<?xml version="1.0" encoding="utf-8"?>
			<journal>
			<title>The Archives of Bone and Joint Surgery</title>
			<title_fa></title_fa>
			<short_title>ABJS</short_title>
			<subject>Medical Sciences</subject>
			<web_url>https://abjs.mums.ac.ir/</web_url>
			<journal_hbi_system_id>0</journal_hbi_system_id>
			<journal_hbi_system_user></journal_hbi_system_user>
			<journal_id_issn>2345-4644</journal_id_issn>
			<journal_id_issn_online>2345-461X</journal_id_issn_online>
			<journal_id_pii></journal_id_pii>
			<journal_id_doi></journal_id_doi>
			<journal_id_iranmedex></journal_id_iranmedex>
			<journal_id_magiran></journal_id_magiran>
			<journal_id_sid></journal_id_sid>
			<journal_id_nlai></journal_id_nlai>
			<journal_id_science></journal_id_science>
			<language>en</language>
			<pubdate>
				<type>jalali</type>
				<year>0</year>
				<month>0</month>
				<day>1</day>
			</pubdate>
			<pubdate>
				<type>gregorian</type>
				<year>2020</year>
				<month>3</month>
				<day>1</day>
			</pubdate>
			<volume>8</volume>
			<number>2</number>
			<publish_type>online</publish_type>
			<publish_edition>1</publish_edition>
			<article_type>fulltext</article_type>
			<articleset><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Medicare Compensation Rates for Hand and Shoulder/ Elbow Surgery by Operative Time: A Comparative Analysis</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>RESEARCH PAPER</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Background: There is a high demand for shoulder/elbow experience among hand-fellowship trainees due to theperception that this exposure will improve their professional “marketability” in a subspecialty they perceive as havinghigher compensation.Methods: Using Medicare data, we investigated the most common surgeries from these fields and determinedwhich 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-weightedand weighted (by surgical frequency/volume) compensation rates of shoulder/elbow surgery are greater than thatof hand surgery.Results: Among 30 shoulder/elbow procedures, arthroplasty and arthroscopic rotator cuff repair had the highest paymentand wRVU assignments. Among 83 hand procedures, upper-extremity flaps, carpal stabilization, distal radius openreduction internal fixation (ORIF), both-bone ORIF, and interposition arthroplasty had the greatest wRVU assignmentswith correspondingly high payments. A non-weighted comparison of the two subspecialties showed that hand surgeryhas a higher mean payment/min ($10.46±3.22 vs. $7.52±2.89), charge/min ($51.02±17.11 vs. $41.96±11.32), andreimbursement (21±4.7% vs. 18±5.1%) compared with shoulder/elbow surgery (all, p &lt;0.01). Non-weighted meanwRVUs/min were similar (0.12±0.03 vs. 0.13±0.03, P = 0.12). When weighted by procedure frequency, hand surgeryhad greater wRVUs/min (0.15±0.036 vs. 0.13±0.032), payments/min ($14.17±4.50 vs. $6.97±2.26), charges/min($75.68±30.47 vs. $42.61±7.83), and reimbursement (20±5.0% vs. 17±6.0%) (all, p &lt;0.01).Conclusion: According to Medicare compensation, and when weighted by procedure frequency, hand proceduresare associated with greater overall mean wRVUs/min, payments/min, charges/min, and reimbursement compared withshoulder and elbow procedures. Hand-surgery fellowship applicants should be aware that subspecialty compensationis complex in nature but should seek shoulder/elbow elective experience to acquire an additional surgical skill-set asopposed to primarily monetary reason.Level of evidence: III]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Centers for Medicare and Medicaid Services, compensation, Hand surgery, Payment, Reimbursement, shoulder/elbow surgery, wRVU</keyword>
				<start_page>173</start_page>
				<end_page>183</end_page>
				<web_url>https://abjs.mums.ac.ir/article_13974.html</web_url>
			<author_list><author>
				<first_name>Suresh K.</first_name>
				<middle_name></middle_name>
				<last_name>Nayar</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>snayar2@jhmi.edu</email>
				<code>59673</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Department of Orthopaedic Surgery, The Johns Hopkins
University, Baltimore, MD, USA</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Samir</first_name>
				<middle_name></middle_name>
				<last_name>Sabharwal</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>ssabhar1@jhmi.edu</email>
				<code>59674</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Orthopaedic Surgery, The Johns Hopkins
University, Baltimore, MD, USA</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Keith T.</first_name>
				<middle_name></middle_name>
				<last_name>Aziz</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>kaziz4@jhmi.edu</email>
				<code>59675</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Orthopaedic Surgery, The Johns Hopkins
University, Baltimore, MD, USA</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Umasuthan</first_name>
				<middle_name></middle_name>
				<last_name>Srikumaran</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>us@jhmi.edu</email>
				<code>59676</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Orthopaedic Surgery, The Johns Hopkins
University, Baltimore, MD, USA</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Aviram M.</first_name>
				<middle_name></middle_name>
				<last_name>Giladi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>giladi@curtishand.com</email>
				<code>59677</code>
				<coreauthor>No</coreauthor>
				<affiliation>Curtis National Hand Center, Union Memorial Hospital,
Baltimore, MD, USA</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Dawn M.</first_name>
				<middle_name></middle_name>
				<last_name>LaPorte</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>dlaport1@jhmi.edu</email>
				<code>59678</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Orthopaedic Surgery, The Johns Hopkins
University, Baltimore, MD, USA</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article>
			</articleset>
			</journal>