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Medical Society of New Jersey e-Newsletter
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Attention OMNIA Tier 2 Physicians:
Physicians who have been assigned to Tier 2 by Horizon for its OMNIA plans are encouraged to take our surveys to help us assess the impact of these plans.
- Tell us about the impact OMNIA has had on your practice.
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Tell us about the impact of OMNIA on continuity of care and the physician-patient relationship.
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Corporate Shopping Event: One Day Only - Wednesday, May 18, 2016
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Middlesex County Medical Society, Edison Chamber of Commerce and JFK Medical Center Presents: Medical Business Seminar - Excellence in Patient Experience with Ritz Carlton Expert Joe Quitoni
Thursday, May 19, 2016 at 5:30pm at JFK Conference Center
More information.
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Rutgers University Behavioral Health Care Presents: Wellness 360°: Lifestyle Interventions for Blending Physical & Behavioral Health
Thursday, May 26, 2016 from 8:00am to 4:30pm
Crowne Plaza Edison
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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NJMGMA PMC 2016 Conference
June 1-3, 2016
Tropicana, Atlantic City
More information. |
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Corporate Partners
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Banking:
Two River Community Bank - Bronze Level Partner
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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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Registration Closing Soon!
The 3rd Annual Physicians' Advocacy Conference
Friday, May 13, 2016 * 8:00am to 9:00pm
Seaview Hotel & Golf Club, Galloway, NJ
Please join us for this Dynamic, Statewide, Multi-Specialty Physician Advocacy Conference
Keynote Speaker: Honorable Stephen M. Sweeney
President of the New Jersey Senate
Three Exciting CME Workshops:
Workshop #1: Unraveling the Mystery of Insurance Audits
Learn to avoid audits, but also how to survive them.
- Ann Marie Apruzzi - Director, Healthcare Management, Clinical Code Integration and Medical Cost Programs, Horizon Blue Cross Blue Shield of New Jersey
- Deborah J. Winegard, Esq. - Of Counsel, Whatley Kallas, LLP
Workshop #2: Personalized Care: Improve Satisfaction and Quality
Learn about personalized care models to improve quality...and your bottom line.
- Andrew Pecora, MD, FACP, CPE - Chief Innovations Offi cer and Vice President of Cancer Services, John Theurer Cancer Center at Hackensack University Medical Center; Partner, Regional Cancer Care Associates; Professor of Medicine, New Jersey Medical School
- Maurie Markman, MD - President of Medicine and Science, Cancer Treatment Centers of America
Workshop #3: How Are Payers Ranking You In Terms of Cost and Quality?
Learn how payers are cost profiling physicians, the risk of misclassification and what it means for your practice. Learn about the importance of quality reporting through registries and how participation in a registry can improve both your practice's quality and ranking.
- Steven M. Goldman, Esq. - Partner, Kramer Levin Naftalis & Frankel LLP; Past Commissioner, NJ Department of Banking & Insurance
- Sanket Baralay - President and CEO, FIGmd
Enjoy Lunch and a Networking Break
Discounted golf or spa treatments are available. Or, schedule a one-on-one meeting with our exclusive vendors. You may also enjoy local tourist attractions with your colleagues.
Close the day with an exclusive OFFICERS' DINNER.
After a day of dynamic programming, MSNJ invites you to wind down at our Officers' Dinner. This dinner is complimentary to the Capitol Club members of MedAC, MSNJ's political action committee. Political contributions are a key part of physician advocacy and MedAC is the only statewide PAC that represents all physician interests.
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Legislative Update
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Tort Reform
Assemblywoman Nancy Pinkin introduced legislation to improve the affidavit of merit process. The bill would raise the bar for courts to waive the same-specialty affidavit of merit requirement for cases against physicians.
MSNJ, specialty societies and the NJ Civil Justice Institute support this bill, which will help many professionals against frivolous litigation, not just physicians. Stay tuned for action on this bill.
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Drug Abuse
The New Jersey Prescription Monitoring Program is being improved. We will now have interoperability with New York so physicians can see patient information from both states. Read more.
