Medical Society of New Jersey e-Newsletter
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Horizon Prior Authorization Webinar Series
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Webinar: The Sunshine Act is Here: Open Payments Web Portal Registration
Thursday, June 19, 2014 from 12:00 P.M. to 1:00 P.M.
Speaker: Jennifer Searfoss, Esq., Searfoss Consulting Group, LLC
Beginning in August, the financial interests of physicians with pharmaceutical and manufacturing companies and ownership interests in group purchasing organizations will be public. The data disclosure is based on information reported by these companies on June 1, the portal opens for physicians to review the data. This seminar will cover how to register for the site, review the information, and dispute reports if incorrect data is posted.
This event is $25 for MSNJ members, $50 for PAHCOM & NJMGMA members, and $100 for non-members.
Register
More information
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MSNJ's Medical Practice Managers Section Presents: A Legislative Update Webinar for Practice Managers
Practice managers are invited to join Mishael Azam, Esq, MSNJ's COO & Senior Manager, Legislative Affairs, on Tuesday, June 24, 2014 from 12:00 P.M.- 1:00 P.M. for a webinar update on legislative happenings in New Jersey. Physicians are encouraged to ask their practice managers to participate and are welcome to attend. This webinar is FREE to members. Register today!
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DATE CHANGE!
Webinar: MSNJ's MPMS Presents: Common Modifier Q&A
Wednesday, July 9, 2014 from 12:00 P.M. to 1:00 P.M.
Our speaker will go over common modifiers, how they are used, and answer questions. Please submit your questions to info@msnj.org with "Modifier Webinar" in the subject line and we will do our best to address them during the webinar.
This event is $25 for MSNJ members, $50 for PAHCOM & NJMGMA members, and $100 for non-members.
Please note: Those who already registered will be automatically signed up to participate in this webinar.
Register
More information
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Free PCSS-MAT Webinar on "Assessment and Management of Opioid Use Disorders in the General Hospital Setting" on June 10 at 12:00 P.M. This presentation will provide some guidance on how to access and manage medical inpatients who may be requesting prescription opioids for non-medical reasons. Register online.
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SAVE THE DATE!
Attend a free "Do No Harm Symposium" on prescription drug abuse.
Choose from 3 convenient dates:
June 10 Morristown Medical Center
June 11 Community Medical Center
June 12 Cooper Medical School of Rowan University
This activity has been approved for AMA PRA Category 1 Credit™. More information.
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Bergen County Medical Society's Annual Meeting and Inaugural honoring Philip L. Micale, MD, will be held on June 12, 2014 at the Stony Hill Inn. Dinner is free to all members of the Medical Society. Kindly contact Anjanette Sumala at (201)489-3140 or www.BCMSNJ.org for more information.
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Middlesex County Medical Society will host their Annual Meeting on Tuesday, June 17 from 6:00 P.M. to 8:00 P.M. at Michael Baker's Barn, 93 Church Lane, East Brunswick, NJ. Complete and submit the registration form by June 3.
Mercer County Medical Society will host their Annual Meeting on Wednesday, June 25 from 6:00 P.M. to 8:00 P.M. at the Abud Family Foundation for the Arts Gallery. Complete and submit the registration form by June 11.
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| "Neonatal Abstinence Syndrome: A Clinical Primer" This free CME activity sponsored by the American Psychiatric Association, will provide physicians and other clinicians involved in the treatment of opiate use disorder with an overview of the incidence of Neonatal Abstinence Syndrome, the clinical presentation of Neonatal Abstinence Syndrome, and treatment options for this syndrome. Short and long-term outcome data for infants who have undergone NAS will also be reviewed. Integration of this information into clinical practice will better prepare physicians and other clinicians to educate pregnant women on the expectant clinical course for their infants after delivery. View the webinar.
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View June's Coding Tip of the Month for information on the Use of M Codes
Email us your coding questions! We will work with a certified professional coder to answer your question and may even address it in an upcoming coding tip.
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Attention physicians! Please take our benefits survey to help us better serve you with discounted products essential to your medical practice.
