October 28, 2016 – Snapshot Survey-Do You Know What Value Based Pay Is?

Dr. Reid
PRESIDENT’S MESSAGE
Dr. Malcolm Reid
October 28, 2016
Volume 16, Number 38

mlmichereforyou_enews_102016

Dear Colleagues:

Federal and state policymakers are increasingly leaning on public and commercial payers to increase the use of so-called value-based payments in Medicare, Medicaid and commercial health coverage.

MSSNY has created a survey to assess to what extent physicians are already participating in such value-based payment structures.  We also would like to obtain your perspective regarding the sufficiency of health insurer networks to be sure your patients can receive the care they need. The purpose of this survey is to assess to what extent physicians are already participating in such value-based payment structures.

I am hoping it will give us a “snapshot” and some “conversational data” regarding each of these topics that we can use in our advocacy.

Please take a few minutes to help us to help you.

Click here the survey.

Malcolm Reid, MD, MPP
President, Medical Society of the State of New York

Please send your comments to comments@mssny.org


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Physicians Urged to Familiarize Themselves with Medicare Quality Payment Program Rules Effective for 2017
As previously reported, CMS has issued its final rule implementing the Medicare Quality Payment Program that starts in 2017.   The American Medical Association (AMA) has prepared two summaries that you can review from MSSNY’s website to familiarize yourself with the important provisions of this rule.  You can access these documents by clicking HERE and HERE.

Among the positive changes contained in the final rule that provide some flexibility to physicians in complying with new Medicare Merit Based Incentive Payment System (MIPS) include:

  • increasing from $10,000 to $30,000 the annual Medicare revenue threshold requiring participation in the MIPS program;
  • enabling physicians who report on one quality measure or one quality improvement activity for 2017 to avoid a 2019 Medicare payment penalty;
  • enabling physicians who report 90 continuous days (instead of the entire year) of quality data to be eligible for a 2019 Medicare payment bonus;
  • reducing from 90% to 50%  the percentage of patients of which a physician has to report quality measures;
  • Reducing from 11 to 5 the number of measures to be reported in the Advancing Care Information category (which replaces Meaningful Use) and permitting 90-day rather than full year reporting;
  • Enabling physicians practices recognized as a “Patient Centered Medical Home” to receive full credit in the “Clinical Practice Improvement” Category (15% of your MIPS score); and
  • Eliminating the “Cost” component in the 2017 MIPS evaluations.


Weekly Charting Tip: Prescribing Medical Marijuana
In New York, if you are registered, you may provide a prescription for your patient to receive an acceptable form of medical marijuana if they have one of the following diagnoses: Cancer, HIV Infection or AIDS, ALS, Epilepsy, Inflammatory Bowel Disease, Neuropathy, or Huntington’s Disease. Here is the catch: You patient MUST have associated or complicating conditions that ONLY include: cachexia (wasting syndrome), severe or chronic pain, severe nausea, seizures, or severe of persistent muscle spasms.

CAUTION: It is NOT sufficient to have a diagnosis JUST of severe or chronic pain! It must be associated with one of the listed diagnoses. Additionally, the diagnosis MUST be severe, debilitating or life threatening that is also accompanied by one of the acceptable diagnoses. For example, somebody diagnosed with Basal Cell Carcinoma probably would not qualify. A neuropathy MUST have notations in your chart that specifies how and where the neuropathy is causing severe pain or is debilitating. The nature of the pain? What the patient can do, or no longer do must be charted as well. It is not enough just to list a diagnosis and some symptoms. Go into detail. This is another example of how to avoid a problem; have a complete and accurate chart!  If you have any questions, please contact Kern Augustine, P.C. at 1-800-445-0954 or via email at info@DrLaw.com. 

“When Is the Flu Not the Flu?” Nov. 16 CME Webinar Registration Open
MSSNY will begin its 2017 Medical Matters continuing medical education (CME) webinar series with “When Is the Flu Not the Flu?” on Wednesday, November 16, 2016 at 7:30 a.m.   William Valenti, MD, chair of MSSNY Infectious Disease Committee and a member of the Emergency Preparedness and Disaster/Terrorism Response Committee will serve as faculty for this program. Registration is now open for this webinar here.

A copy of the flyer can be accessed here. Additional information or assistance with registration may be obtained by contacting Melissa Hoffman at mhoffman@mssny.org.

Educational objectives are: 1). Recognize the distinction between influenza virus infections and other similarly presenting illnesses.  2). Describe strategies for prevention, diagnosis and management of patients presenting with flu-like symptoms. 

The Medical Society of the State of New York designates this live activity for a maximum of 1.0 AMA/PRA Category 1 credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

Medical Matters is a series of CME webinars sponsored by MSSNY’s Committee on Emergency Preparedness and Disaster/Terrorism Response. Additional programs are will be conducted in January-May 2017, and topics include: Triage in a Disaster Event; The Mental Health Impact of Active Shooter/Bombing on the Healthcare Team; and Mosquito Borne Diseases.  Program dates for Medical Matters will be announced shortly.

Webinar: Learn More about the New Medicare Quality Payment Program
CMS invites you to join webinar on November 15 on the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) final rule with comment period. The webinars will provide an overview of the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Model (APM) incentive payment provisions under MACRA, collectively referred to as the Quality Payment Program.

Quality Payment Program Final Rule MLN Connects® Call — November 15

  • Date: Tuesday, November 15, 2016
  • Time: 1:30 to 3:00 PM ET
  • Register MLN Connects Event Registration.
  • Target Audience: Medicare Part B Fee-For-Service clinicians, office managers and administrators; state and national associations that represent healthcare providers; and other stakeholders.

During these calls, participants will learn about the provisions in the recently released final rule; participants should review the rule prior to the call. A question and answer session will follow the presentation.

Space for these webinars is limited. Register now to secure your spot. After you register, you will receive an email message with a dial-in number and webinar link. Please note, you will not be able to share your participant information because it will be unique to you.

For More Information

To learn more about the final rule and the Quality Payment Program, view the following resources:


Your membership yields results and will continue to do so. When your 2017 invoice arrives, please renew. KEEP MSSNY STRONG!


AMA Webinar on How Final Rule Affects Your Practice
On November 21 and December 6, the AMA will host educational webinar sessions to help physicians prepare and understand what the final rule means for their practice.

Register for November 21
Register for December 6

Review of all the provisions of the final rule is ongoing.  Medical societies across the country including the AMA and MSSNY had advocated for additional flexibility, particularly for smaller practices that may not have the infrastructure necessary to be successful in these value-based payment programs.

LI Pharmacist Gets Up To 24 Years for Selling Black-Market HIV Meds
Attorney General Eric T. Schneiderman announced that pharmacist Ira Gross, 63, of Babylon, was sentenced to 8 to 24 years in state prison for his role in selling over $274M dollars of diverted, medically worthless HIV medication. Gross was also ordered to pay back the amount he pocketed as a result of the scheme, which totaled $25.2M.

The evidence at trial revealed that from 2008 to 2012, Gross and others sold the diverted medications, mostly expensive HIV antiretroviral medications purchased off the street, to MOMS Pharmacy in Melville. MOMS Pharmacy then dispensed the diverted medications to thousands of its unsuspecting patients, many of whom were Medicaid recipients, throughout New York and other states.  Ultimately, the New York Medicaid program paid $124M for those tainted medications distributed to New York Medicaid patients.

Gross organized the scheme and coordinated the sale of the diverted street medication to MOMS Pharmacy. Evidence at trial showed that Gross paid Glenn Schabel, the supervising pharmacist and compliance officer for MOMS Pharmacy, over $5 million to buy medication that he knew or should have known were diverted. Schabel, 55, of Melville, was also arrested and pleaded guilty in September 2016 to Criminal Diversion of Prescription Medications and Prescriptions in the First Degree and Commercial Bribe Receiving in the First Degree.  Schabel was sentenced to two to six years in state prison and has paid $5.45M in restitution.

Free DOH Posters Educate Patients re Appropriate Antibiotic Prescribing
The NYS Department of Health and the NY “Get Smart Campaign” are pleased to share brand new “Get Smart Guaranteeposters to demonstrate healthcare professionals’ commitment to appropriate antibiotic prescribing. 

The posters can be personalized with a provider’s photo and signed. When displayed, they not only enhance provider “buy-in” to appropriate antibiotic prescribing but are also a way to educate patients about appropriate antibiotic prescribing and use.  CDC-sponsored “Get Smart Week” is November 14-20 (but the DOH would appreciate displaying these posters year-round!) The posters may be downloaded via this link.

Simpler yet, the NY Get Smart Campaign can mail you limited copies of 11”  X 17” Get Smart Guarantee posters. The poster is available at no cost to you and may be ordered by contacting the NYSDOH Get Smart Program Coordinator, Mary Beth Wenger, at marybeth.wenger@health.ny.gov Additionally, there are patient Palm Cards carrying the same message, which can be handed out to patients, explaining why antibiotics aren’t always the answer.

Healthcare providers may be pressured by patients to prescribe antibiotics even when they have a viral infection. Displaying this poster in waiting or examination rooms sends a message to patients that antibiotics aren’t always appropriate. We hope the posters will help facilitate conversations with patients on the appropriate use of antibiotics.

New Diabetes Guidelines Recommend that Patients Move Every 30 Minutes
The American Diabetes Association now recommends that patients with diabetes take a break from prolonged sitting every 30 minutes, citing blood glucose benefits. This could mean 3 or more minutes of standing, walking, or doing light-intensity activities like office chair swivels. Previously, the group recommended movement breaks every 90 minutes.

The group’s first comprehensive physical activity guidelines, published in Diabetes Care, also make the following recommendations:

  • Physical activity should be prescribed to all patients with diabetes.
  • Patients should aim to get at least 150 minutes of physical activity every week. Both resistance and aerobic training are encouraged. Patients should go no more than 2 consecutive days without activity.
  • Older adults with diabetes should aim for 2–3 days a week of flexibility or balance training, such as tai chi or yoga.

