FPMRS Subspecialty Certification

    FPMRS Taxonomy Code

    If you passed the FPMRS Board Exam, Update your Medicare Enrollment and Private Insurance Contract Information to reflect this Specialization.

    Healthcare Provider Taxonomy Codes are designed to categorize the type, classification, and/or specialization of health care providers. The Code Set is maintained by the National Uniform Claim Committee.  The Code Set is a Health Insurance Portability and Accountability (HIPAA) standard code set.  As such, it is the only code set that may be used in HIPAA standard transactions to report the type/classification/specialization of a health care provider when such reporting is required. Because this is a new code, it is possible every region in the country has not adapted the new code. It would be prudent to contact your Medicare Part B Contractor to ensure the new code is recognized prior to submitting any claims. The taxonomy code does change reimbursement.

    Why is it important to update your Healthcare Provider Taxonomy Code?

    As the Centers for Medicare and Medicaid Services (CMS) continues to implement the Value-Based Payment Modifier for physicians, physicians’ quality and cost, “scores,” will be compared to their peers.  One way for the Medicare program to define peers is by using taxonomy codes or two-digit specialty codes. For the tiering provisions of the value-Based Payment Modifier, CMS is proposing to use two-digit specialty codes. But, over time that could change.  For Medicare, the Internet-based Provider Enrollment, Chain and Ownership System (Internet-based PECOS) can be used to update your enrollment information. Please visit the page of the Centers for Medicare and Medicaid Services (CMS) website for the Internet-based PECOS system where there is a tutorial regarding how to use this system to update your Medicare provider and National Provider Identifier (NPI) information.  

    http://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/MedicareProviderSupEnroll/InternetbasedPECOS.html

    FPMRS Taxonomy Code:   207VF0040X                   

    Female Pelvic Medicine and Reconstructive Surgery Definition    
    A sub-specialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

    Important Subspecialty Information

    • Recent Update from ABU:  American Board of Urology applicants for FPMRS are no longer required to demonstrate a minimum of 50% commitment to FPMRS on their practice log. Read more from ABU on recent update.
    • For OB/Gyns interested in FPMRS Certification, ABOG Bulletins for FPMRS Subspeciality Certification for Senior (“Grandfather/Grandmother”) applicants and for fellows graduating after June 30, 2012 are available at the ABOG website (www.abog.org)
    • For Urologists interested in FPMRS Certification, the FPM-RS handbook is available on the on the Board's website, www.abu.org
    • In order to qualify as a FPMRS Senior Candidate, a physician must meet one of the following 2 criteria, as well as each of the additional criteria outlined in the ABOG Bulletin  or ABU Handbook.
      • The physician must have been practicing FPMRS for a minimum of 5 years post-training. During the most recent 5 years, a minimum of 50% of the physician’s total outpatient and inpatient practice must consist of patients with a problem related to the area of FPMRS. OR
      • Completion of a FPMRS fellowship by June 30, 2012, but not practicing for a minimum of 5 years.
    • Candidates who entered a gynecology-sponsored 3-year fellowship in FPMRS approved by ABOG/ACGME on July 1, 2010 and thereafter are not eligible to apply as a senior candidates and must fulfill all of the requirements listed in the “fellowship graduate” FPMRS Bulletin (link).
    • Written Examinations for FPMRS Senior Candidates will occur in June 2013, June 2014 and June 2015.
    • OB/Gyns who finish a ABOG-sponsored FPMRS fellowship after June, 2012 must pass both a written and an oral certification examination. Per the ABU, urologists who finish a FPMRS fellowship after June 2012, will be required to pass a written certification examination only.  Physicians who finish training in a non-ABOG/ACGME-sponsored fellowship after June 30, 2012 will not be eligible for certification in FPMRS by the ABOG or ABU.
    • For Ob/Gyns, applications for FPMRS Subspecialty Certification for Senior (“Grandfather/Grandmother”) applicants who are interested in taking the June 2013 examination will be accepted on-line at www.abog.org beginning September 1, 2012. Late fees will apply for applications received after November 14, 2012. The final day applications will be accepted for the 2013 examination is December 31, 2012. There is no limit on the number of applicants who can take the examination in June 2013.
    • For Urologists, Applications for the 2014 American Board of Urology FPM-RS Subspecialty Certification Examination will be available on the ABU website: www.abu.org on August 1, 2013. A completed application, practice log of twelve months in length (six – twelve month log for senior status applicants), documentation of a current valid medical license, documentation of 30 hours of Category 1 FPM-RS focused CME hours earned within two years immediately preceding the application deadline, and an application fee of $1845 must be submitted to the Board office by September 30, 2013.  Late applications will be accepted with a $750 late fee from October 1-October 15, 2013.  No applications will be accepted after October 15, 2013.  
      Candidates for subspecialty certification must be in the active practice of FPM-RS.  Applicants will be required to provide the Board with an electronic log of 12 months in length, unless classified as a senior candidate.  All logs must satisfy the FPM-RS surgery index case minimums as designated by the Board (50 Urodynamics, 30 Incontinence, 25 Reconstruction/Prolapse/Fistula and Tissue Transfer).  Additionally, logs will be reviewed by the FPM-RS Committee to ensure that the log demonstrates a practice in FPM-RS of sufficient breadth and complexity that would be expected of a subspecialist in this field.  
      Contact information for the American Board of Urology is 434/979-0059 or via email to lindsay@abu.org
    • The Six Month Case list for Senior FPMRS Candidates has been updated by the Board to include some mandatory minimum numbers for specific procedures. In addition to documenting 50% of your practice is dedicated to FPMRS, Candidates will also have to be sure to meet the minimum numbers for certain procedures on their case list. To my eye, the minimum numbers required by the Board should be easily met by most AUGS members (Urodynamics - minimum 20; Apical prolapse - minimum 15, etc.) Meeting the 50% requirement will certainly be the higher bar.
    • The new Guide to Learning in Female Pelvic Medicine and Reconstructive Surgery 2012 is now available (link to pdf). This is a much needed update to the original Guide to Learning which is now almost 10 years old. The 2012 Guide will be the core of the ACGME curriculum and the ABOG/ABU has indicated that they will use this Guide as the basis for the written examinations. I am sure it will be an important resource as people prepare for the exam.

    FPMRS Subspecialty Certification Q&A
    View archived questions and postings.

    Fellowship Programs - ACGME Accreditation News

    • There are now 48 accredited FPMRS fellowship programs.
    • This year Fellowship Programs will be transitioning from ABOG/ABU accreditation to ACGME accreditation. The ACGME Program requirements are now posted on the ACGME website (www.acgme.org) and available at this link. All Programs will have to submit their PIF (Program Information Forms) by November 2012. The good news is that there will be no site visits during this first cycle.

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