MSSNY eNews: July 28, 2021 – Do You Know an Outstanding Physician?

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Do You Know an Outstanding Physician?
The Medical Society of the State of New York is accepting nominations for the 2020 Albion O. Bernstein, MD Award.  The deadline for applications has been extended to September 7, 2021. This prestigious award is given to:

“…the physician, surgeon or scientist who shall have made the most widely beneficial discovery or developed the most useful method in medicine, surgery or in the prevention of disease in the twelve months prior to December 2020.”

This award was endowed by the late Morris J. Bernstein in memory of his son, a physician who died in an accident while answering a hospital call in November 1940.

The $2,000 award will be presented to the recipient during a MSSNY Council Meeting.

Nominations must be submitted on an official application form and must include the nominator’s narrative description of the significance of the candidate’s achievements as well as the candidate’s curriculum vitae, including a list of publications or other contributions.

To request an application, please contact:

Committee on Continuing Medical Education
Miriam Hardin, PhD, Manager, Continuing Medical Education
Medical Society of the State of New York
99 Washington Avenue, Suite 408
Albany, NY 12210
518-465-8085
mhardin@mssny.org


Interested in Joining Premier Group Purchasing? Call MSSNY’s Dedicated Rep!
MSSNY has a group purchasing partnership with Premier Group Purchasing to provide lower operating costs and improved access to supplies and products for members who sign on to purchase through Premier negotiated agreements.

Sign up today or contact MSSNY’s dedicated representative, Samantha Garrett, at Samantha_Garrett@premierinc.com /212-901-1209.

Click the links below to access specifics on the program:
Continuum of Care Overview: High level overview of the Premier program and the value it provides GPO FAQ: Questions and answers to further introduce Premier and explain the program

Physician Practices information sheet: Provides value proposition of the Premier program, followed by specific suppliers and contracts members will be able to access, broken down by category

What to Expect: Step by step onboarding guide for members.


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30 Great Vacation Ideas for Physicians
As July turns into August and “dog days of summer” are still to come, MedScape features 30 intriguing vacation locations for physicians that include everything from family vacations to learning vacations, rejuvenating vacations to adventure vacations, and budget vacations to splurge vacations.  The slideshow includes information from physicians about places they have visited and adventures they’ve had on their time off. Wishing all of our members a happy and healthy August!


MSSNYPAC: The Political Voice of New York State Physicians
MSSNYPAC members are a force for change in healthcare policy.

MSSNYPAC supports the policy initiatives that MSSNY members have prioritized through the MSSNY House of Delegates, the MSSNY Council and MSSNY’s various committees. A contribution to MSSNYPAC enables physicians to directly interact with policymakers on a personal level while providing crucial campaign support. Working together with grassroots activities like letter-writing, social media interactions, and in-district visits, collective political action by physicians is a powerful mechanism to voice the concerns of physicians and their patients.

The strength of MSSNYPAC and its effectiveness requires NY’s physicians to be “all-in” when it comes to safeguarding the profession of medicine, assuring patients can access needed care, and investing in the present and future viability of medical practices. With well-funded, often-opposing interest groups—including trial lawyers and insurance companies—seeking to expand liability and exert increasing control over clinical decision-making, physicians cannot afford to give up their seat at the discussion table.

MSSNYPAC increases your impact on healthcare policy formation. Join or renew your MSSNYPAC membership today:
Online: www.mssnypac.org/contribute
Phone/text:
914-933-7722
Mail: PAC Remittance Form


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American Conference on Physician Health Sponsored by AMA, Mayo Clinic, and Stanford University
The 2021 American Conference on Physician Health (ACPH) joint scientific conference promotes scientific research and discourse on health system infrastructure, and the actionable steps organizations can take to improve physician well-being.

Sponsored jointly by the Mayo Clinic, Stanford University and the American Medical Association, this year’s conference theme is, “Achieving the quadruple aim: Resilient systems in times of crisis.” Participate in topical and relevant sessions with presenters and attendees from around the globe, while gaining valuable knowledge and information about best practices and tools to improve professional satisfaction in your medical practice.

Conference registration and hotel reservations 

  • Registration rates: Available through Thursday, Sept. 23.
  • To register for the conference and view agenda, visit the ACPH 2021 homepage.
  • Hotel room rates: Special pricing for ACPH attendees available until Sept. 13 ($299 USD/night).
  • Check out the ACPH conference website for all your planning needs—including the agenda, speaker bios, travel information, registration inclusions, and more!

2021 American Conference on Physician Health
Thursday, Oct. 7 through Saturday, Oct. 9
Hyatt Regency Scottsdale Resort & Spa at Gainey Ranch
Scottsdale, Az.


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Join MSSNY’s Member Perks Program!
Exclusive perks and over $4,500 in savings on everything from pizza and the zoo, to
movie tickets, oil changes, hotels, and car rentals!

POPULAR FEATURES INCLUDE:

  • Nearby Offers: Use our show & save mobile coupons to quickly access savings on the go.
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  • Monthly Giveaways: Win cash, movie tickets, electronics, and more with our monthly contests.

And, with over 302,000 available discounts across 10,000 cities in the United States and Canada, you’ll never be far from savings!

Register at http://mssny.abenity.com


 

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Classified Ads Available for:

Physicians’ search services • allied medical placements • locum tenens • practice valuation • practice brokerage • practice consulting • real estate

For help, information or to place your ad, call Roseann Raia at 516-488-6100 ext. 302 

For the MSSNY 2021 Ad Rate Sheet, please click here.


Office Space for Lease – Great Neck, NY
Large, fully equipped space available for lease up to 7 days per week. Includes onsite parking and is close to mass transit. Call 516-972-2986 for info.

Rheumatology Practice Opportunity – Great Neck, NY
Opportunity available at an established rheumatology practice in Great Neck, NY. Looking for a dedicated physician to join, share or merge practices. Fully equipped office with onsite parking and proximity to mass transit. Contact 516-972-2986 for more info.

AIDS Institute’s Office of the Medical Director for a Public Health Physician II
Health Research, Inc. (HRI) has a job opening within the AIDS Institute’s Office of the Medical Director for a Public Health Physician II. Please distribute this announcement widely through your networks. Interested individuals can apply for this position through the HRI website.

Medical Claims LogoSmall Group and Independent Practitioners – Advancing Private Practices
The Best billing company GUARANTEED! Increase your annual revenue by 20-30%. Proven results and backed by 25 years of experience. Chooses MA MEDICLAIMS you will Save time on those RVUs/the 8-minute rule and have more time for your patient’s health. Get your free Practice analysis at www.ma-mediclaimsllc.com. Contact leslie.swartz@ma1mediclaimsllc.com or call 877-927-1996.

Medical Office and Medical Practice (Upper East Side)
79th St near Lexington / Park. 750 sq Ft beautiful, street entrance, medical office for sale with a 25 + yr internal medical practice for sale. Office is in move in condition. Physician retiring. Waiting room. Secretarial area for 3. 1 Consult room. 2 exam Rooms 2 Toilets. Please contact: 917-770-8700 / email drklein@att.net


 

 

 

 

MSSNY eNews: July 23, 2021 – It’s Time to Recharge Our Batteries

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It’s Time to Recharge Our Batteries

Colleagues:

As I write this, I am on a long-awaited beach vacation with my family. My message to you this week is simple: after the long year-and-a-half we have all endured, it is time for us to step away and recharge our batteries.  As physicians, we need to remember to take care of ourselves—so we are fully available for the care and well-being of our patients, families, and colleagues.

Taking a vacation is one way of stepping away and giving ourselves the opportunity to reset. But there are also many small things you can do to boost your personal well-being, including ensuring adequate nutrition, sleep, and exercise. Take a walk in the sunshine. Reconnect with a colleague. Hug your family.

The American Medical Association’s STEPS Forward program looks at the impact of well-being at both the individual and system level and offers strategies to promote individual well-being and resilience through the following steps:

  1. Get Organized
  2. Think About Your Physical State
  3. Think About Your Mental State
  4. Connect Socially
  5. Find Meaning In and Outside of Work
  6. Embrace Joy
  7. Reflect and Refine

For more information and to get started on your road to wellness, visit the AMA’s STEPS Forward website.

With the recent rise in the spread of the Delta variant in all 50 states, we still must protect ourselves, our families, and our friends by following the CDC’s COVID-19 guidelines.

Many of us missed taking time off last year. We are now able to travel and visit with family, friends, and those who have supported us in our careers. Enjoy, be well, and be safe!

Joseph Sellers, MD, FAAP, FACP
MSSNY President.


MSSNY Comments on Open Notes Rule in MedPageToday: “We Have to Be Careful About Unintended Consequences”
MSSNY President Dr. Joseph Sellers spoke to MedPageToday about Open Notes, the federal rule that requires clinical information like physicians’ notes and lab and imaging results to be made immediately available to patients.

“Communication of information is essential for our profession and our patients,” Joseph Sellers, MD, president of the Medical Society of the State of New York, told MedPage Today. “Having ways to get information to patients as effectively and timely as possible is great, but we have to be careful about unintended consequences.”

The criticism Sellers has heard from his medical colleagues centers around instances where patients get health information before physicians are able to help interpret it.

For instance, patients may receive pathology or imaging results electronically, prior to when their doctor is able to communicate with them via a phone call or office appointment.

A patient may find out bad news, and it may have been better for them to hear it first from their doctor, Sellers said. There may also be instances in which the complexity of test results makes them sound alarming, when they’re not. Or there are times when physicians can help break down details that are difficult for the average patient to understand and digest.

“I think that having that relationship between the physician and the patient is so important. It provides reassurance, it provides confidence to patients in the healthcare system,” Sellers said.

Read the MedPageToday article in its entirety here.


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Clear Masks Improve Patient-Physician Communication
Effective patient-physician communication is crucial for developing trust, explaining complex concepts, and engaging patients in shared decision-making while also recognizing concerns and expectations. A key component to communication, though, is nonverbal communication—such as facial expressions—which has been disrupted during the COVID-19 pandemic by mask wearing.

study published in JAMA Surgery points to the effectiveness of clear masks as a way to overcome this perceived barrier to effective communication. When surgeons wore clear masks rather than the standard covered masks, patients rated their surgeon significantly higher in providing understandable explanations, demonstrating empathy, and eliciting trust.

Picture of a doctor with a clear mask

 

Fifteen surgeons from a single academic institution were recruited by email. Before each clinic day, surgeons were randomized to wearing a clear or standard mask for each of their new patients, donning each mask type about half the time.

Last fall, 200 patients took part in this study. Each patient took a scripted, 10-question survey adapted from the Clinician and Group Consumer Assessment of Healthcare Providers and Systems survey. Other questions were added to assess surgeon empathy and trust, as well as a rating on the physician’s mask.

“Wearing clear versus covered masks suggests that not seeing the surgeon’s face negatively affects patient understanding, perceived empathy and trust,” says the study. “These findings should alert surgeons, because patient perceptions may not be detectable without purposeful attention to communication. We must make every effort to protect the sacred physician-patient relationship during these unprecedented times.”

Enhanced Communication and Trust
Overall, 93% of patients answered positively to the survey questions on communication, empathy, and trust. For the standard mask group, several questions were answered positively about 70% to 80% of the time. But for all questions, the clear-mask group answered positively at the same or greater frequency than the standard mask group.

The clear-mask group also had significantly more positive responses when answering two questions: Did the surgeon explain things in a way that was easy to understand, and did he or she seem to know the important information about the patient’s medical history?

On the explanation question, 95% of patients with surgeons wearing a clear mask said the doctor was easy to understand, compared with 78% of the patients whose surgeon donned a standard mask. Regarding the surgeon’s knowledge, 100% of patients in the clear-mask group responded positively, compared with 78% in the standard mask group.

Additionally, 99% of patients in the clear-mask group reacted positively about a surgeon’s empathy, compared with 85% in the covered mask group. Similarly, says the study, 94% of patients in the clear-mask group more frequently reported trusting their surgeon’s decisions, compared with 72% for the standard mask patient group.

Patient Excitement for Clear Masks
When asked about their impressions of the type of mask, 100% of the patients whose surgeon wore a clear mask had positive ratings. For standard masks, 72% of patients responded positively.

Patients were also asked to provide comments about their surgeon’s mask. Their opinions about clear masks were 93% were positive with one saying, “The clear mask was great. You should keep using it.” Only 5% of responses about the standard mask were positive, with many patients stating that they “don’t like masks” or that they were “sick of these masks.”

Mixed Results from Surgeons
Surgeons were also asked about their preference for mask type, with only 47% responding favorably to wearing clear masks compared to wearing standard masks during patient encounters. One-quarter of the surgeons said they would wear a clear mask if their patients preferred it.

However, many of the surgeons who took part in the study noted their own discomfort with the clear masks. They didn’t seem to fit as well, and they would fog up. Several surgeons also voiced concerns about the perceived level of protection provided by a clear mask even though the protection rating is equivalent to that of standard covered masks.

–Sara Berg, American Medical Association


Why I Am a MSSNY Member


Dr. Rana


KFF Report Finds Some Who Were Hesitant to Get a Vaccine in January Say They Changed Their Mind Because of Family, Friends and Their Personal Doctors
A new KFF COVID-19 Vaccine Monitor report finds that people who were initially hesitant to get a vaccine in January but ultimately did so often say that family, friends and their personal doctors helped change their minds.

The report features a second round of interviews with a nationally representative sample of adults six months after they first shared their vaccine intentions in January, early in the nation’s vaccine distribution effort. The new survey assesses whether or not they got a COVID-19 vaccine, the reasons behind their choice, and how they feel about their decision.

Half initially told KFF that they planned on getting vaccinated as soon as possible or had already received at least one dose. Now two-thirds say have been vaccinated, including the vast majority (92%) of those who had planned to get vaccinated “as soon as possible” in January, along with slightly more than half (54%) of those who wanted to “wait and see.” At the same time, three quarters (76%) of those who previously said they would get vaccinated “only if required” or would “definitely not” get a COVID-19 vaccine remain unvaccinated.


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Importantly, one in five (21%) of all adults are now vaccinated after expressing some level of hesitation in January, saying then that they planned on waiting to get vaccinated, would only get it if required, or would definitely not get vaccinated. Many in this group cite friends, family members, and their personal doctors as influencing their decision to get a vaccine. This includes seeing friends and family members get vaccinated without serious side effects (25%), pressure from friends and family (8%), being able to safely visit family members (3%), and conversations with their personal doctors (11%). Another one in ten (9%) say that easing of restrictions for vaccinated people was a factor.

In fact, some vaccinated adults cite protecting or being able to see their friends and family members as the main reason why they decided to get vaccinated. And two-thirds (65%) say they have personally tried to persuade friends and family members to get a shot.

One-third of all adults remain unvaccinated, including 16% of adults who had previously said they planned on getting vaccinated “as soon as possible” or wanted to “wait and see” see before getting a vaccine. When asked why they changed their minds, many cite the side effects of the vaccine as a key reason.

Available through the Monitor’s online dashboard, the new report also quotes the open-ended responses given by many of those surveyed reflecting the diversity of their views and experiences related to their views and decision around vaccination.

