March 25, 2016 – E-Prescribing Has Gone Into Effect

drmaldonado PRESIDENT’S  MESSAGE
 Dr. Joseph R.  Maldonado
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March 25,  2016
Volume 16, Number 11

Dear Colleagues:

Instead of my usual introduction, today this space is being used for very important information regarding the E-prescribing mandate that goes into effect this Sunday, March 27. Please share it with your colleagues.

E-PRESCRIBING OF ALL SUBSTANCES TAKES EFFECT ON SUNDAY MARCH 27, 2016
New York State’s e-prescribing requirements for non-controlled and controlled substances will go into effect on Sunday, March 27, 2016.According to the NYS Department of Health’s Bureau of Narcotic Enforcement, more than 70,000 prescribers are already e-prescribing and other prescribers are continuing to register their certified software for controlled substances with the New State Department of Health.     Practitioners should continue their efforts to become compliant with the law, including working with their software vendors to implement the additional security requirements needed for e-prescribing of controlled substances (EPCS), and registering their certified software applications with the Bureau of Narcotic Enforcement.For physicians who prescribe controlled substances, there are additional steps to complete in order to electronically prescribe controlled substances.  These include the following:

  • First, the software you currently use must meet all the federal security requirements for EPCS, which can be found on the Drug Enforcement Agency’s (DEA) web page. http://www.deadiversion.usdoj.gov/ecomm/e_rx/

Note that federal security requirements include a third party audit or DEA certification of the software.

  • Second, you must complete the identity proofing process as defined in the federal requirements.
  • Third, you must obtain a two-factor authentication as defined in the federal requirements.
  • Fourth, you must register your DEA certified EPCS software with the Bureau of Narcotic Enforcement (BNE). Registration instructions are included in the FAQs.

A copy of the BNE’s Frequently Asked Questions (FAQs) can be found here.

E-prescribing of non-controlled substances is also required under the law; however, registering of this system with the state is not necessary. 

Exceptions to the E-Prescribing Requirement:
The law currently allows for a list of exceptions from the requirement to electronically prescribe and they are:

  • Prescriptions issued in circumstances where electronic prescribing is not available due to temporary technological or electrical failure
  • Prescriptions issued by a practitioner under circumstances where the practitioner reasonably determines that it would be impractical for the patient to obtain substances prescribed by electronic prescription in a timely manner, and such delay would adversely impact the patient’s medical condition. In addition to these circumstances, the quantity of controlled substances cannot exceed a five day supply if supply if the controlled substance were used in accordance with the directions for use.
  • Prescriptions issued by a practitioner to be dispensed by a pharmacy located outside the state.
  • Practitioners who have received a waiver or a renewal thereof for a specified period determined by the commissioner, from the requirement to use electronic prescribing.

However, each time a prescriber uses the power or electrical failure exception they must file information about the issuance of the paper prescription electronically to the Department of Health within 72 hours and 48 hours when a prescriber uses the exception where the practitioner reasonably determines that that it would be impractical for the patient to obtain substances prescribed by electronic prescription in a timely manner, and such delay would adversely impact the patient’s medical condition or when the prescription will be dispensed by a pharmacy located out of state. MSSNY was informed yesterday by the DOH Bureau of Narcotic Enforcement that the information about “the issuance of the paper prescription” pursuant to one of these exceptions must include

  • That this is the notification required by PHL Section 281 (4) or 5
  • Physician’s name
  • License number
  • Telephone number
  • Work email address
  • Work address
  • Patient’s initials
  • The reason for invoking the exception including the citation to PHL Section 281 (3) technological or power failure, (d) patient harm or (e) out of state dispensing 

Notably absent from this list is the number on the paper prescriptions written.

Notification to the Department of Health should be sent to:  erx@health.ny.us

Additionally, MSSNY strongly recommends that use of the exceptions be included in the patient’s medical record.

