Sunday, December 17, 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 6

IN THIS ISSUE


Visit Our New Website!  SSVMS is pleased to announce the release of our new website.  Our new site has been redesigned with a fresh new look and has updated features.  Visit www.ssvms.org to update your physician directory profile today or to read the latest issue of SSV Medicine on your computer or iPad using our interactive ISSUU bookshelf.


MEDICAL

West Nile Virus Health Advisory.  West Nile Virus (WNV) testing season in California public health laboratories began May 1, 2012. To date in Sacramento County, over 170 dead birds and 120 mosquito samples have tested positive for WNV. A West Nile Health Advisory was issued by Public Health Officer Olivia Kasirye, MD on July 2. Click here to read the advisory, which includes actions requested of all clinicians.

Health Professionals and Community Volunteers Needed for Free Dental Clinic.  The California Dental Association Foundation is recruiting volunteers for CDA Cares, a free dental clinic, to be held August 24-25 in Sacramento at Cal Expo, 1600 Exposition Blvd.  Physician and nurses volunteers are needed in the clinic’s medical triage area where patients will be assessed for contraindications prior to receiving care.  Volunteers are also needed to dispense medication, escort patients, translate, set-up and tear down clinic, register patients and volunteers, conduct exit interviews, enter data, and provide oral health.  For more information, visit www.cdafoundation.org/cdacares.

GYN Volunteer Physicians Needed.  SSVMS’ Sacramento Physicians’ Initiative to Reach out, Innovate and Teach (SPIRIT) program is currently seeking physicians interested in volunteering to provide GYN services to the uninsured.  SPIRIT provides case management by working with referred patients and physician office staff to schedule and coordinate donated services.  For more information or to volunteer your services, contact Kris Wallach at (916) 453-0254 or kwallach@ssvms.org. Click here to learn more about volunteer opportunities for physicians through SSVMS’ various programs.

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FEDERAL

United States Supreme Court Ruling: What’s Next?  To learn more about the Supreme Court's historic ruling regarding the Affordable Care Act, register now for CMA's "Supreme Court Decision - What's Next" webinar on Thursday, July 5.  This webinar will provide a recap of the U.S. Supreme Court decision from both a legal and policy perspective, as well as what happens next.  CMA representatives will present information on the ACA as it stands - and what can be done to improve it.  Register now.  If you are unable to attend, this webinar will be available on-demand on the CMA website the week of July 9th.

MEDPAC Recommends Medicare Fee-for-Service Benefit Changes.  The Medicare Payment Advisory Commission (MedPAC) is recommending significant changes to Medicare's fee-for-service benefit design, including creating incentives for patients to make better health care decisions and protect beneficiaries against high out-of-pocket costs.  The recommendations come as part of the commission's annual Medicare report, which was released on June 15.  The full report is available the MedPAC website.

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STATE

Deadline to Submit Resolutions to CMA House of Delegates is August 14, 2012.  The California Medical Association’s House of Delegates will convene October 13-15, 2012, at the Sacramento Convention Center.  The deadline to submit resolutions is August 14, 2012.  Click here for instructions on how to write a resolution.  To identify the appropriate channel for introducing a resolution, contact Chris Stincelli at (916) 452-2671 or cstincelli@ssvms.org.

Legislature Votes to Eliminate Healthy Families Program.  The California state legislature last week approved the governor's plan to eliminate the Healthy Families program.  Despite SSVMS/CMA’s advocacy to keep the program intact, this move will force approximately 880,000 Healthy Family children into the Medi-Cal program.  The agreement calls for the program to be phased out during 2013.  Learn more.

Workers' Compensation Payors to Accept Electronic Claims.  On October 18, 2012, workers’ compensation payors in California will be required to accept workers’ compensation claims electronically.  California is one of the first states in the country to require payors to accept electronic billing (e-billing) of workers’ compensation claims.  The California Medical Association (CMA), California Orthopedic Association, American Medical Association and the California Department of Industrial Relations have partnered to offer a four-part California e-billing webinar training program presented by DWC, Jopari Solutions and other industry experts.  The webinar series is available on demand via the CMA website.  To register for the next round of live webinars, click here.

State Disability Claims – The Physician’s Role.  Physicians are frequently asked to assist patients with the completion of State Disability Insurance (SDI) claim forms.  SDI has two components:  Disability Insurance (DI) which provides benefits to workers who are unable to work due to non-work related illness, injury, or pregnancy that prevents them from performing their regular or customary work, and Paid Family Leave (PFL), which provides benefits to workers who take time off work to care for a seriously ill child, spouse, parent, or domestic partner, or to bond with a new child.  All DI claims and a portion of PFL claims require medical certification.  For more information and assistance with completing disability claim forms, contact Laurel Waters, MD, EDD Medical Director and SSVMS member at Laurel.Waters@edd.ca.gov or visit the EDD website at www.edd.ca.gov/disability.