The KFF COVID-19 Vaccine Monitor is an ongoing research project tracking the public’s attitudes and experiences with COVID-19 vaccinations. Using a combination of surveys and qualitative research, this project tracks the dynamic nature of public opinion as vaccine development and distribution unfold, including vaccine confidence and hesitancy, trusted messengers and messages, as well as the public’s experiences with vaccination.


 

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29 Physician Specialties Ranked by Annual Compensation
During the COVID-19 pandemic, primary care physicians earned an average annual compensation of $242,000 and specialists earned an average of $344,000 — a decrease of $1,000 and $2,000, respectively, compared to before the public health crisis hit.

In its Physician Compensation Report 2021, Medscape collected responses from about 18,000 U.S. physicians across more than 29 specialties.

The latest Medscape survey was conducted from Oct. 6, 2020, through Feb. 11, 2021, after the COVID-19 crisis began.

Physicians experienced several hardships during the pandemic, including temporary office closures and restrictions on elective procedures. But in an article about its latest survey, Medscape said physician salaries were overall able to stay steady at the end of 2020, because of factors such as telemedicine reimbursement, government programs, capitation and staff reductions.

The following is annual physician compensation by specialty with the percent changes from the 2020 edition of the Medscape report, which is based on data collected from Oct. 4, 2019, through Feb. 10, 2020. This report reflects only full-time salaries. Note: The list includes a tie at No. 25. Percentages are rounded.

  1. Plastic surgery: $526,000 (10 percent increase)
  2. Orthopedics: $511,000 (0 percent)
  3. Cardiology: $459,000 (5 percent increase)
  4. Urology: $427,000 (2 percent increase)
  5. Otolaryngology: $417,000 (9 percent decrease)
  6. Radiology: $413,000 (3 percent decrease)
  7. Gastroenterology: $406,000 (3 percent decrease)
  8. Oncology: $403,000 (7 percent increase)
  9. Dermatology: $394,000 (4 percent decrease)
  10. Ophthalmology: $379,000 (0 percent)
  11. Anesthesiology: $378,000 (5 percent decrease)
  12. Surgery, general: $373,000 (2 percent increase)
  13. Critical care: $366,000 (3 percent increase)
  14. Emergency medicine: $354,000 (1 percent decrease)
  15. Pulmonary medicine: $333,000 (3 percent decrease)
  16. Pathology: $316,000 (0 percent)
  17. OB/Gyn: $312,000 (1 percent increase)
  18. Nephrology: $311,000 (1 percent increase)
  19. Physical medicine and rehabilitation: $300,000 (3 percent decrease)
  20. Neurology: $290,000 (3 percent increase)
  21. Rheumatology: $276,000 (5 percent increase)
  22. Psychiatry: $275,000 (3 percent increase)
  23. Allergy and immunology: $274,000 (9 percent decrease)
  24. Internal medicine: $248,000 (1 percent decrease)
  25. Infectious diseases: $245,000 (0 percent)
  26. Diabetes and endocrinology: $245,000 (4 percent increase)
  27. Public health and preventive medicine: $237,000 (2 percent increase)
  28. Family medicine: $236,000 (0 percent)
  29. Pediatrics: $221,000 (5 percent decrease)

–Gooch, Becker’s Hospital Review


CMS Pitches Physician Payment Rule for 2022: 9 Things to Know from Becker’s Hospital Review
CMS released its annual proposed changes to the Physician Fee Schedule for 2022, which expands certain Medicare telehealth provisions and updates the payment rate for physician services.

Nine things to know about the proposed rule:

  1. Payment rate update. With the budget neutrality adjustment to account for changes in relative value units, as required by law, and expiration of the 3.75 percent payment increase provided in 2021 by the Consolidated Appropriations Act, the proposed Physician Fee Schedule conversion factor for 2022 is $33.58, down from $34.89 in 2021.
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  2. Telehealth provision expansion. CMS proposed allowing certain services added to the Medicare telehealth list amid the pandemic to remain until Dec. 31, 2023, to give the agency more time to determine if the services should be permanently added following the public health emergency. CMS also said it will allow all Medicare patients to access telehealth services from their homes and is proposing to allow audio-only communication technology when used for the diagnosis, evaluation or treatment of mental health disorders.
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  3. Appropriate Use Criteria penalty phase delay.CMS is proposing to delay the implementation of a penalty phase of the Appropriate Use Criteria program. Currently the penalty phase is set to begin Jan. 1, but CMS proposed delaying it to Jan. 1, 2023, or the Jan. 1 that follows the end of the public health emergency.
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  4. Quality Payment Program changes. CMS proposed to increase the Merit-based Incentive Payment System performance threshold score providers must exceed to receive bonuses under the Quality Payment Program. CMS also unveiled the first seven optional MIPS value pathways that would begin in 2023. The seven payment pathways would be emergency medicine, chronic disease management, heart disease, anesthesia, lower-extremity joint repairs, rheumatology and stroke care.
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  5. Physician assistant billing. Beginning Jan. 1, physician assistants would be able to bill Medicare directly for their services and reassign payment for their services. Currently, Medicare can only make a payment to the employer or independent contractor of a PA.
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  6. Medicare Shared Savings program updates.CMS is proposing to give ACOs more time to transition to electronic reporting. In particular, CMS would allow ACOs to continue to use the web interface reporting option in 2022 and 2023 and phase in the new electronic clinical quality measure reporting requirement over three years. It was initially set to start in 2022.
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  7. Medicare Diabetes Prevention Program changes.CMS plans to waive the provider enrollment application fee for all organizations when they seek to enroll in Medicare as a Medicare Diabetes Prevention Program supplier on or after Jan. 1. CMS also proposed to shorten the prevention program services period to one year by removing the ongoing maintenance sessions phase. CMS also proposed redistributing a portion of the ongoing maintenance sessions phase payments to other core performance categories.
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  8. Comment solicitation.CMS is seeking provider input on two issues related to COVID-19. First, CMS wants input on what qualifies as the “home” in its preliminary policy to pay $35 add-on for certain beneficiaries when they receive a COVID-19 vaccine at home. Second, CMS is seeking comments on whether COVID-19 monoclonal antibody products should be treated the same way as other physician-administered drugs and biologics under Medicare Part B.9. Comment period. Comments on the proposed rule are due Sept. 13.

Access the full rule here.

–Paavola, Becker’s Hospital Review



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Classified Ads Available for:

Physicians’ search services • allied medical placements • locum tenens • practice valuation • practice brokerage • practice consulting • real estate

For help, information or to place your ad, call Roseann Raia at 516-488-6100 ext. 302 

For the MSSNY 2021 Ad Rate Sheet, please click here.


Office Space for Lease – Great Neck, NY
Large, fully equipped space available for lease up to 7 days per week. Includes onsite parking and is close to mass transit. Call 516-972-2986 for info.

Rheumatology Practice Opportunity – Great Neck, NY
Opportunity available at an established rheumatology practice in Great Neck, NY. Looking for a dedicated physician to join, share or merge practices. Fully equipped office with onsite parking and proximity to mass transit. Contact 516-972-2986 for more info.

AIDS Institute’s Office of the Medical Director for a Public Health Physician II
Health Research, Inc. (HRI) has a job opening within the AIDS Institute’s Office of the Medical Director for a Public Health Physician II. Please distribute this announcement widely through your networks. Interested individuals can apply for this position through the HRI website.

Medical Claims LogoSmall Group and Independent Practitioners – Advancing Private Practices
The Best billing company GUARANTEED! Increase your annual revenue by 20-30%. Proven results and backed by 25 years of experience. Chooses MA MEDICLAIMS you will Save time on those RVUs/the 8-minute rule and have more time for your patient’s health. Get your free Practice analysis at www.ma-mediclaimsllc.com. Contact leslie.swartz@ma1mediclaimsllc.com or call 877-927-1996.

Office Rental 30 Central Park South
Two fully equipped exam, two certified operating, bathrooms and consultation room.  Shared secretarial and waiting rooms.  Elegantly decorated, central a/c, hardwood floors. Next to Park Lane and Plaza hotels. $1250 for four days a month. Available full or part-time. 212.371.0468 / drdese@gmail.com.


Medical Office and Medical Practice (Upper East Side)
79th St near Lexington / Park. 750 sq Ft beautiful, street entrance, medical office for sale with a 25 + yr internal medical practice for sale. Office is in move in condition. Physician retiring. Waiting room. Secretarial area for 3. 1 Consult room. 2 exam Rooms 2 Toilets. Please contact: 917-770-8700 / email drklein@att.net


 

 

 

 

MSSNY eNews: July 21, 2021 – Member Dr. Ariel Nassim Heads to Tokyo to Treat US Olympic Athletes

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MSSNY Member Dr. Ariel Nassim Heads to Tokyo to Treat US Olympic Athletes
When American athletes gather in Tokyo for the Summer Olympics, they will be joined by seven physicians, including MSSNY member Dr. Ariel Nassim, a specialist in internal and sports medicine with offices in Great Neck and Flushing.

Dr. Nassim will be stationed in the Olympic Village with 80% of the U.S. athletes. His typical day will start at about 8 a.m. with a medical team meeting to discuss health issues, such as upper respiratory tract infections, and whether any doctors need to attend that day’s matches.

“They invited me to the Pan Am Games, so I guess they appreciated the work I did,” Dr. Nassim, a member of the Medical Society of the State of New York [MSSNY], tells Newsday.  “I think my internal medicine background really came in handy for them as they often don’t have internists on staff.”

Read more in Newsday’s article, An Olympian Task Awaits Great Neck Physician for U.S. Team in Tokyo.


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AMA to Congress: Wake Up to Financial Peril Facing Medicare Payment System
The American Medical Association (AMA) raised concerns today that Congress seems “indifferent” to the fiscal uncertainty facing the Medicare physician payment system.

In a letter to congressional leaders, the AMA pointed out that physician practices face a 9.75 percent cut on January 1. Not only was Congress not taking up legislation to prevent this, but proposals are being floated that aim to wring out more money from payments to fund an infrastructure package.

“All this financial uncertainty comes at a time when physician practices are still recovering from the financial impact of the COVID-19 public health emergency, including continued infection control protocols that, while necessary, have increased the costs of providing care,” the AMA wrote in its letter. “The combination of all these policies would be challenging to endure in normal times. Yet, physician practices continue to be stretched to their limits clinically, emotionally, and financially as the pandemic persists well beyond 15 months. The enactment of further Medicare payment cuts will undoubtedly threaten patient access to care, especially considering the stark reality that, adjusted for inflation in practice costs, Medicare physician payment actually declined 22 percent from 2001 to 2020, or by 1.3 percent per year on average.”

The letter urged Congress to pass legislation to prevent the fiscal cliff awaiting on January 1 and to hold hearings on how to permanently improve the Medicare physician payment system, noting, “The state of the program is increasingly dysfunctional and, ultimately, it will be patients who suffer.”

Read the full text of the letter from AMA CEO James L. Madara, M.D. here.


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$790 in Annual Savings for MSSNY Members: CareClix Telemedicine Platform
MSSNY members receive the discounted rate of $50 per month for the license fee with no start-up costs—for a total of $790 in savings.

The CareClix user-friendly HIPPA compliant platform enables physicians to conduct routine virtual visits with patients in any location. With CareClix you can:

  • Add Value to Your Practice
  • Maximize Billing
  • Eligibility Checks
  • Promote Patient Satisfaction
  • Reduce Cancellations and No-Shows
  • Integrated EHR

For clinical practices lacking the capacity to manage their own CCM programs, CareClix also provides a white-labeled, turn-key CCM service. This enables even the smallest community hospitals to provide CCM services for their seniors. Caring for the patients most-at-need requires vigilance and improved access.

CareClix believes that implementing and managing a CCM program requires much more than just a traditional telemedicine platform with videoconferencing. The platform includes a comprehensive Chronic Care Management module. This includes out-of-the-box integration for 200+ devices, covering all major key vital signs used in CCM. Our platform easily integrates with our partners’ EMR systems, with a team that includes practicing physicians and experienced implementation experts.

To learn more about CareClix: careclix.com/for-providers/
To implement telemedicine for your practice visit: careclix.com/provider-signup/
Have questions? Contact sales@careclix.com


American Academy of Pediatrics Calls for Prioritizing In-Person Learning and Advises Schools to Prepare to Address Students’ Mental Health Needs
In updated guidance for the 2021-22 school year, the American Academy of Pediatrics strongly recommends in-person learning and urges all who are eligible to be vaccinated to protect against COVID-19.

In addition to vaccinations, the AAP recommends a layered approach to make school safe for all students, teachers and staff in the guidance here. That includes a recommendation that everyone older than age 2 wear masks, regardless of vaccination status. The AAP also amplifies the Centers for Disease Control and Prevention’s recommendations for building ventilation, testing, quarantining, cleaning and disinfection in the updated guidance.

AAP recommends universal masking because a significant portion of the student population is not yet eligible for vaccines, and masking is proven to reduce transmission of the virus and to protect those who are not vaccinated. Many schools will not have a system to monitor vaccine status of students, teachers, and staff, and some communities overall have low vaccination uptake where the virus may be circulating more prominently.

Research has shown that opening schools generally does not significantly increase community transmission with masking and other safety measures in place. Recently, COVID-19 variants have emerged that may increase the risk of transmission and result in worsening illness. Given the effectiveness of safety precautions when used consistently, children are at higher risk of suffering mental health issues and developmental setbacks if they miss out on in-school learning, according to AAP.

Other recommendations included in the AAP guidance are:

  • Schools should be prepared to adopt an all-encompassing approach for mental health support.
  • Adequate and timely COVID-19 testing resources must be available and accessible.
  • Strategies should be revised and adapted depending on the level of viral transmission and test positivity rate throughout the community and schools.
  • School policies should be adjusted to align with new information about the pandemic; administrators should refine approaches when specific policies are not working.[i]
  • School districts must be in close communication and coordinate with state and/or local public health authorities, school nurses, local pediatric practitioners, and other medical experts.

AAP also urges families to call their pediatrician and have children caught up on all vaccines they may have missed during the pandemic. This includes getting a vaccine to protect against influenza, which, like COVID-19, can cause severe illness and death.


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Important Information Regarding Johnson & Johnson COVID-19 Vaccine
On July 13, the U.S. Food and Drug Administration (FDA) announced revisions to the Emergency Use Authorization (EUA) fact sheets for the Janssen/Johnson & Johnson (J&J) COVID-19 vaccine to include information regarding an observed increased risk of Guillain-Barre Syndrome (GBS) after administration of the vaccine.  Based on an analysis of data from the Vaccine Adverse Event Reporting System (VAERS), there have been 100 preliminary reports nationwide of GBS following vaccination with the Janssen vaccine after approximately 12.5 million doses administered.

Although the available evidence suggests an increased risk of GBS after vaccination with J&J vaccine, there is not enough evidence to establish a causal relationship at present.  No similar signal has been identified for either the Pfizer or Moderna COVID-19 vaccines.