The document also provides guidance for youth, pregnant patients, physical activity considerations with various diabetes complications, and suggested carbohydrate intake before exercise.

American Diabetes Association news release

CMS: New Ops for Clinicians to Join Advanced Alternative Pay Models
CMS announced new opportunities for clinicians to join Advanced Alternative Payment Models (APMs) developed by the CMS Innovation Center to improve care and potentially earn an incentive payment under the Quality Payment Program created through the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). The Quality Payment Program rewards clinicians with sufficient participation in Advanced APMs that align incentives for high-quality, patient-centered care. By giving more clinicians the opportunity to participate in these models, today’s announcement will extend the benefits of high-quality, coordinated care to more Medicare beneficiaries.

CMS is announcing that it expects to re-open applications for new practices and payers in the Comprehensive Primary Care Plus (CPC+) model and new participants in the Next Generation Accountable Care Organization (ACO) model for the 2018 performance year. In addition, CMS is announcing that the Innovation Center’s Oncology Care Model with two-sided risk will now be available in 2017, which will qualify the model as an Advanced APM beginning in the 2017 performance year.

In 2017, under the Quality Payment Program, clinicians may earn a 5 percent incentive payment through sufficient participation in the following Advanced APMs:

  • Comprehensive ESRD Care Model (Large Dialysis Organization (LDO) arrangement)
  • Comprehensive ESRD Care Model (non-LDO arrangement)
  • CPC+
  • Medicare Shared Savings Program ACOs – Track 2
  • Medicare Shared Savings Program ACOs – Track 3
  • Next Generation ACO Model
  • Oncology Care Model (two-sided risk arrangement)

In 2018, we anticipate that clinicians may also earn the incentive payment through sufficient participation in the following models:

  • ACO Track 1+
  • New voluntary bundled payment model
  • Comprehensive Care for Joint Replacement Payment Model (Certified Electronic Health Record Technology (CEHRT) track)
  • Advancing Care Coordination through Episode Payment Models Track 1 (CEHRT track)

These lists will continue to change and grow as more models are proposed and developed in partnership with the clinician community and the Physician-Focused Payment Model Technical Advisory Committee.

For more information, please click here.

Insurers Must Be Up to Date on Physician Participation Info for MA Plans
Starting next year, the federal government will require health insurers to give patients enrolled in  Medicare Advantage plans or in policies sold in the federally run health exchange up-to-date details about which doctors are in their plans and taking new patients.

Under a rule published last month by CMS, Medicare Advantage plans must contact doctors and other providers every three months and update their online directories in “real time.” Online directories for policies sold through healthcare.gov, the health law exchange run by the federal government in 37 states, must be updated monthly, CMS announced in a separate rule.

Inaccuracies in the Medicare Advantage directories may trigger penalties of up to $25,000 a day per beneficiary or bans on new enrollment and marketing. CMS will also use the directories to help determine whether insurers have enough doctors to meet beneficiaries’ needs.

The administration last year announced rules designed to make sure those networks have adequate numbers of providers. The newest rules will help guarantee that consumers get good information on those networks.

Nearly 9 million people have enrolled in plans on the federal marketplace for 2015, according to officials.

Incorrect information was found for almost half of the 5,832 doctors listed in directories for 54 Medicare Advantage plans checked last fall, they said. Only online directories were examined.

CDPHP and Capital Care Create Acuitas Health for Value-Based Pay Success
For nearly a decade, CDPHP and CapitalCare have partnered to achieve a shared mission of improving the quality and affordability of health care for residents in and around the Capital Region. The organizations – which are philosophically aligned around the goals of value-based care – have taken that partnership to the next level, creating an organization which will allow physicians to remain independent, while offering patients access to better health, better care, and lower costs.

Acuitas Health provides practices with a turn-key solution needed to succeed in a value-based payment environment. This includes a comprehensive readiness assessment, realignment of staff and workflows, and oftentimes, a total transformation in the way the practice delivers care.

Acuitas Health will embed care managers within physician practices and use sophisticated population health management tools to identify patients with gaps in care or are at high-risk, or rising risk, clinically. Care managers will work with the practice to engage with patients, ensuring that individuals receive the right care, at the right time.  For more information on Acuitas Health, please visit www.acuitashealth.com.

Established in 1984, CDPHP is a physician-founded, member-focused and community-based not-for-profit health plan that offers high-quality affordable health insurance plans to members in 24 counties throughout New York.

CapitalCare Medical Group is a physician-owned medical practice with over 650 employees including more than 230 healthcare professionals.  The group offers primary care services in Family Practice, Pediatrics and Internal Medicine throughout the Capital Region. CapitalCare also provides services in Endocrinology, Pulmonary and Sleep Medicine, Developmental-Behavioral Pediatrics, Nephrology, adult and pediatric Neurology, medical nutrition therapy, comprehensive diabetes education and operates a state-of-the-art clinical laboratory.

Children with Persistent Post-Concussion Symptoms May Have Lower Quality of Life Than Youngsters Who Have Recovered
Research Indicates that children “with persistent symptoms months after a concussion have lower quality of life than kids who have recovered, but even kids who recovered quickly may still struggle,” researchers found after assessing “quality of life factors for about 2,000 kids aged five to 18 years who had presented to an emergency department within two days of suffering an acute concussion.” The findings were published online in JAMA Pediatrics.

RFP for Office of Temporary and Disability Assistance

REQUEST FOR PROPOSALS


The New York State Office of Temporary and Disability Assistance (OTDA), Division of Disability Determinations is issuing a Request for Proposal (RFP) to solicit proposals from qualified vendors for the establishment of one contract medical provider to establish a site in the upstate area of the Capital District, NY (including the cities of Albany, Schenectady, and Troy and the immediate geographic area) to perform medical examinations and ancillary testing of claimants applying for Social Security disability benefits. If your organization is capable of performing a high volume of medical examinations and diagnostic tests, the Capital District Consultative Examination RFP can be found on the OTDA website at https://otda.ny.gov/contracts/procurement-bid.asp.  If your organization wishes to receive a hard copy of the RFP, please send your request immediately by Certified Mail to:


Mr. Lawrence Rockefeller
NYS Office of Temporary and Disability Assistance
Division of Disability Determinations
One Commerce Plaza, 10th Floor
99 Washington Avenue
Albany, New York 12210


The RFP release date is September 14, 2016 with proposals due no later than November 2, 2016 at 3:00 p.m. EST.  If you have any questions, you may contact Melinda Kuiken at (518) 626-3042.


CLASSIFIEDS


State of the Art Midtown Medical Office for Rent
Elegant, modern, beautifully designed medical office available, furnished or non-furnished. Full or part time share with thriving Dermatology practice which occupies its own floor. Class A Architects and Designers Building in the best possible Midtown East location near Bloomingdales. Your own private corner, consultation room, two or three large equipped treatment rooms with beautiful cabinetry, sinks, and exam tables. All rooms wired and windowed. Shared oversized waiting room, kitchenette. Your own reception, administrative, front desk and storage space. $8,000-$11,500/month. Contact: (212)–583–2966, email: hefderm@outlook.com for details. No Brokers.


Elegant Plastic Surgery Office (Upper East Side Manhattan)
Very large and classy office to share. Located in the ground floor of a 25′ x 100′ carriage house opposite the 66th Street Armory with large consult room, 2+ treatment/exam rooms, large waiting room, business office, storage. See video of office — you won’t believe it: www.youtube.com/watch?v=Uli8Cck_eRA   $5000/month incl utilities. no brokers. Call Doctor Fischman at (212) 472–3300.Jeffrey R. Fischman, M.D.  110 E 66th Street.

Want to rent your medical office? Need to lease space to expand your practice?
Clineeds is an online platform designed to help physicians find or rent medical office space. Listing is completely FREE! Sign up today at http://clineeds.com/signup We take care of the rest!

Physician Opportunities

County Executive
The Suffolk County Medical Society, a 501C-6 corporation, recognized as the premier professional medical association for the physicians of Suffolk County, is seeking to fill the position of Executive Director.  Successful candidates will possess a Bachelor Degree, (Masters Degree preferred in a healthcare-related field and/or Business/Finance).  Should have minimum of five years experience in healthcare or association management .  Must possess the following abilities: have a thorough working knowledge of the health care industry;  serve as a strong physician and patient advocate; be able to successfully balance multiple demands; possess strong leadership skills with excellent oral and written communications.For more information and a complete job description, visit www.scms-sam.org.  Please forward a resume with a cover letter outlining how you meet the parameters of the position, including salary requirements, to stuscms@optonline.net.  Position scheduled to begin February, 2017.



A Private Multidisciplinary Medical Group is seeking an Internal Medicine/Family Medicine Physician in Manhattan
A well-established Manhattan based private multidisciplinary medical group is seeking to hire an Internal Medicine/Family Medicine Physician. This is a great opportunity to start your own practice in a modern office in midtown Manhattan. Attractive base salary plus comprehensive benefits package offered (Malpractice, 3 weeks paid vacation, 1 week CME, CME allowance, paid health insurance, etc).If you are a solo practitioner in private practice looking to join a private group practice, we will work with you to make the transition seamless. Please email your CV to tsrgexpress@gmail.com. No recruiters please.

A Private Multidisciplinary Medical Group is seeking a Podiatrist in Manhattan
A well-established Manhattan based private multidisciplinary medical group is seeking to hire a Podiatrist. This is a great opportunity to start your own practice in a modern office in midtown Manhattan. Attractive base salary plus comprehensive benefits package offered (Malpractice, 3 weeks paid vacation, 1 week CME, CME allowance, paid health insurance, etc).If you are a solo practitioner in private practice looking to join a private group practice, we will work with you to make the transition seamless. Please email your CV to tsrgexpress@gmail.com. No recruiters please.


