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May 10, 2010
Vol. 17, No. 10
This is Your Time to Lead Your Society
      The process established for electing your Society leadership and establishing a governance structure supports the future growth and continued health of the Society.  The Leadership Development/ Nominating Committee will meet soon to develop a slate of candidates for Society officers.  The election by mail ballot will occur in the fall.  Offices on the ballot will be as follows:
  • President-Elect                 (1)                    1 year term
  • Director, At Large             (3)                    2 year terms
  • AMA Delegate                  (1)                    2 year term
  • AMA Alternate Delegate   (1)                    2 year term
     We heartily encourage you to consider having your name brought before the Leadership Development/Nominating Committee.  This is an important opportunity to have a positive impact on the future of medicine within the District of Columbia as well as to serve your profession. Many of your peers have found this experience to be valuable and personally rewarding.  We urge you to consider service in the only all-inclusive, broad-based Society representing District of Columbia physicians and their patients.
     All you need to do to be considered by the Leadership Development/Nominating Committee or to recommend a colleague is to complete the attached form and return it to us with a C.V. and that's it!
 
     If you have any questions or need additional information, please contact Peter Lavine, MD, President at (202) 223-8600, Barbara Allen, Staff Liaison at (202) 355-9403 or allen@msdc.org, or myself at (202) 355-9401 or shanbacker@msdc.org.

Sincerely,

K. Edward Shanbacker
Executive Vice President
In This Issue
MSDC Works to Block Medicaid Reimbursement Cut
MSDC Acts as Co-Plaintiff in "Red Flags Rule" Lawsuit
CMS CR 6278 Form May Lead to Billing Gap
Update from Highmark Medicare Services
AMA Launches Health System Reform Newsletter
From ProAssurance
Medicare Cuts Begin in Two Weeks
May is Declared "Disability Insurance Awareness Month"
Ahoy Mateys!
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Upcoming Events
AMA Health Care Reform Webinar
May 17
7:00pm - 8:00pm
Click to Register

CMS Quality Reporting Initiative National Call
May 12
1:30pm-3:00pm
Click to Register

Timely Filing Requests Teleconference
May 21
12:00pm
Click for Information

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

**All programs begin registration at 5:30pm, and have the program from 6pm - 8pm.
"On the Waterfront"
Annual Meeting and Social
Wednesday
October 20, 2010
6:00pm-9:00pm
Phillips Restaurant
900 Water Street, SW

Registration:
$60/members; $105/members/spouse;
$50/students/residents;
$80/non-members

RSVP by October 15 to Barbara Allen at allen@msdc.org
(202) 355-9403

On-site Registration will increase in cost by $20 for each category
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First Financial Group
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