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News
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Legislative Update
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Sunshine Act: Payment Data to be Published September 30; MSNJ Objects to Timing & Dispute Resolution Process The Sunshine Act requires that transfers of value in the amount of $10 or more from the pharmaceutical industry to physicians be tracked and reported by the industry in a database that will soon be made public. MSNJ supports transparency but has a long history of objecting to this requirement believing that the administrative burden on physicians of tracking and verifying the di minimis value of a lunch outweighs the usefulness of this reported data to the public. MSNJ's delegation to the AMA will advocate that the threshold reporting amount be increased to $100 at the AMA Annual Meeting in Chicago next week. Meanwhile, implementation of the program dubbed the "Open Payments Program" continues:
- Step 1: Beginning June 1 physicians were able to register in CMS's Enterprise Portal;
- Step 2: Beginning in July physicians must take the second registration step to register in the Open Payments system (via the CMS Enterprise Portal)
- Step 3: Once the information is available, physicians will have a 45 day period to review and dispute the payment information
- Step 4: On September 30 the public will be granted access to the database.
Physicians will only have 45 days to review and to attempt correction of any reporting errors. Under the final rule on plan implementation, physicians and the industry would then have an additional 15 days to resolve disputes or the payment at issue would be flagged as "disputed." However, CMS and the Office of Management & Budget (OMB) have proposed that industry be allowed to unilaterally dismiss physician disputes; the payment amounts at issue would be reported without a dispute flag. MSNJ objects to the proposal that would allow industry to unilaterally dismiss a dispute. On June 2 MSNJ filed comments with CMS asserting that the proposal contradicts the final implementation rule and violates physicians' due process rights. We further urged CMS to delay release of the database to the public for at least six months to give physicians more time review the reported payments.
Physicians are urged to take the above two registration steps and to begin reviewing payments attributed to them as soon as possible. This will be a challenge because physicians will be seeing this data for the first time. Physicians are urged to participate in CMS's webinar on June 12 that will further explain the process. Register online. MSNJ has developed a webinar with Jennifer Searfoss, Esq., a nationally recognized healthcare attorney and practice management consultant, who will describe the program, and its pitfalls, on June 19. Register online.
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New NACCHO University Preparedness Podcasts Available
NACCHO University is a new learning platform offering professional development resources to assist local public health professionals develop their knowledge and competencies while advancing their careers. New interactive podcasts are now available on National Association of County & City Health Officials (NACCHO) University website from their 2014 Preparedness Summit in Atlanta.
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New Prescription Blanks Required August 18 Physicians must begin using the new prescription blanks on August 18, 2014. An updated list of approved printer vendors has been posted to the BME website.
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Employment Contract Review Program - New Benefit! Due to the changing healthcare delivery landscape and the increasing number of physicians who wish to be employed, MSNJ has developed an employment contract review program for its members.
MSNJ's Corporate Partner Law Firms will offer an initial legal consultation for a discounted flat rate of $500.* Initial consultation includes:
- preliminary review of the employment contract;
- a written summary of terms of concern; and
- a phone consultation with an attorney regarding contract provisions that may require modification or further negotiation.
Click here for more information.
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Practice Management
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ICD-10 Testing Week Results
In March 2014, CMS conducted a successful ICD-10 testing week. Testers submitted more than 127,000 claims using ICD-10 codes to the Medicare Fee-For-Service (FFS) claims systems and received an electronic confirmation that their claims had been accepted. About 2,600 providers, suppliers, billing companies and clearinghouses participated in the testing week, about five percent of all submitters. Clearinghouses submitting claims on behalf of providers were the largest group of testers, submitting fifty percent of all test claims. Nationally, CMS accepted eighty-nine percent of the test claims, with some regions reporting acceptance rates as high as ninety-nine percent.
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Current EDI Forms
EDI is required to ensure that all EDI Enrollment forms are the most up-to-date. Starting July 1, 2014, EDI Services will return all EDI Enrollment forms that contain a form revision date older than 01-14. EDI Vendor Agreement forms that contain a form revision date older than 09-13 will be returned as well. The revision date is shown in the left hand corner of the form. Please note: Existing Edi Customers are not required to complete a new version of the enrollment form at this time, unless you need to make changes to your existing EDI setup.
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Submit Your Questions for MSNJ's Upcoming Modifier Webinar
Many members expressed interest in a webinar dedicated to modifiers. In response, we are hosting a webinar on July 9 and we need your help with questions. Please submit your questions to info@msnj.org with "Modifier Webinar" in the subject line and we will do our best to address them during the webinar. Thank you in advance for your input! Register!
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Important EHR Incentive Program Deadlines
This is the last year (2014) that Eligible Professionals (EPs) can start participating in the Medicare EHR Incentive Program to receive incentive payments. EPs who begin participation in the Medicare EHR Incentive Program after 2014, will not be able to earn an incentive payment for that year or any subsequent year of participation. If you choose to participate in the program for the first time in 2014, you should begin your 90-day reporting period no later than July 1, 2014 and submit attestation by October 1, 2014 to avoid the payment adjustment in 2015. Read more.
