The Bulletin of theDelaware County Medical Society

Volume LXXXXVII Number 2I

March/April 2015

Official Publication of the Delaware County Medical Society ~ www.delcomedsoc.org

(continued page 2)

Restrictions on Medical Records Copying Charges

Physicians generally may charge for pro-viding copies of patient medical records. However, the Pennsylvania Judicial Code and federal law limit the allowable charge and in some cases prohibit any charge. The lesser of the Judicial Code and federal limits applies when both are applicable. Health care providers are not required to charge for providing copies. Physicians often waive any charge that otherwise would be allowed, especially when providing a copy to the patient or another physician or health care provider for treatment purposes.

Once again the PAMED has complied an easy to use set of charts to help PAMED members calculate their allowable fees. Current members may request a copy of the 2015 Medical Records Copying Charges by calling the DCMS office (610) 892-7750 or by sending an email to delco-medsoc@comcast.net. This service is for members only!

ICD-10 Crosswalks

Learn how ICD-10 will impact your prac-tice’s most frequently used diagnoses codes with these convenient crosswalks. These spe-cialty-specific crosswalks, available as PDFs, contain the top reported ICD-9 codes, and map them to ICD-10-CM so you can begin to think about and address required changes to coding and documentation for your particular specialty. Member Price: FREE Non-Member Price: $14.95 discount for ad-ditional qualities taken at checkout Please note these crosswalks are not a sub-stitute to implementing and coding directly from your ICD-10-CM book.

To order your free Crosswalk go to www.pamedsoc.org and then PAMED Store

Meaningful Use Attestation Is Complete, Now Breathe a Sigh of Relief – Or Can You? By: Pennsylvania Medical Society’s Practice Support Team Numerous eligible professionals have been working diligently to meet Mean-ingful Use (MU) measure objective thresholds, whether by using the Flexibil-ity Rule or by attesting to the stringent requirements of Stage 2 in 2014.

The Pennsylvania Medical Society (PAMED) has received quite a bit of feed-back from our membership regarding the MU program, and some potential problems and issues they are experiencing such as:

• Attestation rejections related to information within the PECOS system not aligning with the information within the EHR Incentive Program Registration and Attestation System

• EHR payment adjustment being assessed although attestation was successful

• Prepayment audit letter received only after two days of submitting Stage 2 attestation

Let’s take a moment to discuss each one of these topics individually.

1. Attestation rejections due to PECOS mismatch with EHR Incentive Pro-gram Registration

According to the Centers for Medicare and Medicaid Services (CMS), providers who received this rejection would need to contact their local Medicare Administrative Contractor (MAC) Enrollment depart-ment as information within the PECOS system does not match what is listed in the EHR registration and attestation system.

2. EHR payment adjustment being assessed despite successful attestation

Imagine being a successful user of MU and receiving your 2015 Medicare reimbursements reduced by 1 percent with remittance code N700, Payment adjustment based on Electronic Health Record. Your practice never received a letter from CMS advising that your provider was subject to a penalty, your attestations were successful, and you have documentation stating such. One of your providers was audited, but the result of that audit was favorable again with supporting docu-

Watch the Daily Dose PAMED’s daily all-member email,

for more information.

Delaware County Medical Society

Officers

President Ronald B. Anderson, MD

SecretaryStephen N. Clay, MD

TreasurerSalvatore A. Lofaro, MD

Past PresidentRichard V. Buonocore, MD

Board of Directors

George K. Avetian, DO

Catherine J. DiGregorio, MD

Fredric N. Hellman, MD

Margaret T. Hessen, MD

John A. Kotyo, MD

Joyann A. Kroser, MD

Edward W. LaPorta, MD

Joseph W. Laskas, DO

Justin M. Lazaroff, DO

Virginia McGeorge, CMM

Chike N. Okechukwu, MD

Mary Ann Tyler, CMM

Rekha P. Yagnik, MD

Staff

David A. McKeighan

Rosemary McNeal

Send address changes to:

Delaware County Medical Society600 North Jackson Street, Suite 201A Media, PA 19063-2563

email: roemcneal@comcast.net

The Bulletin of the Delaware County Medical Society is published bi-monthly by the Delaware County Medical Society (ISSN 1044-4653). Material for publication must be received by the tenth of the month for the following month’s issue.

The publisher reserves the right to accept or reject any advertising. Advertisements do not represent approval or recommnedation of the Delaware County Medical Society. The opinions expressed in The Bulletin do not reflect official policy or proceedings unless so stated. Printed on re-cycled paper by The Country Press in Lima, PA Annual subscription rate: $50.00 Second class postage paid at Media, PA 19063

mentation. So, how can your practice be getting assessed a penalty?