And, on March 16, 2016, NYS Health Commissioner Howard  Zucker, MD issued a statement providing for 12 additional exemptions to the e-prescribing mandate.     Those exceptions are as follows:

  1. Any practitioner prescribing a controlled or non-controlled substance, containing two (2) or more products, which is compounded by a pharmacist;
  2. Any practitioner prescribing a controlled or non-controlled substance to be compounded for the direct administration to a patient by parenteral, intravenous, intramuscular, subcutaneous or intraspinal infusion;
  3. Any practitioner prescribing a controlled or non-controlled substance that contains long or complicated directions;
  4. any practitioner prescribing a controlled or non-controlled substance that requires a prescription to contain certain elements required by the federal Food and Drug Administration (FDA) that are not able to be accomplished with electronic prescribing;
  5. any practitioner prescribing a controlled or non-controlled substance under approved protocols under expedited partner therapy, collaborative drug management or in response to a public health emergency that would allow a non-patient specific prescription;
  6. Any practitioner prescribing an opioid antagonist that would allow a non-patient specific prescription;
  7. Any practitioner prescribing a controlled or non-controlled substance under a research protocol;
  8. a practitioner prescribing a controlled or non-controlled substance either through an Official New York State Prescription form or an oral prescription communicated to a pharmacist serving as a vendor of pharmaceutical services, by an agent who is a health care practitioner, for patients in nursing homes and residential health care facilities as defined in section twenty-eight hundred one of the public health law.
  9. A pharmacist dispensing controlled and non-controlled substance compounded prescriptions, prescriptions containing long or complicated directions, and prescriptions containing certain elements required by the FDA or any other governmental agency that are not able to be accomplished with electronic prescribing;
  10. A pharmacist dispensing prescriptions issued under a research protocol, or under approved protocols for expedited partner therapy, or for collaborative drug management;
  11. A pharmacist dispensing non-patient specific prescriptions, including opioid antagonists, or prescriptions issued in response to a public health emergency issued; and
  12. A pharmacist serving as a vendor of pharmaceutical services dispensing a controlled or non-controlled substance through an Official New York State Prescription form or an oral prescription communicated by an agent who is a health care practitioner, for patients in nursing homes and residential health care facilities as defined in section twenty-eight hundred one of the public health law.

The above-listed exceptional circumstances will be effective until March 26, 2017. According to an email that MSSNY received on March 17, 2016 from the NYS Bureau of Narcotics Enforcement, use of these exceptions does not require physicians to notify the Department of Health that they are using the exception.  

A copy of the Commissioner’s letter can be found here.


Waivers from e-prescribing requirement
NYS Department of Health has issued over 2,600 one year waivers to prescribers.   The law provides that physicians may apply for a waiver of the e-prescribing requirement for a) economic hardship b) technological limitations that are not reasonably within the control of the physician, or c) other exceptional circumstances.

Once a physician has received a waiver, they may issue the prescription on a paper script.   According to the NYS Department of Health Bureau of Narcotic Enforcement, there is nothing in the law that says a physician must notify the pharmacy that they have received a waiver; however, physicians can place their waiver number on the script should they want to do so.  Pharmacies should dispense medication whether the script has been e-prescribed or presented on the official NYS Prescription paper form.

Information on obtaining a one year wavier is available here.

The ISTOP legislation enacted in 2012 required e-prescribing of ALL substances. Regulations pertaining to the E-prescribing requirements were adopted on March 27, 2013.   The Medical Society of the State of New York was successful in obtaining a one year delay in the implementation of the e-prescribing mandate due to the fact that the vendors were not in compliance with the DEA rules for EPCS.  A copy of the regulations can be found here.