If you were unable to successfully demonstrate meaningful use for 2013 due to circumstances beyond your control, CMS is accepting applications for hardship exceptions to avoid the penalty for the 2013 reporting year. Applications for individual eligible professionals and eligible professionals submitting multiple NPIs are available. CMS will review the application to determine whether or not you are granted a hardship exception. Applications for the 2015 penalty are due July 1, 2014. If approved, the exception is valid for one year. Tipsheets are available on the CMS website. Use this timeline to determine which year you will demonstrate Stage 1, Stage 2 and Stage 3 of meaningful use.
CMS and the ONC released a Notice of Proposed Rulemaking (NPRM) allowing providers participating in the EHR Incentive Programs to use the 2011 Edition of certified electronic health record technology (CEHRT) for calendar and fiscal year 2014 and extending Stage 2. Read more. |
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Avoid the 2016 PQRS Penalty
Eligible professionals and group practices that fail to successfully report data on quality measures during 2014 will be subject to a two percent reduction on Medicare Fee Schedule amounts for services furnished by the eligible professional or group practice between January 1, 2016 and December 31, 2016. Read more on how to avoid the penalty.
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Guides for Submitting Stage 2 Meaningful Use Data through Attestation System
CMS has posted step-by-step guides for Eligible Professionals (EPs) to help navigate the CMS Attestation System. Please note that Medicaid EPs and Medicaid-only Eligible hospitals must attest through their State Medicaid Agency's website.
Other Stage 2 resources include:
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Use of Modifier 59 - Revised Guidance
CMS has clarified the proper use of Modifier 59:
- Use Modifier 59 for different anatomic sites during the same encounter only when procedures which are not ordinarily performed or encountered on the same day are performed on different organs, or different anatomic regions, or in limited situations on different, non-contiguous lesions in different anatomic regions of the same organ.
- Use Modifier 59 when the procedures are performed in different encounters on the same day.
- Modifier 59 is used inappropriately if the basis for its use is that the narrative description of the two codes is different.
- Other appropriate uses of modifier 59 include:
- For two services described by timed codes provided during the same encounter only when they are performed sequentially.
- For a diagnostic procedure which precedes a therapeutic procedure only when the diagnostic procedure is the basis for performing the therapeutic procedure.
- For a diagnostic procedure which occurs subsequent to a completed therapeutic procedure only when the diagnostic procedure is not a common, expected, or necessary follow-up to the therapeutic procedure. Please see CMS's revised guidance for details.
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Corporate Partners
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DeCotiis, FitzPatrick & Cole, LLP - Gold Level Partner
Address: Glenpointe Centre West, 500 Frank W. Burr Boulevard, Suite 31, Teaneck, NJ 07666 Phone: 201-928-1100 Fax: 201-928-0588 Website
DeCotiis, FitzPatrick & Cole, LLP, is a full-service law firm with eighty attorneys headquartered in Teaneck, New Jersey, with a satellite office in Trenton, New Jersey. We are a group of skilled, experienced attorneys who practice in a wide variety of specialties. A partial list of our practice areas includes healthcare law, real estate, labor law, public procurement, litigation, environmental law, public finance, tax, municipal law, government and regulatory affiars, corporate law, banking and bankruptcy. |
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Cintas Document Management - Bronze Level Partner
Contact: Jeff Myers Address: 312 Adamsville Road, Bridgewater, NJ 08807-2914 Phone: 908.575.7771 Fax: 908.575.7716 E-mail: myersj3@cintas.com Website
HIPAA requires the use of "reasonable safeguards" to protect patients' health information. Cintas's shredding services provide secure, convenient, and cost-effective on-site document destruction. Cintas has the ability to service your practice daily, weekly, monthly, quarterly, or on an as-needed basis. Cintas will shred documents, discs, film, etc. in minutes (no need to remove staples, binders, etc.) at your doorstep and provide you with a certificate of destruction.
MSNJ members receive a discounted rate.
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Halo Health International - New Benefit!
