Midwest AAOE Newsletter
In This Issue
Midwest AAOE Annual Meeting
AMA Announces UnitedHealth Group UCR Settlement Fund
CMS Will Re-Examine ID 10 Implementation Timeline
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Midwest AAOE
Annual Meeting

March 30-31, 2012

Camden on the Lake
Lake Ozark, MO

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Issue: II
February 2012
Dear Midwest AAOE Members,

The staff of Midwest AAOE hopes you will find this e-newsletter and subsequent editions beneficial. The Midwest AAOE strives to inform members of relevant information useful to your everyday practices. Please email us with additions you would like to see in the coming e-newsletters at fcobbe@cobbemanagement.com

The Midwest AAOE Staff
 

Midwest AAOE Spring Meeting

March 30-30, 2012

Camden on the Lake

Lake Ozark, MO

Agenda Spotlight:

Hot Topics for Orthopaedic Practices -

Mergers, Hospital Alignments, Service Line Agreements and Implant Companies

Kathleen DeBruhl, Esq.

Kathleen L. DeBruhl and Associates, LLC

New Orleans, LA

 

Ms. DeBruhl will lead a stimulating discussion on the strategic initiatives being considered by orthopaedic executives across the country. The turbulent economic times for the profession of orthopaedics has leaders considering unique opportunities for growth. Ms. DeBruhl will discuss various strategies currently available to physicians and will examine what terms and pitfalls to look for from the physician perspective.

 

Kathleen L. DeBruhl is a graduate of the Benjamin Cardoza School of Law in New York and the owner of Kathleen L. DeBruhl & Associates, a healthcare law firm located in New Orleans, Louisiana. Ms. DeBruhl and the lawyers in her law firm provide strategic advice, development and regulatory overview to clients in multiple states, but, in particular, to orthopaedic physicians. Ms. DeBruhl has represented physicians in large practice mergers, hospital affiliations and joint venture opportunities. She has been a featured speaker and author for The American Bar Association, The American Health Lawyers Association, as well as The American Academy of Orthopaedic Surgeons where she most recently participated in the 2010 AAOS Practice Management Symposium and spoke on several topics, including Joint Ventures; Mergers; and How to Compete with Hospitals.

AMA Announces UnitedHealth Group UCR Settlement Fund Set To Pay Ot Narly $250 Mllion  

Physicians who filed timely claim forms as part of the UnitedHealth Group Usual, Customary and Reasonable (UCR) settlement are scheduled to receive funds from the settlement.  The court-approved settlement fund of $250 million will be paid to physicians, patients and other health care professionals. It is expected that providers who filed claims are expected to receive nearly $200 million from the settlement fund. Physicians who filed claims and have moved since filing should provide their updated mailing address as soon as possible to ensure the delivery of their checks. Contact the Claims Administrator (contact information below), if you filed directly, or the Managed Care Advisory Group (MCAG), if you filed through MCAG (contact information below).

 

Claims sent direct to Claims Administrator
 

Most physicians will receive checks from Berdon Claims, LLC in the next couple of months, but if you have not received your check by April 15 and filed a claim directly to the Claims Administrator, contact Berdon Claims, LLC, by:

Claims sent through the Managed Care Advisory Group (MCAG)

 

Most physicians will receive checks from the Managed Care Advisory Group (MCAG) in the next couple of months, but if you have not received your check by April 15, 2012 and filed through MCAG, you should contact MCAG to inquire about the status of your settlement check by:

Visit the AMA Practice Management Center to learn more about the settlement  including updated FAQ's, and access the full press release here.

 

If you haven't already, sign up to receive the AMA Practice Management Alerts emails for information on unfair payer practices, ways to counter these practices, and practice management resources and tools.

 

Hold health insurers accountable

 

Although it is too late to file a claim for damages from this settlement fund, physicians who would like to hold health insurers accountable regarding out-of-network issues may wish to visit www.ama-assn.org/go/psatoolkits to access the Out-of-Network toolkit, which contains detailed information that physician practices can use in their non-contracted dealings with insurers. AMA announces

UnitedHealth Group UCR settlement fund set to pay out nearly $250 million 

 CMS Will Re-examine ID 10 Implementation Timeline

According to Modern Physician, acting CMS Administrator Marilyn Tavenner says the CMS will re-examine its timeline for ICD-10 implementation. Little more is known at this time on the process CMS will take to re-examine ICD 10 implementation. The announcement is certain to create a significant amount of conjecture and discussion over the coming months. The Midwest AAOE will keep its members apprised of any definitive announcements on ICD 10 implementation as they are released.