Friday, October 20, 2017

SSV Medical Society News

SSVMS Medical Society News is a monthly e-bulletin from the Sierra Sacramento Valley Medical Society (SSVMS) containing up-to-date information and breaking news on issues impacting physicians practicing in El Dorado, Sacramento and Yolo counties. To receive your free subscription, contact SSVMS at (916) 452-2671 or info@ssvms.org.


SSV Medical Society News - 2012 - Volume 1 - Issue 5

IN THIS ISSUE


Save the Date for the CMA President's Reception and Awards Gala Featuring SSVMS Member and Incoming CMA President Paul Phinney, MD.Physicians are invited to attend the CMA Foundation’s 2012 President's Reception and Awards Gala, which will be held on Sunday, October 14 at the California Museum, Sacramento.  Honored at the Gala will be incoming CMA President and SSVMS Member Paul Phinney, MD, and the CMA Foundation's Leadership Award recipients.  For more information, or to purchase tickets, click here.

Dr. Ami Bera for Congress -- A Physician’s Reception and Evening with U.S. Congressional Candidate Dr. Ami Bera. SSVMS member George W. Meyer, MD is hosting a reception for physicians on Tuesday, May 22, 6-8 pm, at 9040 Windcove Court, Fair Oaks, Host-$1000, Sponsor-$500, Patron-$250, Guest-$100, Suggested Minimum Contribution $50.  Checks should be made payable to “Bera for Congress.”  RSVP by May 21, 2012 to Joshua Sulier at (916) 668-9956 or click here.


MEDICAL

Article:  Sacramento’s Threadbare Medical Network for Poor Getting ThinnerOn May 8, 2012, the Sacramento Bee published an article by Grace Rubenstein regarding the state of Sacramento County’s health care.  To read the article containing quotes from SSVMS member and former Sacramento County Health Officer, Dr. Glennah Trochet, click here

Receive Free EHR Implementation Assistance
Primary care practices of 10 or fewer practitioners can receive free assistance with EHR implementation (internal medicine, family, adolescent, pediatrics, OB/GYN, or general practice all qualify through ARRA funding).  For more information, contact Shanti Wilson, Associate Director IT at Health Services Advisory Group (HSAG), at swilson@hsag.com or (916) 217-7078 or visit CalHIPSO at www.calhipso.org.

Receive Free Assistance with Physician Quality Reporting System (PQRS). Health Services Advisory Group of California (HSAG), the Medicare Quality Improvement Organization for California, provides Medicare fee-for-service primary care physicians with technical assistance in participating in the CMS Physician Quality Reporting System (PQRS) Program.  HSAG can assist you and your practice to improve healthcare quality for your patients, qualify for incentive payments through PQRS, and avoid future payment penalties.  For more information, contact Shanti Wilson, HSAG’s Associate Director of IT, at swilson@hsag.com or (916) 217-7078.

Are You Ready for ACOs? Interest in ACOs is increasing as the result of the passage of the Accountable Care Act (ACA).  To learn more about the legal and practical considerations concerning ACOs, download CMA medical-legal document #0204, CMA Principles and Guidance Regarding ACOs and document # 0201, Legal and Practical Considerations Concerning Accountable Care Organizations (ACOs) from the CMA website.  These resources, as well as assistance through CMA’s Legal Helpline are available at no cost to SSVMS/CMA members.

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STATE

Medi-Cal Primary Care Rates will Increase to Medicare Levels in 2013-2014 Medi-Cal primary care physicians will receive a two-year, $11 billion pay increase, under a proposal released last week by U.S. Department of Health and Human Services.  The proposal, which implements a provision of the Affordable Care Act (ACA), would on average result in a 50 to 60 percent increase in Medi-Cal rates for primary care physicians, including family medicine, pediatrics and internists, plus related subspecialties.  The ACA calls for Medicaid payments to primary care physicians to be raised to Medicare levels for 2013 and 2014.  Click here for more information.

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Governor Brown’s May Revision 2012-13 Budget Proposal Governor Jerry Brown released his May Revision of his January budget proposal on May 14.  The total funding shortfall has increased to $15.7 billion, up from $9.2 billion in January.  A portion of the increased shortage in the state’s financial shortfall is directly attributable to CMA’s legal and advocacy efforts.  The May Revision contains an increase in State costs of $245.5 million in 2011–12 and $174.6 million in 2012–13 as a result of court ruling preventing Medi-Cal provider payment reductions.  In addition, the Revision includes an increase in state costs of $555.3 million in 2012–13 as a result of the federal government’s denial of the State’s efforts to impose copayments on the Medi-Cal population for physician services, pharmacy services, hospital inpatient stays, and other services.  Click here for more information.

