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   

Webinar: Horizon Patient-Centered Advantage EPO Plans

Wednesday, July 16, 2014 from 12:00pm-1:00pm

Speaker: Kevin Jennings, Network Specialist, Horizon BCBSNJ 

This webinar will review Horizon's new product offerings for July 1, 2014. Horizon will review the key features, benefits, network, and reimbursement for the Horizon Patient-Centered Advantage EPO plans.  

This event is free for MSNJ members, $25 for PAHCOM & NJMGMA members, and $75 for non-members

Register 

More information  

• Both high-level and detailed information about key aspects of the Medicare program
• A half-day basic track for those who are new to Medicare or who want a refresher
• A "Current Topics" session to raise awareness of program changes
• An update on the new Health Insurance Marketplace
• Casework exercises
• Medicare training modules and workbooks
• Networking opportunities with CMS staff and other partners who share your commitment

Join the Surgery Center Coalition on September 16 for "A Day of Compliance", for ASCs.

Listen to presentations on:

• Infection Control Update;
• OSHA;
• NJ State/NHSN Reporting;
• HIPAA, Security and Privacy;
• And more! 

View the agenda.

Register.

View July's Coding Tip of the Month for information on the use of L codes for diseases of the skin and subcutaneous tissue in ICD-10.  

Attention physicians! Please take our benefits survey to help us better serve you with discounted products essential to your medical practice.

MSNJ and New Jersey Dental Association (NJDA) proudly announce a joint effort to offer discounts to all of our members on prescription blanks. Participating vendors include:

POS® is a full-service print and electronic communication company that helps healthcare practices create and improve patient communication tools. POS® is your patient communication partner for everything from branded practice and patient education printed materials to patient statement processing and automated messaging services. Take advantage of our special offer available to members-

Nelson Press has been a manufacturer of quality printed materials for New Jersey Business since 1900. They were recently approved to print and sell the revised New Jersey Prescription Blanks for physicians. Special member pricing includes:

• 400 - Single Prescriptions - $60.00
  (Including Tax & Shipping)
• 800 - Single Prescriptions - $80.00
  (Including Tax & Shipping)
• 1200 - Single Prescriptions - $100.00
  (Including Tax & Shipping)

Now available to MSNJ Members: A Workers' Compensation "Health Services" Safety Group. This unique Workers' Compensation program guarantees up to a 20% up-front discount, the maximum allowable by law in New Jersey, and a back-end dividend of up to 40%.

For more information, view the flyer.

The Prudential Center is proud to offer MSNJ members a discount for their upcoming events. The following discounts are now available.

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. 

Each week, we will post a list of the top 5 issues that MSNJ is working on for you to use at meetings and to share with colleagues. Click here for this week's list. 

MSNJ Urges CMS to Delay Rule Concerning Medical Staff Structure
MSNJ joined the AMA and virtually all of organized medicine in a letter to CMS urging it to delay the effective date of a recent final rule that would allow multi-hospital systems to integrate hospital medical staffs into a single, system-wide medical staff. This represents a sea change in the structure of medical staffs under Medicare's Conditions of Participation. Historically, each hospital's medical staff has been organized under its bylaws. The rule allows medical staffs to opt-in or opt-out of a multi-system medical staff. However, given the July 11, 2014 effective date medical staffs do not have adequate time to consider the advantages and disadvantages of a single, integrated multi-system medical staff. There are outstanding questions to CMS on issues of physician licensure for multi-state hospital systems and peer review in addition to the inadequate time frame for medical staffs to amend bylaws.  Read a summary of the change by medical staff attorney, Elizabeth A. Snelson.   

Bill Introduced to Address Medicare Advantage Physician Terminations
The "Medicare Advantage Participant Bill of Rights" act has been introduced by Congresswoman DeLauro of Connecticut. If passed the bill would ban mid-year "without cause" terminations of Medicare Advantage network physicians; require plans to finalize their physician networks prior to open enrollment; and, require plans to provide adequate notice to seniors and ensure continuity of care.  MSNJ supports this bill.

MSNJ Expresses Concern Over ICD-10 Implementation

IRS Scam against Physicians

There have been multiple reports of an Internal Revenue Service (IRS) tax scam directed at physicians. According to the reports, someone is filing fraudulent federal income tax returns using physician names, addresses and Social Security numbers. From all appearances, the returns filed contain no personal income tax information other than the name, address and Social Security number of the involved physician. Read more about what to do if you are targeted.

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.

MSNJ along with the New Jersey Dental Association (NJDA) proudly announce a joint effort to offer discounts to all of our members on prescription blanks. See the member benefits section below for discount information.

