May 13, 2016 – Want Higher Premiums? Do Nothing!

 

Dr. Reid
PRESIDENT’S MESSAGE
Dr. Malcolm Reid
asset.find.us.on.facebook.lgTwitter_logo_blue1

May 13,  2016
Volume 16, Number 18

Dear Colleagues:

As you may have seen in our MSSNY E-news publications, we face a threat like never before from the State Legislature which is weighing whether to pass a bill (A.285-A/S.6596) to greatly lengthen the medical malpractice Statute of Limitations. We have been informed that this bill, if enacted, could increase our already outrageously high premiums by another 15%.

Just imagine the impact that an increase of that nature will have on the ability of your practice or your hospital to be able to continue to deliver the care your patients expect.

Will you be able to invest in or afford needed upgrades to your electronic medical record system?

Will you be able to make other technological investments to enhance the services or treatments you can provide to your patients?

Will you even be able to continue to pay your staff?

Given New York’s already difficult practice environment, this bill will unquestionably drive many physicians out of New York.  Additionally, it could greatly exacerbate the already tenuous financial situation that faces many New York hospitals. 

We Are Waging War

To counter this threat, we have been waging an aggressive public relations and advocacy campaign along with specialty societies, hospitals, and even other provider groups, to remind legislators of the already overwhelming costs our health care system face – far more than other states – and why enactment this bill could have a dramatically negative impact on the ability of our patients to obtain timely needed care.  Our ads have appeared in numerous publications regularly read by legislators and other health care policy thought leaders.

But we really need you to actively join us in this fight.

I thank the many of you who have already answered our call to contact your Senators and Assemblymembers to urge them to oppose this bill, and to instead enact comprehensive medical liability reform.  However, we need many more physicians to call and write their legislators in overwhelming numbers to be sure these legislators truly understand the gravity of this legislation and the impact to patients in the communities they represent were this legislation to be enacted.

Please continue to send letters from the MSSNY Grassroots site here.

But do not stop there.  You must also take the time to call your legislators.  A personal conversation can often be more powerful and resonate more loudly than a letter. If you need more information to assist you when making these calls, you can go to this page on the MSSNY website to help you.

Our campaign will not only involve “grassroots” but also “grasstops.”  In this regard, we will be working with county medical society leaders to contact physicians across the State whom we know have close relationships with key legislators.

Please make these contacts as soon as possible.  Our ability to continue to be able to be there for our patients is directly tied to the extent to which we are willing to stand up for our patients and profession.

Malcolm Reid, MD, MPP
MSSNY President

Please send your comments to comments@mssny.org

MLMIC


Capital_Update_Banner

Tell Your Legislators; We Can’t Tolerate Any Further Increases to Our Outrageously High Liability Premiums!
All physicians must continue to contact their legislators to urge them to oppose legislation (A.285-A, Weinstein/S.6596, DeFrancisco) that could increase by another 15% your already exorbitant medical liability premiums by changing the Statute of limitations to a “Date of Discovery” rule.   A letter to your Senator and Assemblymember can be sent from here.

In light of the huge financial pressures already facing physicians prompted by excessive government mandates, reduction in insurer payments and networks, and rapidly rising patient cost-sharing responsibilities, it is essential that you express to your elected representatives that “stand-alone” legislation driving further liability increases cannot be tolerated and could seriously impact access to care for patients.

In response to this threat, MSSNY and other groups have publicly highlighted the huge and unsustainable liability burden already assumed by New York physicians, and the threat this legislation poses to the already precarious stability of many New York hospitals and medical liability insurers.  MSSNY together with numerous other specialty medical societies have joined the Greater New York Hospital Association (GNYHA) and Healthcare Association of New York State (HANYS) in an ad campaign highlighting the disastrous consequences to our healthcare system should such a large expansion in the right to sue be permitted by the State Legislature.   The ad  has appeared in City & State, Politico New York, and the Albany Times-Union.

Please remind your legislators of the seriously adverse consequences to patient care should this legislation be enacted!  (AUSTER, DEARS)

Governor Establishes Task Force to Combat Heroin
Governor Andrew M. Cuomo has established a statewide heroin task force charged with ending the heroin and opioid crisis in New York. The group, comprised of a broad coalition of experts in healthcare, drug policy, advocacy, education, and parents and New Yorkers in recovery, will build on the state’s previous efforts and use their expertise and experience to develop a comprehensive action plan to combat the state’s opioid epidemic.

