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Medical Society of New Jersey e-Newsletter
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PCSS-MAT Webinar: Enhancing Clinical Treatment Through Use of Prescription Drug Monitoring Programs
December 8, 2015; 12:00pm to 1:00pm
More information.
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Rutgers 26th Annual HIV Medical Update
December 9 from 8:30 am - 3:15 pm at Crowne Plaza Cherry Hill
More information.
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AMA Free Webinar: Break Through the Prior Authorization Roadblock
December 9 at 1:00pm
More information.
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Save the Date! MSNJ's 2016 Advocacy Conference and House of Delegates Meeting
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Save the Date! MSNJ's 250th Anniversary Celebration and Inaugural Gala honoring Dr. Joseph Costabile
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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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Legislative Update
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Out of Network Legislation
The Assembly Financial Institutions and Insurance Committee released A.4444, the "Out-of-network Consumer Protection, Transparency, Cost Containment and Accountability Act." MSNJ continues to oppose this legislation. See press coverage and our recent quote.
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OMNIA Tiered Network
Mercer County Medical Society President, Dr. Steven Orland, and MSNJ lobbyist, Mishael Azam, testified about concerns regarding physician contracts and network adequacy at a joint committee hearing on tiered networks this week. See press coverage. More press coverage.
On Monday, DOBI Acting Commissioner Richard J. Badolato issued a 40-page order denying a request by the Tier 2 hospitals to delay OMNIA's implementation.
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Drug Abuse
Abuse Deterrent Drugs
MSNJ member, Dr. Peter Staats, has published an opinion piece in favor of abuse deterrent drugs. MSNJ supports A.4271.
Physician Mandates MSNJ continues to help physicians with the implementation of the PMP law. See our guidance. We are also opposing further physician mandates in the form of statutory requirements for uniform and documented informed consent. See our press statement.
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Federal Legislation - Promoting Access, Competition, and Equity Act of 2015 or the PACE Act of 2015
MSNJ has signed on to a letter supporting this bill, which would partially lift the ban on new physician-owned hospitals and also address limitations on the growth of existing facilities. Under current law, expansion of physician-owned hospitals is subject to certain limitations, such as those regarding the extent and frequency of expansion and requiring community output. The bill suspends these limitations with respect to applications for expansion filed before October 1, 2019. Read more.
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Federal Legislation - U.S. Senate set to OK Republican bill unraveling health care law
Read More.
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News
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Congratulations to MSNJ's Immediate Past President, Dr. Paul Carniol for receiving The Fred Honold Award for Community Service. Read more.
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December 16 Deadline to Request PQRS and Value Modifier Informal Review
Time is running out to file an informal review, if you think your practice has been incorrectly assessed for the 2016 PQRS and/or Value Modifier negative payment adjustments. Your practice could face a Medicare payment cut of up to 2-4%, if you do not successfully participate in these programs. Submit your request for PQRS and/or Value Modifier informal review online through the Quality Reporting Communication Support Page. Read the CMS tipsheet for more information. Please note, the informal review system will be periodically down for maintenance from December 3-7.
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New Study Reveals Increased Administrative Burdens, Reduced Reimbursements are Top Concerns Among NJ Physicians
Read the findings of the study.
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Philadelphia Medical School to Open Branch Campus at Two Atlantic Health Hospitals
Atlantic Health System and the Sidney Kimmel Medical College at Thomas Jefferson University have signed an agreement establishing a branch campus of the medical school at Atlantic's hospitals in Morristown and Summit. Read more.
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Lahey Hospital and Medical Center HIPAA Settlement over Stolen Laptop
Lahey Hospital and Medical Center has agreed to pay $850,000 for potential violations of the HIPAA Privacy and Security Rules with the Department of Health and Human Services, Office for Civil Rights.
Lahey Hospital reported a stolen laptop from an unlocked treatment room during overnight hours on August 11, 2011. Along with the settlement, they will have to adopt a robust corrective action plan to correct deficiencies in their HIPAA compliance program. Read the resolution agreement and corrective action plan.
Read HHS's tips on how to protect and secure health information when using mobile devices.
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Public Health
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New Jersey Observes World AIDS Day 2015. Read more.
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Pentacel® Manufacturing Delay
The CDC has informed the New Jersey Department of Health of a Pentacel® (DTaP-IPV/Hib) vaccine manufacturing delay. Read more.
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Practice Management
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PIP and ICD-10
PIP carriers are not considered covered entities under HIPAA and therefore are not obligated to transition to ICD-10. However, it is our understanding that many PIP carriers in NJ are already accepting claims with ICD-10 codes. The Department of Banking and Insurance recently updated its ICD-10 transition guidance regarding PIP Attending Provider Treatment Plans. Read DOBI's FAQ for more information.
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2016 EHR Negative Payment Adjustment
Information is available for the 2016 EHR Negative Payment Adjustment for eligible professionals. Read the tipsheet. More information.
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New Influenza Virus Vaccine Code
A new influenza virus vaccine code, 90630 has been added (Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, for intradermal use) for claims with dates of service on or after August 1, 2015. View the vaccine pricing. Read more.
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Novitas Releases Articles to Help You to "Increase Your Bottom Line"
Novitas Solutions has started to roll out a series of "Increasing Your Bottom Line" articles geared specifically to help Medicare Part B providers submit Medicare Part B claims accurately the first time. The next article, "Increasing Your Bottom Line: Using Modifier QW to Indicate a CLIA Waived Laboratory Test" is now available.
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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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