Updates to the EUA fact sheet for health care providers include a warning about GBS and information regarding the adverse event reports suggesting an increased risk for GBS.  The fact sheet for vaccine recipients has been updated to include information about GBS and explains that those who receive the Janssen vaccine should seek medical attention right away if they develop any of the following symptoms:

  • weakness or tingling sensations, especially in the legs or arms, that’s worsening and spreading to other parts of the body
  • difficulty walking
  • difficulty with facial movements, including speaking, chewing, or swallowing
  • double vision or inability to move eyes
  • difficulty with bladder control or bowel function.

Department of Health Advisory: New York State Has High Burden of Legionellosis
In 2018 New York reported more cases of legionellosis than any other state and twice the national incidence. Medical provider recognition of the possibility of Legionnaires’ disease (in persons with pneumonia), Pontiac fever (in persons without pneumonia) or Extrapulmonary Legionellosis (in persons with Legionella in sites outside of the lungs) coupled with appropriate diagnostic testing is critical to the identification and investigation of community clusters.

While legionellosis occurs year-round, the incidence of illness usually increases during the summer and early fall. Local health departments (LHDs), with the assistance of the NYSDOH, investigate potential timespace clusters of cases as they are recognized.

Legionnaires’ disease (LD) cannot be distinguished from other causes of pneumonia on clinical or radiologic grounds, including the virus that causes COVID-19. LD and COVID-19 both cause fever, fatigue, and respiratory illness (including pneumonia). In hospitalized or at-risk patients with suspected pneumonia, test for Legionella infection especially if testing for COVID-19 has been negative.

Read the full NYS DOH Advisory here.


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Classified Ads Available for:

Physicians’ search services • allied medical placements • locum tenens • practice valuation • practice brokerage • practice consulting • real estate

For help, information or to place your ad, call Roseann Raia at 516-488-6100 ext. 302 

For the MSSNY 2021 Ad Rate Sheet, please click here.


AIDS Institute’s Office of the Medical Director for a Public Health Physician II
Health Research, Inc. (HRI) has a job opening within the AIDS Institute’s Office of the Medical Director for a Public Health Physician II. Please distribute this announcement widely through your networks. Interested individuals can apply for this position through the HRI website.

Medical Claims LogoSmall Group and Independent Practitioners – Advancing Private Practices
The Best billing company GUARANTEED! Increase your annual revenue by 20-30%. Proven results and backed by 25 years of experience. Chooses MA MEDICLAIMS you will Save time on those RVUs/the 8-minute rule and have more time for your patient’s health. Get your free Practice analysis at www.ma-mediclaimsllc.com. Contact leslie.swartz@ma1mediclaimsllc.com or call 877-927-1996.

Office Rental 30 Central Park South
Two fully equipped exam, two certified operating, bathrooms and consultation room.  Shared secretarial and waiting rooms.  Elegantly decorated, central a/c, hardwood floors. Next to Park Lane and Plaza hotels. $1250 for four days a month. Available full or part-time. 212.371.0468 / drdese@gmail.com.


Medical Office and Medical Practice (Upper East Side)
79th St near Lexington / Park. 750 sq Ft beautiful, street entrance, medical office for sale with a 25 + yr internal medical practice for sale. Office is in move in condition. Physician retiring. Waiting room. Secretarial area for 3. 1 Consult room. 2 exam Rooms 2 Toilets. Please contact: 917-770-8700 / email drklein@att.net


 

 

 

 

MSSNY eNews: July 16, 2021 – MSSNY Supports the Wellbeing of All Physicians

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MSSNY Supports the Wellbeing of All Physicians

Colleagues:

When I was informed about the three recent, tragic physician deaths at a NYC hospital, I immediately thought about the vital role MSSNY plays in supporting physicians—and how critical it is for all of us to get the word out to our colleagues about the help MSSNY provides.

MSSNY supports the health and wellbeing of all physicians through our Committee for Physicians Health (CPH)—which was founded in 1974 to provide non-disciplinary, confidential assistance to physicians, residents, medical students, and physicians’ assistants, including stress, substance abuse, and other psychiatric disorders—and more recently, with the addition of MSSNY’s revolutionary Peer to Peer Program.

As physicians, we know all too well the reality of stressors that range from the emotions that arise in the context of patient care to the demanding environment in which we practice medicine. Aside from the stressors in our own lives, I cannot begin to imagine trying to process the reality of three physician deaths in one hospital over a short period of time. How does a physician move on when faced with the loss of a colleague? Sometimes a fellow physician—who understands the unique challenges we routinely face—is best equipped to help.

MSSNY’s Physician Wellness and Resiliency Committee developed the Peer to Peer Program to provide physicians, residents, and medical students a completely confidential and anonymous opportunity to talk with a peer about some of life’s stressors. Under the Peer-to-Peer (P2P) program, physicians may engage in a one-time confidential discussion with a peer supporter—an individual trained to share experiences, listen without judgment, and validate feelings.

MSSNY has established a confidential helpline phone number (1-844-P2P-PEER) and an email address (p2p@mssny.org) so that physicians may be connected with a peer 24 hours a day/7 days a week.

Your membership in MSSNY allows us to support peers in need of support.

Joseph Sellers, MD, FAAP, FACP
MSSNY President.


MSSNY Legislative Podcast
Efforts on Behalf of NYS Physicians Continue into the Summer Months


US Surgeon General Issues Warning About Urgent Threat of Health Misinformation
Earlier this week U.S. Surgeon General Dr. Vivek Murthy issued his first Surgeon General’s Advisory of this Administration to warn the American public about the urgent threat of health misinformation. Health misinformation, including disinformation, have threatened the U.S. response to COVID-19 and continue to prevent Americans from getting vaccinated, prolonging the pandemic and putting lives at risk, and the advisory encourages technology and social media companies to take more responsibility to stop online spread of health misinformation.

“Health misinformation is an urgent threat to public health. It can cause confusion, sow mistrust, and undermine public health efforts, including our ongoing work to end the COVID-19 pandemic,” said U.S. Surgeon General Dr. Vivek Murthy. “As Surgeon General, my job is to help people stay safe and healthy, and without limiting the spread of health misinformation, American lives are at risk. From the tech and social media companies who must do more to address the spread on their platforms, to all of us identifying and avoiding sharing misinformation, tackling this challenge will require an all-of-society approach, but it is critical for the long-term health of our nation.”

Learn more and access the full advisory here.


Check with Your Legal Counsel Whether You Are Required to Follow Federal or State Employee Protection Standards
Physician offices should consult with their legal counsel to determine if they are required to comply with the recent federal OSHA Emergency Temporary Standard (ETS) rules for protecting employees from airborne Covid-19 transmission or instead required to comply with newly enacted state requirements for all employers who are not subject to federal rules.

MSSNY’s General Counsel law firm, Garfunkel Wild, recently prepared an alert OSHA Issues Emergency Rules For Healthcare Employers And Updated Guidance For All Employers | Garfunkel Wild, that provided a summary of the requirements for the OSHA ETS.  The alert notes that exempted from compliance with the OSHA ETS are “employers performing healthcare services on an outpatient basis in a non-hospital setting, if non-employees are screened prior to entry and people with suspected or confirmed COVID-19 are not permitted to enter.”

However, employers that are exempt from the OSHA ETS must establish an airborne infectious disease plan required by New York State for all employers. The New York State Department of Labor (NY DOL) recently put forth model forms for all New York employers to adopt NY HERO Act | Department of Labor. The law requires all employers regardless of size to have extensive new workplace health and safety protections in response to the COVID-19 pandemic.  The statute requires that employers adopt a safety plan within 30 days of the Department of Labor posting the model forms (August 5).  After adopting a plan, the employer is required to share the safety plan with employees within 30 days.

Importantly, MSSNY has received clarification from the NY DOL that “the standard published by the Department provides that it does not apply to ‘Any employee within the coverage of a temporary or permanent standard adopted by the Occupational Safety and Health Administration setting forth applicable standards regarding COVID-19 and/or airborne infectious agents and diseases.’  As such, employers within the coverage of the current OSHA ETS (which is currently limited to healthcare) are not currently required to take action or adopt a plan pursuant to the NY HERO Act.”

Therefore, whether a physician’s office is required to follow the federal OSHA ETS or the NY DOL standard may vary from office to office.  For example, a primary care practice that treats patients with suspected Covid-19 would likely be required to comply with the federal OSHA standard, but an orthopedic practice that instructs all patients with suspected Covid to not enter the office may not be required to follow the federal standard but instead be required to comply with the state standard.

Again, physicians should consult with their legal counsel for how best to ensure their offices comply with these state or federal requirements.


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Do You Know an Outstanding Physician?
The Medical Society of the State of New York is accepting nominations for the 2020 Albion O. Bernstein, MD Award.  The deadline for applications has been extended to September 7, 2021. This prestigious award is given to:

“…the physician, surgeon or scientist who shall have made the most widely beneficial discovery or developed the most useful method in medicine, surgery or in the prevention of disease in the twelve months prior to December 2020.”

This award was endowed by the late Morris J. Bernstein in memory of his son, a physician who died in an accident while answering a hospital call in November 1940.

The $2,000 award will be presented to the recipient during a MSSNY Council Meeting.

Nominations must be submitted on an official application form and must include the nominator’s narrative description of the significance of the candidate’s achievements as well as the candidate’s curriculum vitae, including a list of publications or other contributions.

To request an application, please contact:

Committee on Continuing Medical Education
Miriam Hardin, PhD, Manager, Continuing Medical Education
Medical Society of the State of New York
99 Washington Avenue, Suite 408
Albany, NY 12210
518-465-8085
mhardin@mssny.org


Workers Compensation Proposes Rule to Formally Cover Telehealth; In-Person Treatment Required for Every Third Clinical Encounter
The New York Workers Compensation Board has proposed a regulation to formally permit the Workers Compensation program to cover health care services to injured workers delivered via telehealth.  Among the key components of the proposed regulation for covering telehealth services:

  • Every third clinical encounter must be an in-person assessment by the treating medical provider.
  • The medical provider who provided treatment and care at the initial clinical encounter must also provide the treatment and care at any telehealth clinical encounter.
  • When subsequent medical treatment and care will be performed by a medical provider other than the medical provider who treated at the initial clinical encounter, the subsequent treating medical provider must have an in-person clinical encounter with the claimant prior to providing medical treatment and care via telehealth, and thereafter every third clinical encounter with that subsequent treating provider must be an in-person clinical encounter.
  • Telehealth is not permissible for services administered by physical therapists, occupational therapists, acupuncturists, and chiropractors.
  • Permanency evaluations may not be performed via telehealth.

For more information, please review the proposed regulations here: Proposed Amendment of 12 NYCRR 325-1.13 (Telehealth)Comments can be sent to regulations@wcb.ny.gov until September 12.


MSSNY Immediate Past President Bonnie Litvack, MD Discusses COVID-19 Vaccines with CNYCentral
Following is an excerpt from MSSNY Immediate Past President and member of the state’s vaccine task force Bonnie Litvack, MD’s interview with CNYCentral about COVID-19 vaccines:

“The state has told us they’re getting out of the vaccine business,” said Dr. Bonnie Litvack, the immediate past president of the New York State Medical Society.

Dr. Litvack is a member of the state’s COVID-19 vaccine task force. She said while the state will be prepared to reignite mass vaccination sites should they become necessary, so far, the plan would be to make your local pediatrician or pharmacy the place to go for a booster.

“The last discussions that we’ve had on that, is that vaccines would go back to the normal process of getting vaccines. Which would be through your doctor’s offices and pharmacies as you normally get your normal shots and booster shots,” said Dr. Litvack.

Health professionals like Dr. Litvack are urging New Yorkers to get vaccinated. In Onondaga County, just under 60% of the county’s entire population is fully vaccinated. Anyone without a vaccine is still vulnerable, especially to the highly transmissible Delta variant of the virus.

“If you are unvaccinated, you are vulnerable to it. In communities that have high numbers of unvaccinated people, the community is vulnerable,” said Dr. Litvack.



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Take the Survey on the NYS Bureau of Narcotic Enforcement’s New Morphine Milligram Equivalents Calculator
NYS Bureau of Narcotic Enforcement (BNE) has recently developed a Morphine Milligram Equivalents (MME) Calculator, which is located on the New York State PMP (NYSPMP). They also developed a web-based survey to gather input from PMP users regarding anticipated use of the NYSPMP MME Calculator.

BNE is seeking MSSNY assistance in getting information on the use of the calculator.  The survey offers an opportunity for feedback from NYSPMP users in a format that will only take 10-15 minutes. The survey is available now and can be found by going to this link: https://forms.office.com/g/rQEi5fJfCs

The following QR code may be more convenient for some PMP users:

QR code for a survey

In addition to distributing the survey link, it would be helpful if you could include the attached document (Accessing the New York State Morphine Milligram Equivalents Calculator.pdf) to help PMP users locate the calculator, if they are not already aware of its location.

If you have questions, contact:

For help locating the calculator, click Accessing the New York State Morphine Milligram Equivalents Calculator.


New York State Opioid Prevention Program’s Opioid Annual Report
The New York State – Opioid Annual Data Report, 2020 contains data on deaths, emergency department visits, and hospitalizations involving opioid overdoses, as well as data on opioid prescribing, admissions to substance use disorder treatment programs for heroin and other opioids, and on naloxone administration encounters.

Data-to-Action Reports:

These Data-to-Action Reports are short communications on important topics that provide specific opioid-related data to mobilize public health action. Reports include key messages, quick facts describing the topics, figures illustrating relevant data, language describing recommendations, evidence-based approaches, and suggested actions and resources.

Opioid Data Dashboard: In addition, the Opioid Surveillance Data Dashboard application was updated on the NYSDOH website. This dashboard makes opioid-related data easily accessible to health officials and the public, and displays data for opioid indicators interactively at both state and county levels. The dashboard is designed to be a key resource for enhancing the utilization of opioid surveillance data, and assisting in the response to the opioid crisis.

The reports are available on the opioid data webpage (http://www.health.ny.gov/statistics/opioid/) on the NYSDOH website.

If you have questions and feedback, contact opioidprevention@health.ny.gov.


2022 Medicare Physician Fee Schedule Proposed Rule
As reported earlier this week, the Centers for Medicare & Medicaid Services (CMS) released the proposed rule for the 2022 Medicare Physician Fee Schedule.  The AMA report to state medical societies noted that, while it will analyze and develop a summary of the 1,700+ page proposal, it is important to highlight that the 2022 Medicare conversion factor would be reduced by approximately 3.75% from $34.8931 to $33.5848. This is largely a result of the expiration of a 3.75% increase to the conversion factor at the end of calendar year 2021, as enacted by Congress to prevent what otherwise would have been a devastating cut to many physicians in their Medicare payments.

Working together with the AMA and the federation of medicine, MSSNY will strongly advocate that Congress avert this significant cut and extend the 3.75% increase for 2022. Please note that the impact table in the proposed rule does not seem to include the 3.75% reduction in the conversion factor.

Access the proposed rule (PDF).

Additional resources:

Click here to view the AMA specialty impact table.


Classified Ads Available for:

Physicians’ search services • allied medical placements • locum tenens • practice valuation • practice brokerage • practice consulting • real estate

For help, information or to place your ad, call Roseann Raia at 516-488-6100 ext. 302 

For the MSSNY 2021 Ad Rate Sheet, please click here.


