meetings with your member of Congress. In-person meetings are an excellent opportunity to share with your member of Congress, or their staff, how the issues that affect gastroenterology affect you, your patients, and your practice. AGA has a plethora of resources to help you set up a meeting with your member of Congress, including up-to-date issue briefs, tips and tricks for productive meetings, and webinars on how to host an on-site visit. AGA staff is always more than happy to help you arrange a meeting either in Washington, DC, or your home state. If you are interested in arranging a meeting with your member of Congress, please contact AGA Public Policy Coordinator, Jonathan Sollish, at [email protected] or 240-482-3228.

 

 

AGA PAC. AGA PAC is a voluntary, nonpartisan political organization affiliated with and supported by AGA. The only political action committee supported by a national gastroenterology society, its mission is to give gastroenterologists a greater presence on Capitol Hill and a more effective voice in policy discussions. AGA PAC supports candidates who support our policy priorities, such as fair reimbursement, cutting regulatory red tape, supporting patient protections and access to specialty care, and sustained federal funding of digestive disease research. If you are interested in learning more, contact AGA Government and Political Affairs Manager, Navneet Buttar, at [email protected] or 240-482-3221.

Congressional Advocates Program. This grassroots program is aimed at establishing a stronger foundation for our current and future advocacy initiatives by creating state teams to work on advocacy on the local, state, and national levels. Participation can include a wide variety of activities, ranging from creating educational posts on social media to meeting with members of Congress. Members of the Congressional Advocates Program are mentored and receive advocacy training by AGA leadership and staff. Participating members receive an AGA Congressional Advocate Program Certificate, a Digestive Disease Week® (DDW) badge ribbon, policy badge on the AGA Community, and recognition on AGA’s website. Applications for the next cycle will be released in 2019.
 

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Purchase VAM on Demand

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All who attended the 2019 Vascular Annual Meeting can review sessions they attended, as well as “attend” those that they missed. Those who weren’t at VAM can now experience all they missed. Slides and audio presentations of nearly every session are included in VAM on Demand. The cost for one year of access is $199 for VAM attendees and $499 for non-attendees. Those who purchased VAM on Demand before the meeting ended can visit this site to gain access by logging in with their SVS credentials.

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All who attended the 2019 Vascular Annual Meeting can review sessions they attended, as well as “attend” those that they missed. Those who weren’t at VAM can now experience all they missed. Slides and audio presentations of nearly every session are included in VAM on Demand. The cost for one year of access is $199 for VAM attendees and $499 for non-attendees. Those who purchased VAM on Demand before the meeting ended can visit this site to gain access by logging in with their SVS credentials.

All who attended the 2019 Vascular Annual Meeting can review sessions they attended, as well as “attend” those that they missed. Those who weren’t at VAM can now experience all they missed. Slides and audio presentations of nearly every session are included in VAM on Demand. The cost for one year of access is $199 for VAM attendees and $499 for non-attendees. Those who purchased VAM on Demand before the meeting ended can visit this site to gain access by logging in with their SVS credentials.

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Attend Symposium on Pediatric Renovascular Hypertension

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Attend the first ever International Symposium on Pediatric Renovascular Hypertension Nov. 11-12 at the University of Michigan in Ann Arbor. This conference will bring multi-disciplinary experts together to identify best practices in clinical management of unique pediatric patients. An array of distinguished physicians and researchers will highlight the best practices in patient care, recent discovery and ongoing research. Conference admission is free; breakfast, lunch and coffee breaks will be served. Register today.

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Attend the first ever International Symposium on Pediatric Renovascular Hypertension Nov. 11-12 at the University of Michigan in Ann Arbor. This conference will bring multi-disciplinary experts together to identify best practices in clinical management of unique pediatric patients. An array of distinguished physicians and researchers will highlight the best practices in patient care, recent discovery and ongoing research. Conference admission is free; breakfast, lunch and coffee breaks will be served. Register today.

Attend the first ever International Symposium on Pediatric Renovascular Hypertension Nov. 11-12 at the University of Michigan in Ann Arbor. This conference will bring multi-disciplinary experts together to identify best practices in clinical management of unique pediatric patients. An array of distinguished physicians and researchers will highlight the best practices in patient care, recent discovery and ongoing research. Conference admission is free; breakfast, lunch and coffee breaks will be served. Register today.