CALL FOR RATES & INFO. CHRISTINA SOUTHARD: 516-488-6100 ext. 355

 

 

 

 

 

 

 

 

 

 

 

 

 

Council – November 3, 2016

AGENDA
Council Meeting
November 3, 2016, 9:00 am
Courtyard Marriott, Westbury Long Island
1800 Privado Road
Westbury, NY  11590

A.Call to Order and Roll Call

B. Approval of the Council Minutes of September 15, 2016

C.          New Business (All New Action & Informational Items)

    1. President’s Report

a.  Letter to Katherine Ceraolo, NYSDOH re All Payor       Database Proposed Regulations
b.  Minutes of the Executive Committee
Teleconference
, October 6, 2016
c. Subpoena, United States of America, et al., v.
Anthem, Inc., et. al.
d. Memorandum, Presidential Appointments to the
2017 Nominating Committee

      1.  Board of Trustees Report  – Dr. Leah McCormack will present the report (handout)
      2.  Secretary’s Report – Dr. Arthur Fougner will present the report for Nominations for Life  Membership & Dues Remissions
      3. MLMIC Report – Mr. Donald Fager will present a verbal report
      4.  AMA Delegation Update – Dr. John Kennedy will present a verbal report
      5.  MSSNYPAC Report – DrJoseph Sellers will present the report
      6. MESF Update – Dr. Joseph Maldonado/Tom Donoghue will present the report (handout)
      7.  CME Update Dr. Mark Adams will present the report
      8.  MACRA PresentationCynthia Brown, Vice President,
        Government Affairs, AMA MACRA PowerPoint Presentation
        (VIA WEBEX)   (Also PowerPoint will be a handout at Council)
      1. Commissioners (All Action Items)
        Commissioner of Governmental Relations,
        Gregory Pinto, MD, Commissioner
        Legislative and Physician Advocacy Committee,
        Paul A. Pipia, MD, Chair

        a. MSSNY’s 2017 Legislative Program
        b. Resolution 53-2016, Expansion of Independent Dispute Resolution Process
        c. Resolution 62-2016, Medical Malpractice Reform to Medical Injury Compensation (No-Fault)
        d. Resolution 100-2016, Unionization of Employed Physicians
        e. Resolution 101-2016, Employed Physicians
        f. Resolution 107-2016, Protection of Clinical Decision Making & Ownership of Medical Practices
        Materials to the Public
        g. Resolution 108-2016, Board Certification in Advertisements or Marketing
    1. Councilors (All Action Items from County Societies and District Branches)
      No reports submitted

D. Reports of Officers (Informational)
1. Office of the President – Meetings attended:

MSSNYPAC meeting, at the Water Club
NYS Medical/Specialty Exec. Conference
Fundraiser for Heastie @ Karhoo
Westchester County Legislative Breakfast
Connecticut State Medical Society Dinner Meeting
CME Committee Meeting
MLMIC Executive Committee
Third & Fourth District Retreat
Queens County Gala
Westchester Doctors Distinction Award Dinner
      1. Office of the President Elect – Charles Rothberg, MD
      2. Office of the Vice President – Thomas J. Madejski, MD
      3. Office of the Treasurer – Joseph R. Sellers, MD,
        Financial Statement for the period January 1, 2016  –
        September 30, 2016
      4. Office of the Speaker  –  Kira A. Geraci-Ciradullo, MD, MPH

E. Reports of Councilors (Informational)
1. Kings/Richmond Report  Parag H. Mehta, MD
2. Manhattan/Bronx Report – Joshua M. Cohen, MD, MPH
3. Nassau County Report – Paul A. Pipia, MD
4. Queens County Report – Saulius J. Skeivys, MD
 5. Suffolk County Report – Maria A. Basile, MD, MBA 
6. Third District Branch Report – Brian P. Murray, MD
7. Fourth District Branch Report – John J. Kennedy, MD
8. Fifth District Branch Report –Howard H. Huang, MD
9. Sixth District Branch Report – Robert A. Hesson, MD
10. Seventh District Branch Report – Mark J. Adams, MD
11. Eighth District Branch Report
Edward Kelly Bartels, MD
12. Ninth District Branch Report – Thomas T. Lee, MD
13. Medical Student Section Report
         Christina Kratschmer 
14. Organized Medical Staff Section Report –
          Richard A. Ritter, MD (no written report submitted)
             15. Resident & Fellow Section Report
Robert A. Viviano, DO
16. Young Physician Section Report – L. Carlos Zapata, MD
                     (no written report submitted) 

F. Commissioners (Committee Informational Reports/Minutes)
1. Commissioner of Communications
                  Joshua M. Cohen, MD, MPH
a. Report of the Division of Communications

2. Commissioner of Science & Public Health,
                 Frank G. Dowling, MD

3. Commissioner of Governmental Relations,
     Gregory Pinto,  MD, Commissioner

G. Report of the Executive Vice President, Philip Schuh, CPA, MS
               Membership Dues Revenue Schedule

HReport of the General Counsel, Donald Moy, Esq.
               Legal Services & Efforts of Kern Augustine, P.C. provided on                  behalf of MSSNY       

I. Report of the Alliance, Bonnie Liebers, Co-President
               Alliance Report

J. Other Information/Announcements

1. AMA-MACRA Final Rule Background Documents
2. 2017 Jamboree Medical Staff Volunteers (from Dr. Sellers)
3. PAI Board Minutes (25 MB)
4. Oscar/Magna Care Network
5. Letter on TRICARE-Telemedicine
6. MSSNY’s participation in the New York State Fair via Support of the Onondaga County Medical Society
7. Summary of VBP Meeting, October 18, 2016
8. Physicians Foundation Board Meeting Minutes October, 2016

K.  Adjournment

NOTE:           Following adjournment, a meeting of the MSSNY Long Range Planning Task Force will be held at MSSNY Headquarters.

October 21, 2016 – MACRA Rules Final!

Dr. Reid
PRESIDENT’S MESSAGE
Dr. Malcolm Reid
October 21, 2016
Volume 16, Number 37

mlmichereforyou_enews_102016

Dear Colleagues:

This week, CMS issued a final rule outlining the requirements of the new Quality Payment Program for physicians that was created by the Medicare Access and CHIP Reauthorization Act (MACRA).

As has been widely reported, there were positive changes contained in the final rule that provide some flexibility to physicians in complying with new Medicare Merit Based Incentive Payment System (MIPS).  These include:

  • enabling physicians who report at least some 2017 data before March 31, 2018 to avoid a 2019 Medicare payment penalty;
  • increasing from $10,000 to $30,000 the annual Medicare revenue threshold requiring participation in the MIPS program;
  • reducing from 90% to 50%  the percentage of Medicare patients of which a physician has to report quality measures;
  • Reducing from 11 to 5 the number of measures to be reported in the Advancing Care Information category (which replaces Meaningful Use) and
  • Eliminating the Value based component in the 2017 MIPS evaluations.

Summaries, fact sheets and other CMS resources are available on the agency’s web site.  In the coming days, the AMA will make additional resources available on its own MACRA web page.  To access the Quality Payment Program Overview Fact Sheet, click here.

While the AMA is in the process of fully analyzing the regulations, a first review reveals that CMS responded to many of the concerns expressed by physicians about the proposed rule issued last spring.  On November 21 and December 6, the AMA will host educational webinar sessions to help physicians prepare and understand what the final rule means for their practice.

Register for November 21
Register for December 6

Review of all the provisions of the final rule is ongoing.  Medical societies across the country including the AMA and MSSNY had advocated for additional flexibility, particularly for smaller practices that may not have the infrastructure necessary to be successful in these value-based payment programs.

Malcolm Reid, MD, MPP
President, Medical Society of the State of New York

Please send your comments to comments@mssny.org


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Webinar: An Overview of MACRA (Quality Payment Program)
CMS invites physicians to join a webinar on October 26 at 2:00 PM ET, on the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) final rule with comment period. The webinar will provide an overview of the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Model (APM) incentive payment provisions under MACRA, collectively referred to as the Quality Payment Program.

Webinar Details

Quality Payment Program Overview

  • Date: Wednesday, October 26, 2016
  • Time: 2:00 to 3:00 PM ET
  • Register Here.

Space for this webinar is limited. Register now to secure your spot. After you register, you will receive an email message with a dial-in number and webinar link. Please note, you will not be able to share your participant information because it will be unique to you. 

Please Review Comprehensive Medicare Quality Payment Program Summaries
The American Medical Association (AMA) has prepared two summaries that you can review from MSSNY’s website to familiarize yourself with the important provisions of this rule.  You can access these documents by clicking HERE and HERE.

More MACRA  Help from the AMA
|Two documents prepared by the AMA’s Washington Office, outlining major provisions of Medicare’s new Quality Payment Program (QPP) for physicians that was created by the Medicare Access and CHIP Reauthorization Act (MACRA).  The longer summary document provides some detail of the various components of the final rule that was issued last week, and notes where key improvements were made to the policies set forth in the original proposed rule.  The second is a chart with more abbreviated descriptions of changes to the original proposed rule that were secured. These documents will be posted on the AMA’s MACRA web page, www.ama-assn.org/go/medicarepayment.  Additional material is in the process of being developed.