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CMA Foundation Seeks Medical Student Proposals for Patient Safety Grant The importance of addressing patient safety has received increasing attention over the past decade. Now, hospitals and ambulatory care centers have developed systemic approaches to addressing these concerns. The purpose of this request for proposals is to encourage medical students to begin to think about patient safety as they embark on their medical careers. Up to six grants will be awarded in the amount of up to $5,000. For more information, contact Leslie Barron at (916) 779-6630 or lbarron@thecmafoundation.org.

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Update on Two Anthem Blue Cross Issues Pending With the Department of Managed Health Care: DMHC Claims Audit and Special Investigations Issue.  For more information, click here.

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Highlights From CMA's May 2012 "CMA Practice Resources" (CPR)

  • Document Telephone Conversations With Payor Representatives Regarding Billing and Collection Issues Click Here
  • Act Now to Avoid the 2013 E-prescribing Penalty Click Here
  • Payor Updates on Anthem Blue Cross, Medicare, and United Click Here
  • Health Plan Provider Newsletters (Aetna, Cigna, Anthem Blue Cross, Blue Shield, Health Net, Medi-Cal, Medicare / Palmetto GBA, United Healthcare) Click Here 
  • Find Up-to-date Profiles on Each of the Major Payors in California Click Here

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CMA Files Petition for Review of State Court Ruling Favoring Nurse Anesthetists The California Medical Association (CMA) and California Society of Anesthesiologists (CSA) have filed a petition for review by the Supreme Court of California after an appeal of a 2009 decision by former Governor Arnold Schwarzenegger to exempt California from federal rules requiring physician supervision of nurse anesthetists in Medicare-participating hospitals that was denied in March 2012.  Click here for more information.

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Assembly Passes Bill to Provide Parents with Immunization Information.  The California State Assembly has passed a CMA-sponsored bill that will ensure parents make informed decisions about getting their children immunized before they enter school.  The bill, AB 2109, sponsored by SSVMS member and Assemblymember Richard Pan, MD, now goes to the Senate for consideration.

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Aetna Relaxes Additional Accreditation Requirements for Payment of Certain Surgical Pathology Services.  Due in large part to advocacy efforts on the part of the California Medical Association, Aetna has announced they will be eliminating their dual certification requirements for Dermatologists and Dermatopathologists, meaning payment of surgical pathology services will continue without additional certification.  For more information on this matter, please click here.CMSP and LIHP to be Implemented in Yolo County. The County Medical Services Program (CMSP) recently approved Yolo County as their 35th CMSP County.  Additionally, the State Department of Health Care Services (DHCS) approved Yolo County’s Low Income Health Program (LIHP) application on Friday, April 27th.  DHCS has forwarded Yolo County’s request for approval to the Center for Medicare & Medicaid Services (CMS) who has up to 60 days to approve the applicatio

SSVMS-CMA SEMINARS / WEBINARS / EVENTS

MAY 23:  Strategic Planning for Solo, Small & Medium Group Practice (Webinar) 12:15-1:15 pm.  Learn how strategic planning and performance coaching can get you and your practice where you want to go.  This webinar is offered at no cost to SSVMS/CMA members.  Nonmember cost is $99.  For more information and to register, click here or contact CMA’s member-help center, (800) 786-4262 or memberservice@cmanet.org.

MAY 24:  California Workers’ Comp eBill – Part 2:  Implementation – Understanding the Rules to Maximize Benefits (Webinar), 12:15–1:45 pm.  This is Part 2 of a 4-Part series.  Part 1 can be viewed on the CMA website.  CMA, COA, AMA, and the California Department of Industrial Relations are pleased to offer a four-part training program presented by Jopari Solutions, the California Department of Workers’ Compensation and other industry experts.  This webinar will provide an overview of the eBill compliance requirements and focus on electronic claims and attachment submission requirements including acknowledgement transactions.  This webinar is offered at no cost to SSVMS/CMA members.  Nonmember cost is $99.  For more information or to register, click here, or contact CMA’s member-help center, (800) 786-4262 or memberservice@cmanet.org.