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CMA Practice Resources (CPR).  The July 2012 issue of CMA Practice Resources (CPR) is now available.  In this issue:

  • State submits dual eligible plan for federal approval;
  • Medicare Advantage fraud, waste and abuse training;
  • Health insurer report card finds improvement in claims payment accuracy;
  • Medicare signature requirements for medical records;
  • Fixing grace period will be a key step to bringing physicians into the Exchange;
  • Ask the expert: Can I balance bill my Medi-Medi patient?
  • Is your practice receiving the maximum reimbursement allowable under your contracts?
  • The Coding Corner: Be spot-on in place of service coding;
  • Payor updates;
  • Health plan newsletters.

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LOCAL

SSVMS Support of Community Water Fluoridation.  In a letter dated June 27, 2012, SSVMS President David A. Herbert, MD, urged Mayor Kevin Johnson and the Sacramento City Council to continue funding of community water fluoridation.  Click here to read the letter.

SSVMS Supports First Tooth, First Birthday Program.  In a letter dated June 26, 2012, SSVMS officially supported the Sacramento Dental Society’s First Tooth, First Birthday program, which promotes early detection of tooth decay.  Click here to read the letter.

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SSVMS-CMA SEMINARS / WEBINARS / EVENTS

JULY 5: Supreme Court Decision: What’s Next (Webinar), 12:15-1:15pm.  This webinar will provide a recap of the U.S. Supreme Court decision regarding the Affordable Care Act from both a legal and policy perspective, as well as what happens next. California Medical Association representatives will present information on the ACA as it stands - and what can be done to improve it. 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.

JULY 18:  Preparing for Medicare and/or Medi-Cal Audit (Webinar), 12:15-1:15 pm.  All third-party payers, including government health plans, have stepped up their audit activity.  It is no longer a matter of “if” you go through an audit, but “when” you are selected for an audit.  It is always preferential to be prepared.  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 28:  Workshop for Physician Health Committees, Alameda Contra Costa Medical Association.  California Public Protection and Physician Health, Inc. (CPPPH) is continuing its series of regional educational workshops on physician well-being for hospital medical staff committees, medical groups, specialty societies and county medical associations in 2012.  Presenters will include medical leaders and experts in the field of physician health.  Attendance is by invitation only and is limited to members of physician health communities.  There is no cost to attend, but advance registration is required.  To register, please email cppphinc@gmail.com

AUGUST 1:  Coding for Medical Necessity (Webinar), 12:15-1:15 pm.  Medicare and private payers all recognize medical necessity as a deciding factor for claims payment and it is important that all practices know the rules.  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

AUGUST 7-8:  CME Essentials, the California Endowment’s Oakland Conference Center, 1111 Broadway, 7th Floor, Oakland, CA.  The California Medical Association’s Institute for Medical Quality (IMQ) is now accepting registration for its CME Essentials workshop.  The program is a “nuts and bolts” workshop for continuing medical education (CME) providers.  This is a day-an-a-half workshop to help participants learn how to plan and evaluate both individual activities and overall CME programs as accredited CME providers.  For more details or to register, click here.  If you have any questions, please contact Lisa San Gabriel at (415) 882-3314 or lsangabriel@imq.org

AUGUST 8:  CMA and the Courts/Accessing CMA’s Legal Library (Webinar), 12:15-1:15 pm.  Learn more 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 by CMA’s online library.  NOTE:  This webinar was rescheduled from June 13th.  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.

October 14: CMA President's Reception and Awards Gala Honoring Incoming CMA President and SSVMS Member Paul Phinney, MD.  For more information, or to purchase tickets, click here.

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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.


HIGHLIGHTED MEDICAL SOCIETY MEMBER BENEFIT

Employment Practices Liability Insurance (EPLI):  Many physicians think they have coverage for wrongful termination, harassment, discrimination claims by employees or patients (third party).  However, most policies exclude coverage completely for these types of actions or provide limited coverage.  The SSVMS/CMA-sponsored EPLI program not only provides coverage for defense costs as well as judgments, it also provides important preventative tools for you to use to make sure you and your staff are properly trained to prevent these types of claims from occurring in the first place.  You will also have access to speak with labor attorneys at no additional charge to discuss these issues to make sure you are being compliant.  For more information and to get a quote, contact Marsh at (800) 842-3761 or CMACounty.Insurance@marsh.com, or visit www.CountyCMAMemberInsurance.com.

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