  • The AMA Payment Model Evaluator is an innovative tool offering initial assessments to physicians so they can determine how their practices will be impacted by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Developed with the expertise of physicians and input from partners, the tool will give physicians and their staff a brief assessment, as well as relevant educational and actionable resources. Once physicians and medical practice administrators fill out the online questionnaire, they will receive guidance for participating in the MACRA payment model that is best for them. The AMA will continually update the Payment Model Evaluator to respond to regulatory changes and to keep practices up to date throughout the new payment and care delivery reform process. The tool is free to all physicians and their practice administrators.
  • The AMA STEPS Forward™ collection of practice improvement strategies has new MACRA-specific tools. Accurate and successful reporting on quality metrics is crucial to the new Medicare payment system, both in the current Physician Quality Reporting System program and under MACRA’s new Quality Payment Programs. Each STEPS Forward module focuses on a specific challenge and offers real-world solutions, steps for implementation,, case studies, continuing medical education, and downloadable tools and resources. Physicians and their practice staff can use these to help improve practice efficiency and ultimately enhance patient care, physician satisfaction and practice sustainability. The full collection, which now includes 42 modules, has a variety of tools that will help physicians and their practices, including:

The AMA launched a ReachMD podcast series titled Inside Medicare’s New Payment System. Andy Slavitt, acting administrator of the Centers for Medicare and Medicaid Services (CMS), Dr. Gurman, AMA staff experts, and others are featured on the series, which will include five episodes to help physicians be informed on upcoming Medicare changes.

Learn more on AMA Wire® about these tools or check out other key changes to the Medicare payment system.

Attached are two documents prepared by the AMA’s Washington Office, outlining major provisions of Medicare’s new Quality Payment Program (QPP) for physicians that was created by the Medicare Access and CHIP Reauthorization Act (MACRA).  The longer summary document provides some detail of the various components of the final rule that was issued last week, and notes where key improvements were made to the policies set forth in the original proposed rule.  The second is a chart with more abbreviated descriptions of changes to the original proposed rule that were secured.

These documents are posted on the AMA’s MACRA web page, www.ama-assn.org/go/medicarepayment.

DOH Commissioner’s Grand Rounds on Dietary Supplements on Nov. 29
New York State Department of Health Commissioner Howard Zucker, MD, will host a medical grand rounds on Tuesday, November 29, 2016, 7:30 – 9:00 am at The Wadsworth Center – David Axelrod Institute, 120 New Scotland Avenue, Albany, NY 12208.   The topic will be:  “Dietary Supplements: Buyer Beware, Provider Be Wary”.

Faculty for the event will be Pieter A. Cohen, MD, Assistant Professor of Medicine, Harvard Medical School Internist, Cambridge Health Alliance; Nina Ahmad, MD, Medical Director, Division of Epidemiology, New York State Department of Health and Nathan Graber, MD, MPH, Director, Center for Environmental Health, New York State Department of Health. Registration for this session is required and a copy of the flyer can be found here.

Nov. 17 Webinar Best Practices for Palliative Care in Primary Care
This program will address best practices for integrating palliative care services into the primary care and/or PCMH settings. This webinar will cover the evidence and business case for this approach, strategies for patient acceptance, and examples of successful implementation.

Webinar Details

Date: November 17

Time: 1 p.m.
Featured Speaker: Joan Dacher, Ph.D., R.N., N.P., Professor of Nursing, The Sage Colleges; and Co-Chair, New York State Palliative Care Education and Training Council

Registration: Register online. 

DFS: Guidance to Insurers New Substance Abuse Coverage Requirement
The New York Department of Financial Services has issued a 9-page guidance to health insurance companies reminding them of new requirements enacted earlier this year to expand coverage for substance use disorder treatments.   This includes expanded prescription drug coverage, and expanded inpatient and outpatient coverage, coverage for naloxone, and expedited pre-authorization requirements.  To read the guidance, click here.

When Is the Flu Not the Flu?” CME Webinar Nov. 16; Registration Now Open
MSSNY will begin its 2017 Medical Matters continuing medical education (CME) webinar series with “When Is the Flu Not the Flu?” on Wednesday, November 16, 2016 at 7:30 a.m.   William Valenti, MD, chair of MSSNY Infectious Disease Committee and a member of the Emergency Preparedness and Disaster/Terrorism Response Committee will serve as faculty for this program. Registration is now open for this webinar here.

A copy of the flyer can be accessed here. Additional information or assistance with registration may be obtained by contacting Melissa Hoffman at mhoffman@mssny.org. 

Educational objectives are: 1). Recognize the distinction between influenza virus infections and other similarly presenting illnesses.  2). Describe strategies for prevention, diagnosis and management of patients presenting with flu-like symptoms. 

The Medical Society of the State of New York designates this live activity for a maximum of 1.0 AMA/PRA Category 1 credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

Medical Matters is a series of CME webinars sponsored by MSSNY’s Committee on Emergency Preparedness and Disaster/Terrorism Response. Additional programs are will be conducted in January-May 2017, and topics include: Triage in a Disaster Event; The Mental Health Impact of Active Shooter/Bombing on the Healthcare Team; and Mosquito Borne Diseases.  Program dates for Medical Matters will be announced shortly.


Your membership yields results and will continue to do so. When your 2017 invoice arrives, please renew. KEEP MSSNY STRONG!


Billing for Influenza Correctly
NGS published CMS article titled, “Billing for Influenza: New CPT Code 90674” on 9/30/2016. The article advises that MACs may direct use of an NOC code to allow billing for the vaccine for dates of service on or after 8/1/2016 and before 1/1/2017; however, NGS is not allowing an NOC code and your claims will deny as an invalid code. CPT Code 90674 will be added with the January 2017 release. Please hold your claims until the January release is implemented; Additionally, Part A MACs will be holding claims from 1/1/2017 to 2/20/2017. At this time, any claims received on and after 1/1/2017 will be released for payment beginning 2/20/2017.The Seasonal Influenza Vaccines Pricing on the CMS website shows the CPT 90674 payment allowance is $22.93 effective for dates 8/1/2016-7/31/2017.

Fentanyl the Cause of 16% of All NYC Overdose Deaths
In 2015, 146 overdose deaths in New York City involved fentanyl, 16 percent of all overdose deaths, according to the city health department. Never before had fentanyl accounted for more than 3 percent of overdose deaths in the city. On Monday, the city’s health department reported that since July 1, 47 percent of confirmed drug overdose deaths involved fentanyl. That’s up from 39 percent through the first six months of the year, according to provisional data. That data also shows there have been 725 confirmed overdose deaths to date in New York City and that 581 of these deaths occurred during the first six months of 2016.

Adults Stressed out Due to Presidential Election
According to an online survey conducted by the American Psychological Association (APA). Some 52% of U.S. adults find the 2016 presidential election to be a “very or somewhat significant source of stress,” Over 3500 adults aged 18 and older completed the survey in August 2016. Among the other findings:

  • Rates of stress were similar among Democrats and Republicans, and among women and men.
  • Those over age 70 were most likely to feel election stress (59%), while those aged 38 to 51 were least likely (45%).
  • Some 60% of Americans with disabilities found the election stressful, versus 48% of those without disabilities.
  • Stress was more common among adults who used social media (54%) than among those who did not (45%).

The APA offers these tips for coping:

  • “Limit your media consumption. Read just enough to stay informed.”
  • Don’t talk politics if you think the discussion could “escalate to conflict.”
  • “Whatever happens on Nov. 8, life will go on. … Avoid catastrophizing.”


REQUEST FOR PROPOSALS

The New York State Office of Temporary and Disability Assistance (OTDA), Division of Disability Determinations is issuing a Request for Proposal (RFP) to solicit proposals from qualified vendors for the establishment of one contract medical provider to establish a site in the upstate area of the Capital District, NY (including the cities of Albany, Schenectady, and Troy and the immediate geographic area) to perform medical examinations and ancillary testing of claimants applying for Social Security disability benefits. If your organization is capable of performing a high volume of medical examinations and diagnostic tests, the Capital District Consultative Examination RFP can be found on the OTDA website at https://otda.ny.gov/contracts/procurement-bid.asp.  If your organization wishes to receive a hard copy of the RFP, please send your request immediately by Certified Mail to:

Mr. Lawrence Rockefeller
NYS Office of Temporary and Disability Assistance
Division of Disability Determinations
One Commerce Plaza, 10th Floor
99 Washington Avenue
Albany, New York 12210

The RFP release date is September 14, 2016 with proposals due no later than November 2, 2016 at 3:00 p.m. EST.  If you have any questions, you may contact Melinda Kuiken at (518) 626-3042.


CLASSIFIEDS


State of the Art Midtown Medical Office for Rent
Elegant, modern, beautifully designed medical office available, furnished or non-furnished. Full or part time share with thriving Dermatology practice which occupies its own floor. Class A Architects and Designers Building in the best possible Midtown East location near Bloomingdales. Your own private corner, consultation room, two or three large equipped treatment rooms with beautiful cabinetry, sinks, and exam tables. All rooms wired and windowed. Shared oversized waiting room, kitchenette. Your own reception, administrative, front desk and storage space. $8,000-$11,500/month. Contact: (212)–583–2966, email: hefderm@outlook.com for details. No Brokers.


Elegant Plastic Surgery Office (Upper East Side Manhattan)
Very large and classy office to share. Located in the ground floor of a 25′ x 100′ carriage house opposite the 66th Street Armory with large consult room, 2+ treatment/exam rooms, large waiting room, business office, storage. See video of office — you won’t believe it: www.youtube.com/watch?v=Uli8Cck_eRA   $5000/month incl utilities. no brokers. Call Doctor Fischman at (212) 472–3300.Jeffrey R. Fischman, M.D.  110 E 66th Street.

Want to rent your medical office? Need to lease space to expand your practice?
Clineeds is an online platform designed to help physicians find or rent medical office space. Listing is completely FREE! Sign up today at http://clineeds.com/signup We take care of the rest!

Physician Opportunities

County Executive
The Suffolk County Medical Society, a 501C-6 corporation, recognized as the premier professional medical association for the physicians of Suffolk County, is seeking to fill the position of Executive Director.  Successful candidates will possess a Bachelor Degree, (Masters Degree preferred in a healthcare-related field and/or Business/Finance).  Should have minimum of five years experience in healthcare or association management .  Must possess the following abilities: have a thorough working knowledge of the health care industry;  serve as a strong physician and patient advocate; be able to successfully balance multiple demands; possess strong leadership skills with excellent oral and written communications.For more information and a complete job description, visit www.scms-sam.org.  Please forward a resume with a cover letter outlining how you meet the parameters of the position, including salary requirements, to stuscms@optonline.net.  Position scheduled to begin February, 2017.