MAY 30:  California’s Changing Insurance Marketplace (Webinar) 12:15-1:15pm.  Beginning in 2014, individuals and small employers will be able to purchase health insurance coverage through a state-run health insurance exchange.  Learn more about California’s Health Benefits Exchange and what it will mean for physicians.  This webinar is offered at no cost to SSVMS/CMA members.  Nonmember cost is $99.  For more information or to register, click here, or contact CMA’s member-help center, (800) 786-4262 or memberservice@cmanet.org.

MAY 31:  California Workers’ Comp eBill – Part 3:  Understanding eBill Electronic Remittance Advice Rules – Tools to Help Workflow Automation (Webinar), 12:15–1:45 pm.  This is Part 3 of a 4-Part series.  CMA, COA, AMA, and the California Department of Industrial Relations are pleased to offer a four-part training program presented by Jopari Solutions, the California Department of Workers’ Compensation and other industry experts.  This webinar will provide an overview of the eBill electronic remittance advice rules and how to use these rules as a tool to help automate you back office workflow processes.  This webinar is offered at no cost to SSVMS/CMA members.  Nonmember cost is $99.  For more information or to register, click here, or contact CMA’s Member-Help Center, (800) 786-4262 or memberservice@cmanet.org.

JUNE 6:  A Manager’s Guide to Lowering Practice Costs (Webinar) 12:15-1:15 pm.  There are only three ways to realize increased net income: raise fees, increase productivity or decrease overhead.  This webinar will provide information on how to control and reduce overhead expenses.  This webinar is offered at no cost to SSVMS/CMA members.  Nonmember cost is $99.  For more information and to register, click here or contact CMA’s member-help center, (800) 786-4262 or memberservice@cmanet.org.

JUNE 7:  California Workers’ Comp eBill – Part 4:  Increase Workers’ Compensation eBilling First Time Submission Rate – Understanding the Payor Perspective (Webinar) 12:15-1:45 pm.  This is Part 4 of a 4-Part series.  CMA, COA, AMA, and the California Department of Industrial Relations are pleased to offer a four-part training program presented by Jopari Solutions, the California Department of Workers’ Compensation and other industry experts.  This webinar will teach physician practices how to experience increased success in sending workers’ compensation eBills and attachments correctly the first time by understanding common reasons for eBill rejections.  This webinar is offered at no cost to SSVMS/CMA members.  Nonmember cost is $99.  For more information or to register, click here, or contact CMA’s member-help center, (800) 786-4262 or memberservice@cmanet.org

JUNE 13CMA & the Courts/CMA’s Legal Library (Webinar), 12:15-1:15 pm.  Learn about CMA’s role in important litigation in California and nationwide, and learn how to navigate CMA’s health law library.  The Legal Hotline staff will provide an overview of the wide array of topics covered in CMA’s online library.  This webinar is offered at no cost to SSVMS/CMA members.  Nonmember cost is $99.  For more information or to register, click hereor contact CMA’s Member-Help Center, (800) 786-4262 or memberservice@cmanet.org. (Webinar), 12:15-1:15 pm. Learn about CMA’s role in important litigation in California and nationwide, and learn how to navigate CMA’s health law library. The Legal Hotline staff will provide an overview of the wide array of topics covered in CMA’s online library. This webinar is offered at no cost to SSVMS/CMA members. Nonmember cost is $99. For more information or to register, click here, or contact CMA’s Member-Help Center, (800) 786-4262 or memberservice@cmanet.org.

JUNE 20:  Writing Effective Appeals (Webinar), 12:15-1:15 pm.  Knowing how to write an effective appeal letter that will get positive results from the insurance company is an essential part of any medical practice.  This webinar will discuss the 10 steps of appealing a claim, elements of an effective appeal letter, and case study of a claim denied for medical necessity.  This webinar is offered at no cost to SSVMS/CMA members.  Nonmember cost is $99.  For more information, or to register, click here, or contact CMA’s member-help center, (800) 786-4262 or memberservice@cmanet.org.

JULY 11: 2012 Legislative Update (Webinar), 12:15-1:15 pm. This webinar will provide physicians and their staff with the latest information on the bills that made their way through the State Legislature this year. Topics being discussed include immunizations, children's health, physical therapists, physician health and more. This webinar is offered at no cost to SSVMS/CMA members. Nonmember cost is $99. For more information or to register, click here, or contact CMA’s member-help center, (800) 786-4262 or memberservice@cmanet.org.