AIDS Institute’s Office of the Medical Director for a Public Health Physician II
Health Research, Inc. (HRI) has a job opening within the AIDS Institute’s Office of the Medical Director for a Public Health Physician II. Please distribute this announcement widely through your networks. Interested individuals can apply for this position through the HRI website.

Medical Claims LogoSmall Group and Independent Practitioners – Advancing Private Practices
The Best billing company GUARANTEED! Increase your annual revenue by 20-30%. Proven results and backed by 25 years of experience. Chooses MA MEDICLAIMS you will Save time on those RVUs/the 8-minute rule and have more time for your patient’s health. Get your free Practice analysis at www.ma-mediclaimsllc.com. Contact leslie.swartz@ma1mediclaimsllc.com or call 877-927-1996.

Office Rental 30 Central Park South
Two fully equipped exam, two certified operating, bathrooms and consultation room.  Shared secretarial and waiting rooms.  Elegantly decorated, central a/c, hardwood floors. Next to Park Lane and Plaza hotels. $1250 for four days a month. Available full or part-time. 212.371.0468 / drdese@gmail.com.


Medical Office and Medical Practice (Upper East Side)
79th St near Lexington / Park. 750 sq Ft beautiful, street entrance, medical office for sale with a 25 + yr internal medical practice for sale. Office is in move in condition. Physician retiring. Waiting room. Secretarial area for 3. 1 Consult room. 2 exam Rooms 2 Toilets. Please contact: 917-770-8700 / email drklein@att.net


 

 

 

 

MSSNY eNews: July 14, 2021 – CMS Releases Proposed Rule for 2022 Medicare Physician Fee Schedule

 


CMS Releases Proposed Rule for 2022 Medicare Physician Fee Schedule
Yesterday, the Centers for Medicare & Medicaid Services (CMS) released the proposed rule for the 2022 Medicare physician fee schedule. The American Medical Association (AMA) staff is in the process of analyzing and developing a summary of the 1,700+ page proposal but in the meantime, there is a key issue of which physicians need to be aware. Notably, the 2022 Medicare conversion factor would be reduced by approximately 3.89% from $34.8931 to $33.5848.

This is largely a result of the expiration of a 3.75% increase to the conversion factor at the end of calendar year 2021, as averted for 2021 by Congressional action. The AMA will strongly advocate that Congress avert this significant cut and extend the 3.75% increase for 2022. Please note that the impact table in the proposed rule does not seem to include the 3.75% reduction in the conversion factor.

The text of the proposed rule can be accessed here, and several other links are below:


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Medicare Increases Payment for Cognitive Care
Alzheimer’s dementia affects one in nine people age 65 and older and kills more than breast and prostate cancer combined.  The Centers for Medicare & Medicaid Services has taken steps to address this public health crisis by increasing payment for and expanding access to cognitive assessment and care plan services.

Effective January 1, 2021, Medicare increased payment for these services to $282 (may be geographically adjusted) when provided in an office setting, added these services to the definition of primary care services in the Medicare Shared Savings Program, and permanently covered these services via telehealth.

4 Things to Know About the Cognitive Assessment & Care Plan Services

  1. If your patient shows signs of cognitive impairment at an Annual Wellness Visit (AWV) or other routine visit, you may perform a more detailed cognitive assessment and develop a care plan
  2. The Cognitive Assessment & Care Plan Services (CPT code 99483) typically start with a 50-minute face-to-face visit that includes a detailed history and patient exam, resulting in a written care plan
  3. If you report evaluation and management (E/M) services, you can offer this service, including: physicians (MD and DO), nurse practitioners, clinical nurse specialists, and physician assistants.
  4. Use CPT code 99483 to bill for this service. Part B coinsurance and deductible apply. You may bill this code separately from the AWV.

For More Information
Please review more detail on Medicare coverage requirements and billing standards at www.cms.gov/cognitive.
For more information on assessing cognitive impairment, please refer to the Alzheimer’s and Dementia Resources for Professionals webpage here.


More on New York State Employer Safety Plans Required by August 5
As reported last week, the New York State Department of Labor put forth model forms for all New York employers to follow in adopting required airborne infectious disease exposure prevention standards in response to legislation enacted into law (the New York Health and Essential Rights Act – NY HERO Act) earlier this year. The law requires all employers regardless of size to have extensive new workplace health and safety protections in response to the COVID-19 pandemic. The statute requires that employers adopt a safety plan within 30 days of the Department of Labor posting the model forms (August 5). After adopting a plan, the employer is required to share the safety plan with employees within 30 days.

As a follow up to the article, MSSNY has been advised by the New York State Department of Labor that “the standard published by the Department provides that it does not apply to ‘Any employee within the coverage of a temporary or permanent standard adopted by the Occupational Safety and Health Administration setting forth applicable standards regarding COVID-19 and/or airborne infectious agents and diseases.’ As such, employers within the coverage of the current OSHA ETS (which is currently limited to healthcare) are not currently required to take action or adopt a plan pursuant to the NY HERO Act.”

Therefore, whether a physician’s office is required to follow the federal OSHA ETS or the NY DOL standard may be on a case-by-case basis. As noted in the recent alert by MSSNY’s General Counsel, the Garfunkel Wild law firm, OSHA Issues Emergency Rules for Healthcare Employers and Updated Guidance for All Employers | Garfunkel Wild, exempted from compliance with the OSHA ETS are “employers performing healthcare services on an outpatient basis in a non-hospital setting, if non-employees are screened prior to entry and people with suspected or confirmed COVID-19 are not permitted to enter.”

Physicians should consult with their legal counsel for how best to ensure their offices comply with these state and/or federal requirements.



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New York County Medical Society Honors Leaders at June 23, 2021 Annual Meeting

Arthur Cooper, MD and Keith LaScalea, MD

Arthur Cooper, MD and Keith LaScalea, MD

During its June 23rd Annual Meeting, the New York County Medical Society (NYCMS) honored outgoing president Arthur Cooper, MD and welcomed incoming president Keith LaScalea, MD. Dr. LaScalea graduated from SUNY –  Binghamton and the University of Chicago Pritzker School of Medicine, completed his residency in Internal Medicine at New York Presbyterian Hospital, and is on the faculty in the Division of Internal Medicine at Weill Cornell Medicine.

In addition to his clinical practice as a primary care physician he is involved in teaching, curriculum development, and holds multiple roles in the College administration. On July 12, 2021, Doctor LaScalea was listed as one of Crain’s New York Business “Notables in Health Care.”

NYCMS also welcomed officers Erick Eiting, MD, President–Elect; Thomas Sterry, MD, Vice President; Jessica J. Krant, MD, MPH, Secretary; and Jill R. Baron, MD, Treasurer.  Loren Wissner Greene, MD and Stuart Gitlow, MD serve as Assistant Secretary and Assistant Treasurer respectively.


Milton Haynes, MD

Milton Haynes, MD

Milton Haynes, MD Receives Nicholas Romayne, MD Lifetime Achievement Award
During the NYCMS annual meeting, incoming president Dr. LaScalea presented Milton Haynes, MD with the Nicholas Romayne, MD Lifetime Achievement Award—which is named for the Society’s first president and recognizes exceptional contribution to the Society.

Dr. Haynes, who served as president of the Society in 2000 – 2001, is a graduate of Howard University College of Medicine, is board certified by the American Board of Obstetrics and Gynecology, and is a fellow of the American College of Obstetricians and Gynecologists.  Prior to his retirement, Dr. Haynes was in private practice, a Senior Attending at Lenox Hill Hospital, and Attending at North General Hospital. He was Clinical Associate Professor of Obstetrics and Gynecology, New York University Medical Center.

Dr. Haynes served as Chair of MSSNY’s Committee on Healthcare Disparities, and as a member of the AMA Commission to Eliminate Racial and Ethnic Healthcare Disparities.

In honoring the many contributions of Dr. Haynes to the medical profession, Dr. LaScalea called him a “creative disrupter” who “brought the concepts of diversity, equity, and inclusion light years ahead of their time.”


NYC Seeing Rise in COVID-19 Cases as Delta Variant Spreads Further
Bloomberg (7/12, Querolo) reports COVID-19 cases “in New York City are climbing for the first time in months as the delta variant gains traction and vaccination rates in some boroughs remain stubbornly low.” New York City’s “seven-day average rate of positive tests has risen slowly throughout July, and had roughly doubled in two weeks to 1.27% as of Saturday.” On average, “there were 328 new confirmed and probable cases daily over the past week, up from 208 as of June 28.” The New York Post (7/12, Marsh, Raskin) reports “Staten Island is experiencing an uptick in COVID-19 cases at least partly because of the recent spread of the highly contagious Delta variant among unvaccinated New Yorkers.”



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COVID-19 Vaccination Enrolled Providers: Please Update Contact Information for Excelsior Pass Applications
Excelsior Pass mobile application is New York State’s voluntary and secure way to retrieve and present digital proof of COVID-19 vaccination or negative COVID-19 test results. In order for users to retrieve the vaccination pass, their vaccination data within NYSIIS/CIR must be correct and up-to-date. Providers are responsible for entering all vaccination data and remediating any data errors for users who report difficulty in retrieving their pass. For more information on what to look for and how to fix data errors, please review this factsheet.

Some vaccinated individuals have been reporting difficulty obtaining their Excelsior Pass.  Beginning this week, an e-mail will be sent to these individuals directing them to review their vaccination record with their provider.  The e-mail will direct individuals to their vaccination provider by giving them the provider’s primary and secondary points of contact and contact information as it was submitted on the provider’s COVID-19 Vaccination Program enrollment form, unless updated information has been submitted by the provider entity.  If the contact information is outdated or there is a better point of contact who can assist vaccinated individuals with review and correction of their vaccination record, please submit updated information here.

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Classified Ads Available for:

Physicians’ search services • allied medical placements • locum tenens • practice valuation • practice brokerage • practice consulting • real estate

For help, information or to place your ad, call Roseann Raia at 516-488-6100 ext. 302 

For the MSSNY 2021 Ad Rate Sheet, please click here.


Medical Claims LogoSmall Group and Independent Practitioners – Advancing Private Practices
The Best billing company GUARANTEED! Increase your annual revenue by 20-30%. Proven results and backed by 25 years of experience. Chooses MA MEDICLAIMS you will Save time on those RVUs/the 8-minute rule and have more time for your patient’s health. Get your free Practice analysis at www.ma-mediclaimsllc.com. Contact leslie.swartz@ma1mediclaimsllc.com or call 877-927-1996.

Office Rental 30 Central Park South
Two fully equipped exam, two certified operating, bathrooms and consultation room.  Shared secretarial and waiting rooms.  Elegantly decorated, central a/c, hardwood floors. Next to Park Lane and Plaza hotels. $1250 for four days a month. Available full or part-time. 212.371.0468 / drdese@gmail.com.


Albany Medical OfficeProfessional Office Space For Sale – Albany, NY
319 S. Manning Blvd, Suite 308A. Albany NY. Located on the St. Peter’s Hospital Campus. 2000 SF. Bright, 3rd floor location. Office is in move in condition. Waiting room, front reception area for 3 staff, 2 consult rooms, 4 exam rooms, 1 large procedure room, eat in break room, storage room, walk in storage closet. 369K. Contents negotiable. Please contact 518-222-4956 / email perrotmi@yahoo.com


 

 


Medical Office and Medical Practice (Upper East Side)
79th St near Lexington / Park. 750 sq Ft beautiful, street entrance, medical office for sale with a 25 + yr internal medical practice for sale. Office is in move in condition. Physician retiring. Waiting room. Secretarial area for 3. 1 Consult room. 2 exam Rooms 2 Toilets. Please contact: 917-770-8700 / email leslie.swartz@ma1mediclaimsllc.com


 

 

 

 

MSSNY eNews: July 9, 2021 – Membership Doesn’t Cost, It PAYS

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Membership Doesn’t Cost, It PAYS

Colleagues:

My membership in MSSNY began when I was a young physician, and my involvement with—and devotion to—the organization has grown exponentially over the years. Since many of my colleagues are aware of my dedication to MSSNY, I am often asked “What has MSSNY done for me lately?”

My initial answer is very simple: “MSSNY membership doesn’t cost, it PAYS.”

Here are but a few of the many ways your membership in MSSNY pays for itself: 

  • Saved you from a 25% to 47% increase in malpractice premiums by defeating the wrongful death expansion proposal in the just-completed legislative session.
  • Saved you from a 2% across the board Medicare cut. For a practice with $500,000 in anticipated Medicare revenue for this year, MSSNY prevented a $10,000 cut.
  • Saved you from an across the board 1% Medicaid cut. Your savings are based on the amount of Medicaid revenue you take in each year.
  • Saved physicians enrolled in the Excess program from paying for half the cost of an Excess Insurance policy, saving up to $40,000 for some physicians.
  • Saves you money daily through significant discounts from our medical supplies group purchasing organization, telemedicine platform, disability and other insurance plans, legal assistance, and more.
  • Saves you money and time through our Physician Payment and Practice program that assists physicians with payment and other care approval hassles from commercial and public insurers.

Joseph Sellers, MD, FAAP, FACP
MSSNY President.


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Burnout Hits Female Physicians Harder Than Men
Female physicians experience burnout more frequently than men, report spending more time doing administrative duties and spend more time working off the clock, according to a June 15 report by EHR vendor Athenahealth.

The study collected data from 799 physicians who use a variety of EHR vendors. Data was collected between Oct. 13 and Dec. 23.

Six study findings:

  1. Twenty-eight percent of physicians reported feeling burned out at least once per week, and physicians spend an average of 13.5 hours per week on tasks other than patient care.
  2. More than a quarter of physicians (29 percent) agreed or strongly agreed that their practice is set up to minimize administrative burden. Sixty-one percent of physicians said their organization has not taken steps in the last 12 months to curb physician burnout.
  3. More than half of women (51 percent) reported feeling burned out a few times a month, compared to 43 percent of men. Women were also less likely to feel their workload is manageable and less likely to believe they would be with their organization in the next three years.
  4. Women reported that administrative tasks accounted for 29 percent of their working time, compared with 25 percent for men.
  5. Women spent more time working at home, with 19 percent of work time conducted at home, compared to 14 percent for men.
  6. Physicians aged 65 and older reported feeling burnout less frequently than younger physicians (35 percent and 48 percent, respectively). Older physicians were more likely to report they have enough time to spend with each patient and their workload is manageable.

Mitchell, Becker’s Hospital Review


Do You Know an Outstanding Physician?
The Medical Society of the State of New York is accepting nominations for the 2020 Albion O. Bernstein, MD Award. This prestigious award is given to:

“…the physician, surgeon or scientist who shall have made the most widely beneficial discovery or developed the most useful method in medicine, surgery or in the prevention of disease in the twelve months prior to December, 2020.”

This award was endowed by the late Morris J. Bernstein in memory of his son, a physician who died in an accident while answering a hospital call in November, 1940.

The $2,000 award will be presented to the recipient during a MSSNY Council Meeting.

