MSDC stripped
eNewsline

December 5, 2011
Vol. 18, No. 23
In This Issue
MSDC Strongly Opposes a Content-Specific CME Requirement
Stage 2 of the EHR Meaningful Use Incentive Program Delayed
CDC's HIV/AIDS Update
Medicare Updates: ICD-10
AMA Resources for MSDC Members
Classified Ads
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2010-2011 Board of Directors

Stuart F. Seides, MD
At-Large; Chair of the Board

James C. Cobey, MD
President

 

Daniel I. Perlin, MD

President-Elect

 

Joseph Gutierrez, MD

Treasurer; AMA Delegation Chair

 

Peter E. Lavine, MD

AMA Delegate

 

J. Desiree Pineda, MD

AMA Alternate-Delegate

 

Laura L. Tosi, MD

AMA Alternate Delegate

 

Julian R. Craig, MD

At-Large

 

Frederick C. Finelli, MD

At-Large

 

John W. Larsen, MD

At-Large 

 

Joan B. Loveland, MD

At-Large

 

 Catherine S. May, MD

At-Large

 
Reginald Robinson,MD
At-Large

  

Carla Sandy, MD

At-Large


K. Edward Shanbacker
Executive Vice President 

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MSDC Strongly Opposes a Content-Specific CME Requirement for Licensure at the DC Council
MSDC Box     On Thursday, December 1, MSDC President James C. Cobey, MD and MSDC Board Member Peter E. Lavine, MD, testified before the DC Council's Committee on Health in opposition to B19-510, "The HIV/AIDS Continuing Medical Education Amendment Act of 2011."  The bill, as proposed, would place a content-specific CME requirement on HIV/AIDS of 3 credits for all physicians as a condition for licensure and renewal.  The bill does not distinguish between practicing and non-practicing physicians, medical specialties or practice environments.
     "Physicians accept and embrace this continuing medical education as part of our professional obligation and our duty to our patients to provide the best care possible.  I believe we do a good job of that, and while we always look to improve, state-mandated, content-specific continuing medical education is simply not good medicine and will not improve medical care in the Nation's Capital," said Dr. Cobey.
     Combating the spread of HIV/AIDS in the District is a primary concern of MSDC, and we participate in this fight through the Mayor's Commission on HIV/AIDS, the Global Business Coalition on HIV/AIDS, Tuberculosis and Malaria, the Department of Health's "Know Your Status" campaign and the "Offer the Test" campaign.  MSDC continues to send HIV/AIDS-related materials through e-mail and print, and is committed to keeping our members fully informed on HIV/AIDS.
     To share the message that this bill is simply bad medicine, send a letter to Council Chairman Kwame Brown and encourage him to oppose B19-510.  You can send your letters to:
 
Chairman Kwame R. Brown
1350 Pennsylvania Avenue, NW, Suite 504
Washington, DC 20004 
 
You may also e-mail Chairman Brown at kbrown@dccouncil.us.

If you would like to view a copy of MSDC's testimony, click here.
If you would like to view a replay of the hearing, click here.
Stage 2 of the EHR Meaningful Use Incentive Program has been Delayed

     On Wednesday, November 30th, Secretary Sebelius announced that the Department of Health and Human Services (HHS) will delay Stage 2 of the Medicare/Medicaid electronic health record (EHR) incentive program to 2014 for those who attest in 2011 that they are meeting Stage 1 requirements.  In addition, the Secretary shared the latest results from a Centers for Disease Control and Prevention (CDC) survey on physician EHR adoption rates.

 

Additional Time to Comply with Stage 2 Meaningful Use Requirements

     On June 16, 2011, the Health IT Policy Committee (HITPC) recommended to the Secretary that physicians and hospitals who attest to meaningful use in 2011 should have until 2014, instead of 2013, to comply with the Stage 2 requirements.  The Secretary announced yesterday that HHS is in agreement with the Committee and intends to propose such an extension in the Stage 2 meaningful use proposed rule, which is scheduled to be published in February 2012.  Please note that this extension only affects physicians who successfully attested to meeting the Stage 1 meaningful use measures in 2011.  Physicians who begin participation in the incentive program in 2012 and attest to meeting meaningful use measures for the first time in 2012 would be expected to meet Stage 2 requirements in 2014.

     The table below illustrates the stage that is relevant to each year of participation in the Medicare EHR incentive program. 

 

 

 

November 30, 2011, HHS press release:

http://www.hhs.gov/news/press/2011pres/11/20111130a.html

CDC's National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention Releases Report on HIV/AIDS Work
CDC      CDC's National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention is pleased to share with you the newest edition of CDC Vital Signs. This month's report includes a Morbidity and Mortality Weekly Report, HIV Prevention Through Care and Treatment, and an accompanying fact sheet, New Hope for Stopping HIV-Testing and Medical Care Save Lives. These materials highlight the reality that HIV testing, linking people with HIV to care and treatment, appropriate use of medications to reduce the amount of virus in the body, viral suppression, and prevention counseling can, and does lead to better outcomes in HIV prevention.

     Data in the Vital Signs report and fact sheet include:

  • Nearly 1 in 5 people with HIV (or 240,000 people) don't know they are infected.
  • People who don't know are at higher risk of serious medical problems and early death.
  • Only 41% of people with HIV get ongoing HIV medical care.
  • Only 28% of people with HIV have viral suppression.
  • Viral suppression improves health, extends life, and can help to prevent people from transmitting the virus to others.