Members of the task force include: Kathy Hochul, Lieutenant Governor, co-chair; Arlene Gonzalez-Sanchez, NYS OASAS Commissioner, co-chair; Maria Vullo, Acting NYS DFS Superintendent; Dr. Howard Zucker, NYS DOH Commissioner; Joshua Vinciguerra, NYS DOH, Bureau of Narcotic Enforcement Director; Michael Green, NYS DCJS Executive Commissioner; Lt. Colonel Frank Kohler, Lead on Heroin/Opioids, NYS State Police; Tino Hernandez, President, Samaritan Village; Daniel Raymond, Policy Director, Harm Reduction Coalition; Charles Brack, Peer/Family Support Specialist, United Healthcare;  Patrice Wallace-Moore, CEO of Arms Acres; Michael McMahon, Richmond County District Attorney; Adrienne Abbate, Executive Director, SI partnership for Community Wellness; Kym Laube, Executive Director, Human Understanding & Growth Services; Dr. Jeffrey Reynolds, President and CEO of Family and Children’s Association; Anne Constantino, CEO of Horizon Health Services; Cortney Lovell, Director, Wrise Consulting; Susan Salomone, Executive Director of Drug Crisis in Our Backyard; Patrick Seche, Director of Services, Addiction Psychiatry, University of Rochester Medical Center; Jerald Woolfork, VP for Student Affairs at SUNY Oswego; Tom O’Brien, Roxbury Schools Superintendent’ Terrence Murphy, NYS Senate; Linda Rosenthal, NYS Assembly.

The task force is expected to go on a “listening tour”  as early as next week.  The task will identify ways to expand awareness of heroin and opioid addiction; enhance statewide prevention efforts; increase access to treatment; and improve support for those in recovery.     (CLANCY, DEARS)

Bill to Limit Pain Medication on The Assembly Health Committee; Moving in Senate
A.8601-A, sponsored by Assemblymember John McDonald, is on the Assembly Health Committee agenda this Tuesday, May 17.  The bill would limit the initial prescription by a physician or other prescriber of Controlled Substances, Schedule II or III, to a 5-day supply for patients suffering acute pain.   The Medical Society of the State of New York is opposed to this measure.  Its companion measure, S.6091B, sponsored by Senator Kemp Hannon, is on the Senate calendar and can be voted on at any time.   This legislation would effectively prevent a physician from exercising his/her clinical judgement on behalf of the patient.

Moreover, this action would set a dangerous precedent in New York State and represents an enormous encroachment of the New York State Legislature into the practice of medicine.   A physician’s clinical judgment in addressing the unique needs of the individual patient should always prevail to ensure that patients receive the most appropriate and effective medication in a timely manner.

The Medical Society agrees with the concerns expressed by some that there have been instances when prescribers have authorized doses for opioid medications in excess of what was needed to address that  patient’s medical condition.  Therefore, to address this concern, MSSNY has been working with the American Medical Association and other state medical societies across the country to urge Congress to pass legislation that would enable a physician to authorize a “partial fill” of a controlled substance prescription, thereby reducing the likelihood of unused medications being left in medicine cabinets.

Furthermore, the development of guidance for pain management must be addressed from the broadest spectrum and be generally applicable to all physician practices without being too specific or proscriptive as to how pain should be treated.

Physician action is needed to prevent this bill from becoming law.  Physicians are urged to call their state senators and assembly members today and indicate opposition to this measure.

Senators can be found here.

Assemblymembers chttps://www.nysenate.gov/senators-committees.an be found here.

Members of the Assembly Health Committee are listed here.(CLANCY, DEARS, AUSTER, MCPARTLON)


Bill to Expand Athletic Trainer Scope of Practice Pending on Senate Higher Education Committee Agenda
Senate Bill 4499B/Assembly Bill 1266B, sponsored by Senator Rich Funke and Assemblymember Charles Lavine, would require licensure of athletic trainers and significantly expand their scope of practice to and allow athletic trainer to exam, evaluate, assess, manage, treat and rehabilitate a neuromusculoskeletal injuries.  It is on the Senate Higher Education Committee’s Agenda on May 17th.  The bill would also allow for the management and treatment of neurological conditions such as concussions, spinal cord injuries or nerve injuries resulting from participation in an athletic event or in individuals involved in adaptive athletics.   The bill requires an athletic trainer to achieve a master’s level of education by 2025 and would also require continuing education.