Additional information regarding e-prescribing may be accessed at the following links:
http://www.health.ny.gov/professionals/narcotic/electronic_prescribing/
http://www.op.nysed.gov/prof/pharm/pharmelectrans.htm

 

Joseph Maldonado, M.D, MSc, MBA, DipEBHC
MSSNY President

Please send your comments to comments@mssny.org


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Budget Negotiations Will Continue Through the Weekend; No Resolution on Issues of Concern to Physicians; Physicians Must Contact Their Elected Senators and Assemblymembers
The Legislature may have adjourned and will not return until Monday, March 28th, but serious budget negotiations will continue throughout the weekend with a view toward completing the passage of the budget by April 1st.

This being said, there has been no resolution on the many issues of concern to physicians. We ask that you take time over the weekend to reach out to your elected representatives to urge them to take steps to meaningfully address our issues of concern.  

Excess

First and foremost, while each House added $25M in their one House budget bills to restore funding for the Excess program, the Governor continues to resist these efforts.  Physicians should thank their elected officials for proposing to restore this funding and continue to urge identification of monies needed to restore this cut so that all physicians can remain eligible for this needed coverage.  If the cuts were to go through, over 13,000 physicians would lose this coverage! Go to the this link for a letter you can send to your elected representatives:.

Health Republic

While we are pleased that both Houses articulated desire that “funding or settlement funds be identified in  addition  to  remaining  assets  to   reimburse   hospitals, physicians and producers pro-rata for losses associated with the demise of Health  Republic  upon  completion  of  the  formal liquidation process” (Senate language) and , several key legislators (Senators Hannon, Rivera,  and Valesky and Assemblymembers Cahill and Walter) articulated this goal in the first meeting of the Health Budget Conference Committee this issue has not been finalized.  However, many legislators have expressed concerns that there may not be sufficient public monies to pay for a fund.  ALL PHYSICIANS SHOULD IMMEDIATELY GO TO THE FOLLOWING LINK TO CONTACT THEIR ELECTED REPRESENTATIVES TO URGE THE INDENTIFICATION OF A POOL OF MONIES TO REIMBURSE HEALTHCARE PROVIDERS FOR THE SERVICES RENDERED TO PATIENTS PREVIOUSLY INSURED BY HEALTH REPUBLIC.
http://cqrcengage.com/mssny/app/onestep-write-a-letter?10&engagementId=151313

Workers Compensation

Also, we are pleased that neither House included any of the workers’ compensation language we opposed. While this is a very positive development, the Governor continues to push this proposal.  Therefore, we must keep the pressure on by reaching out to your elected representatives if you haven’t yet done so by sending letters found at the following links:

Workers Comp proposal to remove critical role played by county medical societies

Workers Comp proposal to expand use of non-physicians:.

E-Prescribing

We continue to be pleased that the Senate bill included legislation in their one House budget bill strongly supported by MSSNY which would exempt low volume providers from the eRx mandate and allow prescribers invoking an exception to the mandate to make a notation in the patient’s medical record instead of contacting DOH (currently required by law). And we know that the Assembly is also urging adoption of this language.  However, the Attorney General has strongly opposed these changes.

In response MSSNY issued a press statement highlighting the need for flexibility in the implementation of the e-Prescribing law.

We urge you to contact your elected representatives to urge that these changes be enacted into law. 

Dual Eligibles

While we are pleased that the Senate one House repeals action taken in last year’s budget to eliminate Medicaid reimbursement for services provided to patients dually eligible for Medicaid and Medicare thereby restoring the 20% of the co-insurance, there is little money in the budget to do so. Please take action now to encourage your elected representatives to work to restore this appropriation.  Please send a letter in support here. 

