MSNJ Presents:  

The Sunshine Act - Financial Interest Data Disclosure: Refuting Open Payments Data

Wednesday, July 30, 2014 from 12:00pm-1:00pm

Speaker: Jennifer Searfoss, Esq., Searfoss Consulting Group, LLC

Attention physicians and practice managers: Now is the time to begin reviewing your data in the Open Payments System. The review and dispute process opened on July 14th and will end on August 27th. Be sure to tune into our webinar that will explain how to review your data and submit a dispute.

This event is $25 for MSNJ members, $50 for PAHCOM & NJMGMA members, and $100 for non-members.

IMPORTANT NOTICE AND INFORMATION ABOUT LICENSE RENEWAL AND CME!

"The New Jersey Board of Medical Examiners requires 100 continuing medical education credits, of which at least 40 of such credits shall be in Category I. Commencing with this biennial renewal period which started on July 1, 2013, two of the 40 credits in Category 1 courses shall, pursuant to P.L. 2011, c. 145 (C.45:9-7.7), be in programs or topics related to End-of Life care."

MSNJ has made arrangements with an on-line resource (Education in Palliative and End-of-life Care) for you to obtain the credits needed via long distance learning - and at a 15% discount to members. MSNJ members, please click here to obtain the promo code.

The following modules are thought to meet the requirements. Each module is designated for 1 AMA PRA Category 1 Credit™ (cost to MSNJ members about $25.50 per credit)

• Gaps and Elements of Care
• Legal Issues
• Whole Patient Assessment
• Physician Assisted Suicide
• Last Hours of Living
• Withholding/Withdrawing Treatment
• Medical Futility

Choose two that meet your needs!

Further, "If a licensee believes that this mandate has little applicability to his/her practice area, waivers or extensions can be requested. The licensee, within 60 days of the expiration of the biennial renewal period, (i.e., by April 30, 2015) needs to send to the  Board office, by certified mail, return receipt requested, or other proof of delivery, a letter explaining why such waiver/exemption is applicable. If granted, the extension or waiver is effective for the biennial licensure period in which the extension and/or waiver is granted. If the reason(s) which necessitated the extension and/or waiver continues into the next biennial period, the licensee shall apply to the Board for the renewal of such extension and/or waiver for the new biennial period."

• 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.

PCSS-MAT Online Module: Buprenorphine Waiver Training Advanced Review

Free PCSS-MAT Online Module - Patient-Centered Urine Drug Testing: Facts you should know!

New PCSS-O Archived Webinar: Non-Opioid Pharmacologic Management of Chronic Pain: A Primer.

This webinar will examine and compare non-opioid medications for pain management that may be used alone, as adjuncts to opioids, and/or in conjunction with non-pharmacologic modalities, to improve the life and function of the chronic pain patient. Watch now! View the presentation slides.

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

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-

SPECIAL MSNJ/DSNJ RATE:

• 5 PADS/500 sheets= $66.60
• 10 PADS/1000 sheets= $78.00
• 20 PADS/2000 sheets= $117.45
• 40 PADS/4000 sheets=$172.80

For higher quantities please contact POS®.

Laser RX Sheets for printers also Available!

• 1000 laser RX sheets= $156.75
• 2000 laser RX sheets= $255.00
• 4000 laser RX sheets= $453.00

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)

 
American Express Global Corporate Payments, in collaboration with Essesna/Innovatix Purchasing Group, is introducing a new offering on their Purchasing Card program.

For qualifying members, benefits Include:

• Cash back on all spending starting from dollar one.  
• 100% company liability. No personal guaranties.
• No Card fees. No annual fees.
• No Fee Access to the Essesna buying group, offering deep discounts with over 2,000 vendors.
• A suite of payment solutions that can help automate vendor payment and AP reconciliation processes.

View the flyer. Click here to access the discount.