Richard McCarthy, 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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MSDC Petitions Council to Block Loss in Medicaid Funding of $10,627,000
District of Columbia Flag     MSDC has raised concerns over the Mayor's proposed FY 2011 Budget for the Department of Health Care Finance (DHCF) to the DC Council, specifically, Councilmember David Catania, the Chair of the Committee on Health.  Included in the proposed DHCF budget is a 20% cut in Medicaid reimbursement rates.
     Such a regressive cut would decrease local funding of Medicaid beneficiaries by $2,450,000 and incur an additional loss in Federal matching funds of $8,177,000 - resulting in a total reduction of $10,627,000 in reimbursed medical care.
     In 2008, MSDC successfully lobbied to have the Medicaid rates increased to match Medicare rates to encourage expansion in the District's Medicaid program by physicians.  The rate increase went into effect just over one year ago, in April 2009.  Backtracking on the great improvements made in our District's Medicaid program is a serious blow to the health of patients in the District.
MSDC Joins as Co-Plaintiff in Lawsuit Against FTC Over "Red Flags Rules"
     The Medical Society of DC has joined with the American Medical Association and other national associations as a named plaintiff in a lawsuit against the Federal Trade Commission to enjoin the "Red Flag Rules" currently required for physicians' medical practices.  The suit will be filed in the United States District Court for the District of Columbia and prepared by the AMA's Litigation Center.
     In 2003, Congress amended the Consumer Credit Protection Act, 15 U.S.C. § 1681m(e), to require the FTC and five other federal agencies to issue joint regulations to detect, prevent, and mitigate identity theft with regard to the extension of "credit" by a "creditor."  The regulations require businesses to adopt written policies to detect and prevent identity theft  and then review those policies annually to make sure they are being followed. 
     According to the FTC, physicians, who do not receive full payment for their services at or before the time they perform those services, are creditors and must comply with the statutory and regulatory requirements.  This requirement is an example of one more pointless distraction from medical practice.  The FTC has continually delayed the deadline for compliance with its regulations, resulting in a June 1, 2010 deadline.  However, this habitual delay is not an acceptable outcome.
     On November 30, 2009, the American Bar Association secured a declaratory judgment and an injunction in the DC District Court to prevent enforcement of the FTC red flags regulations against attorneys.  The FTC has appealed the ABA suit, but an encouraging precedent is set for a favorable outcome for physicians.
CMS Change Request 6278 May Lead to Billing Gap; Complaint Form Developed to Inform CMS of the Error
     The CMS Change Request (CR) 6278 form asking physicians to update their status in Medicare - whether revalidating their participation, or selecting to opt-out - is required for all physicians who see Medicare patients.  Due to billing and timing issues, some physicians have reported a gap in their ability to get reimbursed for Medicare patients, should they opt-out.
     The AMA and Federation Societies have engaged CMS on enrollment problems physicians have experienced over the past several years.  Accordingly, the AMA has created a complaint form which physicians can complete and email back to us at MedicareProblems@ama-assn.org should they experience any billing problems related to their choice to opt-out of Medicare.  Any forms they recieve will be forwarded onto CMS.
     Also, please note that the AMA has a webpage dedicated to enrollment issues which can be found at www.ama-assn.org/go/regrelief(select Medicare enrollment) which includes plain English information to help physicians navigate the enrollment requirements. We will continue to update the webpage as new policies are finalized.
Update from Highmark Medicare Services:  Reporting/Prescribing Webinar, Filing Teleconference
2010 Physician Quality Reporting Initiative & Electronic Prescribing Incentive Program National Provider Call - May 12, 2010 0 1:30pm - 3:00pm EDT
     
The Centers for Medicare & Medicaid Services' (CMS) Provider Communications Group will host a national provider conference call on the 2010 Physician Quality Reporting Initiative (PQRI) and Electronic Prescribing Incentive Program (eRx).  In order to receive the call-in information, you must register for the call. Registration will close at 1:30 p.m. EDT tomorrow, Tuesday, May 11, 2010, or when available space has been filled.
Lunch Time Teleconference: Timely Filing Requests - May 21, 2010 (12:00PM)
     
This teleconference will cover timely claim filing requirements as well as timely appeal requirements. We will also review the new timeframes associated with claim filing. The handout material is now available.
AMA Launches Health System Reform Insight, A News Source for Reforms and Your Practice
American Medical  AssociationHealth System Reform Insight, a news source on the new health system reform bill, is launched by the AMA

     The Patient Protection and Affordable Care Act - health system reform legislation signed into law by President Obama on March 23 - contains a number of key provisions for you and your patients. Some provisions may have an immediate impact on your practice and patients, while others will not take effect for some time.
     Given the new direction for the nation's health system, the AMA has developed Health System Reform Insight to help you understand the new law and how it will affect you, when certain provisions are scheduled to take effect, how you can be ready when the regulations go into effect and what your patients need to know.
     To view the most recent issue of Health System Reform Insight, please click here.
     To sign up for the Health System Reform Insight newsletter, please click here.