Retail Clinics

We remain extremely concerned that the Legislature will allow publicly traded corporations to own and operate limited service clinics in retail space they own without regard for public need. While the Senate incorporated the Governor’s proposal in their one House budget bill, the Assembly advanced language which would, importantly, not allow publicly traded corporations to own and operate retail clinics but which seeks to regulate practices that rent space in retail establishments by, among other things, requiring them to be accredited; limit the type of services which can be provided and prohibit them from delivering care to children under the age of two. The corporately owned retail clinic language remains in play. Go to the this link to send a letter of opposition to this proposal to your legislators.                                                                                        (DIVISION OF GOVERNMENTAL AFFAIRS)


MSSNY’S Adult Immunization Podcasts Now Available
MSSNY’s Preventive Medicine and Family Health and Infectious Disease Committees have recorded nine podcasts on adult immunizations.  Each of these brief podcasts offers insightful commentary from committee members (all experts in their fields) on the importance of continuing vaccinations into adulthood.

The topics discussed are:

  • Hepatitis B
  • Human Papillomavirus (HPV)
  • Influenza
  • Measles, Mumps and Rubella (MMR)
  • Meningococcal Disease
  • Pneumococcal
  • Tetanus, Diphtheria and Pertussis (TD & Tdap)
  • Young Adults
  • Zoster

Listen to all nine podcasts here.
Please share this link with your patients!
(Hoffman, Clancy)


View Zika Webinar; Program Archived on MSSNY’s CME Site
You can now view the Medical Matters program, entitled “Zika Virus—An Evolving Story”.  The webinar was conducted by MSSNY and the New York State Department of Health and featured Dr. William Valenti, chair of MSSNY’s Infectious Disease Committee and member of the MSSNY’s Emergency Preparedness and Disaster/Terrorism Response Committee and Dr. Elizabeth Dufort, medical director, Division of Epidemiology from the New York State Department of Health.   This program has been archived to the MSSNY CME website and physicians and other health care providers can view this program free of charge by logging into http://cme.mssny.org.

The MSSNY CME site requires new users to register, but once registered physicians and other health care providers will have a personalized training page to take them to this webinar and other course work located on the site.   New registrants to the site will create a username and password, which should be retained and be used for continued access to the site. Once registered and logged into the site, physicians will be taken to an instruction page.   Click on the tool bar menu located at the top of the page and click on “My training” to view and take the various courses.  MSSNY has over 50 programs at this site and physicians are able to earn continuing medical education credits for each course.

The Medical Society of the State of New York is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The online program has various programs with the number of continuing medical education credits, but the majority of the programs are for 1.0 AMA/PRA Category 1 credit™.

Further information on all these programs may be obtained by contacting Melissa Hoffman at mhoffman@mssny.org                          (Clancy, Hoffman) 


PTSD and TBI in Returning Veterans:  April – June Webinars and Live Program
MSSNY will be holding a series of CME webinars on PTSD and TBI in returning veterans on sx dates listed below from March through June. As part of a joint program with NYSPA, MSSNY will also be hosting a live presentation of the program at the Upsky Hotel in Hauppauge, Long Island. The faculty presenters will be Frank Dowling, MD and Joshua Cohen, MD.

Course objectives:

  • Explore the two most prevalent mental disorders facing American veterans today, their causes, symptoms, and comorbidities
  • Outline treatment options including evidence-based psychotherapy and pharmacotherapy
  • Discuss barriers to treatment, including those unique to military culture, and how to overcome them
  • Outline the process of recovery and post-traumatic grow (ELPERIN, DEARS)

To register for this program, click on a date below and fill out the registration form

Thursday, April 7, 6-7 PM
Tuesday, April 12, 7:30-8:30 AM
Friday, April 15, 8-9 AM live at the Upsky Hotel in Hauppauge, Long Island
Thursday, May 5, 6-7 PM
Thursday, May 19, 7:30-8:30 AM
Thursday, June 2, 6-7 PM
Thursday, June 9, 7:30-8:30 AM

For more information relating to any of the above articles, please contact the appropriate contributing staff member at the following email addresses:       

pschuh@mssny.org ldears@mssny.org      mauster@mssny.org  
pclancy@mssny.org jmcpartlon@mssny.org    

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Socio-Med: Be Aware of the Law if You No Longer Want to Accept WC patients
As a reminder, a physician who is authorized to treat Workers’ Compensation (WC) patients in NYS is not at liberty to pick and choose who to treat under NYS WC Law.