Policy & Strategy Panel

Thursday, July 24, 2014 5:30 pm

At MSNJ Headquarters 

MSNJ congratulates three New Jersey hospitals ranked in the top 10 for the New York metro area in the U.S. News & World Report Best hospital rankings:

• Hackensack University Medical Center
• Morristown Medical Center
• Robert Wood Johnson University Hospital - New Brunswick

Read more about other high ranking New Jersey hospitals and a discussion by MSNJ past-president Dr. Rick Scott, senior vice president, clinical effectiveness for Meridian, on the importance of transparency and these reports.  

UPDATE: New Prescription Blanks - Certificate of Destruction Requirement

Under the Uniform Prescription Act, physicians destroying old unused prescription blanks must notify the NJ Drug Control Unit (DCU) of the destruction by completing a certification of destruction. The certification of destruction is meant to be a provider protection that helps prevent stolen, forged, altered or counterfeited prescriptions. The witness of the destruction of the blanks must complete the form; the witness may not destroy the blanks him/herself. The DCU requires a different certification form to be submitted for each unique batch number or order month. A copy of the first and last serial numbers in the batch must also be submitted. Blanks may be destroyed by shredding, burning, pulping or pulverizing, so long as they are rendered unreadable. Questions should be addressed with the DCU at 973.504.6200 or NJPB@dca.lps.state.nj.us.

Reminder: 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.See the member benefits section for MSNJ discount information.

Key Provisions of Proposed Medicare Physician Fee Schedule for 2015
CMS published its proposed rule on Medicare's payment schedule and policies on July 11. Comments on the proposal are due on September 2. Key changes in the proposal include:

• Doubling the value-based modifier (VBM) penalties to 4% and subjecting all physicians to 2017 VBM adjustments based on performance in 2015;
• Extending the VBM to ACOs and other alternate payment models;
• Eliminating global surgical services by 2018;
• Reducing the opportunity for comment, review time, and implementation for changes in local coverage determinations (LCDs) for clinical laboratory tests; Read more. 

MSNJ Legal Team Protects Physicians Rights in Class Action Settlement

On July 9, the New Jersey Federal District Court granted final approval to a settlement agreement reached in the case of McDonough v. Horizon.  The case was brought by Horizon subscribers and the New Jersey Psychological Association, who alleged that the Ingenix data-base and Horizon's calculation of fees for out-of-network psychologists were insufficient. The plaintiff class excluded physicians, but was of concern to MSNJ because of the broad release provision. Prior to the fairness hearing, MSNJ counsel negotiated to remove the release provision's revocation of patient assignment rights. This eliminated the concern that the proposed release might extinguish the rights of physicians to collect on out of network benefits assigned by Horizon patient/subscribers to their physicians. The final settlement agreement included the negotiated amendment.   

Sunshine Act Update: Open Payments Registration and Review/Dispute Process Began July 14  

Registering in the Open Payments system is voluntary, however, it is a mandatory process if physicians want to review and dispute the data submitted by manufacturers and group purchasing organizations (the Industry) before the data is posted to the public on September 30, 2014. Any data disputes must be filed on or before August 27, 2014, in order to be reviewed and possibly corrected by the Industry which before going public, will be able to submit dispute corrections beginning August 28 through September 11. Please Note: Registration is a two-step process. Physicians must first register for the Enterprise Portal before registering for the Open Payments System. View MSNJ's archived webinar regarding the complicated Enterprise Portal registration process. Read more on how to prepare for the review and dispute process. View AMA's Sunshine Act resources.   

CMS' MLN Connects™ will host a National Provider Call on July 22 on this topic. Listen to a brief introductory presentation about Open Payments and an overview of the registration and review and dispute process. Register.

Register for MSNJ's upcoming webinar that will provide an in depth look into: The Sunshine Act - Financial Interest Data Disclosure: Refuting Open Payments Data
Wednesday, July 30, 2014 from 12:00pm-1:00pm

Attention Members! The first United States case of the Chikungunya virus was diagnosed last week in Florida. This vector borne virus, is transmitted from mosquitoes to humans and causes symptoms such as fever and intense joint pain. Please be aware of this virus when traveling. For more information, view the NJ Department of Health's webpage.  