The Medical Society of the State of New York believes that athletic trainers have a role in a physician led health care team.   However, scope limitations exist and to ensure that there will not be any harm to patients.  The Medical Society believes that any expansion as articulated in this bill will significantly reduce the quality of care, and potentially cause harm to patients.  Physicians are urged to call members of the Senate Higher Education Committee and urge defeat of this measure.  Committee members may be reached here.(CLANCY, DEARS, MCPARTLON


May 23 Lobby Day in Support Legislation to Enable Override Of Insurer “Fail First” Medication Policies
MSSNY will be participating with a number of other patient advocacy groups in a May 23 Albany Lobby Day in support of legislation (A.2834-B, Titone/S.3419-B, Young) to provide physicians with an expeditious manner to override a health insurer “fail first” or “step therapy” protocol when it is in the best interest of their patients’ health.   We strongly encourage physicians concerned about the difficulties their patients face as a result of these “fail first” prescription protocols to come to Albany to participate in this event.

A 2014 MSSNY survey reported that 90% of the responding physicians indicated that health insurer “fail first” protocols for prescription medications “sometimes” adversely affected their patients and 45% indicated that it “frequently” adversely affected patients.

If you are interested in participating in this May 23 event please e-mail mauster@mssny.org.

Last week, an op-ed written by the sponsor of the bill headlined “Assemblyman Titone to Insurers: Stop Playing Doctor” appeared in the Staten Island Advance calling for the State Legislature to enact this common sense legislation.  To send a letter in support of this legislation click here. 
(AUSTER, DEARS)


NYS Assembly Passes Bill to Address Price Gouging of Medications Deemed to Be in Short Supply
The New York State Assembly passed legislation (A.6731, Crespo) this week to add drugs or medical products, publicly listed by the FDA as being “subject to a shortage”, to the list of goods and services that can be subjected to the state’s price gouging laws.  Such designation would empower the New York Attorney General to prosecute cases when these drugs or medical products subject to a shortage are being sold for an “unconscionably excessive” price.  The bill permits the courts to determine when the price for a drug in short supply is “unreasonably excessive” and establishes the criteria for making such determinations.

To read Assembly Speaker Carl Heastie’s press release hailing the passage of the legislation, click here.  The release notes that the bill is seeking to respond to the “many media reports that have documented the impact of ‘gray market’ vendors who purchase from small wholesalers or pharmacies quantities of scarce generic drugs that are then re-sold at prices many times higher than their initial price point”.  Identical legislation (S.4508, Lanza) is before the Senate Consumer Protection Committee.                                                       (AUSTER)

CMS Releases Fact Sheet to Address Concerns About Disparate Impact of Medicare VBP Programs on Smaller Physician Practices
This week CMS released a “fact sheet” that details the flexibility and support available to assist small and rural physician practices in participating in the MIPS and APM Medicare value-based payment components of the MACRA law passed by Congress in 2015, and which will be applicable to patient care delivered in 2017.  The “fact sheet” is available here.

The goal of the fact sheet is to respond to concerns expressed by many physician organizations, including MSSNY, regarding the chart on p.676 of the proposed regulation that concluded that the overwhelming majority of solo and small physician practices would face cuts under the MIPS program.

MSSNY had contacted several key members of New York’s Congressional delegation, including Senator Charles Schumer and House Ways & Means Committee member Tom Reed, to urge them to express concerns to CMS that this could not have possibly been the intention when Congress passed MACRA.

Specifically addressing this concern, CMS noted that it “is sensitive to the unique challenges that small practices face in different types of communities, and the Quality Payment Program as proposed would provide accommodations for various practice sizes and configurations. In addition, CMS is sensitive to the concerns expressed by the proposed rule’s regulatory impact analysis, which was perceived to show that the Quality Payment Program would negatively impact small practices. This regulatory impact analysis is based on 2014 data when many small and solo practice physicians did not report their performance. It also does not reflect the accommodations in the proposed rule that are intended to provide additional flexibility to small practices. This paper details the flexibility and support available to small practices and practices in rural or health professional shortage areas in the proposed rule. CMS is committed to a continued dialogue regarding the obstacles and challenges these practices encounter, both during the rulemaking period and throughout the implementation of the Quality Payment Program.”

