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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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MLN Connects® National Provider Call: MACRA Listening Session: Quality Payment Program Proposed Rule
Tuesday, May 10, 2016 from 2:00pm to 3:00pm
More information and registration.
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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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NJHA CME Activity: Perspectives on Emerging Viral Threats: Moving Forward From Ebola
Monday, May 23, 2016 from 7:00am to 3:00pm at Hyatt Regency Princeton
More information and registration.
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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
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Corporate Partners
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Legal:
Giordano, Halleran & Ciesla - Silver 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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LAST CHANCE TO REGISTER! Registration closing tomorrow!
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
Lunch and Golf - 1:30 Shotgun Start
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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Drug Abuse
New guidelines for the treatment of pain in children have been issued. See the guidelines.
MSNJ continues to urge physicians to learn best practices in opioid prescribing. Please find an article on pediatric opioid prescribing eligible for 1 AMA PRA Category 1 Credit™.
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News
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Physician Alert! Medicare's Proposed Payment Rule
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) changes the way Medicare rewards clinicians for providing quality care by streamlining multiple quality programs into a new Quality Payment Program tied to Part B Fee-For-Service payments. With the implementation of MACRA and the replacement of the Sustainable Growth Rate, Medicare will pay clinicians participating in the Merit-based Incentive Payment System or Advanced Alternative Payment Models of the Quality Payment Program beginning in 2019. Learn about these new payment models and what you must do to avoid future penalties. Register for a listening session on May 10. Read AMA's MACRA Proposed Rule summary.
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CMS Face to Face Requirement Update
As previously reported and discussed at last year's PSP, we have been working to reduce the administrative burden of this requirement for home health referrals. The NJ Hospital Association and National Government Services are hosting a webinar on Friday, May 20 at 2:30 p.m. that will focus on the early lessons learned and trends from the audits of face-to-face encounter documentation. Read more.
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FSMB Does Not Adopt Policy Statement on Compounding The Federation of State Medical Boards conducted its annual meeting the last weekend in April and considered a statement on compounding by physicians. Some member allergists and immunologists objected to the policy and provided information to MSNJ that we shared with our Board of Medical Examiners before the FSMB annual meeting. We appreciate our state board's consideration of our members' concerns. The FSMB declined to adopt the policy statement. Read more.
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DOJ Objects to Dismissal of Deaf Litigant's Law Suit against Newark Physicians are urged to take heed of the Federal Government's position in a case concerning the requirement to provide sign language interpreters. A deaf individual sued the Newark Municipal Court for failing to provide him with a sign language interpreter during a court proceeding. Newark subsequently moved to dismiss the complaint. The U.S. Department of Justice filed a statement of interest objecting to a dismissal and asserting that the litigant has stated a valid claim under the Americans with Disabilities Act because he was excluded from full participation in the proceedings. Read more.
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Ex-Horizon Employee Alleges that Company Systematically Underpaid Claims An ex-employee of Horizon, who is engaged in litigation over wage discrimination, is also alleging that the company systematically underpaid claims. She alleges that underpayments were the result of a computer programming error and involved emergency care and pre-existing conditions. Horizon denies the allegations. Read more.
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Do you have an idea that will help shape the future of medicine?
With the launch of the AMA Healthier Nation Innovation Challenge, the American Medical Association is looking for you to provide the next big idea in health care! We're asking physicians, residents and medical students across the country to share their innovative solutions for improving the health of the nation. The three winning finalists will receive a total of $50,000 and access to a support network to accelerate their solutions. The deadline for all submissions is May 16, 11:59 p.m. ET.
Whether or not you submit an idea, be sure to provide feedback for the ideasyou like best. Feedback received by May 16, 11:59 p.m. ET will help to determine the finalists. Teams/individuals representing the top five ideas will pitch live at the AMA Healthier Nation Innovation Challenge event on June 11 in Chicago, during the AMA Annual Meeting, where a panel of judges will select the top three winning ideas. Join us there!
Visit innovatewithama.com for more information.
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Public Health
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NJ Zika Preparedness
The NJ Department of Health provided comments on preparedness at a roundtable last week. See coverage. For more information on emerging viral threats, attend NJHA's conference on May 23.
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CDC Launches Clean Hands Count Campaign Read more.
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Practice Management
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WEDI Prior Authorization Survey
The Workgroup for Electronic Data Interchange is conducting a survey of industry stakeholders on usage of the standard electronic transaction for prior authorization. The survey is specifically looking to collect information on the current usage and barriers to widespread implementation of the 278 standard electronic transaction for medical services prior authorization. Please take this survey by May 13.
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Open Payments Review and Dispute Period- Closes May 15
Physicians and teaching hospitals have until May 15 to review payments attributed to them. Drug and medical device makers are required to report certain payments made to physicians and teaching hospitals on an annual basis. Participation in the program is voluntary, but encouraged so that physicians and teaching hospitals can review and, if necessary, dispute payments before the information is made public on June 30, 2016. To review the data by May 15, you must register in both the CMS Enterprise Portal and the Open Payments system. If you registered last year, you do not need to register again in both systems.
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HATA Survey on Electronic Eligibility
The Healthcare Administrative Technology Association invites you to participate in a short survey to provide critical information regarding the major pain points that still exist with electronic eligibility. Your feedback will be used to develop recommendations that will be presented to industry decision makers with one representative voice and a collective strength that will encourage outcomes allowing you to continue delivering the best patient care. Take the survey through Tuesday, May 31. Thank you for your time and collaboration on this important initiative!
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Medicare Coverage of Substance Abuse Services
Read CMS' MLN Matters article on Medicare Coverage of Substance Abuse Services for a summary of available services for substance abuse disorders.
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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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