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LOCAL

El Dorado, Sacramento and Yolo County Healthcare Events To submit a community healthcare event for possible publication, email info@ssvms.org. Events should be physician-focused and should take place in or near El Dorado, Sacramento, or Yolo counties.

MAY 23:  24th Annual Western States Regional Conference on Physicians’ Well-Being, 8 am – 4:45 pm, University of California, Riverside Extension Center.  This is a live CME program endorsed by the California Medical Association, California Society of Addiction Medicine, and California Public Protection & Physician Health.  For additional information please contact Tamme Perdue at (951) 686-3342, or email at tperdue@rcmanet.org.  To register, click here.

JUNE 7:  Disaster Management & Emergency Preparedness Course, 8 am – 5:30 pm, at Shriners Hospitals for Children – Northern California, 2425 Stockton Blvd., Sacramento.  A continuing education course for physicians, nurses, emergency responders and other acute care providers emphasizing an all-hazards approach, demonstrating that many principles apply to disasters of all kinds, regardless of specific mechanism.  Space is limited to 42 participants.  To register, or for more information, contact the Staff Development Office at Shriners Hospitals for Children at (916) 453-2041 or email ncal.education@shrinenet.org

JUNE 7 & 19:  Yolo Training – Hospital and Clinic Trainings (Webinars), June 7 – 9 am – 11 am; June 19 – 1 pm – 3 pm.  The CMSP Governing Board will host webinars for hospitals and clinics (FQHC, RHC and Tribal Health Program providers) to provide information about Yolo County joining CMSP and Path2Health.  To register click here.

JUNE 7 & 19:  Yolo Training – Medical Provider Trainings (Webinars), June 7, 1 – 3pm; June 19, 9 – 11 am.  The CMSP Governing Board will host webinars for medical providers to provide information about Yolo County joining CMSP and Path2Health.  To register click here.

JUNE 12 & 13:  Yolo Training – Behavioral Health.  Anthem Blue Cross will host provider webinars to provide information about behavioral health benefits for CMSP and Path2Health.  Interested behavioral health providers, clinics, and their staff are encouraged to participate in these webinars to get the latest information about the upcoming Behavioral Health benefits.  To register, please email Tina Hurt, LCSW at Christina.Hurt@anthem.com or call (317) 287-2855.

JUNE 13:  Strategic Initiative for HIV/AIDS Care and Prevention 2012 Annual Update, 5:30-6:00 pm.  No-host Cocktail Reception, 6–8 pm Program and Dinner, Woodlake Hotel, 500 Leisure Lane, Sacramento, CA. The key focus for this year’s update is the community’s effort to reduce the spread of HIV through the “test and linkage to care” (TLC) concept that has proven to be successful.  Please reserve your seat by June 7.  Click here to purchase tickets. https://cares.webconnex.com/annualupdate2012.

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HIGHLIGHTED MEDICAL SOCIETY
MEMBER BENEFIT

NORCAL Mutual Insurance Company Offers Premium Discounts to SSVMS Members . Physicians who practice as solos or in small groups of two to four physicians and are members of SSVMS may now qualify for a 7% reduction on NORCAL Mutual malpractice premiums.* NORCAL Mutual’s 5% discount for completing two risk management CME credits is now 7% for policyholders who complete a third CME credit and are members of SSVMS. This expanded Risk Management Discount for SSVMS members is applicable to policies renewing January 1, 2012, or later.  Policyholders must have earned the three CME credits and have been active members of SSVMS for not less than 90 days prior to their policy renewal in order to receive the 7% discount in 2012.  Remember to keep your SSVMS membership current in order to get the full 7% discount for 2013.  In addition to offering this extra savings to SSVMS members, NORCAL Mutual is reducing California rates an overall 7.07%.  The rate reduction impact per policyholder will vary depending on a number of factors such as the area of the state where they practice and their medical specialty.  If you are currently insured through NORCAL and have questions about the rate decrease or the SSVMS member discount, contact NORCAL’s Policyholder Services at (877) 443-7232.  Not insured with NORCAL Mutual?  Contact Ken Stacy, Senior Account Executive at (800) 652-1051, ext. 2054 or kstacey@norcalmutual.com.

*Groups that are insured with NORCAL on an experience basis or currently participate in NORCAL’s surcharge program are not eligible for the Risk Management Discount.

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