The CMS fact sheet also highlights the exemptions from the MIPS payment adjustment for physicians who have less than or equal to $10,000 in Medicare charges and less than or equal to 100 Medicare patients, as well as changes to the existing PQRS and Meaningful Use reporting requirements to reduce some of the hassles smaller practice physicians have experienced.

As reported last week, the AMA has prepared a detailed summary of the proposed regulations, which you can review here.  And to view a high level summary of the proposed regulation from CMS, click here.

Please take the opportunity to review these documents and share with us your comments and concerns.

While payment adjustments under the MIPS and APMs will not be applied to physician Medicare payments until 2019, the positive or negative adjustments will be based upon care delivered to Medicare patients in 2017.  Under MIPS, Medicare payments could be adjusted up or down by 4% beginning in 2019, and up to +/- 9% by 2022, with additional bonus payments possible for “exceptional performance”.

Comments on the proposed regulation are due to CMS by June 27.  MSSNY will be working with the AMA, specialty medical associations and other state medical associations on developing comments to CMS to address concerns with the proposal.   (AUSTER)


US House Passes Several Bills to Address Opioid Abuse
The United States House of Representatives passed 18 separate bills this week to address the opioid addiction crisis in the country.  The bills that passed will now need to be reconciled with measures passed by the United States Senate earlier this year.  Among the bills passed by the House include:

  • R. 4641 which would establish an inter-agency task force to review, modify, and update best practices for pain management and how pain medication is prescribed;
  • HR 4599, to reduce unused medications by enabling a physician to authorize a pharmacy to “partially fill” a prescription for opioid medications;
  • HR 4976, to require the FDA, as part of its evaluation of the Extended-Release/Long-Acting Opioid Analgesics Risk Evaluation and Mitigation Strategy, to develop recommendations regarding education programs for prescribers of opioids. It would also require FDA to finalize the draft guidance entitled “General Principals for Evaluating the Abuse Deterrence of Generic Solid Oral Opioid Drug Products.”
  • HR 5046, to authorize the Department of Justice (DOJ) to award grants to state and local governments to provide opioid abuse services, including: enhancing collaboration between criminal justice and substance abuse agencies; developing, implementing, or expanding programs to prevent, treat, or respond to opioid abuse; train first responders to administer opioid overdose reversal drugs; and investigate unlawful opioid distribution activities.

The full list of bills passed by the House this week to address this issue is available here.
(AUSTER, CLANCY)


NYS Society of Anesthesiology Requests Physician Action Against Department of Veterans Affairs (VA) Rule Change
The NYS Society of Anesthesiology has requested MSNSY physicians to take action to protect your patients and profession. The Department of Veterans Affairs (VA) is about to propose a rule change to allow nurse practitioners to practice independent of physician supervision; nurse anesthetists are included in this group.

Physicians are encouraged to do two things to help ensure that we maintain safe care for our nation’s veterans (please act now);

  1. Go to here and click on the text that reads “Take action today …” This will allow you to send your legislators a message urging them to protect VA care.
  1. Go to this page to submit a comment. Pre-drafted text is available, but we encourage you to include personal stories about your experiences in the operating room, including the crucial role of the physician anesthesiologist in an environment where seconds count. After completing the contact information, click “Submit.” When the proposal is entered into the Federal Register, your comments are automatically entered.

Please encourage your spouse, children, siblings, parents and friends to take this action. Numbers count in our effort to protect the women and men who have sacrificed so much to protect our freedom and safety. Anyone with an e-mail address can comment.

Take action now, for yourself, your profession, and, most importantly, for our veterans!
(DEARS, AUSTER)


AG Offers Assistance to Overcome Insurance Barriers to Needed Substance Abuse and Mental Health Treatment
Attorney General Eric Schneiderman this week announced that his office is offering assistance to address insurance barriers for individuals and families seeking substance abuse and/or mental health treatment.  To read the full press release, click here.

