MARK YOUR CALENDAR
I-STOP - "DUTY TO CONSULT"
CLICK HERE FOR MORE INFORMATION AND TO REGISTER
Workers’ Compensation Update Seminar
Wednesday, July 10, 2013
From: 10:00 a.m. To: 12:00 p.m.
To Be Held At:
1393 Veterans Memorial Highway, Hauppauge
Crossroads Corporate Center (1st Floor Conference Room)
Regina McNally, Vice President, Division of Socio-Medical Economics
The Medical Society of the State of New York
Carol Paul, Outreach Specialist
Workers’ Compensation Board
Click here for more details and for registration
MEDICARE UPDATE SEMINAR
FOR PHYSICIANS AND OFFICE STAFF
Presented by: Michele Poulos, Michelle Coleman and Arlene Dunphy
National Government Services (NGS)
Wednesday, June 12, 2013 - 10:00 a.m. – 12:00 p.m.
May 1, 2013: Important Medicare Date
May impact physicians who order or refer services for Medicare patients, bill for ordered or referred services, or privately contract.
Today physicians and health care providers who bill Medicare are required to list the name and National Provider Identifier (NPI) of the ordering/referring physician or health care provider on their claims in order to be paid. Starting May 1, 2013, if the ordering/referring physician or health care provider listed on the claim is not enrolled in Medicare OR does not have a valid opt-out affidavit on file, then the billing physician’s claims will be denied. This requirement was originally scheduled to go into effect in 2010, but the AMA and MGMA successfully convinced the Center for Medicare & Medicaid Service (CMS) to delay this so that more time could be given for physicians to enroll or opt-out.
2013 HOD HIGHLIGHTS
2% Mandatory Payment Reduction in the Medicare Fee-For-Service Program
The Budget Control Act of 2011 requires, among other things, mandatory across-the-board reductions in Federal spending (also known as sequestration) The American Taxpayer Relief.
Act of 2012 postponed the sequestration for two months until March 1st
; however, Medicare contractors needed to await instructions from the Centers for Medicare and Medicaid Services (CMS), so implementation was delayed until April 1, 2013. Click here for further details
REPORT of the National Commission on Physician Payment Reform
“Our nation cannot control runaway medical spending without fundamentally changing how physicians are paid.”
The United States spends nearly three trillion dollars a year on healthcare - more than any other developed country - yet provides care of uneven quality. CLICK HERE For Full Report
“I-STOP” Mandates Severe Penalties for Noncompliance
By: Michael J. Schoppmann, Esq.
Developed through the offices of New York State Attorney General Eric T. Schneiderman, a new law1 has been passed by the State Legislature and signed by Governor Cuomo that would “exponentially enhance the effectiveness of New York’s existing PMP to increase detection of prescription fraud and drug diversion.” 2
The Internet System for Tracking Over-Prescribing Act, (I-STOP), establishes an on-line, real-time, controlled substance reporting system that requires prescribers (including physicians) to consult the prescription monitoring registry prior to prescribing or dispensing Schedule II, III or IV Controlled Substances. In addition, pharmacists, who did not previously have access to the registry, as a result of I-STOP will have access to the registry in order to review the controlled substance history of an individual for whom one or more prescriptions for controlled substances are presented to the pharmacist. CLICK HERE for Additional Information
MSSNY/MESF SANDY RELIEF FUND
Supported By a Generous Grant From
The Physicians Foundation for Excellence
Additional Support From The Henry Schein Corporation
The Alliance with MSSNY, The Generosity of Individual Physicians
This fund is established to address the immediate need to alleviate losses caused by the devastating impact of Hurricane Sandy. More specifically, the fund will help to reestablish health care delivery to the public in Suffolk, Nassau, Kings, Queens, Bronx, Richmond, New York, Orange, Putnam, Rockland, Ulster and Westchester Counties (“Affected Areas”). The fund shall be called the MESF Sandy Relief Fund (“The Fund”).
What To Do With Medical Records
(Recommendations from the NYS Department of Health)
Destroyed Medical Records from Hurricane Sandy
Legal Requirements for Record Retention:
New York State Education Law section 6530(32) states that unless otherwise provided by law, physicians must maintain all patient records for at least six years. Obstetrical records and records of minor patients must be retained for at least six years, and until one year after the minor patient reaches the age of 18 years.
Similarly, Rules of the Board of Regents, 8 NYCRR section 29.2(a)(3), state that unless otherwise provided by law, non-physician health care practitioners must retain all patient records for at least six years. Obstetrical records and records of minor patients must be retained for at least six years, and until one year after the minor patient reaches the age of 21 years.
Department of Health regulations, 10 NYCRR section 405.10(a)(4), states that health care facilities (licensed under Public Health Law Article 28) must also retain medical records in their original or legally reproduced form for a period of at least six years from the date of discharge or three years after the patient's age of majority (18 years), whichever is longer, or at least six years after death.
Destroying Paper or Electronic Records:
Before disposing of or abandoning medical records damaged due to the hurricane, the records must be rendered unusable, unreadable, or indecipherable. It is advised that an independent expert verify that the records are not salvageable. Health care providers should maintain evidence and documentation of the destruction and consult their attorney accordingly. Paper, film, or other hard copy records must be shredded or properly destroyed such that information that could be used to identify patients cannot be read or reconstructed.
Electronic health records damaged due to the hurricane must be cleared, purged or destroyed such that information that could be used to identify patients cannot be retrieved. It is advised that an independent expert verify that the records are not salvageable. Health care providers should maintain evidence and documentation of the destruction and consult their attorney accordingly.
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