Greater Rochester Pre-Diabetes and Diabetes Education and Support Services Guide
Call for Abstracts
World Aids Day Festival of Songs is Dec. 2 @ 6 pm. This event is important to the Rochester affiliate of the Black Leadership Commission (NBLCA) on AIDS – educating our community about HIV/AIDS while worshiping through song. They will take up a free will offering to assist NBLCA in their activities and programming throughout the year.
Click to download flyer
The Centers for Medicare & Medicaid Services (CMS) is hosting a webinar on Tuesday, November 14, at 1:00 p.m. ET to provide an overview of the Quality Payment Program Year 2 final rule (for calendar year 2018). CMS issued the final rule with comment period and interim final rule with comment period for the second year of the Quality Payment Program on November 2.
Webinar Details
CMS encourages participants to review the final rule fact sheet and the executive summary prior to the webinar. Additional resources are also available on the CMS website.
CMS is also hosting the following webinars in November on various Quality Payment Program topics:
Overview of Virtual Groups
Quality Payment Program Year 2 Final Rule National Provider Call
Please note: Space for these webinars is limited. Register now to secure your spot.
For More Information
For more information about the Quality Payment Program, please visit: qpp.cms.gov.
The Provider Ombudsman for the New Medicare Card serves as a CMS resource for the provider community. The Ombudsman will ensure that CMS hears and understands any implementation problems experienced by clinicians, hospitals, suppliers, and other providers. Dr. Eugene Freund will be serving in this position. He will also communicate about the New Medicare Card to providers and collaborate with CMS components to develop solutions to any implementation problems that arise. To reach the Ombudsman, contact: NMCProviderQuestions@cms.hhs.gov.
The Medicare Beneficiary Ombudsman and CMS staff will address inquiries from Medicare beneficiaries and their representatives through existing inquiry processes. Visit Medicare.gov for information on how the Medicare Beneficiary Ombudsman can help you.
MLMIC Updates FAQs With Latest on Berkshire Hathaway Transaction
https://www.mlmic.com/blog/physicians/latest-info-berkshire-hathaway-transaction/
Open Access, located at 1350 University Ave in Rochester, officially opened yesterday with a ribbon cutting ceremony. Open Access began in August with limited hours, hours have since been expanded to seven days a week from 4-10pm. By next year Open Access will be staffed 24/7.
This first of its kind collaborative staffing model will provide an immediate evaluation for individuals walking in with a Substance Use Disorder determining their appropriate level of care. Staff will then identify the first available treatment slot and assist with any insurance or transportation barriers. The goal is to get more rapid access to treatment services.
Patients can walk in during open hours or call Open Access at (585) 627-1777.
Physicians can provide patients with a copy of the Monroe County Opioid Task Force Resource Brochure, they can encourage their patients to seek help through Open Access if patient is in need of immediate treatment. The physician can also share both treatment resources via NCADD-RA’s Monroe County Treatment Provider listing and recovery resources via NCADD-RA’s Recovery Services in Monroe County. All resources may be downloaded from the NCADD-RA website at: https://ncadd-ra.org/news-resources/resources-advocacy-research .
The Workers’ Compensation Board (Board) has initiated a registration process to update and maintain a current list of medical providers who are authorized to treat injured workers. The goal of this process is to enable an injured worker to easily and accurately identify Board-authorized medical providers.
You will be notified in November when registration opens for Board-authorized medical providers. Authorized providers are asked to register with the Board and update their office address(es) and contact information by December 29, 2017. This registration process will be an ongoing initiative every two to three years.
Medical providers who have not registered by December 29, 2017 will:
The Board will use the existing New York State Health Commerce System (HCS) for this registration process. For the initial registration and for future updates to your practice information, you will need to have an HCS account. If you don’t already have one, you can view directions to create an account on the New York State Department of Health website.
Need Help?
If you are not sure if you already have an HCS account, contact the Commerce Account Management unit (CAMU) at (866) 529-1890 and select option 1. For general questions about health care provider registration, please contact the Board’s Customer Support at (844) 337-6305.
MCMS invites nominations for its 2018 Edward Mott Moore Awards. This highest honor bestowed annually by the Medical Society is given to both a physician and a layperson in recognition of outstanding and dedicated service to the medical profession and the community. Please see attached nomination form for details. Deadline for nominations is December 29, 2017.
2018 Edward Mott Moore Nomination Form.pdf
This past week, MSSNY staff joined representatives of the New York State Radiological Society to meet with the New York Department of Financial Services to express strong concerns with Anthem’s new policy imposing new prior authorization requirements as a precondition of patients receiving hospital-based imaging services. In particular,
MSSNY expressed concerns regarding the additional administrative hassles imposed on referring physicians seeking to assure their patients can receive needed MRIs or CTs in a timely manner. Moreover, concerns were expressed regarding the likely continuity of care issues for some patients, as well as the fact that such additional criteria for accessing these services of particular radiologists may not be clearly identified when a patient is looking at which physicians participate in a particular health insurer’s network.
To aid in its investigation, DFS representatives asked MSSNY and NYSRS for examples of instances where patients have been unable to receive the care they need, or have had their care unduly delayed, as a result of this new prior authorization requirement. Please contact rmcnally@mssny.org if you would like to share your story.
Similar prior authorization requirements have been imposed in other states by Anthem. As a result, the American Medical Association EVP Dr. James Madara wrote a letter to Anthem EVP Dr. Craig Samitt urging Anthem to reconsider this policy given the “potential adverse impact on patients’ timely access to medically necessary care”, and concerns that the “new policy interferes with the patient-physician relationship and may disrupt ongoing care coordination”.