Nominations must be submitted on an official application form and must include the nominator’s narrative description of the significance of the candidate’s achievements as well as the candidate’s curriculum vitae, including a list of publications or other contributions.

To request an application, please contact:
Committee on Continuing Medical Education
Miriam Hardin, Ph.D., Manager, Continuing Medical Education
Medical Society of the State of New York
99 Washington Avenue, Suite 408
Albany, NY 12210
518-465-8085 mhardin@mssny.org
DEADLINE FOR NOMINATIONS EXTENDED: September 7, 2021


New York State Employer Safety Plans for Employees Required by August 5
As reported earlier this week, the New York State Department of Labor put forth model forms for all New York employers to follow in adopting required airborne infectious disease exposure prevention standards in response to legislation enacted into law (the New York Health and Essential Rights Act – NY HERO Act) earlier this year. The law requires all employers regardless of size to have extensive new workplace health and safety protections in response to the COVID-19 pandemic.  The statute requires that employers adopt a safety plan within 30 days of the Department of Labor posting the model forms (August 5).  After adopting a plan, the employer is required to share the safety plan with employees within 30 days.

The airborne infectious disease exposure prevention plans must be activated by the employer when an airborne infectious disease is designated by the New York State Commissioner of Health as a highly contagious communicable disease that presents a serious risk of harm to the public health.  However, the DOL announcement notes that, while employers must adopt plans as required by the law, “as of the date of this writing no designation is currently being made and therefore, plans are not required to be in effect.”

There were also recent federal rules adopted by the Occupational Health and Safety Administration (OSHA) imposed on certain healthcare employers to help prevent transmission of Covid-19 to employees, as noted in the recent alert by MSSNY’s General Counsel, the Garfunkel Wild law firm.  Physicians should consult with their legal counsel for how best to ensure their offices comply with these new state and federal requirements.



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New Help for Physicians to Start—Or Sustain—Life in Private Practice
Starting and maintaining a private practice isn’t easy. Coding, billing, documentation and state regulations can be complicated, but being accurate is essential, according to Kathleen Blake, MD, MPH, the AMA’s vice president of health care quality and a cardiologist who worked in private practice for many years.

In addition to considerable clinical skills and acumen, physicians in private practice also need management and marketing know-how to build successful and sustainable practices, she said.

“These aren’t skills they teach you in most medical schools,” she said, “but they are essential for anyone in private practice or even considering starting a private practice. According to AMA research, about 44% of physicians are in private practice, and they have needs that are not just associated with delivering medical care.

“You hear this all the time. The best referral is an existing patient asking, ‘Would you see my family members?’” she said, but private practice physicians need more than just referrals to build their patient panels. They also need to create an efficient management structure, establish a positive patient experience, and build a personal online brand, she added.

Help in Pursuing Private Practice Medicine

Working with the new AMA Private Practice Physicians Section (AMA-PPPS), Dr. Blake and her colleagues helped aggregate resources for physicians at all stages of private practice: from those completing their training who are exploring practice options to mid-career doctors managing an established practice.

“We felt it was important to identify and understand the various challenges physicians face in private practice and publish in one place what I like to call news you can use to help them have a sustainable practice and enduring, positive relationships with their patients, families and communities,” she said.

The result was a collection of AMA private practice sustainability resources. The resources cover vital issues such as how to get started in private practice, managing business operations, and developing a positive patient experience. Content includes curated webinars, research and recent AMA news articles on private practice, including profiles of physicians who are succeeding in this vibrant practice mode.

Read the full AMA article here.


NYS Department of Financial Services (DFS) Again Extends Audio-Only Telehealth Coverage
The latest emergency regulation from DFS, released on Wednesday, July 7th, continues coverage for Telehealth services delivered via audio-only until at least October 1st. However, it is unclear if DFS will renew come October, making clarifying legislation potentially necessary.

Please note that last year a statute was enacted that requires Medicaid to cover audio-only Telehealth. The New York State Department of Health (DOH) recently issued a guidance document for how Medicaid will continue to cover Telehealth services, including audio-only services.

To view the latest extending regulation, click here.


Save Money with Premier Group Purchasing: Call MSSNY’s Dedicated Rep!
MSSNY has a group purchasing partnership with Premier Group Purchasing to provide lower operating costs and improved access to supplies and products for members who sign on to purchase through Premier negotiated agreements.

Sign up today or contact MSSNY’s dedicated representative, Samantha Garrett, at Samantha_Garrett@premierinc.com /212-901-1209.

Click the links below to access specifics on the program:
Continuum of Care Overview: High level overview of the Premier program and the value it provides GPO FAQ: Questions and answers to further introduce Premier and explain the program

Physician Practices information sheet: Provides value proposition of the Premier program, followed by specific suppliers and contracts members will be able to access, broken down by category

What to Expect: Step by step onboarding guide for members.



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Telehealth’s Impact: Physician Survey Analysis
COVID-19 Healthcare Coalition | November 2020

The experience of physician practices engaging in an unprecedented number of telehealth visits in 2020 is captured in this report from a survey of 1,600 physicians, issued by the COVID-19 Healthcare Coalition.

75% of physicians reported that telemedicine enabled them to provide quality care in the areas of COVID-19-related care, acute care, chronic disease management, hospital/ED follow-up, care coordination, preventative care, and mental/behavioral health.

60% reported that telehealth improved the health of their patients.

55% reported that telehealth improved their work satisfaction.

73% reported that no or low reimbursement will be a major challenge post-COVID.

64% said that technology challenges, such as lack of access to broadband and technological illiteracy, are a barrier to sustained use of telehealth, pointing to the need for policies that support audio-only services where needed.

Click here to view the full report.


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Classified Ads Available for:

Physicians’ search services • allied medical placements • locum tenens • practice valuation • practice brokerage • practice consulting • real estate

For help, information or to place your ad, call Roseann Raia at 516-488-6100 ext. 302 

For then MSSNY 2021 Ad Rate Sheet, please click here.


Medical Claims LogoSmall Group and Independent Practitioners – Advancing Private Practices
The Best billing company GUARANTEED! Increase your annual revenue by 20-30%. Proven results and backed by 25 years of experience. Chooses MA MEDICLAIMS you will Save time on those RVUs/the 8-minute rule and have more time for your patient’s health. Get your free Practice analysis at www.ma-mediclaimsllc.com. Contact leslie.swartz@ma1mediclaimsllc.com or call 877-927-1996.


Office Rental 30 Central Park South
Two fully equipped exam, two certified operating, bathrooms and consultation room.  Shared secretarial and waiting rooms.  Elegantly decorated, central a/c, hardwood floors. Next to Park Lane and Plaza hotels. $1250 for four days a month. Available full or part-time. 212.371.0468 / drdese@gmail.com.


Albany Medical OfficeProfessional Office Space For Sale – Albany, NY
319 S. Manning Blvd, Suite 308A. Albany NY. Located on the St. Peter’s Hospital Campus. 2000 SF. Bright, 3rd floor location. Office is in move in condition. Waiting room, front reception area for 3 staff, 2 consult rooms, 4 exam rooms, 1 large procedure room, eat in break room, storage room, walk in storage closet. 369K. Contents negotiable. Please contact 518-222-4956 / email perrotmi@yahoo.com


 

 


Medical Office and Medical Practice (Upper East Side)
79th St near Lexington / Park. 750 sq Ft beautiful, street entrance, medical office for sale with a 25 + yr internal medical practice for sale. Office is in move in condition. Physician retiring. Waiting room. Secretarial area for 3. 1 Consult room. 2 exam Rooms 2 Toilets. Please contact: 917-770-8700 / email drklein@att.net


 

 

 

 

MSSNY eNews: July 7, 2021 – NYS Extends Audio-Only Telehealth Coverage


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NYS Department of Financial Services (DFS) Once Again Extends Audio-Only Telehealth Coverage
The latest emergency regulation from DFS, released on Wednesday, July 7th, continues coverage for Telehealth services delivered via audio-only until at least October 1st. However, it is unclear if DFS will renew come October, making clarifying legislation potentially necessary.

Please note that last year a statute was enacted that requires Medicaid to cover audio-only Telehealth. The New York State Department of Health (DOH) recently issued a guidance document for how Medicaid will continue to cover Telehealth services, including audio-only services.

To view the latest extending regulation, click here.


Department of Labor Adopts Model Forms for Employers for Required Airborne Infection Prevention Plans
Today, the New York State Department of Labor put forth model forms for all New York employers to follow in adopting required airborne infectious disease exposure prevention standards in response to legislation enacted into law (the New York Health and Essential Rights Act – NY HERO Act) earlier this year. The law requires all employers regardless of size to have extensive new workplace health safety protections in response to the COVID-19 pandemic.  The statute requires that employers adopt a safety plan within 30 days of the Department of Labor posting the model forms, and to share the safety plan with employees within 60 days of the posting of the model forms.

The airborne infectious disease exposure prevention plans must be activated by the employer when an airborne infectious disease is designated by the New York State Commissioner of Health as a highly contagious communicable disease that presents a serious risk of harm to the public health. The DOL website notes that, while employers must adopt plans as required by the law, “as of the date of this writing no designation is currently being made and therefore, plans are not required to be in effect.” 

The standard and model plans are available in English and will be available in Spanish in the coming days. Employers are required to provide a copy of the adopted airborne infectious disease exposure prevention plan and post the same in a visible and prominent location within each worksite. 

There were also recent federal rules adopted for healthcare employers for preventing transmission of COVID-19 to employees, as noted in the recent alert by MSSNY’s General Counsel, the Garfunkel Wild law firm [see article below]. Physicians should consult with their legal counsel for how best to comply with these new state and federal requirements.


OSHA Issues Emergency Rules for Healthcare Employers and Updated Guidance for All Employers
On June 10, 2021, OSHA issued an Emergency Temporary Standard (the “Standard”) specific to COVID-19, including health screening mandates and COVID-specific protocols, and paid leave requirements for certain healthcare providers.  The Standard generally enforces CDC protocols that have been recommended during the pandemic.  On the same day, OSHA also issued “Guidance on Mitigating and Preventing the Spread of COVID-19 in the Workplace” for all other employers (the “Guidance”).

The Guidance focuses on protections for unvaccinated or otherwise “at-risk” workers, who are described as those that “cannot be protected through vaccination, cannot get vaccinated, or cannot use face coverings.”  The Guidance notes that, unless otherwise required, most employers no longer need to take steps to protect fully vaccinated workers who are not otherwise at-risk from exposure to COVID-19 in the workplace, or well-defined portions of the workplace, where all employees are fully vaccinated.

In addition to the Standard and Guidance, it is important to confirm with state and local requirements as well.

Read guidance in its entirety here.

If you have questions regarding the above, please contact the Garfunkel Wild attorney with whom you regularly work, or contact Garfunkel Wild at info@garfunkelwild.com.


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$790 in Annual Savings for MSSNY Members: CareClix Telemedicine Platform
MSSNY members receive the discounted rate of $50 per month for the license fee with no start-up costs—for a total of $790 in savings.

The CareClix user-friendly HIPPA compliant platform enables physicians to conduct routine virtual visits with patients in any location. With CareClix you can:

  • Add Value to Your Practice
  • Maximize Billing
  • Eligibility Checks
  • Promote Patient Satisfaction
  • Reduce Cancellations and No-Shows
  • Integrated EHR

For clinical practices lacking the capacity to manage their own CCM programs, CareClix also provides a white-labeled, turn-key CCM service. This enables even the smallest community hospitals to provide CCM services for their seniors. Caring for the patients most-at-need requires vigilance and improved access.

CareClix believes that implementing and managing a CCM program requires much more than just a traditional telemedicine platform with videoconferencing. Our platform includes a comprehensive Chronic Care Management module. This includes out-of-the-box integration for 200+ devices, covering all major key vital signs used in CCM. Our platform easily integrates with our partners’ EMR systems, and we have a team that includes practicing physicians and experienced implementation experts.

To learn more about CareClix: careclix.com/for-providers/
To implement telemedicine for your practice visit: careclix.com/provider-signup/
Have questions? Contact sales@careclix.com


Physicians Worked Fewer Hours in 2020, Survey Finds
Compared to January 2019, U.S. physicians worked fewer hours per week on average when the COVID-19 pandemic hit, according to research published June 23 in JAMA Network Open. 

Researchers from the Association of American Medical Colleges used national survey data to assess how weekly hours worked among physicians changed from January 2019 to December 2020. The study involved 2,563 physicians and 8,853 observations. At the start of the study period, the average number of hours worked per week was 50.8.

Five findings:

  1. In March 2020, physicians’ mean weekly hours worked fell to 49.
  2. The decrease hit a low in May 2020, when the average number of hours worked was 47.5.
  3. In the summer months, weekly hours worked began to climb before hitting another low in November.
  4. Physicians’ average number of weekly hours worked was 47.8 in December — a 6 percent decrease from January 2019.
  5. Overall, the number of physicians working full time fell from 84.1 percent before COVID-19 to 80.7 percent during the pandemic.

“This study found that physicians’ work hours have significantly decreased since the start of the COVID-19 pandemic in the U.S., accelerating an existing, gradual decline,” researchers said. “These observed changes may reflect the decrease in healthcare utilization and the increased flexibilities instigated by COVID-19-driven regulations.”

Carbajal, Becker’s Hospital Review


Reporter Looking for NY Patients to Interview for National Story
A reporter with USA Today is looking to set up interviews with long-haul COVID patients in New York. The story will focus on patients who have had financial struggles, including but not limited to challenges returning to work, filing disability claims, or health insurance coverage struggles. The national story will appear in USA Today and outlets across the country.

If you have patient(s) willing to share their stories, please send contact information to Roseann Raia at MSSNY.


Garfunkel Banner Ad

Classifieds

Classified Ads Available for:

Physicians’ search services • allied medical placements • locum tenens • practice valuation • practice brokerage • practice consulting • real estate

For help, information or to place your ad, call Roseann Raia at 516-488-6100 ext. 302 

For the MSSNY 2021 Ad Rate Sheet, please click here.


Medical Claims LogoSmall Group and Independent Practitioners – Advancing Private Practices
The Best billing company GUARANTEED! Increase your annual revenue by 20-30%. Proven results and backed by 25 years of experience. Chooses MA MEDICLAIMS you will Save time on those RVUs/the 8-minute rule and have more time for your patient’s health. Get your free Practice analysis at www.ma-mediclaimsllc.com. Contact leslie.swartz@ma1mediclaimsllc.com or call 877-927-1996.

Office Rental 30 Central Park South
Two fully equipped exam, two certified operating, bathrooms and consultation room.  Shared secretarial and waiting rooms.  Elegantly decorated, central a/c, hardwood floors. Next to Park Lane and Plaza hotels. $1250 for four days a month. Available full or part-time. 212.371.0468 / drdese@gmail.com.