Specifically, the alert encourages those seeking treatment who are facing barriers with their health insurer to call his office’s Health Care Helpline at 1-800-428-9071.  The press release notes that the Helpline has addressed numerous complaints about health plan coverage of mental health care, and has succeeded in many cases with obtaining approval of medically necessary care, or reimbursement where the consumer has paid for mental health care out-of-pocket.  It further notes that any person who is denied substance abuse treatment should:

  • Check the denial letter for accuracy and inform plan of mistakes;
  • Ask the health provider to submit a letter of medical necessity, including facts that show that the patient meets the relevant medical necessity criteria, point-by-point.
  • Request a written, detailed explanation of the denial from the health insurance company.
  • Look for common improper denial flags, such as “fail first” requirements, reduced payments for out-of-network providers, insufficient or incorrect information in denial letters, refusing to provide medical necessity criteria or using criteria that do not match the health condition, and failure to consult with the health provider or consider medical evidence supplied.

The press release further noted that, over the past 2 years, the AG’s Health Care Bureau has signed agreements with five major companies (Cigna, MVP, EmblemHealth, ValueOptions/Beacon, and Excellus), after determining that these companies were not in compliance with federal and state mental health parity laws. It noted that the AG’s investigation found that the companies were improperly denying patients who were seeking mental health and substance abuse treatment. The settlements required the companies to implement a host of reforms to comply with state and federal law, and gave members the opportunity to appeal medical necessity denials. These efforts resulted in $2.9 million in penalties, and $1.6 million in consumer reimbursements for out-of-pocket treatment costs.
(AUSTER)


Go to MSSNY’s Website to View MSSNY’S Archived Opioid Education Webinars
The Medical Society has archived its opioid webinar series on its continuing medical education website at http://cme.mssny.org .

The webinars are:  Webinar 1 Pain Management at the Crossroads:  A Tale of Two Public Health Problems; Webinar 2 Rational Opioid Prescribing:  Is this Possible for Chronic Pain?; Webinar 3 Treatment of Opioid Use Disorders and Webinar Four Pain Patients w/Substance Use Disorders.

  • 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 the webinars 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 to the top right of the page and click on “My training” to view your training page
  • The courses are listed under: A Webinar Series on Opioid Use, Treatment, and Addiction.

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 Medical Society of the State of New York designates this enduring 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.

Further information on all these programs may be obtained by contacting Pat Clancy at pclancy@mssny.org.
(CLANCY, DEARS)


MSSNY to Conduct CME Medical Matters Webinar on Zika Virus on June 8 At 6 P.M.
The Medical Society, in conjunction with the New York State Department of Health will conduct a Medical Matters webinar on the  “Zika Virus: An Evolving Story–UPDATE” on Wednesday June 8th  at 6 p.m.   Registration for this program is now open here.

Click on the upcoming tab and select the programs.

MSSNY conducted the original program in March 2016, but this program will provide updates to the ever changing story of Zika.

The educational objectives for this program are: 1) Describe the epidemiology of Zika Virus infection;

2) Understand the modes of transmission; 3) Understand how to advise patients; and 4) Learn methods for prevention of infection.  William Valenti, MD, chair of MSSNY’s Infectious Disease Committee, and Elizabeth Dufort, MD,  Medical Director, Division of Epidemiology from the New York State Department of Health, will conduct this presentation.

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 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.

Further information or assistance in registering for any of these programs may be obtained by contacting Melissa Hoffman at mhoffman@mssny.org.       
(CLANCY, HOFFMAN)


Radiological Emergencies CME Webinar to Be Held May 18th; Registration Now Open
Registration is now open for MSSNY’s Medical Matters webinar on  “Radiological Emergencies” to be held May 18, 2016 at 7:30 AM.  Physicians and other health care providers may register here.
Click on the upcoming tab and select the webinar.

Faculty for this session will be Cham Dallas, PhD.  Dr. Dallas is a professor in the Department of Health Policy and Management at the College of Public Health, University of Georgia.  He is also the Director of the Institute for Disaster Management at the University of Georgia and a Board Member of the National Disaster Life Support Foundation (NDLSF).  Dr. Dallas has a national/international reputation in toxicology and emergency preparedness and response, including over 30 years of experience.

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 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.

Further information or assistance in registering for any of these programs may be obtained by contacting Melissa Hoffman at mhoffman@mssny.org.
(CLANCY, HOFFMAN)


PTSD and TBI in Returning Veterans:  May – June Webinars
MSSNY will be holding a series of CME webinars on PTSD and TBI in returning veterans on three dates listed below from May through June. 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 growth

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

Thursday, May 19, 7:30-8:30 AM
Thursday, June 2, 6-7 PM
Thursday, June 9, 7:30-8:30 AM
(ELPERIN, DEARS)

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    

enews large


DOH Study: 20% of Female Medicaid Recipients 15-44 Were Prescribed Opioids
timely study by researchers at the New York State Department of Health, just published in the Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report, documents how widespread the use of prescription opioids has become in recent decades.