A Private Multidisciplinary Medical Group is seeking an Internal Medicine/Family Medicine Physician in Manhattan
A well-established Manhattan based private multidisciplinary medical group is seeking to hire an Internal Medicine/Family Medicine Physician. This is a great opportunity to start your own practice in a modern office in midtown Manhattan. Attractive base salary plus comprehensive benefits package offered (Malpractice, 3 weeks paid vacation, 1 week CME, CME allowance, paid health insurance, etc).If you are a solo practitioner in private practice looking to join a private group practice, we will work with you to make the transition seamless. Please email your CV to tsrgexpress@gmail.com. No recruiters please.

A Private Multidisciplinary Medical Group is seeking a Podiatrist in Manhattan
A well-established Manhattan based private multidisciplinary medical group is seeking to hire a Podiatrist. This is a great opportunity to start your own practice in a modern office in midtown Manhattan. Attractive base salary plus comprehensive benefits package offered (Malpractice, 3 weeks paid vacation, 1 week CME, CME allowance, paid health insurance, etc).If you are a solo practitioner in private practice looking to join a private group practice, we will work with you to make the transition seamless. Please email your CV to tsrgexpress@gmail.com. No recruiters please.


CALL FOR RATES & INFO. CHRISTINA SOUTHARD: 516-488-6100 ext. 355

 

 

 

 

 

 

 

 

 

 

 

 

 

October 14, 2016 – Get Your CME Here!

Dr. Reid
PRESIDENT’S MESSAGE
Dr. Malcolm Reid
October 14, 2016
Volume 16, Number 36

MLMIC

Dear Colleagues:

On Friday, September 30, I had the pleasure of meeting with MSSNY’s Committee on Continuing Medical Education, chaired by E. Kenneth Freiberg, DO.  The CME Committee oversees MSSNY’s dual role as both a Recognized Accreditor of 33 CME providers in New York State and an Accredited Provider of CME activities.

In order to support these two roles, there are two CME subcommittees:  the Subcommittee on Surveys (chaired by Pauline Hecht, MD) and the Subcommittee on Educational Programs (chaired by Sheldon Putterman, MD).  MSSNY couldn’t ask for a more dedicated, passionate, and hard-working group.  The Subcommittee on Surveys and the full CME Committee meet quarterly (in March, June, September, and December), while the Subcommittee on Educational Programs meets monthly to approve both directly and jointly provided activities and analyze the results of activities that have occurred.

MSSNY is in the process of revising its CME website http://cme.mssny.org  to incorporate all of MSSNY CME programming.  It is anticipated that the revisions will be completed early in 2017.   In the meantime, the cme.mssny.org site offers over 50 CME programs, which include the Opioid Webinar series, public health topics such as Zika, Ebola, influenza, and pertussis, and others.  Additionally, there are courses related to bioterrorism, emergency preparedness, and mental health.

If you are new to the site, you will have to register as a new user with a log on and password.   Please go here to see the array of programs MSSNY has to offer.

Malcolm Reid, MD, MPP
President, Medical Society of the State of New York

Please send your comments to comments@mssny.org


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Physicians Required to Comply with “Non-Discrimination” Reporting
Under new HHS rules implementing the ACA “Nondiscrimination” provision, covered entities (which include most healthcare providers) must post and publish new mandatory nondiscrimination statements and taglines by October 16, 2016.

According to the AMA, the rule does not apply to physicians who participate only in Medicare Part B, though it does apply to physicians who participate in Federal or State Exchange plans, Medicaid or receive meaningful use incentive payments. Physicians should note that in addition to administrative enforcement mechanisms, such as loss of federal financial assistance, individuals are permitted to bring individual or class action violation claims directly against them in federal court.

Covered physicians must comply with the following requirements:

  • Post a notice of nondiscrimination and taglines in multiple languages
  • Develop and implement a language access plan
  • Designate a compliance coordinator and adopt grievance procedures (applicable to group practices with 15 or more employees)

To help reduce burden and costs, the HHS Office of Civil Rights (OCR) has translated into 64 languages a sample notice and taglines for use by covered entities. In addition, OCR has published a summary of the rulefactsheets on key provisions and a list of frequently asked questions.

To read a comprehensive summary prepared by Donald Moy, Esq. from the firm of MSSNY’s General Counsel, Kern Augustine P.C., click here. 

CMS Finalizes the New Medicare Quality Payment Program
Today, the Department of Health and Human Services (HHS) finalized its policy implementing the Merit-Based Incentive Payment System (MIPS) and the Advanced Alternative Payment Model (APM) incentive payment provisions in the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), collectively referred to as the Quality Payment Program.

While the program begins January 1, 2017, CMS has laid out different time frames for when physicians can begin to participate to avoid penalties in Medicare payment in 2019. CMS also raised to $30,000 the Medicare revenue threshold that enables a physician to be exempted from the MIPS program.

The final rule with comment period offers a fresh start for Medicare by centering payments around the care that is best for the patients, providing more options to clinicians for innovative care and payment approaches, and reducing administrative burden to give clinicians more time to spend with their patients, instead of on paperwork.

Accompanying today’s announcement is a new Quality Payment Program website, which will explain the new program and help clinicians easily identify the measures most meaningful to their practice or specialty.

To see the press release and obtain more information about today’s announcement, including a fact sheet, please click here.

To learn more about the rule, click here.

AMA and MSSNY evaluation of the final rule is ongoing and further updates will be provided.

ICD-10 Updates for 10-01-16
In reference to the ICD-10 diagnosis code updates that were scheduled to be effective on October 1, 2016, Excellus has advised us that the ICD-10 codes are in their claim processing system.  However, Excellus is currently updating their clearinghouse to accept these codes electronically. Excellus expects that the clearinghouse will be updated by 10/19/16.  These delays will cause rejections/denials if you are submitting with the updated ICD-10 diagnosis codes. Since the claims will be rejected from the Clearinghouse, the claims would not have entered the Excellus system so you will have to resubmit the claims for payment.
Other payers might be experiencing some delays with their ICD-10 updates, as well.

OSCAR Health Insurance Narrowing Physician and Hospital Network
Oscar Health Insurance has begun to notify its participating provider network physicians that their contract participation will be amended effective January 1, 2017.  Please see the attached communications. As you should know, Oscar Health Insurance began their services utilizing the Magna Care network of physicians.  Now, Oscar plans to reduce its network and contract directly with their own network of physicians.

Two letters are attached.  One letter was sent out to providers who will continue to be in network, by direct contract, with Oscar in 2017, and the other letter was sent out to providers who will not be participating in the Oscar 2017 network. Both letters have information on Oscar’s continuity of care policy.  Both letters advise the physicians that their Magna Care contract remains intact and unaffected by this change.

http://www.mssnyenews.org/wp-content/uploads/2016/10/MagnaCare-Letter-1.pdf

http://www.mssnyenews.org/wp-content/uploads/2016/10/MagnaCare-Letter-2.pdf

Based on additional contact with Oscar Health Insurance, MSSNY has been advised that Oscar is conducting a comprehensive outreach to all Oscar members/patients impacted by the network change. Oscar has processes in place to support their members in continuity of care as well as finding in network providers.

Informed sources report that Oscar will reduce its provider network in New York, by half.  This may impact 20,000 doctors.  Its hospital network will decrease from 77 facilities to just 31.


Your membership yields results and will continue to do so. When your 2017 invoice arrives, please renew. KEEP MSSNY STRONG!


Beware of “Seamless Conversion” for Your Medicare Patients
A policy known as seamless conversion allows insurance companies to move members of their commercial or Medicaid managed-care plans over to Medicare Advantage plans if they first ask permission from the CMS. The Medicare Advantage plans mean more revenue for insurers, but it often means patients’ doctors will be considered out of network. The CMS believes the transition to Medicare Advantage should be implemented to ensure continuity of care and recently issued a memo to insurers reminding them about seamless conversion as a way to transition enrollees.

The concern among many physicians is that the CMS’ seamless conversion is not as advantageous to patients as it is to its insurers and financial interests. Physicians nationwide have been critical of the secrecy of the plan as well and some groups are pushing for the CMS to publicly release information on which Medicare Advantage plans have been approved.

The goal of assuring a continuity of care seems contradicted when a patient’s non-Medicare insurance has been covering their care at a practice but the practice is not in the Medicare Advantage plan’s network. It has been rumored that Aetna, Humana and UnitedHealthcare have asked for permission to participate in seamless conversion. Patient advocacy groups are also pushing against this policy and requesting that the CMS require insurers to get confirmation from a beneficiary that they understand their network may have changed and allow for a special enrollment period in case their doctors are not in network.

In response to the criticism, the CMS countered that beneficiaries should be more vigilant in opening and reviewing all mail from their current insurer. The CMS further shifted the onus on enrollees to make sure to ask about provider and pharmacy networks and noted that patients can opt out of Medicare Advantage plans. The CMS has also said that it will make public which insurers use seamless conversion later this year.

Click here to download a MSSNY flyer for your patients to inform them that they may be switched into a Medicare Advantage Plan without their knowledge.

“When Is the Flu Not the Flu?” CME Webinar on Nov. 16; Registration Now Open
MSSNY will begin its 2017 Medical Matters continuing medical education (CME) webinar series with “When Is the Flu Not the Flu?” on Wednesday, November 16, 2016 at 7:30 a.m.   William Valenti, MD, chair of MSSNY Infectious Disease Committee and a member of the Emergency Preparedness and Disaster/Terrorism Response Committee will serve as faculty for this program. Registration is now open for this webinar here.

A copy of the flyer can be accessed here. Additional information or assistance with registration may be obtained by contacting Melissa Hoffman at mhoffman@mssny.org.