Albany Medical OfficeProfessional Office Space For Sale – Albany, NY
319 S. Manning Blvd, Suite 308A. Albany NY. Located on the St. Peter’s Hospital Campus. 2000 SF. Bright, 3rd floor location. Office is in move in condition. Waiting room, front reception area for 3 staff, 2 consult rooms, 4 exam rooms, 1 large procedure room, eat in break room, storage room, walk in storage closet. 369K. Contents negotiable. Please contact 518-222-4956 / email perrotmi@yahoo.com


 

 


Medical Office and Medical Practice (Upper East Side)
79th St near Lexington / Park. 750 sq Ft beautiful, street entrance, medical office for sale with a 25 + yr internal medical practice for sale. Office is in move in condition. Physician retiring. Waiting room. Secretarial area for 3. 1 Consult room. 2 exam Rooms 2 Toilets. Please contact: 917-770-8700 / email leslie.swartz@ma1mediclaimsllc.com


 

 

 

 

MSSNY Enews: June 30, 2021 – Hospitals and Corporations Own Nearly Half of U.S. Physician Practices

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Hospitals and Corporations Own Nearly Half of U.S. Physician Practices
COVID-19 Accelerated Ownership Trend, New Analysis Finds

Nearly 70% of U.S. physicians are now employed by hospital systems and corporate entities like private equity firms and health insurers according to new data by Avalere for the Physicians Advocacy Institute (PAI) examining the period between January 1, 2019 and January 1, 2021.

The research found that the COVID-19 pandemic accelerated a long-term national trend of hospitals and corporate entities acquiring physician practices and employing physicians. During the two-year period, these entities acquired 20,900 additional physician practices. Forty-eight thousand additional physicians left independent practice for employment by hospital systems or other corporate entities.

“COVID-19 exacerbated financial vulnerabilities of physician practices and forced them to make difficult decisions,” said Kelly Kenney, chief executive officer of PAI. “The practice acquisition trend has potentially serious implications for competition and health care costs, which have been shown to increase with this type of marketplace consolidation.”

Every U.S. region experienced these national trends of steady growth in employment and acquisitions, with an uptick in the last half of 2020. The cumulative findings by Avalere researchers during the two-year period revealed:

• Hospitals, health systems, and corporate entities now own nearly half of the nation’s medical practices.

• The sharpest increase in physician practice acquisitions and employment was among corporate entities such as private equity firms and health insurers (32%).

• Across regions, hospital ownership of practices grew between 6 percent and 11 percent and corporate ownership grew between 44 percent and 59 percent.

PAI believes that physicians should be in the driver’s seat when it comes to managing their patients’ medical care. “Regardless of the practice setting, physicians must retain autonomy to make clinical decisions, free from interference by corporate entities motivated primarily by profits,” said Kenney.

PAI will continue to work with Congress and state policymakers to champion policies that enable physician-led organizations and independent physician practices to compete with larger corporate entities to deliver health care services to patients.

State Chart


As State Ends Emergency Declaration, What Does that Mean for Telehealth Coverage?
When Governor Cuomo announced last week an end to the state’s “emergency” declaration and an end to the many Executive Orders waiving portions of New York laws and regulations, it prompted several questions from physicians and their staff as to what coverage will continue to exist for telehealth services for their patients.

The following is a brief update on the range of issues regarding access to telehealth services that MSSNY will continue to address over the summer and fall, as well as during the 2022 legislative session.

Coverage Parity Continues Existing state law requires New York regulated health insurance companies to provide coverage for Telehealth services for care that is covered on an in-person basis. NY state law also requires Telehealth coverage by Medicaid. These policies do not address payment levels for physicians and are not affected by suspension of the public health emergency, so “coverage parity” for Telehealth services will continue. These policies do not apply to ERISA regulated plans.

Waiving of Cost-Sharing Ends DFS recently ended its emergency regulation that required insurers to waive cost-sharing requirements on patients for services delivered via Telehealth. MSSNY raised concerns with regulators, but it may be harder to justify given the very significant drop in COVID cases over the last two months.

Audio-Only Coverage The latest emergency regulation from DFS continues coverage for Telehealth services delivered via audio-only until July 5, but it is unclear if DFS will renew, making clarifying legislation potentially necessary. Please note that last year a statute was enacted that requires Medicaid to cover audio-only Telehealth. The New York State Department of Health recently issued a guidance document for how Medicaid will continue to cover telehealth services, including through audio-only COVID-19-Telephonic-and-Telehealth-06-25-21.pdf (hca-nys.org).

Telehealth thru FaceTime? At this time, it is unclear whether DFS guidance from last March (Coronavirus (COVID-19) information: Information for Insurers and Providers on Coverage for Telehealth Services | Department of Financial Services (ny.gov) regarding the approved use of simplified modalities for delivering Telehealth services will be continued. MSSNY is seeking clarification.

However, the DOH notice referenced above does suggest that approved use of simplified technologies will continue as they note that: “during the COVID-19 federally declared public health emergency, the Department of Health and Human Services Office for Civil Rights (OCR) has issued a Notification of Enforcement Discretion for telehealth remote communications. OCR will exercise its enforcement discretion and will not impose penalties for noncompliance with the regulatory requirements under the HIPAA Rules against covered health care providers in connection with the good faith provision of telehealth during the emergency”.

Continued Push for Payment Parity Some health insurers made the decision to increase telehealth payments to match in-person payments. However, many insurers did not follow the same path. MSSNY will continue to work with other patient and physician groups in support of legislation such as A.6256/S.5055 that would require health insurers to ensure payment for Telehealth services are equal to similar services provided in-person.

We understand that the pandemic significantly transformed the use of telehealth services, creating new options for patients to receive care and their physicians to deliver care. To that end, MSSNY will continue to advocate for measures that remove barriers to patients receiving Telehealth services from their physicians, including ensuring fair payments for these services.


Do You Have Long-Haul COVID Patients in Your Practice? USA Today Reporter Looking for NY Patients to Interview for National Story
A reporter with USA Today is looking to set up interviews with long-haul COVID patients in New York. The story will focus on patients who have had financial struggles, including but not limited to challenges returning to work, filing disability claims, or health insurance coverage struggles. The national story will appear in USA Today and outlets across the country.

If you have patient(s) willing to share their stories, please send contact information to Roseann Raia at MSSNY.


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Physicians Still Top Choice for Patients According to National Tracking Poll
Conducted between April 29-May 2, 2021, the Morning Consult’s National Tracking Poll sampled 2,200 adults on healthcare usage and trust. The interviews were conducted online and the data was weighted to approximate a target sample of adults based on gender, educational attainment, age, race, and region. In general, the study found that adults were more likely to say they would select a physician’s office over a retail health clinic or an urgent care center for a variety of healthcare services, though there were significant differences by the age of the respondent.

  • 59% of adults said they trust their primary care doctor a lot, while 24% said they trust the healthcare industry, and only 15% said they place a lot of trust in retail health clinics.
  • 70% of adults would select a physician’s office for wellness checkups, and 67% for blood work, while 62% would select a physician’s office for diagnosing and treating common illnesses and 56% for vaccinations.
  • 84% of adults said cost of services is somewhat or very important when it comes to retail health clinics.
  • There was a significant difference by age of almost 30% between adults under 35 and those 65 or older when it came to their preference for getting a wellness visit, treating a common illness, and getting blood work done at a physician’s office. Almost half of adults under 35 said they would go to a physician’s office for this care, while more than 4 in 5 adults 65 or older would go to a physician’s office.

–Morning Consult National Tracking Poll | April – May 2021 Click here to view the full report.


American Conference on Physician Health Sponsored by AMA, Mayo Clinic, and Stanford University
The 2021 American Conference on Physician Health (ACPH) joint scientific conference promotes scientific research and discourse on health system infrastructure, and the actionable steps organizations like yours can take to improve physician well-being.

Sponsored jointly by the Mayo Clinic, Stanford University and the American Medical Association, this year’s conference theme is, “Achieving the quadruple aim: Resilient systems in times of crisis.” Participate in topical and relevant sessions with presenters and attendees from around the globe, while gaining valuable knowledge and information about best practices and tools to improve professional satisfaction in your medical practice.

Conference registration and hotel reservations 

  • Registration rates: Available through Thursday, Sept. 23.
  • To register for the conference and view agenda, visit the ACPH 2021 homepage.
  • Hotel room rates: Special pricing for ACPH attendees available until Sept. 13 ($299 USD/night).
  • Check out the ACPH conference website for all your planning needs—including the agenda, speaker bios, travel information, registration inclusions and more!

2021 American Conference on Physician Health
Thursday, Oct. 7 through Saturday, Oct. 9
Hyatt Regency Scottsdale Resort & Spa at Gainey Ranch
Scottsdale, Ariz.


Deadline Approaching to Comment on the ABMS Draft Standards for Continuing Certification
The deadline to comment on the American Board of Medical Specialties (ABMS) “Draft Standards for Continuing Certification – Call for Comments” is approaching. Opened on Tuesday, April 20, the 80-day period to obtain input and feedback from all stakeholders who possess, use, or rely upon board certification will close on Thursday, July 8, 2021 at 11:59 p.m. CT. Feedback received during the open Call for Comments will guide and inform the development of the final Draft Standards for Continuing Certification (“Draft Standards”), which will be considered by the ABMS Board of Directors in October 2021.

The new Draft Standards reflect foundational changes to the manner in which ABMS and its Member Boards deliver on their mission, bringing value to both the profession and the public at large. They were developed after a year of deliberation with key stakeholders in response to the recommendations of the Continuing Board Certification: Vision for the Future Commission as well as of the wider stakeholder community.

Structured to support and provide diplomates with the tools they need to stay current in medical knowledge; the Draft Standards prepare them to address emerging medical and public health issues; and help them identify and address opportunities for practice improvement within the systems in which they work, in a way that enhances relevance and reduces burden. The Draft Standards also address the needs of patients, families, and communities by assuring that board certified diplomates maintain the knowledge and skills necessary to deliver the quality specialty care upon which they rely.

To review and comment on the Draft Standards, visit the Draft Standards for Continuing Certification section on the ABMS Website by 11:59 p.m. CT on Thursday, July 8, 2021. Please feel free to share the “Draft Standards for Continuing Certification – Call for Comments” with your colleagues and others who may have an interest in them and encourage them to share their feedback to ensure that all stakeholder perspectives are considered in the finalization of the standards that will guide the specialty care practice of the future. 


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Classifieds

Classified Ads Available for:

Physicians’ search services • allied medical placements • locum tenens • practice valuation • practice brokerage • practice consulting • real estate

For help, information or to place your ad, call Roseann Raia at 516-488-6100 ext. 302 

For then MSSNY 2021 Ad Rate Sheet, please click here.


Medical Claims LogoSmall Group and Independent Practitioners – Advancing Private Practices
The Best billing company GUARANTEED! Increase your annual revenue by 20-30%. Proven results and backed by 25 years of experience. Chooses MA MEDICLAIMS you will Save time on those RVUs/the 8-minute rule and have more time for your patient’s health. Get your free Practice analysis at www.ma-mediclaimsllc.com.Contact leslie.swartz@ma1mediclaimsllc.com or call 877-927-1996.

Office Rental 30 Central Park South
Two fully equipped exam, two certified operating, bathrooms and consultation room.  Shared secretarial and waiting rooms.  Elegantly decorated, central a/c, hardwood floors. Next to Park Lane and Plaza hotels. $1250 for four days a month. Available full or part-time. 212.371.0468 / drdese@gmail.com.


Albany Medical OfficeProfessional Office Space For Sale – Albany, NY
319 S. Manning Blvd, Suite 308A. Albany NY. Located on the St. Peter’s Hospital Campus. 2000 SF. Bright, 3rd floor location. Office is in move in condition. Waiting room, front reception area for 3 staff, 2 consult rooms, 4 exam rooms, 1 large procedure room, eat in break room, storage room, walk in storage closet. 369K. Contents negotiable. Please contact 518-222-4956 / email perrotmi@yahoo.com


 

 


Medical Office and Medical Practice (Upper East Side)
79th St near Lexington / Park. 750 sq Ft beautiful, street entrance, medical office for sale with a 25 + yr internal medical practice for sale. Office is in move in condition. Physician retiring. Waiting room. Secretarial area for 3. 1 Consult room. 2 exam Rooms 2 Toilets. Please contact: 917-770-8700 / email leslie.swartz@ma1mediclaimsllc.com


 

 

 

 

MSSNY eNews: June 25, 2021 – MSSNY’s Strong Voice at the AMA Special Meeting

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MSSNY’s Strong Voice at the AMA Special Meeting

Colleagues:

Last week, MSSNY’s American Medical Association (AMA) delegates—under the formidable leadership of our Delegation Chair, Dr. Charles Rothberg—participated in the AMA’s five-day House of Delegates Special Meeting. As one of the four largest state delegations to the AMA, MSSNY plays an important role in the proceedings of the House. In fact, although the HOD was greatly limited due to time constraints—MSSNY still had two resolutions considered at the special meeting.

The first MSSNY resolution, Discrimination Against Physicians in Treatment with Medication for Opioid Use Disorders (MOUD)—which was adopted—affirms “that no physician or medical student should be presumed impaired” solely because of a decision, in collaboration with their treating physician, to receive medication for opioid use disorder.” The author of the resolution, MSSNY delegate Dr. Frank Dowling, explained during the virtual reference committee meeting on Sunday that half of the rehabilitation facilities in the country do not allow medication for opioid use disorder or else “frown against” it. Likewise, physician assistance programs too often refer participants to programs where such medications aren’t available, he said.

The second MSSNY resolution, Addressing Inflammatory and Untruthful Online Ratings, was referred for study.  The AMA will take action to urge online review organizations to create internal mechanisms ensuring due process to physicians before the publication of negative reviews.

In addition to MSSNY’s two resolutions, we had good news on the election front. MSSNY’s Dr. Pratistha Koirala was elected to the AMA Board of Trustees (BOT). Dr. Koirala joins two other MSSNY members, Dr. Thomas Madejski and Dr. Willie Underwood, on the BOT. In addition, Dr. Robert Goldberg was re-elected to the AMA Council on Medical Education.

Other important adopted resolutions include seeking greater efforts to diversify the physician workforce; help Resident physicians with financial burdens; protecting public assistance that helps sustain health; and stemming the rising tide of youth suicide. For a summary of all the important work that was accomplished at the meeting, read the AMA’s Highlights from the June 2021 AMA Special Meeting.

I am proud to serve as Vice-Chair of MSSNY’s AMA delegation and proud of the hard work and dedication of our delegates. When the House of Medicine works together, we achieve great things for our patients and our beloved profession.

Joseph Sellers, MD, FAAP, FACP
MSSNY President.


