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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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MSNJ's 2016 Advocacy Conference and House of Delegates Meeting
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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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AudioEducator Live Audio Conference with Tom Force, Esq.: The Nuts and Bolts of Being an Out-of-Network Medical Practice in the 21st Century
Thursday, May 26, 2016 at 1:00pm
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 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:
Valley National 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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Our 2016 Advocacy Conference is tomorrow!
Registration is closed.
Walk-ins are welcome!
The 3rd Annual Physicians' Advocacy Conference
Friday, May 13, 2016 * 8:00am to 9:00pm
Seaview Hotel & Golf Club
401 S New York Rd, Galloway, NJ 08205
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.
- 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
Enjoy lunch, then discounted golf or spa treatments. 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.
View the full brochure!
Be sure to check out our 2016 exhibitors:
Advanced Data Systems Corp.
Arthur Gallagher & Co.
Campanella Law Office LLC
Cancer Treatment Centers of America
CareVitality, Inc.
CBAY Transcription Services, Inc.
ConnectOne Bank
First Healthcare Compliance
First National Bank of Absecon
Kern Augustine
MDAdvantage
Med Request Solutions Inc.
Medical Revenue Systems
Medline
MSNJ Risk Advisors
New Jersey Drug Card
Nisivoccia LLP
Nixon Uniform Service & Medical Wear
NJ Division of Consumer Affairs
Performance Marketing
POS - Professional Office Services, Inc.
Practice Builders
Princeton Insurance
ProCure Proton Therapy Center
QualCare, Inc.
Seabrook House
Simplegrid Technology, Inc.
Touchstone Crystals
UnitedHealthcare
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MSNJ 2016 House Delegates
Representing our 250th Year
Saturday, May 14 at 8:30 a.m.
Registration 7:30am
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News
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Physician Alert! 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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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. Read an article covering three highlights in the MACRA proposed rule that providers need to know. Read AMA's MACRA Proposed Rule summary.
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CMS Says that New Payment Models Will Not Hurt Small Practices
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Medicaid Payments
The Department of Human Services has prepared a letter providing details of the payment increases that took effect on. January 1, 2016. Read the letter.
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Opioid Prescribing
Many free CME options are available. Find a CME article co-authored by the Medical Director of the NJ Board of Medical Examiners.
Please read a new open letter from the president of the AMA.
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OMNIA Litigation Update:
MSNJ's Amicus Brief:
We previously reported that Horizon and the New Jersey Department of Banking & Insurance (DOBI) opposed our motion for permission to file an amicus brief in the case challenging DOBI's approval of the OMNIA program. The appellate division denied those motions and allowed our brief to be filed. Subsequently, both parties sought permission from the court to respond to our amicus brief. Those motions were granted. The case is scheduled for a hearing on May 25.
St. Peter's Case against Horizon:
The trial court ruled in the St. Peter's case against Horizon concerning the OMNIA program. St. Peter's brought claims for breach of contract and sought to be designated as a Tier 1 hospital. While the trial court dismissed some causes of action, including allegations of unfair competition and defamation, it found that the contract causes of action, including implied covenant of good faith and fair dealing and tortious interference with prospective economic advantage, may proceed. The dismissed causes of action were without prejudice so St. Peter's may seek relief on those causes of action in the future. Read more.
Tier 2 Hospitals Case Against Horizon:
One of seven Tier 2 hospitals that filed suit against Horizon over the OMNIA program has taken a voluntary dismissal. Read more. The voluntary dismissal does not affect the status of the case. Both cases against Horizon have been slowed by a discovery dispute which Horizon has raised to the appellate division.
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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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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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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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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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