Educational objectives are: 1). Recognize the distinction between influenza virus infections and other similarly presenting illnesses.  2). Describe strategies for prevention, diagnosis and management of patients presenting with flu-like symptoms. 

The Medical Society of the State of New York designates this live activity for a maximum of 1.0 AMA/PRA Category 1 credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

Medical Matters is a series of CME webinars sponsored by MSSNY’s Committee on Emergency Preparedness and Disaster/Terrorism Response. Additional programs are will be conducted in January-May 2017, and topics include: Triage in a Disaster Event; The Mental Health Impact of Active Shooter/Bombing on the Healthcare Team; and Mosquito Borne Diseases.  Program dates for Medical Matters will be announced shortly.

Democrat (Psychiatrists 76%) or Republican (Surgeons 67%)?Physicians in certain specialties are much more likely to be registered as Democrats or Republicans, according to analysis by the New York Times’ “The Upshot.” For instance, the analysis found that 67 percent of surgeons in the study sample identified as Republican, while 76 percent of psychiatrists were registered as Democrats. (New York Times’ “The Upshot,” (10/6).

PQRS Negative Payment Adjustment Notification
PQRS participants are now being notified by letter regarding the 2017 negative payment adjustments. If you did not participate in PQRS in 2015, or did not satisfactorily participate in 2015, all of your 2017 Medicare Part B reimbursement will be subject to a -2.0% adjustment.

If you think that this negative payment adjustment has been applied incorrectly, you can request an informal review — but you must request a review on or before November 30, 2016 at 11:59 pm. CMS will investigate the merits of your request and issue a decision within 90 days of receipt.

Start with these steps:

Review your Feedback Report and 2015 AQRUR

Request an informal review (note: there are no hardship exemptions for the PQRS negative payment adjustment)

Register for the live CSMS AQRUR webinars

Download the CSMS on-demand PQRS webinars

Questions? Please contact theQualityNet Help Desk at 1-866-288-8912 (TTY 1-877-715-6222) or qnetsupport@hcqis.org. They are available from 7 am – 7 pm Central Time, Monday through Friday. 

RFP for Office of Temporary and Disability Assistance

The New York State Office of Temporary and Disability Assistance (OTDA), Division of Disability Determinations is issuing a Request for Proposal (RFP) to solicit proposals from qualified vendors for the establishment of one contract medical provider to establish a site in the upstate area of the Capital District, NY (including the cities of Albany, Schenectady, and Troy and the immediate geographic area) to perform medical examinations and ancillary testing of claimants applying for Social Security disability benefits. If your organization is capable of performing a high volume of medical examinations and diagnostic tests, the Capital District Consultative Examination RFP can be found on the OTDA website here.  If your organization wishes to receive a hard copy of the RFP,  please send your request immediately by Certified Mail to:

Mr. Lawrence Rockefeller
NYS Office of Temporary and Disability Assistance
Division of Disability Determinations
One Commerce Plaza, 10th Floor
99 Washington Avenue
Albany, New York 12210

The RFP release date is September 14, 2016 with proposals due no later than November 2, 2016 at 3:00 p.m. EST.  If you have any questions, you may contact Melinda Kuiken at (518) 626-3042. 

Nursing Home Residents: Ventilators Not Increasing Life Expectancy
The “number of nursing home residents with advanced dementia” connected to ventilators has increased significantly in recent years although it “doesn’t appear to help them live longer,” according to a new study published in JAMA Internal Medicine, researchers found that in 2000 only 39 of every 1,000 nursing home residents with dementia who were hospitalized were connected to ventilators, but in 2013 that had increased to 78 of every 1,000.

CMS Website to Review Resources on 2016 Program Requirements
The Centers for Medicare & Medicaid Services (CMS) has created the following materials to help providers attest successfully to the Medicare and Medicaid EHR Incentive Programs in 2016.

CMS is encouraging EPs, eligible hospitals, and CAHs to use the relevant resources to prepare for attestation.

For More Information
Visit the EHR Events page and listen to previous webinars for EPs and eligible hospitals/CAHs to learn more about the EHR Incentive Programs in 2016.

Price of Insulin Increases, Along With Rebates to PBMs
The Wall Street Journal (10/7) reported that while the list price of top-selling insulins have doubled since 2011, most of the revenue has gone to pharmacy-benefit managers (PBM), rather than drugmakers. Experts say that PBMs have demanded higher rebates to include the drugs on their preferred lists.


CLASSIFIEDS



Elegant Plastic Surgery Office (Upper East Side Manhattan)
Very large and classy office to share. Located in the ground floor of a 25′ x 100′ carriage house opposite the 66th Street Armory with large consult room, 2+ treatment/exam rooms, large waiting room, business office, storage. See video of office — you won’t believe it: www.youtube.com/watch?v=Uli8Cck_eRA   $5000/month incl utilities. no brokers. Call Doctor Fischman at (212) 472–3300.Jeffrey R. Fischman, M.D.  110 E 66th Street.

Well-Established Nassau County Internal Medicine Practice Available for Acquisition
After serving the community for 34 years, this well-established internal medicine practice is available for acquisition. The practice is multi-specialty with significant volume of primary care patients. This office is located in Plainview on a major street with excellent visibility and accessibility, with ample parking. For more information please call (516)822-4706 or E-mail to surendralal1@yahoo.com


Considering Outsourcing Your Billing?
Elite Medical Revenue Solutions, LLC specializes in Practice Management.  We can quickly solve your insurance billing problems by filing and following up on your claims and billing. We provide some of the most innovative and powerful solutions in the market today: online, and in real-time. Our CMS provides you with control and gives you and your staff complete access from any computer with Internet access. Services include: Practice Management, Claims Filing & Follow-up, Electronic Health Records (EHR), Online Patient Payment Portal & Collections, Certified Coding Services & Audit Prevention, Paperless Document Filing, HIPPA Compliance Documentation. Call us today at 888 334-6585 or visit us at www.elitemedsolutions.net
emrs

Want to rent your medical office? Need to lease space to expand your practice?
Clineeds is an online platform designed to help physicians find or rent medical office space. Listing is completely FREE! Sign up today at http://clineeds.com/signup We take care of the rest!

Physician Opportunities

County Executive
The Suffolk County Medical Society, a 501C-6 corporation, recognized as the premier professional medical association for the physicians of Suffolk County, is seeking to fill the position of Executive Director.  Successful candidates will possess a Bachelor Degree, (Masters Degree preferred in a healthcare-related field and/or Business/Finance).  Should have minimum of five years experience in healthcare or association management .  Must possess the following abilities: have a thorough working knowledge of the health care industry;  serve as a strong physician and patient advocate; be able to successfully balance multiple demands; possess strong leadership skills with excellent oral and written communications.For more information and a complete job description, visit www.scms-sam.org.  Please forward a resume with a cover letter outlining how you meet the parameters of the position, including salary requirements, to stuscms@optonline.net.  Position scheduled to begin February, 2017.



A Private Multidisciplinary Medical Group is seeking an Internal Medicine/Family Medicine Physician in Manhattan
A well-established Manhattan based private multidisciplinary medical group is seeking to hire an Internal Medicine/Family Medicine Physician. This is a great opportunity to start your own practice in a modern office in midtown Manhattan. Attractive base salary plus comprehensive benefits package offered (Malpractice, 3 weeks paid vacation, 1 week CME, CME allowance, paid health insurance, etc).If you are a solo practitioner in private practice looking to join a private group practice, we will work with you to make the transition seamless. Please email your CV to tsrgexpress@gmail.com. No recruiters please.

A Private Multidisciplinary Medical Group is seeking a Podiatrist in Manhattan
A well-established Manhattan based private multidisciplinary medical group is seeking to hire a Podiatrist. This is a great opportunity to start your own practice in a modern office in midtown Manhattan. Attractive base salary plus comprehensive benefits package offered (Malpractice, 3 weeks paid vacation, 1 week CME, CME allowance, paid health insurance, etc).If you are a solo practitioner in private practice looking to join a private group practice, we will work with you to make the transition seamless. Please email your CV to tsrgexpress@gmail.com. No recruiters please.


Nurse Practitioner/ Family Practice Physician
Full time/part time Urgent Care; Primary care/urgent care experience necessary. Rome NY. 315-335-7777

CALL FOR RATES & INFO. CHRISTINA SOUTHARD: 516-488-6100 ext. 355

 

 

 

 

 

 

 

 

 

 

 

 

 

October 7, 2016 – Should Medicare Negotiate Drug Prices?

Dr. Reid
PRESIDENT’S MESSAGE
Dr. Malcolm Reid
October 7, 2016
Volume 16, Number 35

MLMIC

Dear Colleagues:

Our successes at MSSNY are achieved as a result of the combined efforts of many energetic physicians across the State along with the efforts of our talented staff.

Today is the last day of one of our leading staff members, Senior Vice President and Chief Legislative Counsel Elizabeth Dears Kent.  After dedicating 22 years of her professional life to advocating on our behalf, Liz is moving on to an amazing opportunity to be the Governmental Affairs Director for EHR vendor Dr. First.

Her legislative accomplishments for us are enormous, from efforts to enact the Managed Care Bill of Rights in the 1990s, to our most recent successes in providing needed flexibility for physicians in complying with the e-prescribing mandate.  She has been extensively involved in efforts to prevent the enactment of literally hundreds of adverse bills, including bills that would have increased your liability premiums, inappropriately expanded the scope of practice of numerous non-physicians, and have required overbroad and costly state regulation of private physician offices.  She has also helped steer MSSNY through some of the most difficult issues facing our profession, including the transition to value-based payments across public and private payors, and the increased demand for public information regarding the quality of care of physicians and other health care providers.

All physicians across the State of New York owe Liz a big thank you for all of her efforts.

As part of her diligence, Liz trained her successor well, long time MSSNY lobbyist, Morris (Moe) Auster, who ably will take the reins of our Government Affairs division.  We wish Moe the best of luck.  With all the challenges we face, we know he’s got his work cut out for him.