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End of NYS Emergency Declaration Also Means Reinstatement of Physician Supervision and Collaboration Requirements
Governor Cuomo’s announcement this week that he has ended the state of emergency also brings to an end numerous Executive Orders suspending various laws and regulations, including those laws that otherwise require physician supervision and or collaboration requirements for various non-physician health care practitioners. To that end, the New York State Education Department issued the following announcement about the end of these Executive Orders as applicable to various Title 8 professionals:

Please be advised that the COVID-19 Disaster Emergency declared by the Governor, pursuant to Executive Order 202 issued on March 7, 2020, and each successor Executive Order to Executive Order 202 have expired as of June 25, 2021. While the several exceptions and authorizations relevant to the Title VIII statutes and regulations contained within these Executive Orders have now expired, the Department understands the concern regarding the short notice of the expiration of the COVID-19 Disaster Emergency and will take that into consideration in the event of any potential inquiries involving activity that had previously been authorized by Executive Order 202 and its successor Executive Orders at this time. However, Title VIII professionals should exercise due diligence and good faith efforts to return to compliance with all Title VIII statutory and regulatory requirements without delay. The Department is working closely with other New York State agencies and the Governor’s Office to clarify issues relating to the expiration of the Disaster Emergency and the reinstatement of laws and regulations that have been previously modified or suspended during the COVID 19 Disaster Emergency. Please continue to monitor the Department’s website for updated guidance


Physician Participation Needed in Bureau of Narcotic Enforcement Focus Groups
The NYS Department of Health, Bureau of Narcotic Enforcement is seeking input from users of the Prescription Monitoring Program and has reached out to MSSNY to seek physicians willing to participate in focus groups, which will be held in July. Please see message below and provide Pat Clancy, MSSNY Sr. Vice President of Public Health and Education (pclancy@mssny.org) with your name, email, and dates and time that you are available. MSSNY will provide that information to BNE by June 30, 2021.

The New York State Department of Health (NYSDOH), Bureau of Narcotic Enforcement (BNE) is working on a project to improve the utility of the Prescription Monitoring Program (PMP) Registry and is seeking input from PMP users. The proposed enhancements to the Registry consist of an updated format for the patient search landing page (Confidential Drug Utilization Report) and a dashboard that will display a summary of key visual indicators to highlight patient risk factors. The proposed indicators include the number of pharmacies and practitioners visited by the patient in the last 30 days, the presence of overlapping benzodiazepine and opioid prescriptions, and the presence of prescribed stimulants.

To develop enhancements that best serve PMP users, BNE is eager to incorporate stakeholder input into the project planning and development process through two types of engagement opportunities: virtual focus group and web-based survey. BNE has benefited from collaborations with New York State-based associations to aid in identifying participants for focus groups, surveys, and other stakeholder engagement efforts. BNE once again is looking to the associations to assist in this recruitment process.

Virtual Focus Group Participation
Focus groups will be comprised of five (5) participants for each session and will be held in July 2021. BNE is seeking assistance from interested professional associations including the Medical Society of the State of New York (MSSNY), to identify 35-40 association members each who would be interested in participating in one of the focus groups. We are requesting that a contact list of interested association members be emailed to BNE at the earliest convenience, however, no later than June 29th,2021. BNE would manage the focus group registration process if MSSNY can provide a contact list of its interested members.
The expected participant commitment includes:

• Participation in a one-hour virtual focus group session conducted on a weeknight during evening hours from July 6 -16 and July 26-27, 2021.
• The focus group will be conducted as a recorded webinar, with the expectation that the participant will sign in 5-10 minutes before start of the program.
• Participants will be asked to engage in open and guided discussion.
• Participants will be provided a description of the focus group findings after BNE completion of analysis.
• Participation in a short evaluation survey to provide feedback on resulting enhancements, six (6) months after their implementation.

Web-Based Survey
In addition to the focus group, BNE is also designing a web-based survey to gather input on a morphine milligram equivalents (MME) calculator that has already been developed and can be accessed via the navigation bar within the PMP Registry. The survey offers an opportunity for feedback from PMP users in a format that will only take 10 minutes. MSSNY’s assistance would benefit the effort by disseminating the survey link broadly to its members. The survey will be available in early July and BNE will provide the link and email language to describe the effort. BNE will also manage all logistics related to survey responses. Participants will be provided a final description of survey findings after BNE completion of analysis.


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MSSNY Comments on Expiration of Telehealth Waivers in Crain’s
Gov. Andrew Cuomo announced Wednesday that the state’s disaster emergency designation will expire today—and with it, waivers expanding access to telehealth services could go away too. However, some industry advocates say they can see a way to ensure their continued access.

Since the declaration in March 2020, Cuomo has signed executive orders lifting restrictions on telehealth services, including those related to cost-sharing, the kind of services that can be conducted and who can provide them and where.

Although the cost-sharing waiver ended June 4, insurance coverage for audio-only telehealth services had been extended through July 6. Beyond that, it’s not clear whether such services will continue to be covered, said Moe Auster, vice president of legislative affairs for the Medical Society of the State of New York.

Other restrictions lifted via executive order, such as provider types and location requirements, had been included in the 2022 budget, which passed in April.

Many patients need the broad coverage, advocates say.

“Even prior to the Covid-19 pandemic, it was clear that many parts of the state lacked adequate access to basic health care services,” said Sen. Gustavo Rivera, chair of his chamber’s health committee. He represents a district that includes the Bronx. Telehealth had been an effective and safe tool to ensure that many New Yorkers, especially seniors, immunocompromised individuals, and residents with chronic conditions, could access basic health care services, he said.

Although the Legislature’s regular session ended June 10, the state Department of Financial Services has the power to require health insurers to continue covering audio-only telehealth services, Auster said. However, advocates will continue to work with state lawmakers during next year’s session, he added.

“We want to make sure the laws are updated to ensure this continues and grows,” said Assemblyman Richard Gottfried, chair of his chamber’s health committee. His district includes parts of Manhattan.

“We plan to continue conversations which amplify access to care for our most vulnerable populations,” Rivera said. “We’ve seen the potential of telehealth and must adapt our systems to expand virtual care across the state.”

Should insurance coverage of audio-only access go away, it could deter providers from using that platform, Auster said.

“Physicians have invested in trying to deliver telehealth well,” he said, “but if there’s no adequate payment, we will likely see the stop in investment.”

To protect access to telehealth services, Gottfried and Rivera also introduced payment parity bills in their respective chambers, although they did not pass in this year’s session. The bills sought to ensure that health providers are paid the same rate by insurers for services provided over telehealth as in-person visits.

“If reimbursement parity for Medicaid is not maintained, providers will be impacted,” Gottfried said. “And on the commercial side, there continues to be concern that providers will discontinue offering services via telehealth if they are not adequately reimbursed.” —Shuan Sim, Crain’s Health Pulse, 6/24/21


Please Urge Governor to Sign into Law Two Bills to Assist Patients to Receive Needed Medications
Physicians are urged to contact Governor Cuomo to urge that he sign into law two bills that are critical to helping patients to be able to receive the medications they need as well as to ensure greater oversight over pharmacy benefit formulary development practices.   A letter or tweet can be sent from here: Urge Gov. Cuomo to SIGN two RX bills – Regulating PBMs and Restricting Mid-Year Formulary Changes (p2a.co)

The first bill (A.1396, Gottfried/S.3762, Breslin), will provide greater accountability and transparency of the practices of pharmacy Benefit Managers (PBMs). The bill was significantly revised from the version that passed the Legislature in 2019, but vetoed, to address concerns raised in your veto message.  The bill would require that PBMs be licensed by the Department of Financial Services (DFS) and adhere to standards established by DFS. The bill would also provide for the disclosure of all possible revenue streams and terms and conditions that they place on their networks of pharmacies.MSSNY has supported greater oversight and regulation of PBMs as one manner to address restrictive formularies and excessive prior authorization requirements that interfere with patients obtaining needed medications.

The second bill (A.4668, People-Stokes/S.4111) Breslin, would significantly limit the ability of health insurers to move medications to higher cost-sharing tiers for their prescription drug formularies during a policy year. The bill was revised from the version that passed both chambers two years ago, but was vetoed. To address concerns raised in your veto message in 2019, the legislation would prohibit the applicability of a mid-year formulary change for those patients who were on the medication at the beginning of the policy year, or suffer from a condition for which the medication is part of a treatment regimen, for that condition. However, other mid-year formulary changes could still occur.


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MSSNY & Patient Advocates Continue Discussions with Department of Financial Services (DFS) About Step Therapy Reforms
MSSNY joined patient advocates for a follow up call with staff at DFS this week to continue discussions about whether New York health plans are complying with the step therapy reform law that passed the legislature in 2016 and the possibility for further legislative reforms. Among the key items for discussion is ensuring greater transparency regarding the number of step therapy override determinations that have been made by various insurers, including having these figures be specifically enumerated within public documents from DFS that detail the numbers of internal and external appeals.

Step Therapy, also known as “fail first”, is a policy used by insurers to “control costs”, that requires patients to try and fail on one or more drugs prescribed by their physicians, before an insurer will provide coverage for the originally prescribed treatment. Step therapy protocols can also lead to serious health consequences and increased costs for patients. MSSNY was a key player in the coalition that worked to pass the law in 2016 that sets forth specific criteria that enable a physician to override a health plan step therapy protocol.

The group is planning on future discussions with DFS staff and MSSNY will provide updates as they happen.


Department of Financial Services (DFS) Decision to Eliminate Cost-Sharing Waiver for Patients’ Telehealth Care Likely Permanent
With the announcement this week that the Governor was ending the declared state of emergency, it made it significantly more likely that the DFS’ recent decision to end an emergency regulation requiring insurers to waive out-of-pocket expenses for patients receiving care via Telehealth would not be reversed.

Early on in the pandemic, with the support of MSSNY and many other patient advocacy organizations, DFS and the state Department of Health (DOH), adopted critically important policies to better enable patients to obtain health care services via telemedicine, including waiving cost-sharing requirements for services delivered via telemedicine, expressly permitting coverage for health care services via audio-only, and allowing delivery of telemedicine services through basic smartphone video technologies. Medicare also followed this path, waiving the federal statute that limits Medicare coverage for Telehealth to rural areas and significantly increased the payments for video and audio-only Telehealth services. The current emergency regulation expressly stating that health insurers must cover “audio-only” telehealth services has been extended until July 6, and MSSNY will be urging that it be continued after that date.

Even as a significant portion of the population is immunized against COVID19, public health experts anticipate that Covid-19 will remain a public health threat for the foreseeable future, making continued expanded patient access to Telehealth services important. MSSNY will continue to advocate for measures that remove barriers to patients receiving Telehealth services from their physicians, including fair payments for these services. We will also continue to work with Assemblywoman Woerner (D- Saratoga, and Senator Rivera (D-Bronx), and a range of patient and provider organizations partners, in support of their bill (A.6256/S.5505) to require insurer payments for services provided using Telehealth are on par with in-office visits.

Read the new policy here.


Please Urge Governor to Veto Multiple Pro-Trial Lawyer Tactical Bills
Physicians are urged to contact Governor Cuomo to urge him to VETO Regressive Liability Bills. There are multiple problematic pro-trial lawyer bills passed at the end of the Legislative Session that if signed could have the effect of significantly disadvantaging defendants generally in litigation in New York State, including physicians and hospitals defending against malpractice claims.

While these bills do not have the same gargantuan premium impact as other legislation sought by the trial bar that would expand lawsuits and awards against physicians, they would continue to make New York’s already dysfunctional medical liability adjudication system even more unbalanced and add to New York’s notorious outlier status with regard to medical liability payouts.  These bills include:

  • A2199/S473 – Expanding the time period for the imposition of New York’s excessive 9% judgment interest in cases where a plaintiff’s request for summary judgment was not initially granted, but then overturned on appeal.
  • A8040/S7093 – Changing a long-standing rule that heretofore excluded a “hearsay”.
  • A8041/S7052 – Imposing excessive insurance disclosure requirements on defendants during litigation.


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Guidance for New York State COVID-19 Vaccination Program
All individuals 12 years of age and older that reside in the United States are eligible to be vaccinated. Performance, throughput, effort, and effective administration of vaccines by providers continue to be key factors in making future vaccine allocations, along with equity, access, and regional positivity rates.

All vaccine providers in New York State, including those located in the City of New York and those participating in federal programs, must follow New York State Department of Health (NYSDOH) guidance and directives, including the requirement to accurately and completely report doses administered to the appropriate immunization information system (NYSIIS or CIR) within 24 hours of vaccine administration per Executive Order 202.82 as extended by 202.89, and must maintain up-to-date inventory in such system.

Accurate and timely reporting to NYSIIS/CIR is critical, as this information can be used to allow individuals to display proof of vaccination, such as the Excelsior Pass.

Read Guidance for NYS COVID-19 Vaccination Program in its entirety.


NYSIIS/CIR Reporting Requirements for the COVID-19 Vaccination Program
NYSIIS or CIR access is required to submit requests for vaccine, manage COVID vaccine inventory, and report doses administered. As a condition of receiving federally funded vaccine, all providers must report:

Within 24 hours of administering a dose of COVID-19 Vaccine and adjuvant (if applicable), Organization must record in the vaccine recipient’s record and report required information to the relevant state, local, or territorial public health authority. 

Organization must submit Vaccine-Administration Data through either (1) the immunization information system (IIS) of the state and local or territorial jurisdiction or (2) another system designated by CDC according to CDC documentation and data requirements.

For providers administering vaccine in New York State, submitting data to NYSIIS and CIR satisfies the federal reporting mandate. Providers should continue to submit this data to the NYSIIS and CIR within 24 hours of vaccination. Please continue to ensure you are entering all patient demographic and vaccine information completely and without errors.


Classifieds

Classified Ads Available for:

Physicians’ search services • allied medical placements • locum tenens • practice valuation • practice brokerage • practice consulting • real estate

For help, information or to place your ad, call Roseann Raia at 516-488-6100 ext. 302 

For then MSSNY 2021 Ad Rate Sheet, please click here.


Medical Claims LogoSmall Group and Independent Practitioners – Advancing Private Practices
The Best billing company GUARANTEED! Increase your annual revenue by 20-30%. Proven results and backed by 25 years of experience. Chooses MA MEDICLAIMS you will Save time on those RVUs/the 8-minute rule and have more time for your patient’s health. Get your free Practice analysis at www.ma-mediclaimsllc.com or call 877-927-1996.


Office Rental 30 Central Park South
Two fully equipped exam, two certified operating, bathrooms and consultation room.  Shared secretarial and waiting rooms.  Elegantly decorated, central a/c, hardwood floors. Next to Park Lane and Plaza hotels. $1250 for four days a month. Available full or part-time. 212.371.0468 / drdese@gmail.com.


Albany Medical OfficeProfessional Office Space For Sale – Albany, NY
319 S. Manning Blvd, Suite 308A. Albany NY. Located on the St. Peter’s Hospital Campus. 2000 SF. Bright, 3rd floor location. Office is in move in condition. Waiting room, front reception area for 3 staff, 2 consult rooms, 4 exam rooms, 1 large procedure room, eat in break room, storage room, walk in storage closet. 369K. Contents negotiable. Please contact 518-222-4956 / email perrotmi@yahoo.com


 

 


Medical Office and Medical Practice (Upper East Side)
79th St near Lexington / Park. 750 sq Ft beautiful, street entrance, medical office for sale with a 25 + yr internal medical practice for sale. Office is in move in condition. Physician retiring. Waiting room. Secretarial area for 3. 1 Consult room. 2 exam Rooms 2 Toilets. Please contact: 917-770-8700 / email drklein@att.net


 

 

 

 

MSSNY eNews: June 23, 2021 – CMS Recouping Medicare Advance Payments from Last Year


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CMS Recouping Medicare Advance Payments from Last Year
Physicians should be aware that CMS has begun recouping “advanced and accelerated” Medicare payments it provided to physicians, hospitals, and other providers last year at the height of the COVID-19 pandemic.  For more information on how this will occur, please review this document.