Medical Media Solutions, a division of Halo Health, places health and wellness video monitors in physician office waiting areas, exam rooms, healthcare facilities, and staff break rooms that educate patients, caregivers and staff on the benefits of living healthier. To increase communication and the effectiveness of treatment between the physician and their patients, the educational information is customized to the physician specialty, spotlighting services provided at the office or within the health system and community events/outreach programs that affect the patient population in the office. The educational information focuses general health and wellness as well as preventative care on such disease states as Diabetes, HTN, COPD, Asthma, Smoking Cessation. Topical national campaigns such as the Red Dress, Breast Cancer Awareness added to keep patients engaged. The core focus on the educational information is to highlight and promote the products and services that make your practice unique to the community you serve. As a MSJN member, we are offering a discounted program of $1500 per system per year. This includes the set up hardware, installation, customized content and on-site maintenance, we only need access to your internet and power. We also offer the ability for you to promote your practice in local, non-competitive offices.
To take your practice to the next level, we also offer a patient tablet program that follows the patient from check in, the exam and check out. The program contains health and wellness topics that direct patients to websites for diabetes, asthma, smoking cessation, diet and nutrition, and other important topics. As a MSNJ member, the program only costs $100 per quarter per tablet plus the cost of the tablets.
Click here to access the discount.
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Member Discount!
Take advantage of your in-store, Macy*s Business Smart Pass from June 15 through July 14, 2014. As an MSNJ Member, save 15% all day, as many times as you want. See Pass for further details. Save on designer brands, such as Calvin Klein, Lauren Ralph Lauren, Jones New York, DKNY, Michael Kors, Ann Klein, Polo Ralph Lauren, Tommy Hilfiger, etc. Download your pass today.
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The Economist, limited time offer!
Enjoy our current offer before the price goes up! The Economist has announced an increase effective 6/19. Order now, before the new, $127.00, price takes effect.
MSNJ is proud to offer 3 new member benefits!:
Audi - Princeton Audi is delighted to present all members of the Medical Society of New Jersey with an executive discount on all Audi Models (excluding the S6, S7, S8, RS5, RS7, and R8). Click here for more information.
Medline - Medline is proud to offer MSNJ members their top 25 physician office products at significantly discounted prices. Click here for more information.
Vitals.com - Vitals successfully connects the right patients to the right doctors, building your market share by helping you connect with new clients through search and websites. By engaging with an insured and affluent audience, Vitals adds a better payer mix to your patient population.
Vitals combines online advertising, search engine optimization (SEO), and lead generation to grow your physician referrals and appointments. Your presence on Vitals' high-traffic websites helps market your practice and build brand awareness, while focusing on new-patient acquisition. Vitals offers a 20% discount at individual and group practice level. Click here for discount information.
To view all member benefits, click here.
MSNJ Magazine Subscription Service
Subscription Services, Inc., does their very best to get you the lowest rates. As a member, you are eligible for the very lowest prices on magazine subscriptions as well as personalized hands-on customer service. Click "Shop for Magazines" to place new subscriptions, renewals, as well as gift order subscriptions. You can also inquire about titles you may be interested in. If you ever have a question regarding your order or your account, please call 1-800-603-5602, or use the contact page to communicate with a customer service
representative. And if you ever find a lower authorized price, they will match it!
Don't Overpay for Payroll
Easy Online SurePayroll gives you incredible value on a small practice budget, so you can increase your bottom line and avoid overspending on payroll. And as a Featured Benefit for MSNJ members, you will save up to 50% compared to traditional payroll providers. Get a Free Quote today.
Member Resource Guide
Check out the current MSNJ Member Resource Guide! Inside, you will find a complete listing of partners by service/product category, along with contact information. Also, be sure to check out the individual Corporate Partner pages on our website as some offer additional discounts to members!
It is important to note that MSNJ does not endorse any vendor, service, or product. However, we encourage members to please consider our Corporate Partners first as the financial support received from these organizations is vital to our association. It is our hope that their investment in MSNJ will help keep your membership dues and programming affordable.
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Medical Society of New Jersey
2 Princess Road, Lawrenceville, NJ 08648
(o) 609-896-1766 e-mail:
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About the Medical Society of New Jersey:
Founded in 1766, the Medical Society of New Jersey (MSNJ) is the oldest professional society in the United States. MSNJ promotes the betterment of the public health and the science and the art of medicine, to enlighten public opinion in regard to the problems of medicine, and to safeguard the rights of the practitioners of medicine. The organization and its members are dedicated to a healthy New Jersey, working to ensure the sanctity of the physician-patient relationship. In representing all medical disciplines, MSNJ advocates for the rights of patients and physicians alike, for the delivery of the highest quality medical care. For more information visit our website or send us an e-mail.
"Your Partner in Practice... Your Voice in Trenton"
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2014 © Medical Society of New Jersey. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise without the written permission of the Medical Society of New Jersey.
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