Attention Physicians: Please Help MSNJ Medical Student Member by Taking 5 Minute Obesity Survey

A rising second year medical student at the Rowan School of Osteopathic Medicine and MSNJ medical student member has asked for MSNJ's help in getting physicians to participate in a survey that is part of her summer project for Rowan-SOM's Research Fellowship Program. The project will assess the topic of obesity management. Physicians of all specialties are encouraged to participate in the 5 minute survey.

Medicaid Transitions More Coverage to MCOs

On July 1, 2014, the Department of Human Services (DHS) launched the Managed Long-Term Services and Supports (MLTSS) program, which drives more Medicaid services through the Managed Care Organizations (MCOs). MLTSS will effectively transition coverage for specified long term services (such as: personal care, respite, home and vehicle modifications, home delivered meals, and mental health and addiction services) from Medicaid fee for service to the MCOs. In addition, participants in the following Medicaid Waiver programs will be automatically enrolled in MLTSS through their current MCO: AIDS Community Care Alternatives Program (ACCAP); Community Resources for People with Disabilities (CRPD); Traumatic Brain Injury (TBI) Waiver; and Global Options for Long-Term Care (GO). The DHS will provide regional provider educational sessions on MLTSS. Read more.

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.  

Novitas Coordination of Benefits Crossover Issue

New AMA ICD-10 Practice Training Program

The AMA has developed a new on-site consultation program, "Train with AMA" to get your practice up to speed on the latest coding guidelines and information. Physicians and office staff can choose from one of the following three training programs:

• AMA Guides® Sixth Training
• CPT® Changes Workshop
• ICD-10-CM Workshop

IHCAP Notice Requirement for Physician Offices

The New Jersey Department of Banking and Insurance (DOBI) recently adopted regulations requiring physician offices to post notice regarding patient rights under the Independent Health Care Appeals Program (IHCAP). MSNJ provided comments to DOBI on the proposed regulations requesting that the notice include language that clarifies that IHCAP may not apply to all patient plans. We thank DOBI for honoring our request. Note that IHCAP does not apply to most government-sponsored coverage, such as Medicare, the Federal Employee Health Benefits Program, the New Jersey State Health Benefits Program and self-funded plans according to DOBI.  The notice language may be downloaded from DOBI's website. The notice must be posted by August 3, 2014, include the specific content from DOBI's website, and be printed on at least 8 ½" by 11" paper with 12-point type or larger. Physicians may choose to print it on larger paper, in order to incorporate all the information on one sheet; in this case the text must also be at least 12-point type. MSNJ created a one page sample notice, for member use. Please feel free to download, print, and post this legal sized (8 ½" by 14") poster in your office.

MD Success - Bronze Level Partner   

Contact: Leslie Hack
Address: 538 Lippincott Drive, Marlton, NJ 08053
Phone: 856-596-3060
E-mail: lahack@mdsuccess.net
Website 

MD Success is a medical consulting company founded by Michael J. Lahoud, a medical practice consultant with 25 years of experience. Our focus is to create healthier practices across all specialties - from an operational as well as fiscal perspective. MD Success associates often fulfill the role of practice administrator and business advisor, educating physicians on key aspects of their business. Our expertise on the business side allows physicians to focus on practicing medicine. MD Success is the only consulting company which includes customer experience, billing and collections as well as marketing. 

Nixon Uniform Service & Medical Wear - Bronze Level Partner 

 

Nixon is the market leader in medical wear and linen services, serving more than 6,000 healthcare locations across the Northeast and mid-Atlantic. Nixon provides, launders, and delivers customized healthcare apparel, patient gowns, linens, towels, floor mats, and other reusable, patient-preferred products in compliance with OSHA, CDC, APIC and Joint Commission standards. To find out more visit www.nixonmedical.com or call 866-300-5608.

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.