Through May 8, 2020, the Medicare program distributed $92 billion of these advanced and accelerated payments to Part A providers and $8 billion to Part B providers, including $6.5 billion to New York Part A providers and $458 million to New York Part B providers.
Click here for a State by State and Provider Type breakdown for Medicare Accelerated and Advance Payments.

During the recoupment period, CMS is holding back a portion of new Medicare payments – 25% during the first 11 months after the beginning of recoupment and 50% during months 12-17 after the beginning of recoupment — until the payments advanced last year are fully repaid.  Providers are required to have paid back the advanced payments in full 20 months after they received the first payment. If they fail to do so, CMS will charge interest of 4% percent on the remaining balance.

These Medicare repayments were re-scheduled to begin in August 2020, but following advocacy by the AMA and state medical societies across the country, CMS and Congress extended original repayment timelines and significantly reduced required interest payments in light of the ongoing struggles stemming from the pandemic.


MSSNY President-Elect Dr. Parag Mehta Represents MSSNY at Governor Cuomo’s Press Conference to Unveil Renderings for Essential Workers Monument and Announce Child Care Scholarships for Essential Workers
MSSNY President-Elect Dr. Parag Mehta represented MSSNY today as Governor Andrew M. Cuomo today unveiled renderings for the Essential Workers Monument. The Commission of labor leaders representing all essential workers have chosen a location in Battery Park City to install the monument. The Circle of Heroes design will represent the essential workers who served their communities throughout the pandemic, sacrificing so much in order to keep their fellow New Yorkers safe and supported. Construction of the Essential Workers Monument is due to be completed by Labor Day, September 6. Additionally, in tribute to our essential workers, Essential Worker Park will be established in Battery Park City.

In April, Governor Cuomo announced the formation of the Essential Workers Monument Advisory Committee, which includes MSSNY Immediate Past President Bonnie Litvack, MD:

  • Mario Cilento, President, New York State AFL-CIO
  • Gary LaBarbera, President of the New York State Building & Construction Trades Council and President of the Building & Construction Trades Council of Greater New York
  • Vincent Alvarez, President, New York City Central Labor Council
  • Stuart Appelbaum, President, Retail, Wholesale and Department Store Union
  • Oren Barzilay, President, Uniformed EMT’s, Paramedics & Fire Inspectors – FDNY
  • Kyle Bragg, President, 32BJ SEIU
  • Sam Fresina, President, NYS Professional Firefighters Association
  • Henry Garrido, Executive Director, DC 37
  • Thomas Gesualdi, President, Teamster’s Joint Council 16
  • George Gresham, President, 1199 SEIU
  • Pat Kane, RN, Executive Director, New York State Nurses Association
  • Bonnie Litvack, MD, President, Medical Society of the State of New York
  • Rich Maroko, President, Hotel Trades Council
  • Harry Nespoli, President, Uniformed Sanitationmen’s Association
  • Andrew Pallotta, President, New York State United Teachers
  • Michael Powers, President, New York State Correctional Officers Police Benevolent Association
  • Major General Raymond F. Shields, Jr., Adjutant General of New York
  • James Shillito, Utility Workers of America Local 1-2
  • Wayne Spence, President, New York State Public Employees Federation
  • Mary Sullivan, President, CSEA Local 1000
  • Dennis Trainor, Vice President CWA District 1
  • Tony Utano, President, TWU Local 100
  • Richard Wells, President, Police Conference of New York State

In addition, Governor Cuomo announced that New York State will provide $25 million in childcare scholarships to all essential workers starting June 23, 2021. Essential workers include first responders such as health care providers, pharmaceutical staff, law enforcement, firefighters, transportation workers, food delivery workers, grocery store employees and others. This is the first in a series of new investments to support working families and the childcare industry through the federal Coronavirus Response and Relief Supplemental Appropriations Act and American Rescue Plan Act.

Child care costs will be covered for essential staff whose income is less than 300 percent of the federal poverty level (or $79,500 for a family of four) and will be paid up to market rate for each region statewide for children aged six weeks through 12 years. Families currently receiving child care scholarships under the Coronavirus Aid, Relief and Economic Security Act are strongly encouraged to also apply for this new funding opportunity. It is important to note that the CARES childcare scholarships will end on June 28; those currently receiving CARES scholarships will need to reapply.

To streamline the application and funding process, parents will apply for funding through a single online application, and providers will be paid directly on behalf of the parent. The online application can be submitted starting June 23, 2021, until funds are depleted. Applications will be processed and awarded on a first-come, first-served basis. For more information and to apply for the funding, please click here.


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MSSNY President Dr. Sellers Comments in Crain’s on Supreme Court Decision to Uphold ACA
Leaders in the state’s health industry applauded the U.S. Supreme Court’s Thursday decision to uphold the Affordable Care Act, saying it could make it tougher for future lawsuits to challenge the law and frees up the state to pursue providing coverage to those yet uninsured.

“Since passage of the ACA, New York has done more over the last decade than almost any other state to expand health care coverage, bolster services for its most vulnerable residents and improve the quality of care,” said Eric Linzer, president and CEO of the New York Health Plan Association, which represents 28 members in the state. “Today’s decision will ensure that the coverage millions of New Yorkers depend on remains protected.”

New York leaders played a role in the court’s decision, noted Kenneth Raske, president of the Greater New York Hospital Association. GNYHA had joined with other hospital associations in filing an amicus brief in defense of the law, led by Attorney General Letitia James and other states’ attorneys general, Raske said.

“We strongly support the ACA, which has made health care accessible to so many Americans, and we are grateful that it has once again survived legal challenge,” he added.

The ACA has withstood two previous legal challenges.

“We hope this case once and for all stops these lawsuits, which unnecessarily endanger health insurance coverage for millions of patients across New York and across the country,” said Dr. Joseph Sellers, president of the Medical Society of the State of New York.

This victory might not necessarily spell the end of challenges from Republicans, but it will make it harder for future attempts, said Diana Silver, associate professor of public health policy and management at the NYU School of Global Public Health.

“This eliminated another way for opponents to get in,” Silver said. Proponents have been on edge since the Supreme Court announced it would take up the case, and the odds appeared stacked in favor of the opponents, she added.

However, this decision does free up time and energy for states, including New York, to focus on extending coverage to those who are not yet insured, Silver said. With more than 95% of residents with insurance, the focus now should be on achieving the goal of universal health care, Linzer said.

Although the ACA did not expand the state’s Medicaid benefits much, as they were already broad, it did ensure comprehensive coverage—eliminating preexisting-condition exclusions and payment limits as well as establishing preventive care—for New Yorkers, Silver said. The law being kept in place protects those types of care.

The court’s decision will also ensure the state’s accountable-care organizations—health provider groups that work to improve health outcomes while reducing costs—can continue to flourish, Silver said.

“The ACA had enabled a shift of funding for ACOs to care not just about providing services, but also about outcomes,” she said.

There were about 477 accountable-care organizations nationally as of January, of which about 30 were in New York.

“Those entities would not have been able to function had ACA been struck down,” she said. — Shuan Sim, Crain’s Health Pulse, 6/18/21


CMS Increases Medicare Payments for COVID-19 Monoclonal Antibody Infusions and At-Home Covid-19 Vaccinations
The Centers for Medicare & Medicaid Services (CMS) recently announced it has increased the Medicare payment rate for administering monoclonal antibodies to treat beneficiaries with COVID-19, under the Medicare Part B COVID-19 vaccine benefit. CMS notes that beneficiaries pay nothing out of pocket, regardless of where the service is furnished – including in a physician’s office, healthcare facility or at home.

The national average payment rate will increase from $310 to $450 for most health care settings. CMS will also establish a higher national payment rate of $750 when monoclonal antibodies are administered in the beneficiary’s home, including the beneficiary’s permanent residence or temporary lodging (e.g., hotel/motel, cruise ship, hostel, or homeless shelter).

CMS is updating the set of toolkits for physicians, states and insurers to help the health care system swiftly administer monoclonal antibody treatment with these new Medicare payment rates here.

In addition, CMS is updating coding resources for physicians here.

CMS also recently announced that, as of June 8, in addition to the current payment amount, Medicare will pay an additional amount of $35 per dose for administering the Covid-19 vaccine in the home for certain Medicare patients that have difficulties leaving their homes.

Medicare will pay the $35 amount in addition to the standard administration amount (approximately $40 per dose), for a total payment of approximately $75 for a single-dose vaccine or $150 for both doses of a 2-dose vaccine. Medicare will also geographically adjust the additional amount and administration rate based on where the vaccine is administered.  For more information, click here.


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NYS DOH Call to Action: Catch Up Children and Teens in Need of Vaccines, Including COVID-19
The COVID-19 pandemic has disrupted many preventive services, including childhood and adolescent vaccination. According to data reported to the New York State Immunization Information System (NYSIIS), more than 400,000 fewer vaccine doses were administered to children and teens in New York State (NYS) outside of New York City in 2020 compared with 2019. Achieving and maintaining high immunization coverage rates is critical to prevent school and community outbreaks of vaccine preventable diseases such as measles, mumps, and pertussis.

As travel increases and more in-person schooling resumes, the risk of outbreaks of vaccine preventable diseases in NYS increases. It is critical that students attending schools, child caring centers, nursery schools, or pre-kindergarten programs in-person or via a hybrid model be up to date on all vaccines required for school entrance and attendance in NYS unless they have a medical exemption to required vaccines and that campers and camp staff be up to date on all vaccines recommended for their age according to the Advisory Committee on Immunization Practices schedules.

Additionally, the Centers for Disease Control and Prevention (CDC) recommend that international travelers be up to date on routine vaccines prior to travel, regardless of school or job requirements.

Read the full NYS Department of Health document.


Excelsior Pass Fact Sheet for Vaccine Providers
Users who have trouble retrieving their Passes may ask physicians for help as their vaccine provider. This fact sheet is intended to help vaccination providers such as yourself resolve issues quickly.

Fast Facts

  • Excelsior Pass is a free, voluntary, and verifiable way to retrieve proof of COVID-19 vaccination or negative test results and users’ data is kept confidential and secure.
  • Anyone who receives the COVID-19 Vaccination in the State of New York is eligible for an Excelsior Pass.
  • You can help New York residents who were vaccinated outside of New York State (that provide proof of COVID-19 vaccination, e.g., CDC card) access their Pass by entering their information into the secure New York State or New York City immunization databases as historical doses. Visit “Important Reminder for All Health Care Providers” to learn how.
  • Individuals may retrieve their Vaccination Pass 15 days after the final dose of the vaccine was administered (e.g., 15 days after the one-dose of Johnson and Johnson/Jansen vaccination series or 15 days after the second of the two-dose Pfizer or Moderna series).
  • Individuals that receive a positive COVID-19 test result within the previous 10 days will not be able to retrieve a Pass, even if they are fully vaccinated.
  • Each Excelsior COVID-19 Vaccination Pass is valid for 365 days. The 365 days relates only to the length of time the Pass is valid, not the length of immunity from the vaccination.
  • Individuals whose COVID-19 Vaccination Excelsior Pass expires after 180 days or has already expired can update their pass by visiting www.epass.ny.gov/home or downloading the NYS Excelsior Pass Wallet App, and follow the step-by-step instructions there.
  • Excelsior Pass can be accessed through the Excelsior Pass website Portal or the Excelsior Pass Wallet App and can be presented on a phone or tablet screen, or printed on paper by those who may not have smartphones or other devices.
  • Vaccine providers must enter each individual’s COVID-19 vaccine information accurately into the provider system and the New York State or New York City immunization databases.
  • Users must match their information exactly to retrieve their Pass.

Click here for Fact Sheet with more information.


Regents Physician Loan Forgiveness Award Program
The State-funded Regents Physician Loan Forgiveness Award Program will grant 80 awards In 2021 (pending the appropriation of State funds during the 2021 session of the New York State Legislature) to physicians who agree to practice primary care medicine in an area of New York State designated by the Board of Regents as having a shortage of physicians.

The award amount is based on undergraduate and medical school student loan amount and loan interest expense. Award recipients will receive two annual payments of up to $10,000 each year for two years. Recipients who have incurred more than $20,000 in eligible expenses may apply for an additional two-year award.

The amount of the award received will be based upon the amount of undergraduate and medical school loans and loan interest expense incurred by the physician. Offer for 2021 awards will begin to be made to eligible individual in July 2021. Applicants who are unsuccessful in this competition may compete in subsequent years, provided they continue to meet the eligibility requirements. The Regent Loan Forgiveness Program is now accepting applications for 2021.  More information may be found here and here.


Classifieds

Classified Ads Available for:

Physicians’ search services • allied medical placements • locum tenens • practice valuation • practice brokerage • practice consulting • real estate

For help, information or to place your ad, call Roseann Raia at 516-488-6100 ext. 302 

For the MSSNY 2021 Ad Rate Sheet, please click here.


Medical Claims LogoSmall Group and Independent Practitioners – Advancing Private Practices
The Best billing company GUARANTEED! Increase your annual revenue by 20-30%. Proven results and backed by 25 years of experience. Chooses MA MEDICLAIMS you will Save time on those RVUs/the 8-minute rule and have more time for your patient’s health. Get your free Practice analysis at www.ma-mediclaimsllc.com or call 877-927-1996.


Office Rental 30 Central Park South
Two fully equipped exam, two certified operating, bathrooms and consultation room.  Shared secretarial and waiting rooms.  Elegantly decorated, central a/c, hardwood floors. Next to Park Lane and Plaza hotels. $1250 for four days a month. Available full or part-time.  212.371.0468 / drdese@gmail.com.


Ophthalmic Office to Sublet – NYC
340 E. 49TH St. (Ground Floor -Handicap Accessible) 1-3 Lanes Wed/Fri/Sat/Sun Full use of: VF / OCT /Pachymeter/ Autorefractor /Autolensometer / Argon / YAG Lasers
Please contact Scott Weissman MD. privacyssw@gmail.com. 914-772-5581

Albany Medical OfficeProfessional Office Space For Sale – Albany, NY
319 S. Manning Blvd, Suite 308A. Albany NY. Located on the St. Peter’s Hospital Campus. 2000 SF. Bright, 3rd floor location. Office is in move in condition. Waiting room, front reception area for 3 staff, 2 consult rooms, 4 exam rooms, 1 large procedure room, eat in break room, storage room, walk in storage closet. 369K. Contents negotiable. Please contact 518-222-4956 / email perrotmi@yahoo.com


 

 


Medical Office and Medical Practice (Upper East Side)
79th St near Lexington / Park. 750 sq Ft beautiful, street entrance, medical office for sale with a 25 + yr internal medical practice for sale. Office is in move in condition. Physician retiring. Waiting room. Secretarial area for 3. 1 Consult room. 2 exam Rooms 2 Toilets. Please contact: 917-770-8700 / email drklein@att.net


 

 

 

 

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