First AMA webinar on health system reform to broadcast live May 17
     Join AMA President J. James Rohack, MD, and the AMA's Cynthia Brown, vice president, government affairs, on Monday, May 17 from 7 p.m. to 8 p.m. EDT for an informative webinar, "How health system reform will affect physician practices."
     Space is limited so please register today by clicking here.
From ProAssurance: Organ Donation -  Pushing the Boundaries
ProAssurance      The United Network for Organ Sharing (UNOS), established by Congress in 1994
to administer organ transplantation, reports that since the first successful kidney
transplant in 1954, 466,555 lives have been saved through organ transplant. From
January through November, there were 26,081 transplants in 2009 alone. The
problem, if there is one, is that organ transplantation is now considered the optimal
solution for the medical problems of many patients. The supply of donated organs
cannot meet the demand for them. Even though about 74 patients receive transplants
each day, an additional 19 die waiting for an organ. As of February 16, 2010, organ
waiting list totals were:
  • Kidney - 83,306
  • Liver - 15,768
  • Heart - 3,083
     But even the fortunate recipients who receive organs are not always satisfied with
the outcome or the donation process. In fact, there is some speculation that organ
transplantation may be a new target for professional liability lawsuits. Consider these
recent cases...

Click here to read the case studies on malpractice liability and organ transplantation...
Medicare Payment Cuts of 21+% Begin in Two Weeks 
iPetition     June 1, 2010 remains as the date for the 21.2% payment cut.  This cut is likely to have a ripple effect, with many private insurers and state Medicaid programs aligning their payment rates with Medicare rates.
    Please join in our campaign to gather 1 million signatures to "Stop the Medicare Meltdown." Add your name to the petition and share it with your friends, family, colleagues, staff, and patients.
    The petition asks Congress to develop a rational Medicare physician payment system that automatically keeps up with the cost of running a practice and is backed by a fair, stable funding formula.
    Remember, even if you don't take Medicare, the SGR affects TriCare and most commercial insurance payment schedules are based on a percentage of Medicare rates.
    To sign the petition, please visit . Please download and print a copy of our "Stop the Medicare Meltdown" toolkit.
From First Financial Group: May is Declared "Disability Insurance Awareness Month"
WASHINGTON, DC- MAY 10, 2010-  First Financial Group is joining leading insurance companies and associations in an industry-wide campaign designed to raise awareness about the need to protect one's greatest asset - the ability to earn an income.
Scheduled for May 2010, the fourth annual Disability Insurance Awareness Month (DIAM) is being coordinated by the nonprofit Life and Health Insurance Foundation for Education (LIFE), located in Washington, DC.  Since 2004, LIFE has coordinated Life Insurance Awareness Month in September.
     Throughout May, LIFE will raise national consumer awareness with ads, public service announcements, aggressive outreach to the news media, DI content on its website and blog.
     "Most U.S. workers would face dire financial consequences if they were unable to work for an extended period of time due to a disabling illness or injury," said First Financial Group's Sean Joiner.  "We believe it is vitally important that doctor's and their families here in DC are able to preserve their standard of living if a wage earner becomes temporarily or permanently disabled, and make it a point to always talk about disability insurance with our clients."

     To continue reading, please click here.
     
Sean Joiner can be reached at 240-235-1346 or by email at sean.joiner@ffgdc.com.
For more information about Disability Insurance Awareness Month, click DIAM callout on LIFE's home page at www.life-line.org.
Join 2,000 of Your Fellow Society Members for MSDC's Annual Meeting and Social
blue crab     This year's Annual Meeting and Social is sure to be the "Deadliest Catch."  We've been greenhorns too long - it's time to head to the docks and waterfront!
     Join your colleagues at the flagship Phillip's Restaurant on October 20, 2010 from 6:00pm to 9:00pm. Overlooking the Washington Channel off the Potomac River, the spectacular dinner features over 30 fresh seafood selections caught daily, as well as regional Chesapeake and Atlantic specialty dishes, custom-order stations and non-seafood options for our land-lubbers.
     Registrations are being accepted.  Just contact Barbara Allen at (202) 355-9403 or allen@msdc.org to join the crew.  Registration is $60 for members, $105 for members and spouses, $50 for students/residents, and $80 for non-members.
     Hurry and register soon - if you don't make the Captain's Log before Sail Date, registration at the door will increase to $80 for members and $100 for non-members, with no member/spouse or student/resident ticket available.
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