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Medical Society of New Jersey e-Newsletter
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| Rutgers New Jersey Medical School in collaboration with the New Jersey Department of Health has developed two new CE certified interactive programs "Get Smart New Jersey About Antibiotic Resistance" intended for primary care clinicians involved in the healthcare of children and adolescents.
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NJMGMA Fall Educational Event - 2016 Health Care Update Forum
Hosted on two different dates and locations:
- October 23, 2015: 8:00am to 12:00pm - Adelphia Restaurant, Deptford, NJ
- October 27, 2015: 8:00am to 12:00pm - Hotel Woodbridge at Metropark, Iselin, NJ
More information and registration.
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MSNJ Corporate Partner, Brach Eichler will host a free seminar, "Is Your HIPAA Security Rule Compliance Missing the HITECH Express Train?" on Tuesday, October 27 from 12:00pm to 2:00pm at the Offices of Brach Eichler. Hundreds of covered entities and business associates will be targeted by the Office for Civil Rights. Brach Eichler will provide guidance on how to identify your areas of non-compliance and how to fix them. More information and registration.
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Rutgers Robert Wood Johnson Medical School will host a Brown Bag Lunch and Learn Seminar on The Conversation: A Revolutionary Plan for End-of-Life Care on Tuesday, November 3 at 12:00pm at Rutgers Conference Room 1302, Clinical Academic Building. More information.
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Novitas Solutions will host their 2015 Medicare Symposium in our area on the following dates:
- November 10, 2015 - East Windsor, NJ
More information.
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News
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ERISA Plan Must Advise Physicians of Right and Time Limit to Sue for Denied Benefits
The 3d Circuit Court of Appeals has found that there is an obligation on behalf of ERISA plan administrators to provide information in the notice denying benefits of the right to sue and any time limitation. In Mizra v. Insurance Administration of America, Dr. Mizra obtained an assignment of benefits which the parties agreed allowed him to step into the shoes of the patient to sue. The plan did not advise that there was a one year time limit to file and argued, unsuccessfully, that the suit was time-barred.
This case follows on another recent 3d Circuit Court of Appeals decision, North Jersey Spine & Brain v. Aetna, in which the court found that no particular "magic words" were required for the assignment of benefits to be effective; an assignment of the right to payment is sufficient to confer standing to sue. MSNJ, together with the AMA, filed an amicus brief in that successful case which is part of our legal advocacy on behalf of our members.
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Comment Period Extension
CMS has announced that they will extend the comment period for the Request for Information for the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). The comment period will now close on November 17, 2015.
Read Illinois State Medical Society's article on the simplified requirements for Meaningful Use reporting.
Read Kern Augustine's article on the revised current and final Stage 3 EHR rules.
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New Jersey Awarded Grant for Certified Community Behavioral Health Clinics
The Substance Abuse and Mental Health Services Administration (SAMHSA), as well as CMS and the Assistant Secretary of Planning and Evaluation (ASPE), awarded $22.9 million to support states throughout the nation, including New Jersey, in improving behavioral health of their citizens by providing community-based mental and substance use disorder treatment. Read more.
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5 Contracting Keys for Success in an Alternative Payment Model
Determine whether new payment models will work for your practice and patients by reading AMA's article on "5 contracting keys for success in an alternative payment model."
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Legislative Update
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Out of Network
MSNJ continues to negotiate out-of-network legislation. See press coverage.
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Drug Abuse
As a reminder, the PMP law goes into effect on November 1st (but delegation is not allowed until regulations are finalized). See our guidance document. In addition, the CDC has released draft guidelines on opioid prescribing. Read AMA's response, which we support. President Obama has also issued guidance on prescriber education. Further AMA resources on drug abuse can be found on their website.
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Epinephrine
The Senate Health Committee has passed S.2884, which would permit administration of epinephrine auto-injector device by persons who complete approved educational program. The bill would allow standing orders and prescriptions to family members and other non-end users, after certain training, and with immunity. The bill passed the Assembly Health Committee in March, 2015.
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Student Cardiac Health
As a reminder, read our guidance on the new education requirement on cardiac health.
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Practice Management
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ICD-10: The First Two Weeks
It has been over two weeks since the October 1 start date for ICD-10 and we would like to hear about your experience. While we encourage members to report claims payment and processing issues related to ICD-10, we also want to hear about transitions that went well. Please tell us about your practice's transition experience by emailing ashiber@msnj.org with "ICD-10 Transition" in the subject line. Resources are available at www.msnj.org/ICD-10.
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First Healthcare Compliance: Free Workplace Posters
First Healthcare Compliance provides a list of resources to obtain free workplace posters and also tips for dealing with a potential Equal Employer Opportunity Commission issue. Read their blog and participate in their archived webinar.
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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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2015 © 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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