MSDC stripped
eNewsline

January 6, 2010
Vol. 17, No. 1
     A new year brings new changes to the Medical Society of DC - among them, how we reach out to our members.  In an effort to better serve physicians in the District, we are moving our monthly printed Newsline publication to a bi-weekly electronic newsletter: eNewsline.
     Much can happen in a month's time.  Sending shorter e-newsletters more frequently will keep you informed more effectively without using tediously lengthy e-mails you don't have time to sit down and read.  You can expect each eNewsline to feature articles and information on a variety of topics ranging from the DC Council to National Health System Reform to what's happening in fellow physicians' lives.
     Feel free to share your thoughts on eNewsline at any time.  The Medical Society's communications are designed to be fluid and flexible to fit your style - all you have to do is let us know.  The eNewsline editor, Chris Lee, can be reached at lee@msdc.org and (202) 355-9414.
In This Issue
From Highmark Medicare Services
H1N1 Influenza Vaccine Update
Can You Defend the Actions of Your Medical Assistants?
American Lung Association of DC Launched New Website Resource
DC Medicaid Responds to MSDC's Call for Help for Area's Ill Homeless
Meet the MSDC Staff for 2010!
Corporate Partners

ProAssurance

Professional Risk Associates

JHUCarey

Allscripts

HSBC

Beale

Solveras Payment Solutions
2009-2010 Board of Directors
Stuart F. Seides, MD
At-Large; Chair of the Board

Peter E. Lavine, MD
President; AMA Alternate Delegate

Frederick C. Finelli, MD
President-Elect

Joseph Gutierrez, MD
Treasurer; AMA Delegation Chair

Robert W. Keisling, MD
At-Large; Secretary

Carlos A. Silva, MD
AMA Delegate

Laura L. Tosi, MD
At-Large; AMA Alternate Delegate

James C. Cobey, MD
At-Large

Julian R. Craig, MD
At-Large

John W. Larsen, MD
At-Large

Joan B. Loveland, MD
At-Large

Reginald Robinson,MD
At-Large

K. Edward Shanbacker
Executive Vice President
MSDC Staff
K. Edward Shanbacker
Executive Vice President

Barbara Allen
Director of Member Services

Rose Smith
Controller

Christopher W. Lee
Associate Director of Membership and Communications
Contact the MSDC Office
1115 30th Street, NW
Suite 100
Washington, DC 20007
(202) 466-1800 (phone)
(202) 452-1542 (fax)
info@msdc.org
www.msdc.org

Forward this issue of eNewsline on to a fellow physician!

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From Highmark Medicare Services:

  • Want to avoid making CERT errors? Examine the list of Common CERT Errors available at our CERT Center!
    • Each quarter Highmark Medicare Services provides you with a list of the types of services that are causing problems. You can use this information to perform your own audit so that you prevent making the same mistakes.

https://www.highmarkmedicareservices.com/cert/index.html

  • Need to order a duplicate Standard Paper Remittance (SPR) or find earnings to date?
    • All of this and more is available through the Interactive Voice Response (IVR) System!
You have three options available under the Checks IVR option. This is where you would go to find check status, earnings to date, or to request a duplicate paper remittance.
Ordering a duplicate paper remittance is a feature that was recently added at the request of our customers. Use this option any time that you need a duplicate paper remittance.
Detailed instructions are outlined in the Part B IVR Quick Reference.

https://www.highmarkmedicareservices.com/refman/pdf/ivrguide-b.pdf
  • UPDATE: REVISED Wage Index Pension Cost Spreadsheet
    • The Office of the Actuary within CMS has REVISED their spreadsheet to assist hospitals and FI/MACs in determining the annual allowable defined benefit pension for the FY 2011 wage index.

https://www.highmarkmedicareservices.com/bulletins/all/news-11242009.html

H1N1 Influenza Vaccine Update:

The best way to receive timely information regarding H1N1 vaccination updates and seasonal influenza updates are through e-mail.  Be sure to provide the Medical Society with an accurate e-mail address by contacting Barbara Allen at allen@msdc.org.

 

The Department of Health has opened vaccinations to all patients.  Please encourage each of your patients to get the H1N1 and seasonal flu vaccinations this winter to protect themselves and those close to them from exposure.
 

For more information, visit the Medical Society's homepage at www.msdc.org.
 
Introducing the DCRx Prescription Drug Discount Card Program
DCRx
As a physician of Washington, DC, you and your patients have access to a FREE Prescription Drug Card program.  The Medical Society is pleased to offer the DC Rx CARD.  Your patients can save up to 75% on prescriptions, selected eye-wear, vitamins and other products.  The card is accepted in pharmacies in the District, Maryland and Virginia.

The Medical Society of DC has received a shipment of these cards and have 250 cards available to each Society member who requests them.  Please e-mail Chris Lee at lee@msdc.org and ask for the cards for your patients.
 