Project Medicine Drop

Project Medicine Drop is intended to raise awareness of the prescription painkiller abuse problem in New Jersey and the proper disposal of these medications. Please post the appropriate county flyer in your office:

Save the Date: Policy & Strategy Panel

Thursday, July 24, 2014 5:30 pm

At MSNJ Headquarters 

Topics Include:

• Learn how to protect your online reputation, with a presentation from a leading national website provider
• Share experiences of access to care issues for insured patients, including those with new exchange products as we join a new project to educate policy makers (see the related article on the Sentinel Project) 

The Sentinel Project:  Are Health Plans Providing Essential Health Benefits? 

The Seton Hall University School of Law and the New Jersey Appleseed Public Interest Law Center started working on the Sentinel Project, a two-year effort to determine whether individual and small business health insurance plans in New Jersey are providing the "essential health benefits" required under the Affordable Care Act. This project will gather and analyze information on individuals who enroll in individual or small business health insurance plans but are not able to get the health care they need. Members are urged to read the Sentinel Project summary, post the flyer in their offices, and refer patients who have been denied medically necessary services to complete the project's intake form. Attend the PSP meeting on July 24 to learn more. 

Listen to an update on state legislative activity presented via webinar to MSNJ's Medical Practice Managers Section by Mishael Azam Esq., MSNJ's COO & Senior Manager of Legislative Affairs.

Fiscal Year Closes

There was a flurry of activity in the Legislature at the end of June, as the State's fiscal year drew to a close.  Here are the details of the Fiscal Year 2015:

Legislative action - The budget that the Democratic-controlled Legislature sent to the Governor was a $34.1 billion spending plan, 3.3 percent bigger than what Gov. Chris Christie signed last year. And it funds a number of Democratic priorities that Christie has cut in the last few years, such as women's health centers and a tax credit for the working poor.

The Democrats' budget also made a historic $2.25 billion payment for the cash-strapped pension system, imposed new taxes on personal income above $1 million and increased the corporate business tax. The electronic cigarette tax, proposed by the Governor to raise $35 million, was rejected by the Legislature and replaced with these wealth taxes.

Governor's action - The Governor reduced the budget to $32.5 million. He rejected the tax increases and reduced the pension payment to $680 million.  Though the funding is cut in half, one item that remained in the bill is funding for the Child Collaborative Mental Health Care Pilot Program. This program, which integrates primary care with mental health services, is supported by MSNJ, NJPA, AAPNJ and others.

Assisted Suicide

Novitas Solutions Address Change

Digital Privacy Notices

The winners of the Digital Privacy Notice Challenge were recently announced at the Health Datapalooza. View the winning model notices.

CMS Registration Began June 1 for Physicians

Two River Community Bank - Bronze Level Partner   

Contacts: Ross Zimmerman, SVP/Managing Director; Maria Cianci, Private Banking Officer; Michael Schutsky, Private Banking Officer; Edward Wurzel, Private Banking Officer
Address: 766 Shrewsbury Avenue, Tinton Falls, NJ 07724
Phone: 732-671-6897
E-mails: rzimmerman@tworiverbank.com, mcianci@tworiverbank.com, mschutsky@tworiverbank.com, ewurzel@tworiverbank.com
 Website 

Private Banking for Medical Professionals

You can count on us the way your patients count on you. With a tremendous amount of experience, our Private Bankers have assisted medical professionals in achieving their financial goals by providing favorable rates, impeccable service and state-of-the-art technology. We invite you to experience the benefits we provide...we're confident you'll be glad you did.  

About The Bank

Cape Medical Billing - Bronze Level Partner 

 

Contact: Rich Papperman, President
Address: 5 Locust Lane, P.O. Box 670, Cape May Court House, NJ 08210
Phone: 609.888-633-2457
Fax: 609.463.9180
E-mail:  info@CapeBilling.com
Website  

Gone are the days of "submit a bill and get paid". Insurers have deployed "armies" of people, using high end computers, with sophisticated software, in order to find ways to deny providers payment. This is "Revenue Leakage."  

 

At risk is the loss of tens of thousands of dollars in revenue to a practice.

 

Cape Medical Billing is the premier Medical Billing Service for Physicians, Surgeons, Physical & Occupational Therapists, and Ambulance companies.

 

Cape Medical Billing has a proven track record of reversing "Revenue Leakage" and maximizing revenue for clients. Our services and systems are designed to get you paid faster, (over 98.5% of CMB claims are paid on first submission), prevent rejections, track claims efficiently, and follow-up on unpaid claims and patient balances.  Please contact us for a free quote.

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.