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March 30, 2010
Vol. 17, No. 7
National Doctors DayMarch 30, 2010 is National Doctors Day. It is a day to celebrate the contribution of physicians who serve our community by caring for its' citizens.

The first Doctors Day observance was March 30, 1933 in Winder, Georgia. Eudora Brown Almond, wife of Dr. Charles B. Almond, decided to set aside a day to honor physicians. This first observance included mailing greeting cards and placing flowers on graves of deceased doctors. The red carnation is commonly used as the symbolic flower for National Doctors Day.

On March 30, 1958, a resolution commemorating Doctors Day was adopted by the United States House of Representatives. In 1990, legislation was introduced in the House and Senate to establish a national Doctors Day. Following overwhelming approval by the United States Senate and the House of Representatives, on October 30, 1990, President George Bush signed S.J. RES. #366 (which became Public Law 101-473) designating March 30th as "National Doctors Day." 

The Medical Society of the District of Columbia joins with millions of grateful patients in honoring you for your commitment, passion and excellence in caring for the nation, and especially those of us here in the nation's capital who benefit from your curative powers.  We especially recognize those physicians who care for the less fortunate and those facing barriers to care, and especially those of you who have travelled the globe to donate your services, most recently in Haiti!

To those of us you serve and treat, you are our heroes.  Best wishes on Doctors Day 2010!

Sincerely,

K. Edward Shanbacker
Executive Vice President
In This Issue
Health System Reform - What Now?
Medicare Payment Reform in Congress
CMS Holding April Medicare Claims 10 Days
Update from Highmark Medicare Services
DC Department of Health Awarded $4.9 Million
AMA Practice Tip:Establishing a Cost-Based Practice Fee Schedule
Greater Washington Partnership for Palliative and End of Life Care Advocacy Alert
Upcoming Events
Kanter Prize Deadline
Tuesday, March 30
5:00pm
1115 30th Street NW
Suite 100
Washington DC 20007
shanbacker@msdc.org

National Doctors Day
March 30th
All Day

ProAssurance Loss Prevention Seminars**
Click to Register
April 20
American College of Cardiology
2400 N. St. NW
Washington, DC

May 20
American College of Cardiology
2400 N. St. NW
Washington, DC

June 16
American College of Cardiology
2400 N. St. NW
Washington, DC

July 14
Hilton Arlington
950 N. Stafford St.
Arlington, VA

July 29
American College of Cardiology
2400 N. St. NW
Washington, DC

September 21
American College of Cardiology
2400 N. St. NW
Washington, DC

September 22
The Legacy
1775 Rockville Pike
Rockville, MD

October 19
American College of Cardiology
2400 N. St. NW
Washington, DC

November 16
American College of Cardiology
2400 N. St. NW
Washington, DC

**All programs begin registration at 5:30pm, and have the program from 6pm - 8pm.
Corporate Partners

ProAssurance

Professional Risk Associates

JHUCarey

Allscripts

HSBC

Beale

Solveras Payment Solutions

Atlantic Health Partners

MedcomSoft

RCM&D
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
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

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From the AMA: Health System Reform has Passed - What Now for Your Practice?
     On March 23, President Obama signed the Patient Protection and Affordable Care Act (H.R. 3590) into law. A number of key provisions in the new law may have an immediate impact on your practice and your patients, while others have a much longer time frame before they will take effect.
American Medical Association     The AMA has created several documents physicians may use to understand how their practice may be affected.  Topics covered include:
  • Medicare and Medicaid Payment Changes
  • Administrative Simplification
  • Employer Requirement to offer coverage
  • Medical Liability Protection and Grants
  • Preventive and Screening Benefit Expansion
  • Medicare Prescription Drug Coverage
     To access this document and many others, please click here.
     Of the new documents available on the AMA's health system reform web site, one lays out the timeline for implementation of bill provisions. Also available is a continually updated frequently-asked-questions and answers document and a separate document which responds to questions the AMA has received on the medical liability reform provisions of H.R. 3590.
    Please visit the AMA's website for additional information, and be sure to check their site devoted specifically to Health System Reform here.
Medicare Payment Reform In Congress 
      On April 1st, a 21% cut in reimbursement rates for physicians currently billing Medicare is scheduled to occur (see related article below).  Work is on-going in the US House of Representatives to approve a measure passed by the US Senate that will extend this deadline to October 1, 2010.  During that period, an appeal will be made to permanently fix the flawed Medicare Payment Formula by removing it altogether.
      The AMA and MSDC are continuing their advocacy for a permanent repeal of the sustainable growth rate (SGR) formula, and we encourage our members to maintain pressure on their legislators.  The AMA Grassroots Hotline is available for your use:  1-800-833-6354.  Also, you may visit the AMA website to voice your support for a permanent appeal by clicking here.
CMS Instructs Contractors to Hold Medicare Payment Claims 10 Days
Holding of April Claims for Services Paid Under the 2010 Medicare Physician Fee Schedule
     The Centers for Medicare & Medicaid Services (CMS) is working with Congress, health care providers, and the beneficiary community to avoid disruption in the delivery of health care services and payment of claims for physicians, non-physician practitioners, and other providers of services paid under the Medicare Physician Fee Schedule (MPFS).  As you are aware, the Temporary Extension Act of 2010, enacted on March 2, 2010, extended the zero percent (0%) update to the 2010 MPFS through March 31, 2010.   
      CMS believes Congress is working to avert the negative update that will take effect April 1.  Consequently, CMS has instructed its contractors to hold claims containing services paid under the MPFS (including anesthesia services) for the first 10 business days of April.  This hold will only affect claims with dates of service April 1, 2010, and forward.  In addition, the hold should have minimum impact on provider cash flow because, under the current law, clean electronic claims are not paid any sooner than 14 calendar days (29 for paper claims) after the date of receipt. 
     Be on the alert for more information about the 2010 Medicare Physician Fee Schedule Update.
Update from Highmark Medicare Services: Top Inquiries FAQs, PECOS Enrollment Deadline and Website Downtime
Top Inquiry FAQ
The Top Inquiry Frequently Asked Questions (FAQ) have been updated. The FAQs contain valuable information that may answer your questions.  Topics covered include:

Administrative Billing Issues               General Information
Appeals                                              MSP
Claim Denials                                       Provider Enrollment
Claim Status                                        Remittance Advice
Eligibility/Entitlement                             Unprocessable Claims
Financial Information

https://www.highmarkmedicareservices.com/faq/partb/index.html

Medicare Seminar - Small Provider Groups - March 30, 2010 (9:00am)
Join us for our Medicare Seminar - Small Provider Groups on March 30, 2010 at 9:00 am. This Seminar will address an overview of the Comprehensive Error Rate Testing, Physician Quality Reporting Initiative, Tips for Successful Claim Submissions, Fee Information for 2010 and much more. Register today!

https://www.highmarkmedicareservices.com/calendar/partb/ws-smallprov.html

PECOS Enrollment Deadline Delayed until January 3, 2011
     The Centers for Medicare & Medicaid Services have delayed the implementation of a new Medicare enrollment policy titled, PECOS, the Provider, Enrollment, Chain and Ownership System.  The enrollment deadline has been extended to Jan. 3, 2011.  The original deadline had been April 5, 2010, until this most recent change.  CMS had said physicians and group practices -- with few exceptions -- must be enrolled through PECOS by January 3, 2011 to continue having their Medicare claims accepted.  The agency said its new enrollment system speeds up the application process, reduces paperwork, and helps cut down on fraud and abuse.
     Due to scheduled maintenance, Internet-based PECOS will be unavailable from Monday, March 29, 2010 through Monday, April 5, 2010.  Internet-based PECOS allows physicians, non-physician practitioners, providers, and other suppliers (except suppliers of durable medical equipment, prosthetics, orthotics, and supplies [DMEPOS]) to enroll or make a change to their existing Medicare enrollment information over the Internet.

Click here for more information or to enroll in PECOS.
ProAssurance
DC Department of Health Awarded $4.9 Million in Grant Funding
District of Columbia Flag     On March 19th, the District of Columbia Department of Health (DOH) was awarded a grant of $4.9 million for wellness and tobacco prevention programs in the District.
     This grant award is part of the US Department of Health and Human Services' Communities Putting Prevention to Work initiative to support public health efforts to reduce obesity, increase physical activity, improve nutrition, and decrease smoking-four critical actions for combating chronic diseases and promoting health.
     The competitive funding awards to cities, towns, and tribes across the country will allow communities to support healthy choices among their residents through a variety of methods including increasing the availability of healthy foods and beverages, improving access to safe places for physical activity, discouraging tobacco use, and encouraging smoke-free environments.
     The District's funds are for a two year project that will enable the District to further develop and implement Live Well DC, a comprehensive campaign addressing the top preventable causes of death and other behaviors that impact the health and wellness of District residents. The campaign is both policy-oriented and community-driven to create an environment that supports wellness, including freedom from tobacco, where people live, work, learn and play. The funds from Communities Putting Prevention to Work will create resources for DOH, and provide significant funds to the community to build sustainable capacity for tobacco prevention and control efforts beyond the two year award. With guidance and support from District communities, Live Well DC will work to better serve the residents through multiple strategies

To learn more about the District's prevention and wellness projects as the Live Well DC campaign, visit http://doh.dc.gov/.  To learn more about Communities Putting Prevention to Work, visit www.hhs.gov/recovery and www.cdc.gov/chronicdisease/recovery.

Information courtesy of the DC Department of Health and the Department of Health and Human Services.
AMA Practice Tip: Establishing a Cost-Based Practice Fee Schedule
American Medical Association     The AMA has developed the educational resource "Fee schedule analysis: Using your complete practice cost as a guide" (PDF) to help physicians and their practice staff recognize the need to establish their practice fee schedule based on what it actually costs to provide a service rather than basing their fee schedule on what a third-party payer or other entity wants to pay.
     This resource includes a 12-step guide to help physician practices create their own unique physician practice fee schedule with an easy-to-complete spreadsheet that will allow physician practices to include additional markup percentages to account for profit, contributions to reserves and future capital expenditures.

AMA Litigation Center
Greater Washington Partnership for Palliative and End of Life Care
Advocacy Alert
     GWPlogo

     The Greater Washington Partnership for Palliative and End of Life Care's mission is to   disseminate information and provide educational   opportunities to increase the understanding and utilization of palliative care services.
      An issue that the Partnership is currently working on is inadequately stocked opioids in low income neighborhoods in the Washington, DC area.
     In October 2009, the Partnership presented their concerns to the DC Pharmacy Board about this issue.  Based on their recommendation, we have developed a reporting form to obtain information if an incident occurs.  Incidents would then be brought to the Board's attention for further investigation.  The information would also provide a better picture as to what the problem is and assist in discerning possible solutions to the issue.
     Anyone who experiences this issue or has a patient who experiences this issue is requested to go to the Partnership's website and complete the reporting form. 
     Confidentiality will be honored, and any information identifying the person or organization completing the form will not be released to any third party.  Your practices's assistance is very much appreciated.

The reporting form is located at:
  http://www.gwpartnership.org/OpioidStockingForm

The Greater Washington Partnership appreciates your time and support to encourage adequate stocking of opioids in all DC neighborhoods.
Gittleson Zuppas Medical Real Estate Karp Frosh Malpractice Representation