Please read the following:

  • NEW YORK CODES, RULES AND REGULATIONS, NYCRR 325-1.21 provides in part that a physician, “shall accept and treat such injured employees in a manner corresponding to that accorded other patients in his or her practice, without discriminating against such injured employees because they are or may be covered by the provisions of the Workers’ Compensation Law”.  The full text of NYCRR 325.21 is included below.

Section 325-1.21 Failure to treat.

A physician, podiatrist, chiropractor, psychologist, operator of a medical bureau or laboratory authorized by the chair to render treatment and care to injured employees under the Workers’ Compensation Law:

(a) shall accept and treat such injured employees in a manner corresponding to that accorded other patients in his or her practice, without discriminating against such injured employees because they are or may be covered by the provisions of the Workers’ Compensation Law; and

(b) shall not refuse to provide treatment and care to such injured

employees on the basis of a fee request greater than that set forth in the applicable prescribed fee schedule, but shall submit to arbitration such fee dispute in accordance with the provisions of the Workers’ Compensation Law, nor shall such treatment and care be denied to such injured employees because the source or manner of payment for such treatment and care is pursuant to the provisions of the Workers’ Compensation Law.

Nothing contained in this section shall prevent a voluntary payment by the employer or carrier of an amount higher than the fees and charges found in the fee schedule where agreed to by the employer or carrier. An authorized physician, podiatrist, chiropractor, psychologist, operator of a medical bureau or laboratory whose actions violate or are inconsistent with the provisions of this section shall be charged with misconduct, and his or her authorization to treat workers’ compensation cases shall be subject to suspension or revocation by the chair in accordance with the procedures set forth in the Workers’ Compensation Law.

In addition, I am providing you with the following Q&A:

  1. What is the consequence of Failure to Treat? 
  2. A provider can be removed from the list of authorized providers.
  3. If a physician can’t take on any new WC claimants, would the WCB consider this reportable misconduct?
  4. If a provider is removed from the list of authorized providers, it is reportable to DOH/OPMC.
  5. QWhat if the practice cannot financially sustain any more WC claimants?
  6. As the regulation states, “shall accept and treat such injured employees in a manner corresponding to that accorded other patients in his or her practice, without discriminating against such injured employees because they are or may be covered by the provisions of the Workers’ Compensation Law.”
  7. As an example, under managed care, doctors may feel they need to close their panel since it is not economically sustainable to take on new plan patients.
  8. The only acceptable reason not to take on new WC patients is if the practice is not taking on ANY new patients.
  9. What is the alternative if a physician feels h/she cannot sustain the financial viability of the practice without limiting the number of WC claimants?
  10. The physician may have to turn in their authorization to treat WC patients and cease treating all WC patients.
  11. Are you saying that the physician has no discretion to limit the number of WC claimants?
  12. Their discretion is limited only to the extent that they may refuse a new WC patient if the practice is not accepting ANY new patients.

If a physician makes an independent business decision to no longer treat WC patients, the physician needs to notify the WCB of the intent to voluntarily resign from the WC Program.  If a physician chooses to resign from WC, he/she must send a letter to the WCB at the address below indicating that he/she is voluntarily surrendering his/her WCB authorization as a treating provider: New York State Workers’ Compensation Board, Medical Director’s Office, 100 Broadway-Menands, Albany, NY  12241

Physicians who resign from WC can tell patients to search the WCB website at www.wcb.ny.gov  to find a physician under the section for WORKERS.  Or, patients can call the WCB for help:  Advocate for Injured Workers at 1-800-580-6665 or by e-mail to: advinjwkr@wcb.ny.gov

If you have any additional questions, please call Socio-Med VP Regina McNally at 516-488-6100 ext. 332.


