The official e-newsletter of the Maricopa County Medical Society  

Volume 6 · January 3, 2012

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In This Issue
President's Message
Judge Awards Scottsdale Doctors $12 Million
Telemed Group Seeks Medicare Participation Changes for Hospitals
Healthcare E-Transaction Change Needs More Time
VA Seeks New Medical Scheduling System
Version 5010 and ICD-10 News Update
Health Plans Look to Save on Each Patient Visit

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Exciting News! 

MCMS is pleased to announce the launch of the new Web site for Greater Arizona Central Credentialing Program (GACCP)
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The new Web site provides a wealth of information about GACCP's services, tools for existing clients (including a new credit card payment tool) and an updated look and feel.  

 

Please take a look and let us know what you think at mcms@mcmsonline.com.

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Upcoming Events

 
President's Message
Dr. Mills
Michael R. Mills, MD, MPH
2012 President
MCMS Stands Unified in Solidarity to Support Our Profession
I am honored to have the opportunity to lead our local, grassroots professional organization into its 120th year of service to our community. The Maricopa County Medical Society (MCMS) Board and I would like to express our most sincere gratitude to immediate past-president Dr. Nathan Laufer for his exemplary leadership and courage to boldly address pertinent issues impacting physicians in a comprehensive, intelligent and eloquent manner. We are indebted to Dr. Laufer for setting in motion a renaissance within our organization, which has included strategic planning, re-invigoration of our legislative and advocacy efforts, and addressing the needs of our membership. Read More...
Judge Awards Scottsdale Doctors $12 Million

A Maricopa County jury this week awarded $12 million to a Scottsdale cosmetic surgeon and his physician wife after a local jazz singer posted critical Internet reviews of their practice and aired multiple complaints with the Arizona Medical Board.

 

Dr. Albert Carlotti and Dr. Michelle Cabret-Carlotti, who operate Desert Palm Surgical Group, were awarded $11 million in actual damages and $1 million in punitive damages on Wednesday after a jury trial over allegations that singer Sherry Petta defamed and portrayed the physicians in a false light.

 

Petta said she was disappointed with the jury's verdict and plans to appeal the case. She added that she does not have $12 million to pay the Carlottis. Read More... 


ASDD

Telemed Group Seeks Medicare Participation Changes for Hospitals  
The American Telemedicine Association (ATA), Washington, is urging the Centers for Medicare & Medicaid Services (CMS) to revise Medicare's conditions of participation largely to better accommodate the use of telemedicine in hospitals.

In a letter to Marilyn Tavenner, CMS' acting administrator, the association suggests four changes regarding emergency care, stroke care, critical and intensive care and readmission. The ATA recommends specifically that the participation conditions be amended to allow for video conferencing in emergency care and in stroke care. Such changes could help facilities "significantly lift the burden of maintaining on-site staffing on a continuous basis," according to the letter.

Also in the letter, signed by ATA CEO Jonathan Linkous, the group urges the CMS to add a condition of participation relating to intensive and
critical-care staffing and allowing the conditions to be met in part through the use of video conferencing. "Sufficient staffing, even at night, on weekends and on holidays, is a particular patient expectation," the letter states. "Telehealth is a valuable resource for meeting intensive- and critical-care patient needs, often unexpected, at all times." Read More...
Healthcare E-Transaction Change Needs More Time  
According to a report from Information Week, "After requesting - then receiving - a contingency plan from the federal government so health insurers can pay claims that don't follow the ANSI X12 version 5010 transaction standards after the January 1 compliance deadline, the Medical Group Management Association (MGMA) is asking for more leniency.

The MGMA asked the Centers for Medicare and Medicaid Services (CMS) to double its grace period to six months, citing new data showing that few physician practices are ready for the change. The organization, which represents group physician practices, issued data from a survey of members showing that just 13.9% of respondents consider their 5010 preparations "fully complete." Less than a third said that they had upgraded their practice management systems to produce 5010-compliant transactions and had completed internal testing. Read More...

Paulson

VA Seeks New Medical Scheduling System
The U.S. Veterans Affairs Department is looking to trade up on its medical scheduling system.

The VA's current scheduling system, part of the department's VistA electronic health-record system, is more than 25 years old and is "highly inefficient," according to the VA. It "no longer effectively supports the multiple linkages needed to engage patients, clinicians and ancillary services and support new models of clinical care delivery," the VA states in a request for information on replacing the system published on the FedBizOpps Web site.

A new medical scheduling system should rely on online and mobile-device services to help "enable reliable, fast and secure communications with veterans", and support data-driven decision making about resource allocation within the Veterans Health Administration, according to the FedBizOpps notice. In addition, the new system should be "standards-based, modular, extensible and scalable" and fully interoperable with other VistA components. "We envision a contest-based procurement based on specific, tested and mutually agreed-upon outcomes and not merely best efforts," the VA notes. Read More...
Version 5010 and ICD-10 News Update
The Version 5010 compliance deadline was January 1, 2012. Upgrading from Version 4010/4010A standards to Version 5010 is a critical step necessary for the ICD-10 transition, and must be implemented before ICD-10 implementation is possible. Read More...

Polaris

Health Plans Look to Save on Each Patient Visit 
Economic pressures have driven Americans to reduce how often they see their doctors, fill prescriptions and go to the hospital - saving insurers some money, and giving them the chance to turn their attention to driving down the cost of each individual physician visit.

In some cases, health plans are sending their own staff or spending money up front to help physicians cut overhead, allowing them to see more patients without needing more pay, or take on financial risk as part of new payment models.

Health plans aren't abandoning efforts to eliminate what they see as excessive visits to the doctor or hospital. But increasingly, health plans are taking a more hands-on approach to cutting what they call "unit costs", even spending money to save money in the long run on the cost of each individual patient visit. Read More...
Realty One

 


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