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News
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Tiered Networks
MSNJ is raising concerns with the state Department of Banking and Insurance about notice required of physicians participating in OMNIA. The policy, which comes with a record-keeping requirement and penalty, states that "participating physicians and other health care professionals who are treating/coordinating the care of members and/or dependents enrolled in an OMNIA Health Plan are required to discuss the cost sharing implications of using physicians, other health care professionals and facilities designated as OMNIA Tier 1 or Tier 2 with their patients or the parents, guardians or designated personal representatives of patients enrolled in an OMNIA Health Plan." See press coverage. See the policy overview.
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CMS Releases Proposed Medicare Payment Rule to Implement MACRA
The historic Medicare Access and CHIP Reauthorization Act (MACRA) repealed Medicare's flawed payment formula and replaced it with new physician payment policy that will allow new payment models. This week CMS released its proposed rules to implement those changes. AMA's President Steven J. Stack, MD, issued a statement that:
Our initial review suggests that CMS has been listening to physicians' concerns...In particular, it appears that CMS has made significant improvements by recasting the electronic health record (EHR) meaningful use program and by reducing quality reporting burdens.
The 962-page proposed rule appears to: reduce quality reporting measures; not require all-or-nothing EHR measurement or redundant quality reporting; and, reward physicians for clinical practice improvements based on care coordination, patient engagement and patient safety. "This proposed rule gives us an opportunity to provide thoughtful feedback to CMS in order to secure further improvements in the final regulations," Dr. Stack said. Read more.
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Settlement Illustrates Need for HIPAA Business Associate Agreements
Raleigh Orthopaedic Clinic, P.A. of North Carolina has agreed to pay $750,000 to settle charges that it potentially violated the HIPAA Privacy Rule by handing over protected health information for approximately 17,300 patients to a potential business partner without first executing a business associate agreement. Read the resolution agreement and corrective action plan.
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New Jersey Orthotics and Prosthetics Board of Examiners Vacancy
The Governor's Office of Appointments is looking for medical/surgical physician candidates to nominate to the New Jersey Orthotics and Prosthetics Board of Examiners. They are also in need of recommendations for prosthetic users who are unaffiliated with the industry and would be interested in serving on the Board. This board is responsible for regulating the sale of orthotic and prosthetic devices, which are devices used to enable the disabled to function better and increase their mobility. The board licenses orthotists and prosthetists. This position is a three year term. More information.
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De Groote Award Nominations
MSNJ is accepting nominations for the De Groote Award which will be conferred at the MSNJ Inaugural Gala of the incoming 224th President, Joseph Costabile, MD on July 23, 2016. The De Groote Award was established by resolution to honor the selfless work of Dr. Robert De Groote in service to the medical profession. The De Groote Award will be given to the individual whose selfless and idealistic work benefits humankind and not him or herself.
Nominations should be made by submitting a brief narrative to info@msnj.org by the close of business on Friday, May 6, 2016. |
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Lifetime Achievement Award
MSNJ is accepting nominations for the Lifetime Achievement Award, which will be presented at the Inaugural Gala of the incoming 224th President, Dr. Joseph Costabile, on July 23, 2016. Submit a short paragraph to info@msnj.org describing their commitment to the Medical Society. |
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Practice Management
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CMS Delays Enforcement of the Medicare Part D Prescriber Enrollment Requirements to February 1, 2017
CMS is now recommending that physicians, who write prescriptions for covered Part D drugs and are not currently enrolled in or opted out of the Medicare Program, to submit an enrollment application or an opt-out affidavit to Novitas by August 1, 2016. Read more. You may submit your enrollment application electronically using the Internet-based Provider Enrollment, Chain, and Ownership System (PECOS) or by completing the paper CMS-855I or CMS-855O application. Due to member concerns, MSNJ has asked for guidance from Novitas on how this requirement affects physicians with retired active (reduced fee) license status. Novitas has confirmed that retired active licensees may file an opt-out affidavit, or the CMS-855O
application as an alternative to opting out, in order to continue prescribing for Part D beneficiaries. More information.
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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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2016 © 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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