MSSNY in the News
Associated Press – 03/19/16
As NY Demands Paperless Prescribing, Doctors are Mixed
(MSSNY President, Dr. Joseph Maldonado  and New York County Medical Society President Dr. Michael T. Goldstein, quoted)

Also appeared in:

ABC News
ABC – 13WHAM
Auburn Pub
The Columbian
CBS News
Claims Journal
Fox News
Indiana Gazette
Kansas City Star
KBET 790 Talk Now
Lockport Journal
NBC New York
NBC News 2 South Carolina
Oneida Daily Dispatch
Pittsburgh Tribune Review
Rocket News
Rutland Herald
Salina Journal
The Sentinel (PA)
Troy Record
Tribtown.com (Seymour, IN)

LoHud.com  -03/20/16
Concerns as N.Y. switches to e-scripts
(MSSNY President, Dr. Joseph Maldonado quoted)

Modern Readers – 03/20/16
As New York Prepares for Paperless Prescriptions, Docs Still Want Answers
(MSSNY President, Dr. Joseph Maldonado quoted)

Tech Times – 03/20/16
New York Mandates Paperless Prescriptions – Why Are Doctors Wary Of E-scripts?
(MSSNY President, Dr. Joseph Maldonado quoted)

Democrat & Chronicle – 03/19/16
Paperless prescribing to start March 27 in NY
(MSSNY President, Dr. Joseph Maldonado quoted)
The Buffalo News -03/19/16
Dr. John Radford wants to treat you over the web
(MSSNY Vice President, Dr. Thomas Madejski quoted)
Also ran in Pharmacy Choice

Finger Lakes Daily News –  03/21/16
Opposition to New Prescription Regulations
(MSSNY President, Dr. Joseph Maldonado comments)

Maine News Online – 03/21/16
Days of doctors handwriting prescriptions that patients then take to pharmacy coming to end
(MSSNY President, Dr. Joseph Maldonado quoted)

Syracuse.com – 03/21/16
Company news: Samuel Saleeb joined St. Joseph’s Health
(MSSNY member Dr. Samuel Saleeb mentioned) 

Pharmacy Choice  – 03/23/16
AAAASF Appoints New Vice President of Standards and Enters 36th Year of Promoting Patient Safety
(MSSNY member Dr. William B. Rosenblatt mentioned)
Also ran in StamfordAdvocate.com 

Becker’s Review

Medscape – 03/24/16
New York e-Prescribing Law Goes Into Effect This Sunday
(MSSNY President, Dr. Joseph Maldonado quoted)

If You Or Your Staff Receive a Yellow Envelope From Medicare And It Says “Revalidation” Please Take Heed
|It is very important that physicians submit a complete revalidation application by your due date and respond to all development requests from your MAC to avoid a hold on your Medicare payments and possible deactivation of your Medicare billing privileges.  If your application is received after the due date, or if you provide additional requested information after the due date your provider enrollment record may be deactivated.  Providers/suppliers deactivated will be required to submit a new full and complete application in order to reestablish their provider enrollment record and related Medicare billing privileges.   The provider/supplier will maintain their original PTAN; however, an interruption in billing will occur during the period of deactivation.  This will result in a gap in coverage.

NOTE:  The reactivation date after a period of deactivation will be based on the receipt date of the new full and complete application. Retroactive billing privileges back to the period of deactivation will not be granted.  

In addition, Medicare has said that if deactivation occurs, patients cannot be billed.  Services provided to Medicare patients during the period between deactivation and reactivation are the provider’s liability.  So if your practice relies on Medicare payment, please do NOT let a deactivation happen to you.  PLEASE share this vital information with your colleagues who bill Medicare but might not use email!