3. Prepayment audit letter received only after two days of submitting Stage 2 at-testation

We can only speculate that CMS has realized the difficulties physicians have had meeting the objective thresholds for Stage 2 due to the stringent require-ments. Therefore, soon after providers submit attestation, audit requests follow shortly thereafter. Some feedback PAMED has received from its mem-bers has been audit requests received after two days of attestation to an audit request received hours after Stage 2 attestation.

PAMED has the resources to help practices meet MU requirements, earn incen-tives, and avoid penalties.

One of the most common causes for a failed audit is insufficient documentation of the Security Risk Analysis (SRA). PAMED has a toolkit available to assist practices in the completion of the SRA. This toolkit and other HIPAA-related resources can be found at www.pamedsoc.org/hipaa.

PAMED has educational webinars on MU, available at www.pamedsoc.org/webinars. MU incentives and penalties also will be a topic at our spring practice manager meet-ings across the state. Learn more and register at www.pamedsoc.org/managermeeting. Watch your email inbox for the Daily Dose, PAMED’s daily, all-member email, as it contains the latest news and resources to help you and your practice navigate the challenges you face, such as MU.

PAMED members who have questions about MU can contact our Practice Sup-port Team at (717) DOC-HELP, that’s (717) 362-4357.

Meaningful Use Attestation (continued from page 1)

Meaningful Use Attestation (continued from page 1)

e 10th annual“Tools for Success”

Medical Practice Management ConferenceHosted by

e Delaware, Montgomery &Philadelphia County Medical Societies; the Pennsylvania Medical Society (PAMED);

e Pennsylvania Chapter of theAmerican College of Physicians &e Delco Chapter PAHCOM

The Crowne Plaza HotelMall Blvd

King of Prussia, PA

Breakout sessions to address concerns of your practice

Vendors! Prizes, Giveaways, Networking opportunities

2015e 10thAnnualMedical Practice

Management Conferenceursday

April 16, 2015

Questions about the conference?

Please call the office of the Delaware County Medical Society(610) 892-7750

including: special dietary, transportation or overnight accommodations needs.

Tools for Success

Medical Practice Management Conference

Conference Scheduleursday, April 16, 2015

7:45 - 8:30 Registration and Continental Breakfast

8:30 - 8:45 Welcome - Scott Shapiro, M.D., President Elect PA Medical Society

8:45 - 9:45 “Managing Stress - Preventing Burnout or How NOT to be High Achieving and Miserable” with Lani Nelson-Zlupko, PhD, LCSW. Dr. Nelson-Zlupko is a leading therapist, researcher, coach and consultant. She is the founder of LNZ Consulting in Wilmington, DE where she helps her clients undergo the personal and professional development necessary to achieve balance and move forward.

9:45 - 10:15 Visit the Vendors

10:15 - 11:45 “Its a Mad, Mad, Mad, Mad World” -an important regulatory, legislative and payer update featuring, Mary Ellen Corum & Lara Brooks from the PAMED Practice Support Team.

11:45 - 12:15 Visit the Vendors

12:15 - 1:00 Networking Buffet Lunch- attendees and vendors are encouraged to eat together and discuss the needs of their practices, their thoughts about today’s conference and “what’s keeping them up at night?”

1:00 - 1:45 Breakout Session # 1

A. “Leaving Money on the Table: What You Might be Missing at Can Affect Your Bottom Line” with Linda Benner, CPC, CPMA, CASCC, COBGC, Senior Consultant PMSCO. Ms. Benner will discuss pay for performance; meaningful use, ICD-10; transition of care, chronic care initiative and more.

B. “Unemployment Compensation Bootcamp: Winning the Battle over Unemployment Compensation Benefits” presented by George C. Hlavac, Esq., Chariman, Labor and Employment Law Department, Norris McLaughlin & Marcus, P.A. Mr. Hlavac will discuss UC claim process generally; in depth issues of “willful misconduct” and “necessitous and compelling reason to quit.” He will also provide tips for success with respect to UC claims and hearings.

C. “Information Security & Compliant Communications” with Scott Patterson, Chief Security Officer, POLYBIAN. e rapid shi toward mobile and text-basedcommunications has profound implications for the healthcare industry. Secure messaging platforms contain a wide variety of features that improve healthcare communication while meeting the security requirements mandated by HIPAA. While mobile service delivery and communication is increasing, understanding the risks and regulatory alignment is paramount in order to maintain secure communications.