     CDC Vital Signs is specifically designed to bring focus to important data and information concerning a single important health topic each month, and provide a call to address it. This edition of Vital Signs specifically highlights the areas in HIV prevention where we are showing success and where we have opportunities for improvement. It clearly calls us to action. We look forward to working together to share this important information that we believe can make a difference and serve as an important part of our comprehensive approach to HIV prevention.

     To help spread the word about the Vital Signs report, please link to CDC's Vital Signs Web site at: www.cdc.gov/vitalsigns.

Medicare Updates: 27 Days Left Until Version 5010; ICD-10 Planning Call

CMS logo

Reminder!

     Don't Wait and Take a Chance on Payment Delays!  Migrate to Version 5010 Now!

     Only 27 days until the required Version 5010 compliance date of January 1, 2012.  Given this deadline, CMS will not enforce the update until March 31, 2012, to account for possible disruptions in cash flow for practices.

 

What does this mean for your office?

  • Medicare electronic claims must be submitted using Version 5010 before January 1, 2012. The required compliance date of January 1, 2012, is a Sunday; therefore, submitters must be prepared to submit Version 5010 prior to this date. 
  • Any Version 4010.A1 claims must be submitted BEFORE 4:00PM Eastern Time (ET) on Friday, December 30, 2011.  EDI files submitted after 4:00PM ET on any business day are not considered "received" until the next business day. EDI files submitted on a non-business day are not considered "received" until the next business day or as published.
  • Software vendors, billing services and clearinghouses are required to test Version 5010 and must achieve an approved 5010 837 test status before submitting Version 5010 produc­tion claims. If issues are experienced with Version 5010 testing, it will delay your ability to sub­mit Version 5010 production claims.

     It is extremely important that you and your staff are aware of this Health Insurance Portability and Accountability Act (HIPAA) requirement being implemented by Highmark Medicare Services and be alert to future directions for this implementation.  For more information on the transition to Version 5010, visit our Version 5010 section on our Web site.

https://www.highmarkmedicareservices.com/edi/5010/index.html

 

National Call: Medicare FFS Implementation of HIPAA Version 5010 and D.0 Transaction Standards - Register Now

Wednesday, December 7; 1:30-3pm ET

 

     CMS will host its twenty first National Provider Call regarding Medicare Fee-For-Service (FFS) implementation of HIPAA Version 5010 and D.0 transaction standards.

Target Audience:   Vendors, clearinghouses, and providers who need to make Medicare FFS-specific changes in compliance with HIPAA Version 5010 requirements.

Agenda:

  • Top 10 problems impacting the 5010 transition
  • Status of current Version 5010 Standard System Maintainer fixes
  • Top 10 Version 5010 edits
  • Medicaid update

Presentation: There will be a presentation available the week before the call. Please visit the following web page to download the presentation: https://www.CMS.gov/Versions5010andD0/V50/list.asp in the "Downloads" section.

If you would like to submit a question related to this topic in advance of, during, or following the call, please email your inquiry to the 5010 FFS Information resource mailbox at 5010FFSinfo@CMS.hhs.gov.  Note that this resource will only accept emails the day before, the day of, and the day after this call; your emailed questions will be answered as soon as possible, and may not be answered during the call.

 

Registration Information:  In order to receive the call-in information, you must register for the call.  Registration will close at 12pm on the day of the call or when available space has been filled; no exceptions will be made, so please register early.  For more details, including instructions on registering for the call, please visit http://www.eventsvc.com/blhtechnologies.

 

Webinar Information: CMS will be using a webinar feature as part of this national provider call. This will not have any effect on those participants who are dialing in. This webinar is an added feature that allows participants who have internet access the ability to follow the presentation online as it is given. To access this Adobe Connect Pro Webinar, please use the following url: https://webinar.CMS.hhs.gov/medicareffs5010/. Sign in as a guest when prompted by entering your first and last name. Please note that you must dial in to the call in order to access the audio portion of the presentation.

IMPORTANT NOTE: This webinar's capacity is limited to 1,000 participants and access is on a first-come, first-served basis. In the event that capacity is reached, you may get an error message. In case of this, we have created a second webinar room for up to 500 additional participants which can be accessed using this url: https://webinar.CMS.hhs.gov/medicareffs5010-2/. The use of this secondary webinar link is no different than the original, and access is also on a first-come, first-served basis. If you get an error message attempting to join this second room as well, capacity has been filled. In this case, simply visit the 5010 National Calls Page, select the 12/07/2011 call from the list, and download the presentation from the bottom of the call information page. You will then be able to follow the presentation manually during the call. You must dial in to the call in order to access the audio portion of the presentation. 

AMA Resources for MSDC Members: Tips by the "Heal That Claim" Campaign
American Medical Association

Get paid faster-spend less time making that happen. 

 

Download a free toolkit from the American Medical Association (AMA) now to help your practice use electronic funds transfer (EFT)!       

  

     The advantages of adopting electronic processes are significant-the time spent doing so doesn't have to be. This webinar from the AMA, "Make EFT and ERA work for you," and its related toolkit, will provide the forms you need and take you step-by-step through the process. You'll soon benefit from:

  • Faster payment
  • Less staff time making manual check deposits or phone calls to payers
  • No risk of lost or stolen checks
  • Money saved-automatic reconciliation of claim payments costs much less than manual processing
  • Automatic identification of overpayments and underpayments

     Receiving claim payments electronically reduces overall health care costs-and that helps every practice. Download your toolkit now and spend more time with your patients than with paperwork.

 

Webinar: https://cc.readytalk.com/cc/playback/Playback.do?id=3tsbzb

Toolkit: http://www.ama-assn.org/ama/pub/physician-resources/solutions-managing-your-practice/practice-management-center/process-improvement/electronic-funds-transfer-toolkit.page

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