U of Buffalo Med School 628,000 S.F. Facility to Be Completed in 2017
On March 22, Governor Andrew M. Cuomo celebrated the milestone “Topping Off” at the University at Buffalo’s Jacobs School of Medicine and Biomedical Sciences. The Governor signed a steel beam that was raised and placed atop the eight-story, 628,000-square-foot facility which is expected to be completed in 2017. The project marks the largest such medical education building currently under construction in the nation. Upon completion, the new medical campus will bring more than 2,000 students, faculty and staff to the heart of downtown Buffalo.

The new building will allow UB to expand its medical school class size from 140 to 180 students and add 100 new physician-scientists to the UB faculty.


New York City’s Public Hospital System Facing “Unprecedented Threat”
The New York Daily News (3/21, Durkin) reports that New York City’s “public hospital system faces ‘unprecedented threats to our survival,’ its president said” yesterday. Speaking before the City Council, NYC Health + Hospitals (formerly the Health and Hospitals Corp.) president Ram Raju “said Obamacare, despite ‘all its positive impact,’ has dealt a financial blow to the already cash-strapped system, which runs 11 hospitals.” Not only is Health and Hospitals “losing Medicaid funds,” but it also “faces a $1.2 billion budget gap next fiscal year.” Furthermore, Federal aid to hospitals caring for uninsured patients could be cut “$300 million next year, and grow to $460 million a year after that.”


Now Available: 2016 PQRS Educational Materials
CMS is pleased to announce the posting of several 2016 PQRS educational materials. Some highlights include:

  • The “2016 Implementation Guide,” available on the PQRS How To Get Started webpage, contains information for individual eligible professionals and PQRS group practices participating in 2016 PQRS.The 2016 PQRS measures documents, for those reporting via the claims and registry reporting mechanism, are located on the PQRS Measures Codes webpage.
  • The 2016 group practice reporting option (GPRO) Web Interface measures documentation is available on the PQRS GPRO Web Interface webpage.
  • The PQRS Spotlight webpage contains a list of all recent documents and resources. Please check this page regularly for updates.

Be sure to look at the reporting mechanism-specific pages for “Made Simple” documents as well as other 2016 PQRS information. 2015 PQRS resources will be transferred to a separate webpage following the 2015 submission period.

For questions regarding 2016 PQRS reporting, please contact the QualityNet Help Desk at 1-866-288-8912 (TTY 1-877-715-6222) from 7:00 a.m. to 7:00 p.m. Central Time Monday through Friday, or via e-mail at qnetsupport@hcqis.org.


We Need More Email Addresses to Reach More Physicians

There are over 70,000 licensed physicians in NYS.  If we had more emails on file, two thing could happen:

  • More physicians would be made aware of the vital information we publish such as the article about the potential of losing their Medicare cash flow by not heeding the revalidation request; and
  • More physicians might consider joining us since we are organized to help them with these medical practice business issues.

Please share this e-news with your colleagues and ask them to send us their email addresses. Send address to:jvecchione@mssny.org


ZIKA Update: Three-in-One Test Approved by FDA
A new three-in-one laboratory test for Zika and a pair of other dangerous viruses has received emergency approval from the Food and Drug Administration and will be distributed soon, according to the Centers for Disease Control and Prevention. The test, which could speed the diagnosis of Zika, will be shipped to qualified labs across the country over the next two weeks, the agency said on March 18.

The test will allow doctors to determine in a single test whether an individual is currently infected with Zika, chikungunya or dengue. Currently, three tests are required.

The CDC said it will distribute the test to facilities in the Laboratory Response Network, a network of domestic and international laboratories that respond to public health emergencies. The test, called the Trioplex Real-time RT-PCR Assay, will not be available in hospitals or other primary care settings.

According to the CDC’s latest tally, at least 258 Americans have contracted Zika while traveling abroad. Eighteen of those cases have been diagnosed in pregnant women. 