Malcolm Reid, MD, MPP
President, Medical Society of the State of New York

Please send your comments to comments@mssny.org


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If You Have Not Revalidated with Medicaid, You Will Not Be Paid after October 27
Effective for eMedNY claims processing starting October 27, 2016, all claims from non-revalidating billing providers will be pended until the provider’s revalidation package is received. To avoid interruption of claims payment, providers must revalidate immediately.

The federal regulation 42 CFR 455.414 requires providers to revalidate their enrollment with the New York State Medicaid Program. Providers have already received individual written reminders to revalidate, although thousands of providers have not done so. The deadline for submission of revalidation packages was September 25, 2016.

To revalidate:

  1. Visit the Provider Enrollment page at www.emedny.org/revalidation,

locate your enrollment form and additional required documentation, and determine whether an enrollment fee is required. There is a slide presentation, step-by-step processes, and an FAQ section. These resources provide important information on the revalidation process.

  1. Complete and mail the appropriate form(s) with all required documentation to the address provided. Keep a copy of the forms and documentation.

Next steps:

  1. Allow 2 to 3 weeks for the receipt and processing of the revalidation packet by eMedNY.  Once your completed revalidation is received and processed, all claims that have been held due to missing or late revalidation will be released for processing during that cycle.
  2. If more than 3 weeks have passed since sending the revalidation to eMedNY, please contact providerenrollment@health.ny.govwith the subject “FINAL REVALIDATION NOTICE” and provide all pertinent information regarding your submission, such as the date you sent it, and the address you sent it to so that we can research it.
  3. The remittance message for these pended claims is: Health Claim Status Code: 46 INTERNAL REVIEW/AUDIT

If you have additional questions about revalidation, please contact us at providerenrollment@health.ny.gov with the subject “FINAL REVALIDATION NOTICE”, or call the eMedNY Call Center at 800-343-9000 Option 2.

Physicians Required to Comply with “Non-Discrimination” Reporting Provisions by Mid-October
Under new HHS rules implementing the ACA “Nondiscrimination” provision, covered entities (which include most physicians) must post and publish new mandatory nondiscrimination statements and taglines in the 15 most popular languages for the State by October 16, 2016. This is CMS’ list of the top 15 languages spoken in New York: Spanish; Chinese; Russian; French Creole; Korean; Italian; Yiddish; Bengali; Polish; Arabic; French; Urdu;  Tagalog; Greek and Albanian.

To read a comprehensive summary prepared by Donald Moy, Esq. from the firm of MSSNY’s General Counsel, Kern Augustine PC, to assist physicians with compliance, click here.

At this time, MSSNY is exploring some vendors that should be able to help our members deal with real-time translation services to comply with both the LEP (language) and the ADA (hearing impaired/blind) requirements.  Until we have completed our research, you should contact your local hospital since they subscribe to the translation services and the hospital may be able to make a referral for use in your office, at the present time.  As soon as our research is completed, we will get back to you.

KFF Poll: 88% Said Medicare Should Be Able to Negotiate Drug Prices
An overwhelming majority of Americans favor government action to restrain prescription drug prices, according to a poll released by the Kaiser Family Foundation on September 29.

Eighty-two percent of those polled said they want Medicare to negotiate prices with the companies, which Congress does not allow. Seventy-eight percent favored limiting the amount companies can charge for high-cost drugs, such as those that fight cancer or hepatitis, according to the poll from the Kaiser Family Foundation. And more than two-thirds want to let Americans buy drugs imported from Canada. Support is strong no matter the political party. The poll found that while a majority of Americans still believed prescription drugs developed over the past two decades have improved lives, respect is dwindling. In 2008, 73 percent of Americans said the medicines had this positive effect, but that number dropped to 62 percent in August 2015.

The poll found that three-quarters of Americans considered drug costs unreasonable. Despite the perceived burden, the poll also discovered that 73 percent of people taking prescription medicines said it had been easy to afford their drugs. People in fair or poor health and those taking four or more drugs were more likely to say they were having trouble affording prescriptions than more healthy people.

Other ideas were less popular, including two restricting consumers. A minority of those polled favored eliminating prescription drug advertisements, which has been suggested to quell the aggressive marketing companies do directly to consumers. Only 4 in 10 Americans favored requiring people to pay more if they don’t choose the least expensive version of a drug to treat their illness.

The survey was conducted between Sept. 14 and 20 among 1,204 people, using both land lines and cell phones. The margin of error was +/- 3 percent.


Your membership yields results and will continue to do so. When your 2017 invoice arrives, please renew. KEEP MSSNY STRONG!


Reports Show 2017 Medicare Payment Adjustments
As reported in the September 29 AMA Advocacy Update, Medicare has made available two new reports with information on 2015 cost and quality data that indicate which physicians or practices will see related Medicare payment adjustments in 2017.

The 2015 Physician Quality Reporting System (PQRS) Feedback Reports and 2015 Annual Quality and Resource Use Reports (QRUR) were released on September 26, and CMS is mailing letters to physicians beginning September 26 if they will have a penalty.

The payment adjustments detailed in these reports are NOT the result of MACRA legislation passed by Congress in 2015.  They are associated with current federal statutory pay for performance programs that are being replaced in 2019 with the new MIPS system created under MACRA.

2015 PQRS penalty letters notify physicians and groups who are scheduled to receive a 2% penalty in 2017 based on 2015 PQRS reporting. The PQRS feedback report allows physicians to look up whether they will receive the 2% 2017 PQRS penalty, and contains detailed information on program year 2015 PQRS reporting results.

The 2015 Annual QRURs provide information on how practices performed on quality and cost measures used in the Value Modifier (VM) and whether their VM payment adjustment will be positive, negative or neutral and the specific amount. VM penalties can range from -1% to -4% depending on practice size and performance. Bonus payments depend on how much money is collected from penalties and to date the 2017 bonus size has not been publically announced by CMS.

Practices that believe there are errors in the report or calculation of the payment adjustment should file for an informal review by the end of November.

How to access the reports:

  • An Enterprise Identity Management (EIDM) account with the appropriate role is required for participants to obtain 2015 PQRS feedback reports and 2015 Annual QRURs.
  • If you already have an EIDM account, visit the CMS websiteto sign up for the appropriate EIDM role or contact QualityNet Help Desk to determine if someone in the practice already has that role.
  • To sign up for an EIDM account, visit the CMS Enterprise Portaland click “New User Registration” under “Login to CMS Secure Portal.”
  • For more information on viewing the reports, view the PQRS Analysis and Payment webpageand How to Obtain a QRUR webpage.

Information on the informal review process:

  • To request an informal review of a 2017 PQRS negative payment adjustment, view the “2015 Physician Quality Reporting System (PQRS): 2017 Negative Payment Adjustment – Informal Review Made Simple” guide on the PQRS Analysis and Payment webpage.
  • To request an informal review of the 2015 QRURs or the 2017 Value Modifier calculation, see the 2015 QRUR and 2017 Value Modifier webpage.

WCB Proposes a Drug Formulary for Injured Workers
The New York State Workers Compensation Board is inviting public comment on a Discussion Document available from its website that proposes the creation of a Workers Compensation pharmacy benefit plan.

In releasing the Discussion Document the Board noted: “The rapid pace of change in the pharmaceutical industry over the last few years has rendered the Board’s pharmacy benefit structure inadequate to address the overwhelming number of new medications that have been introduced to the medical community. The Board’s current pharmacy benefit describes reimbursement levels for brand, generic and compounded products, but otherwise provides little structure or guidance to prescribers. There is no drug formulary in place; no requirement for pre-approval/prior authorization; no process to ensure the appropriateness of prescribed medications.”

The deadline for receiving comments is November 14.  MSSNY will work with affected specialty societies and groups representing injured workers to review the document and will provide comments as necessary.

MSSNY-Home Care Workgroup Seeks to Reduce Administrative Burdens
As directed at this year’s House of Delegates, MSSNY has established a work group with the Home Care Association of New York State (HCA) to collaborate on efforts to address overbearing administrative burdens that stand in the way of patients receiving, and physicians ordering, needed home care services.  The first meeting of the group took place in September and another is scheduled for the end of October.

One of the most important issues under discussion is how best to reduce the burden of the so-called “Face to Face” requirement included in the ACA.  This provision requires a certifying physician to document that he or she, or a non-physician practitioner (NP or PA) working with the physician, has seen the patient, as a precondition of eligibility for Medicare and Medicaid coverage for home health services.  Many home care agencies and physicians have noted that the CMS regulations implementing this provision have created unnecessary and overly burdensome documentation requirements that are delaying or denying coverage for needed home care services.  One home care provider shared an example of a CMS review agent denying the patient’s coverage for services based on his assessment of the physician’s documentation, despite concurring that the patient met the requisite eligibility criteria and indeed needed the services.

On the federal level, New York Representatives Tom Reed (R-Southern Tier) and Paul Tonko (D-Capital District) initiated a sign on letter to CMS with over 70 other members of Congress to urge simplification of the Face to Face requirement.  Specifically, the letter noted that “the current regulations contain complicated, confusing, and overlapping documentation requirements that exceed the intent of the law passed by Congress. These requirements have imposed a significant burden on home health providers and physicians in our districts”.

On the state level, as the state has now moved (as of July 1) to implement Face-to-Face for Medicaid,  HCA and MSSNY, the Healthcare Association of New York State (HANYS) and the Iroquois Healthcare Alliance have met with the New York DOH to urge mitigation of such an added layer of burden for Medicaid.  These groups have also suggested areas where the Face to Face requirement could be eliminated entirely for Medicaid, such as within the context care delivered under managed care, or other “managed care-like” models, such as within a regional Performing Provider System (PPS) established under DSRIP, or an ACO, health home or other integrated model.