Focusing on the state’s female Medicaid recipients of reproductive age (15 to 44), the study found that fully 20 percent had been prescribed opioids at least once between 2008 and 2013.

That figure included 9.5 percent of the women who gave birth the same year, which is a particular concern because opioid use during pregnancy can cause birth defects and other health problems for newborns.

The authors–Brian Gallagher, Yejee Shin and Patrick Roohan of the Health Department’s Office of Quality and Patient Safety–noted previous studies involving other states had found even higher rates. They suggest that New York regulations, including the four-year-old Internet System for Tracking Overprescribing (I-STOP), “might contribute to the lower proportion of opioid prescribing in New York compared with opioid prescribing in most other states and the United States overall.”


NY Doctors Are Not Complying with MOLST Regulations
“Too many doctors are still not completing the MOLST form with their patients,” said David Leven, executive director of End of Life Choices New York. MOLST stands for Medical Orders for Life-Sustaining Treatment and includes provisions for whether or not a patient should be resuscitated. (Crains’s 5/12)

In 2011, New York enacted the Palliative Care Information Act, which requires doctors and nurse practitioners to inform patients of the likely course of their disease, their end-of-life options (including forgoing treatment) and their “legal rights to comprehensive pain and symptom management at the end of life.” That year, the state also enacted the Palliative Care Access Act, directed at hospitals, long-term care facilities and home-care agencies.

Columbia University Medical Center also has been putting in place new palliative care protocols, said Dr. Kenneth Prager, the hospital’s director of clinical ethics speaking at a panel on dying last week hosted by the Jonas Center and the New York Academy of Medicine. For instance, a doctor must ask patients about their values and quality-of-life standards prior to putting in certain medical devices.

But even with more protocols in place, deciding whether to keep a patient alive is never easy, said Dr. Prager. As medical technology becomes more sophisticated, he said, the considerations become more complex.


Addicts May Turn To Anti-Diarrhea Drugs When Unable To Get Painkillers
In a 1,100-word article, The New York Times (5/10, Louis, Subscription Publication) reports that addicts without access to “painkillers are instead turning to Imodium and other anti-diarrhea medications.” The study at http://bit.ly/1TtnRAP published online in the Annals of Emergency Medicine (4/29), “described two deaths in New York after loperamide abuse.” Additionally, “overdoses have been linked to deaths or life-threatening irregular heartbeats in at least a dozen other cases in five states in the last 18 months.”


Revalidation Information for PART B
Every five years, CMS requires you to revalidate your Medicare enrollment record information. As part of this process, you need to update or confirm all the information in your record, including your practice locations and reassignments. The next cycle of Revalidation has started, and you will be receiving an official Revalidation notice 2 to 3 months prior to the revalidation due date.

Attached is a list of providers asked to revalidate in the state with due dates in the next 5 months.

Be on the look-out for your notification as it will direct you on next steps for submission and completion of your Revalidation process.

National Government Services offers information and resource tools for understanding Revalidation on our website.

Go to: www.ngsmedicare.com

  • Enrollment tab
  • Obtain Revalidation Instructions

Determine if you are due to revalidate by the Medicare Revalidation Lookup Tool on the CMS website here . For more general revalidation information, visit CMS website here.

Provider Revalidation Interactive Tool: (click for direct link)

This tool is designed to assist with general revalidation instructions submitting via PECOS (Provider Enrollment Chain and Ownership System) or Paper Application.

The preferred method to submit an application is electronically via Internet-based PECOS (Provider Enrollment Chain & Ownership System).

A few advantages include:

  • Faster application process
  • Automatic selection of proper enrollment form(s)
  • Tailored application process
  • Fewer submission errors/omissions

Educational Webinars: (click for direct link to view dates and times to select opportunities)

  • Getting Connected to PECOS
  • Provider Enrollment Revalidation
  • Submitting Revalidation via PECOS
  • Submitting Revalidation via Paper Application

Application Fee Decision Tree: (click for direct link)

The tool assists in understanding if an application fee is required.