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It’s PAD Month: Here’s a Gift for You and Your Patients

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September is PAD month. Did you know that the SVS Foundation offers free patient education fliers that you can easily customize with your own office name and contact information? We have one on PAD, one on Smoking and Vascular Disease, and seven others on various vascular-related topics. All are free and available for download in English and Spanish. Visit this page to view and celebrate PAD month with some patient education.

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September is PAD month. Did you know that the SVS Foundation offers free patient education fliers that you can easily customize with your own office name and contact information? We have one on PAD, one on Smoking and Vascular Disease, and seven others on various vascular-related topics. All are free and available for download in English and Spanish. Visit this page to view and celebrate PAD month with some patient education.

September is PAD month. Did you know that the SVS Foundation offers free patient education fliers that you can easily customize with your own office name and contact information? We have one on PAD, one on Smoking and Vascular Disease, and seven others on various vascular-related topics. All are free and available for download in English and Spanish. Visit this page to view and celebrate PAD month with some patient education.

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Download the SVSConnect Mobile App

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If you’re looking to have the best remote user experience on SVSConnect, download the Member Centric app. Don’t limit your time on the community to only when you have a desktop or laptop computer available. The app gives you easy access to the Open Forum, member directory and shared resources directly from your mobile device. You're able to download this from either Google Play or the App Store. Read how to download the app here.

As always, use your SVS credentials to sign in and reach out to [email protected] with questions.

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If you’re looking to have the best remote user experience on SVSConnect, download the Member Centric app. Don’t limit your time on the community to only when you have a desktop or laptop computer available. The app gives you easy access to the Open Forum, member directory and shared resources directly from your mobile device. You're able to download this from either Google Play or the App Store. Read how to download the app here.

As always, use your SVS credentials to sign in and reach out to [email protected] with questions.

If you’re looking to have the best remote user experience on SVSConnect, download the Member Centric app. Don’t limit your time on the community to only when you have a desktop or laptop computer available. The app gives you easy access to the Open Forum, member directory and shared resources directly from your mobile device. You're able to download this from either Google Play or the App Store. Read how to download the app here.

As always, use your SVS credentials to sign in and reach out to [email protected] with questions.

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Apply for SVS Membership

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The third membership deadline of 2019 is a few short days away on Sept. 1. SVS members enjoy many benefits such as SVSConnect, discounted pricing on publications and meeting registration, practice management resources and much more. Visit the membership page and start your application today. If you have any questions, please contact the SVS membership department at [email protected].

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The third membership deadline of 2019 is a few short days away on Sept. 1. SVS members enjoy many benefits such as SVSConnect, discounted pricing on publications and meeting registration, practice management resources and much more. Visit the membership page and start your application today. If you have any questions, please contact the SVS membership department at [email protected].

The third membership deadline of 2019 is a few short days away on Sept. 1. SVS members enjoy many benefits such as SVSConnect, discounted pricing on publications and meeting registration, practice management resources and much more. Visit the membership page and start your application today. If you have any questions, please contact the SVS membership department at [email protected].

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Last call for VAM 2020 Proposals

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The Society for Vascular Surgery seeks proposals for invited sessions for the 2020 Vascular Annual Meeting, to be held June 17 to 20 in Toronto, Ontario, Canada. Scientific sessions will be June 18 to 20 and exhibits will be open June 18 to 19. Proposals should include the session's educational benefit, a short outline of the program topic, session goals and target audience, among other information. Obtain the information/submission form here and send in before tomorrow, Aug. 28. Email completed forms to [email protected].

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The Society for Vascular Surgery seeks proposals for invited sessions for the 2020 Vascular Annual Meeting, to be held June 17 to 20 in Toronto, Ontario, Canada. Scientific sessions will be June 18 to 20 and exhibits will be open June 18 to 19. Proposals should include the session's educational benefit, a short outline of the program topic, session goals and target audience, among other information. Obtain the information/submission form here and send in before tomorrow, Aug. 28. Email completed forms to [email protected].