Can You Defend the Actions of Your Medical Assistants?
Physicians are held responsible for their own actions, but can also be held responsible (i.e., vicariously liable) for the actions of staff they supervise and/or employ. Assessing staff competency in performing clinical tasks is both a good
ProAssurance
patient safety and risk management tool. The question of competency may be raised if a problem occurs as a result of patient care provided by office staff (often by medical assistants or "MAs").  According to the U.S. Bureau of Labor Statistics, about 62 percent of MAs work in physician offices. MAs perform a variety of clinical and administrative tasks that vary from office to office. Common tasks include taking medical histories, recording vital signs, preparing patients for exams, instructing patients about medications or diets, and performing basic laboratory tests.

MAs also perform many administrative duties. They answer phones, handle scheduling, arrange admissions and lab services, and assist with correspondence. Often, the MA serves as a link between the physician and the patient and must have excellent communication skills.

Training and Certification

Many MAs are trained on-the-job; however, many are also certified by various organizations. The most commonly recognized certification is the Certified Medical Assistant (CMA) through the American Association of Medical Assistants (AAMA). The American Medical Technologists offers a Registered Medical Assistant (RMA) certification. Both certifications require candidates to graduate from an accredited medical assisting program, pass a certification examination, and recertify every five years.

Another organization, the National Healthcareer Association, offers certifications through home study programs. The Certified Clinical Medical Assistant (CCMA) focuses on clinical skills, while the Certified Medical Administrative Assistant (CMAA) focuses on administrative skills.

Assessing Competency

Physicians may be (and have been) asked to confirm an MA's competency in defense of a professional liability claim-whether the MA received on-the-job training or graduated from an accredited medical assisting program. Assessing specific competencies of all staff upon hire (whether nurses, MA's, lab technicians, etc.), and periodically thereafter, should help provide such confirmation.

The American Association of Medical Assistants' Educational Competencies for the Medical Assistant provides a tool to help physicians and practice managers assess competency. This document lists 61 entry-level competencies and suggests evaluation methods for each competency. The document lists not only administrative competencies (e.g., scheduling and managing appointments, organizing and filing medical records, bookkeeping procedures, processing insurance claims, etc.), but also clinical competencies including:
  • Fundamental procedures (e.g., hand washing and sterilization techniques, disposing of biohazardous materials, standard precautions, etc.);
  • Specimen collection (e.g., venipuncture, capillary puncture, patient instruction for urine and fecal specimens, etc.);
  • Diagnostic testing (e.g., electrocardiography, respiratory testing, CLIA waived tests);
  • Patient care (e.g., obtaining and recording vital signs and patient histories, preparing patients and assisting with examinations and procedures, maintaining medication and immunization records, screening and follow-up on test results, etc.).
Lastly, the document lists professional competencies which include professional communications, legal concepts (e.g., ethical and confidentiality issues, proper documentation, etc.), patient instruction, and operational functions (e.g., inventorying and routine maintenance of equipment). To access the AAMA competencies document, please click here.

Copyright © 2009 ProAssurance Corporation

Author: Julie Brownell, PhD, CPHRM, ARM, Senior Risk Management Consultant
American Lung Association of DC Launches New Website to Help Physicians Encourage Patients to Quit Smoking

The American Lung Association of DC (ALA-DC) has created a new website to support the "DC Tobacco-Free Families" (DCTFF) Campaign.  The DCTFF website has a wealth of information directly from the Agency for Healthcare Research and Quality (AHRQ) to assist healthcare providers in helping their patients quit smoking, with links directly to the resources offered by the PHS Guideline. You will also find links to websites offering CMEs for online training in treating tobacco dependence.


A helpful one-sheet and additional information can be accessed here and through www.dctff.info.


DC Medicaid Responds to MSDC's Call to Add Needed Drugs to the Formulary
As a result of persistent and persuasive work by Dr. Robert Keisling, a local psychiatrist with Pathways DC and current MSDC Board member, DC Medicaid has added two drugs, Invega Sustenna and Risperidone Consta, to the formulary as of February 1, 2010.
 
These two drugs are long-lasting injectible anti-psychotic drugs.  The time-release capability is desperately needed to treat mentally ill homeless patients.  That population is historically difficult to treat effectively due to low compliance rates.  The two recently added drugs are injected once every 30 days by a trained provider, which significantly improves the success of treatment for patients, including the homeless.
 
Thank you for your commitment to your patients and community, Dr. Keisling!
Meet the MSDC Staff for 2010!
  The wonderful staff at our Medical Society of DC have a combined 105 years working in organized medicine.  63 of those years have been at MSDC, serving you - our member physicians - and your patients.
            Our staff is fully dedicated to our mission, originally developed in 1817:
            "Ensure the well-being of physicians in metropolitan Washington and their patients.  We advocate on behalf of our member physicians of diverse cultural and ethnic backgrounds; we promote high standards of character and professionalism; and we make certain that physicians are and are recognized as the primary professionals who define and guarantee high quality, appropriate, and cost-effective medical care.  Above all, we aggressively defend the highest principle of all: the integrity of the physician-patient relationship."

 
MSDC Staff
(Caption: Chris Lee, Rose Smith, Barbara Allen and Ed Shanbacker)
 
NIH FCUProfessional Risk Associates ad