2:00 - 2:45 Breakout Session # 2

D. “Leaving Money on the Table: What You Might Be Missing at Can Affect Your Bottom Line” with LindaBenner, CPC, CPMA, CASCC, COBGC, Senior Consultant PMSCO. Ms. Benner will discuss pay for performance; meaningful use, ICD-10; transition of care, chronic care initiative and more.

E. “How to be a Smart Negotiator” - Karen E. Davidson Esq. Negotiating with employers, staff members, hospitals/health systems, payers, and more. Ms. Davidson is a healthcare attorney with over 20 years of experience, offering extensive knowledge of the dynamics and complexities of the healthcare marketplace.

F. “Health Literacy in Your Practice” with Mary Powell, CRNP, PhD, Associate Professor of Nursing, Neumann University & Member of the Delco Health Literacy Coalition. How effectively does the clinical staff in your practice communicate with patients? Learn how to enhance and ensure effective doctor-patient communications and get better patient compliance & positive effects on your quality scores.

2:45 - 3:15 Visit the Vendors

3:15 - 4:30 Aernoon Keynote - “Strategies to Minimize Risk in the Physician Office Setting” Jaan Sidorov, MD, MHSA, Chair, Board of Directors, NORCAL Mutual Insurance. What can you do today to reduce the risk of a lawsuit in the office setting? is presentation will identify the key risk exposures and help youidentify any potential issues as well as adopt best practices to reduce the likelihood of being named in a “malpractice suit.”

4:45 Prizes & Adjournment

ursday evening April 16, 2015

5:30 Reception

6:30 Buffet Dinner

7:15 “Med Mal Market Update” with Ray Nolen, Nolen Associates.“PAMED Update” with Michael R. Fraser, PhD, CAE Executive Vice President“Medical Decision Making vs. the Link to Medical Necessity” with Laurie Desjardins, Director of Consulting, Coding Strategies Inc. Lack of medical necessity is the #1 reason for the denial of E/M claims. CMS reports erroneously paying $4.2 billion for E/M claims, and recently announced that they are coming aer it in 2015. Get more familiar with medical necessity and the link to medical decision making documentation, and what you need to ensure the levels of E/M chosen are justified and accurate.

Conference Schedule

Thursday, April 16, 2015

Name of Attendee _________________________________________________________________________________

Name of Practice _________________________________________________________________________________

Address _________________________________________________________________________________________

________________________________________________________________________________________________

Phone __________________________________________________________________________________________

Fax ____________________________________________________________________________________________

Email ___________________________________________________________________________________________

Check # _________________________________________________________________________________________

Check Amount ___________________________________________________________________________________

Make check payable to DCMSDelaware County Medical Society

600 North Jackson Street, Suite 201AMedia, PA 19063-2561

Remember: Pick your breakout session on the bottom of this form. We will do our best to honor your request.

Early registration discounts - also additionaldiscounts for multiple registrations from

the same practice site!

______ $49 for ursday evening only

______$169 for early registration (before March 31st)

______ $169 for second, third, etc., person from same practice

______ $189 for ursday morning and aernoon

______ $225 for ursday morning, aernoon & evening

Registration Form

Breakout Sessions ChoicesSession # 1 - 1:00 p.m.

� A. “Leaving Money on the Table, What you might be missing that can affect your bottom line.” with Linda Benner, CPC,CPMA, CASCC, COBGC, Senior Consultant PMSCO.

� B. “Unemployment Compensation Boot Camp: Winning the Battle over Unemployment Compensation Benefits.” presentedby George C. Hlavac, Esq., Chairman, Labor and Employment Law Department, Norris McLaughlin & Marcus, P.A.

� C. “Information Security & Compliant Communications.” with Scott Patterson, Chief Security Officer, POLYBIAN.

Session # 2 - 2:00 p.m.� D. “Leaving Money on the Table, What you might be missing that can affect your bottom line.” with Linda Benner, CPC,

CPMA, CASCC, COBGC, Senior Consultant PMSCO.� E. “How to be a Smart Negotiator.”with Karen E. Davidson Esq.� F. “Health Literacy in Your Practice.”with Mary Powell, CRNP, PhD, Associate Professor of Nursing, Neumann University &

Member of the Delco Health Literacy Coalition.

The Bulletin of the Delaware County Medical Society600 North Jackson Street, Suite 201AMedia, PA 19063-2561

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