The Society for Vascular Surgery seeks proposals for invited sessions for the 2020 Vascular Annual Meeting, to be held June 17 to 20 in Toronto, Ontario, Canada. Scientific sessions will be June 18 to 20 and exhibits will be open June 18 to 19. Proposals should include the session's educational benefit, a short outline of the program topic, session goals and target audience, among other information. Obtain the information/submission form here and send in before tomorrow, Aug. 28. Email completed forms to [email protected].

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Tell us what you think of our Patient Education Materials

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Last year, the SVS Foundation updated and rewrote its popular patient education fliers. These are designed to fulfill the Foundation’s mission to support patient education, vascular health and community awareness of vascular disease. SVS members are encouraged to download and print the fliers to use in their offices. If you’ve taken advantage of these fliers, we’d like to hear how you’ve benefited from them. Please take this short survey and provide your feedback. If you have yet to see the fliers, view them here.

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Last year, the SVS Foundation updated and rewrote its popular patient education fliers. These are designed to fulfill the Foundation’s mission to support patient education, vascular health and community awareness of vascular disease. SVS members are encouraged to download and print the fliers to use in their offices. If you’ve taken advantage of these fliers, we’d like to hear how you’ve benefited from them. Please take this short survey and provide your feedback. If you have yet to see the fliers, view them here.

Last year, the SVS Foundation updated and rewrote its popular patient education fliers. These are designed to fulfill the Foundation’s mission to support patient education, vascular health and community awareness of vascular disease. SVS members are encouraged to download and print the fliers to use in their offices. If you’ve taken advantage of these fliers, we’d like to hear how you’ve benefited from them. Please take this short survey and provide your feedback. If you have yet to see the fliers, view them here.

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Apply for SVS Membership

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The third membership deadline of 2019 is less than one month away on Sept. 1. SVS members enjoy many benefits such as SVSConnect, discounted pricing on publications and meeting registration, practice management resources and much more. Visit the membership page and start your application today. If you have any questions, please contact the SVS membership department at [email protected].

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The third membership deadline of 2019 is less than one month away on Sept. 1. SVS members enjoy many benefits such as SVSConnect, discounted pricing on publications and meeting registration, practice management resources and much more. Visit the membership page and start your application today. If you have any questions, please contact the SVS membership department at [email protected].

The third membership deadline of 2019 is less than one month away on Sept. 1. SVS members enjoy many benefits such as SVSConnect, discounted pricing on publications and meeting registration, practice management resources and much more. Visit the membership page and start your application today. If you have any questions, please contact the SVS membership department at [email protected].

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Register for the 2019 Coding and Reimbursement Course

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The vascular specialty has had many coding changes over the past five to six years. It is sometimes difficult to keep up with the changes from year to year, but attending the SVS Coding & Reimbursement workshop, to be held on Sept. 20-21 in Rosemont, Ill., is sure to help. Coding is critical in every practice model – whether it be private, academic or employed. If it is not done accurately, money will be lost. This intensive course will give attendees the knowledge they need to make a positive impact on their coding procedures. All those who wish to improve and expand their knowledge of accurate coding and reimbursement for vascular surgery should attend. Learn more and register here.

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The vascular specialty has had many coding changes over the past five to six years. It is sometimes difficult to keep up with the changes from year to year, but attending the SVS Coding & Reimbursement workshop, to be held on Sept. 20-21 in Rosemont, Ill., is sure to help. Coding is critical in every practice model – whether it be private, academic or employed. If it is not done accurately, money will be lost. This intensive course will give attendees the knowledge they need to make a positive impact on their coding procedures. All those who wish to improve and expand their knowledge of accurate coding and reimbursement for vascular surgery should attend. Learn more and register here.

The vascular specialty has had many coding changes over the past five to six years. It is sometimes difficult to keep up with the changes from year to year, but attending the SVS Coding & Reimbursement workshop, to be held on Sept. 20-21 in Rosemont, Ill., is sure to help. Coding is critical in every practice model – whether it be private, academic or employed. If it is not done accurately, money will be lost. This intensive course will give attendees the knowledge they need to make a positive impact on their coding procedures. All those who wish to improve and expand their knowledge of accurate coding and reimbursement for vascular surgery should attend. Learn more and register here.

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