CLASSIFIED

Physician Opportunities

Family & Internal Medicine Opportunity Just 50 miles North of NYC
Top $$ AND potential partnership with large multi-specialty physicians’ group + the balance of work & personal life you have been seeking. Perfect suburban area just 50 miles north of NYC. This is a growth position with the right person moving into a partnership opportunity within two to three years. You will enjoy a salary of $175K+ as well as:
• A monthly bonus potential
• Health, Dental, Vision and prescription insurance
• 3 weeks’ paid vacation time off annually
• 6 federal Holidays off with pay
• A $2500 CME reimbursement
• A 401K plan with company match
• Company pays 75% of a single premium life insurance policy at twice your annual salary
• Paid malpractice insurance, plus paid DEA and license renewals
The ideal candidate will possess the following:
• BE/C in Family Medicine or Internal Medicine
• Active NYS license
• Current DEA #
• Experienced as well as New Grads welcome to apply
**Relocating physicians are welcome and relocation assistance will be offered to the right candidate!**
For immediate consideration and additional information on position details please contact Laura Rappleyea at 845-344-3434 or lrappleyea@hereshelp.com and send CV’s for review.

Neurologist & Pain Management Physician Needed
A growing multi-specialty group in Orange County is looking for both a Neurologist and Pain Management Physician to join their group. This position will work with the headache center Neurologist/Pain Management Specialist. All subspecialties are welcome.
The ideal candidate will possess the following:
• BE/C in Family Medicine or Internal Medicine
   • Active NYS license
   • Experienced as well as New Grads welcome to apply
   • Experience in procedures and utilizing an integrated comprehensive approach to pain management.
For immediate consideration and additional information on position details please contact Laura Rappleyea at 845-344-3434 or lrappleyea@hereshelp.com and send CV’s for review.


OB/GYN Opportunity in the Hudson Valley
Are you looking for a great work/life balance? We are looking for an OB/GYN to join the team. We are looking for a provider to provide comprehensive primary health care to a select population of essentially healthy women, participate in the care of women with complications & responsible for providing a full range of agency approved antepartum, intrapartum, postpartum, gynecological and family planning service.
The ideal candidate will possess the following:
• BE/C in Family Medicine or Internal Medicine
       • Active NYS license
       • Experienced as well as New Grads welcome to apply
For immediate consideration and additional information on position details please contact Laura Rappleyea at 845-344-3434 or lrappleyea@hereshelp.com and send CV’s for review
.


Pediatrician Opportunity in Orange County, New York
A prestigious multi-specialty physicians’ group seeks a family driven
Pediatrician to join their group.
The ideal candidate will possess the following:
• BE/C in Family Medicine or Internal Medicine
   • Active NYS license
   • Experienced as well as New Grads welcome to apply
For immediate consideration and additional information on position details please contact Laura Rappleyea at 845-344-3434 or lrappleyea@hereshelp.com and send CV’s for review. 
.


Psychiatry Opportunity in New York’s Beautiful Hudson Valley
Our client, a prestigious multi-specialty physicians’ group who has been recognized as a Patient-Centered Medical Home by the National Committee for Quality Assurance, seeks a Psychiatrist to join their group.
The ideal candidate will possess the following:
• BE/C in Psychiatry
   • Active NYS license preferred
   • Experienced as well as New Grads welcome to apply
For immediate consideration and additional information on position details please contact Laura Rappleyea at 845-344-3434 or lrappleyea@hereshelp.com and send CV’s for review.



Join Well Established Solo Female OB/GYN Physician Practice in New York City
Quality oriented, looking for MD for long term career opportunity. New graduates welcome to apply. Affiliated with Lenox Hill Hospital. The current office has a AAAA certified operating room and an AIUM accredited ultrasound service. Looking to establish another location. Great opportunity to balance personalized practice with quality lifestyle. Please summit CV to obgynpractice130@gmail.com



L.I. PSYCHIATRIC PRACTICE FOR SALE
                    Huntington, NY
Currently 20 hrs./wk – no evenings or weekends.
$100K/yr. gross. Low overhead.
Office available for rent or move to your location.
Details on request: 631-784-7704


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