Thank you

National Government Services

CDC: Test Urine and Blood for Accurate Zika Virus Diagnosis
In a report released on May 11, the CDC said an analysis of blood and urine tests conducted by Florida’s health department found rates of virus detection from urine were higher than from blood. Florida, with 95 confirmed cases, is the state with the most number of Zika infections on the U.S. mainland.

In a study of 53 patients, 92% of urine samples “tested positive for Zika, compared to 81% of saliva samples and 51% of blood samples, according to the CDC.”


Restaurants Cannot Refuse to Serve Pregnant Women
New York City is explicitly prohibiting restaurants and bars from refusing alcoholic drink orders to mothers-to-be, with new guidelines that say doing so would represent discrimination under the city’s Human Rights Law.

“While covered entities may attempt to justify certain categorical exclusions based on maternal or fetal safety, using safety as a pretext for discrimination or as a way to reinforce traditional gender norms or stereotypes is unlawful,” the guidance released by the Commission on Human Rights on Friday says.

That would also apply to foods deemed risky during pregnancy, such as raw fish or soft cheese. According to the C.D.C., about 10 percent of pregnant women drink alcohol.


CLASSIFIED

Recently Renovated Medical Office Space Available June, 2016
Desirable Midtown Manhattan Building located between Park and Madison Avenues.
Please Call Mr. Mel Farrell At 212. 696.7107 for further information.

Office to Share/Rent
Medical Co-op Building located on East 60th Street, NYC. Includes one consult room and 2 examination rooms, waiting room, 2 bathrooms, plus 2 medical assistants. Space for one secretary. Available 2.5 days per week.  Free internet and Wi-Fi. For more information, contact mamdocs9B@gmail.com or (212) 230-1144.

Spacious, Newly Renovated Medical Office to Sublet Near the United Nations
Handicapped accessible, Wi-Fi ready, separate reception area 1 to 3 rooms rooms available, 1 to 7 days per week Ideal for ophthalmologist/optometrist with onsite optical dispensary Could easily suit other specialties Excellent value, long-term lease available if desired Contact Dr. Scott Weissman email scott.weissmanmd@gmail.com  cell 914 772-5581


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!

Office Rental 30 Central Park South 
Two fully equipped exam rooms, two certified operating rooms, bathrooms and consultation room. Shared secretarial and waiting rooms. Elegantly decorated, central a/c, hardwood floors. Next to Park Lane and Plaza hotels. $1300 for four days a month. Available full or part-time. 212.371.0468 / drdese@gmail.com


Medical Office For Rent – 715 West 170 Street
Two to five examination rooms available plus Reception,secretarial areas. Two bathrooms and entrances. Ethernet and cable ready. $4000 – $9500/ month. 917.861.8273 drdese@gmail.com Can build to suit including accredited O.R.s


Physician Opportunities


Northern Westchester – Psychiatric Opportunities
Part-time Psychiatrist (BC/BE/Child very desirable) wanted, to work in North Salem, N.Y., Suboxone DEA license helpful. Fax qualifications and availability to 914 669-6051 or call 914 669-5526 with questions..

New York Life Seeks Experienced Medical Director
New York Life is seeking an experienced Medical Director. Full time physician (M.D. or D.O.) needed for our underwriting department in Manhattan. At least 3-5 years Internal Medicine or Family Practice required. Competitive industry salary, excellent benefits, outstanding culture. Visit: https://career8.successfactors.com/sfcareer/jobreqcareer?jobId=30244&company=NYLPRD&username=



Unique Private Pediatric Practice Opportunity
Summerwood Pediatrics is a very progressive, large community-based private practice in the Syracuse area. We provide care for over 25,000 children from birth to 21. The practice also has a satellite office in Camillus, NY. Additionally, the practice operates adjacent to an independent outpatient infusion practice, which is alsoowned and operated by our medical director. We are looking to employ a bright, energetic and enthusiastic general pediatric or subspecialty-trained physician. Presently the practice employs seven physicians, two pediatric NPs and one PA . All providers share on-call responsibilities on a one-day per week basis. Weekend coverage and office hours are performed on a rotational basis by the physicians. Our offices encompass over 28,0000sq. ft. of state-of-the- art clinical space;on-site lab services. The position, either full or part-time, includes applicable benefits inclusive of health care, malpractice insurance, CME expenditures and retirement plan. To discuss this opportunity further, contact either Dr. Robert A. Dracker or Mr. Warren Ford at 315-457-9914…9-5 EST.


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