The work group has also discussed the importance of assuring physicians are properly educated regarding these federal requirements, including the importance of completing certification in a timely and comprehensive manner.

MSSNY Representatives for this work group include Dr. Evelyn Dooley-Seidman, Chair of MSSNY’s Long-Term Care Committee; MSSNY Board of Trustees Member Dr. Andrew Kleinman; Dr. Ruth Kleinman; Dr. Eugene Kalmut; and Dr. Jay Slotkin.

To view a brief CMS power point presentation regarding these Face to Face rules, go here.  To read a detailed FAQ document prepared by CMS, go here.

For more information about the activities of the Task Force, please contact mauster@mssny.org.

Most Children Who Contract Zika after Birth Only Fall Mildly Ill, Study Suggests
The New York Times (9/30) reported that a study published in The Lancet Infectious Diseases suggests that “serious complications are rare among children infected with the Zika virus after birth.” Researchers used data reported to the Centers for Disease Control and Prevention since 2015, including “about 160 teenagers and toddlers” aged 1 month to 17 years. In general, “these children got only mildly ill: 129 had a rash, C.D.C. researchers found, while half were feverish and a quarter had red eyes or joint pain.”

AMA: “CMS Listened about MACRA Reporting”
Recently, the AMA saw evidence that CMS has been listening to physician concerns, when CMS Acting Administrator Andrew Slavitt announced that physicians can choose among four options to avoid payment penalties in 2019. Medicine welcomed CMS’ decision to allow physicians to pick their own pace for the initial MACRA reporting period in 2017 as a positive step toward giving all physicians a fair opportunity to succeed.

Although details on MACRA implementation will not be available until the final rule is released later this fall, we have developed a number of resources to help physician practices begin to prepare for the transition to the new payment system:

  • MACRA website – Includes a checklist with steps practices can take now to prepare, an action kit and slideshow with information about what is in the proposed rule, an outline of advocacy efforts, a “Guide to physician-focused payment models,” and additional resources
  • AMA STEPS Forward® module, “Preparing your practice for value-based care – CME-accredited activity provides steps to take, answers to common questions and case vignettes
  • New podcast series “Inside Medicare’s new payment system” (available here) – Produced by ReachMD, these downloadable audio stories feature interviews with industry experts and physician leaders (including CMS’ Andy Slavitt, AMA President Andrew Gurman, MD, and the AMA’s Richard Deem and Michael Tutty)
  • AMA Wire® stories – Ongoing articles on the latest MACRA developments, how physicians are participating in new models of care, and more

The AMA will soon release a new web-based tool to help physicians understand which MACRA pathway is best for them and assess its impact on their practice. The AMA is planning regional seminars on MACRA, as well as webinars for physicians and “train the trainer” webinars.


RFP for Office of Temporary and Disability Assistance


REQUEST FOR PROPOSALS

The New York State Office of Temporary and Disability Assistance (OTDA), Division of Disability Determinations is issuing a Request for Proposal (RFP) to solicit proposals from qualified vendors for the establishment of one contract medical provider to establish a site in the upstate area of the Capital District, NY (including the cities of Albany, Schenectady, and Troy and the immediate geographic area) to perform medical examinations and ancillary testing of claimants applying for Social Security disability benefits. If your organization is capable of performing a high volume of medical examinations and diagnostic tests, the Capital District Consultative Examination RFP can be found on the OTDA website at https://otda.ny.gov/contracts/procurement-bid.asp.  If your organization wishes to receive a hard copy of the RFP, please send your request immediately by Certified Mail to:

Mr. Lawrence Rockefeller
NYS Office of Temporary and Disability Assistance
Division of Disability Determinations
One Commerce Plaza, 10th Floor
99 Washington Avenue
Albany, New York 12210

The RFP release date is September 14, 2016 with proposals due no later than November 2, 2016 at 3:00 p.m. EST.  If you have any questions, you may contact Melinda Kuiken at (518) 626-3042.


New Law Reduces Physician Reporting Burdens for Paper Prescriptions
As reported last week, Governor Cuomo has signed into law legislation (S.6779, Hannon)/A.9335,Gottfried) strongly supported and advocated for by MSSNY which eliminates the requirement for a physician to report a litany of information to the New York DOH when he/she must issue a paper prescription in lieu of an e-prescription.  Instead, the new law requires that the physician make a notation in the patient’s medical record that a paper/oral/fax prescription was issued in those circumstances, articulated in the statute, that are excepted from the general e-prescribing requirement.  These circumstances include:

  • Temporary technological or electrical failure;
  • When the prescription will be dispensed by a pharmacy located outside the state;
  • When the physician reasonably determines that an e-prescription would be impractical for the patient to obtain the medication in a timely manner, and such delay would adversely impact the patient’s medical condition.

MSSNY thanks the many physicians across New York who responded to our call to contact their legislators and the Governor to express their support for this legislation.  MSSNY worked closely with the Healthcare Association of New York State (HANYS) and numerous specialty societies to advocate for this important change to the law.

Upon learning that the bill was signed into law, MSSNY President, Malcolm Reid, MD issued the following statement. “We are pleased that Governor Cuomo has signed into law legislation to reduce the reporting burdens in those situations when a physician must issue a paper prescription.  We thank Senator Hannon and Assemblyman Gottfried for championing this legislation.  We look forward to working with the Governor and the Legislature to address other obstacles related to e-prescribing that interfere with patients timely receiving needed medications”.


Millennials Don’t Plan on Getting Flu Shot
 A survey conducted in September by Harris Poll on behalf of CityMD, an urgent-care-center network, found that 52 percent of millennials don’t plan on getting the flu shot during this year’s influenza season. Of those, 49 percent said they don’t trust that the vaccine will prevent them from getting the flu. An additional 29 percent worried that getting the shot will actually make them catch the virus. Citing recent studies, the CDC says the vaccine “reduces the risk of flu illness by about 50 percent to 60 percent.” Last season, 43.6 percent of Americans got the vaccine, according to CDC data.


CLASSIFIEDS



Elegant Plastic Surgery Office (Upper East Side Manhattan)
Very large and classy office to share. Located in the ground floor of a 25′ x 100′ carriage house opposite the 66th Street Armory with large consult room, 2+ treatment/exam rooms, large waiting room, business office, storage. See video of office — you won’t believe it: www.youtube.com/watch?v=Uli8Cck_eRA   $5000/month incl utilities. no brokers. Call Doctor Fischman at (212) 472–3300.Jeffrey R. Fischman, M.D.  110 E 66th Street.


Well-Established Nassau County Internal Medicine Practice Available for Acquisition
After serving the community for 34 years, this well-established internal medicine practice is available for acquisition. The practice is multi-specialty with significant volume of primary care patients. This office is located in Plainview on a major street with excellent visibility and accessibility, with ample parking. For more information please call (516)822-4706 or E-mail to surendralal1@yahoo.com


Considering Outsourcing Your Billing?
Elite Medical Revenue Solutions, LLC specializes in Practice Management.  We can quickly solve your insurance billing problems by filing and following up on your claims and billing. We provide some of the most innovative and powerful solutions in the market today: online, and in real-time. Our CMS provides you with control and gives you and your staff complete access from any computer with Internet access. Services include: Practice Management, Claims Filing & Follow-up, Electronic Health Records (EHR), Online Patient Payment Portal & Collections, Certified Coding Services & Audit Prevention, Paperless Document Filing, HIPPA Compliance Documentation. Call us today at 888 334-6585 or visit us at www.elitemedsolutions.net
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Want to rent your medical office? Need to lease space to expand your practice?
Clineeds is an online platform designed to help physicians find or rent medical office space. Listing is completely FREE! Sign up today at http://clineeds.com/signup We take care of the rest!

Physician Opportunities

County Executive
The Suffolk County Medical Society, a 501C-6 corporation, recognized as the premier professional medical association for the physicians of Suffolk County, is seeking to fill the position of Executive Director.  Successful candidates will possess a Bachelor Degree, (Masters Degree preferred in a healthcare-related field and/or Business/Finance).  Should have minimum of five years experience in healthcare or association management .  Must possess the following abilities: have a thorough working knowledge of the health care industry;  serve as a strong physician and patient advocate; be able to successfully balance multiple demands; possess strong leadership skills with excellent oral and written communications.For more information and a complete job description, visit www.scms-sam.org.  Please forward a resume with a cover letter outlining how you meet the parameters of the position, including salary requirements, to stuscms@optonline.net.  Position scheduled to begin February, 2017.



A Private Multidisciplinary Medical Group is seeking an Internal Medicine/Family Medicine Physician in Manhattan
A well-established Manhattan based private multidisciplinary medical group is seeking to hire an Internal Medicine/Family Medicine Physician. This is a great opportunity to start your own practice in a modern office in midtown Manhattan. Attractive base salary plus comprehensive benefits package offered (Malpractice, 3 weeks paid vacation, 1 week CME, CME allowance, paid health insurance, etc).If you are a solo practitioner in private practice looking to join a private group practice, we will work with you to make the transition seamless. Please email your CV to tsrgexpress@gmail.com. No recruiters please.

A Private Multidisciplinary Medical Group is seeking a Podiatrist in Manhattan
A well-established Manhattan based private multidisciplinary medical group is seeking to hire a Podiatrist. This is a great opportunity to start your own practice in a modern office in midtown Manhattan. Attractive base salary plus comprehensive benefits package offered (Malpractice, 3 weeks paid vacation, 1 week CME, CME allowance, paid health insurance, etc).If you are a solo practitioner in private practice looking to join a private group practice, we will work with you to make the transition seamless. Please email your CV to tsrgexpress@gmail.com. No recruiters please.


Nurse Practitioner/ Family Practice Physician
Full time/part time Urgent Care; Primary care/urgent care experience necessary. Rome NY. 315-335-7777

CALL FOR RATES & INFO. CHRISTINA SOUTHARD: 516-488-6100 ext. 355