December 2017

Looking forward to our Physician Connection CME Presentation & Awards dinner, we are focusing this month's newsletter on The Opioid Crisis. This long standing epidemic has plagued our entire country for many years. Our hopes are that this month's newsletter content and the presentation at the Physician Connection will continue to educate and inspire our local physicians to make strides in defeating this enormous issue. Please join us on January 24th at the Colorado Springs Marriott to hear Dr. Joshua Blum's presentation, The Opioid Crisis: The Pain that Won't Go Away. We look forward to seeing you there.

If you have an article, topic idea or an event you think may be of interest to your colleagues in the  El Paso and Teller County areas, please feel free to contact us at 719.591.2424.
In This Issue
Upcoming Events
OMA Meeting
January 9th | 7:30-9:00 am

Hot Topics in Insurance Credentialing
Get the latest update on the current trends, topics and concerns in the private-payer contracting world from local expert Todd Welter, of RT Welter & Associates. Increase your knowledge and learn what's working in negotiations right now and best practices in insurance contracting.
CMS Emergency Preparedness Regulations: What you need to know
January 30th | 5:30-7:00 pm

Don't loose your CMS program funding! Attend this informational meeting to understand the Emergency Preparedness Plan requirements and get assistance in writing a plan for your practice.
New in Town
Vanguard Skin Specialists welcome Dr. James Banich, offering plastic surgery services
What do you think?
Dr. Kevin Whaley of Summit Dermatology, is conducting a survey and could use assistance from other providers. The purpose of the survey is to generate data to show insurance companies the need for providers to know the true cost of medications, allowing providers to make better, informed decisions regarding patient care and help reduce health care costs. To complete the brief, online survey, please click on the survey link below.
Classified Ads
This Month's Highlight:
Immediate opening for a board certified Family Practice Physician and Nurse Practitioner with Family Practice experience. For more details, click on the Classifieds button below.

If you would like to include an ad on our website, please contact or call 719.591.2424.
ProPractice Resources
CPR Classes

Our next class will be held Thursday, January 18th 
at 3:00 pm
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Education Key to Combating Opioid Epidemic
The origins of the current opioid crisis can be traced back to the creation of pain as the fifth vital sign, but the problem is exacerbated by a lack of knowledge concerning safe opioid prescribing.

"Physicians need to be educated on safe opioid prescribing practices. We really need to have more consistent education for anybody that may be prescribing an opioid to make sure that they have a certain level of knowledge and training to prescribe those types of medications to patients. Part of the problem is that any providers can write a prescription for opioids and the next thing you know the patient is escalated to very high doses and then refer them to me. Continuing education is the answer," said Kenneth Finn, M.D., president and founder of Springs Rehabilitation.   Read More
Reversing the Opioid Epidemic: What Colorado Physicians  Need to Know
The opioid epidemic is one of the greatest challenges facing health care today and physicians have a role in reducing opioid misuse and abuse in our patients. Unfortunately physicians can feel like they are cast in an unfair spotlight on the issue. Tom Frieden, MD, MPH, former director of the US Centers for Disease Control and Prevention, was correct when he said this is a doctor-driven epidemic. No one else prescribes these medications but physicians, dentists, veterinarians and other licensed health care professionals Read More   (Author Lesley Brooks, MD )
Physician Connection - January 24, 2018

Join us for the 2017 Outstanding Physician 
and Ted T. Lewis, MD, Excellence in 
Professional Nursing Awards! 
Featured CME Presentation:   
The Opioid Crisis!  The Pain that Won't Go Away  

Understand the scope of the opioid problem, guidelines from the CDC, FDA, medical boards, and other best practices that outline practical approaches to practice more safely with opioids.  Speaker: Joshua D. Blum, M.D. 
Colorado Springs Marriott
Wednesday, Jan. 24th
5:15 - 8:30 pm 
Wednesday, January 17, 2018
Trump Opioid Commission Streamlines Funding Requests
While President Donald Trump's opioid commission made several recommendations November 1st, that highlighted the need for greater treatment access, the final report didn't address the insurance and cost issues that affect recovery.

The Commission on Combating Drug Addiction and the Opioid Crisis proposed 56 recommendations in its final report, many of which were designed to ease federal regulations that critics say have hindered efforts to expand access to treatment.  Read More (Modern Healthcare, Author Steven Ross Johnson)
EPCMS Physician Directory
The e ver-popular, vital office reference, the EPCMS Physician Direct o ry is  NOW AVAILABLE!

The directory contains listings of physicians by specialty; practice, and last name, pharmacies and medical facilities, as well as other helpful information. 

To order directory inserts or complete directories Click Here  and locate the Directory options in our Featured Items section.
CO Sees Toll of Pot Legalization
The week of November 6th marked the fifth anniversary of Colorado's decision to sanction the world's first anything-goes commercial pot trade. Five years later, we remain an embarrassing cautionary tale.  Read More  (Colorado Springs Gazette Opinion) 
From the Front Lines...
The following article was submitted by 
Dr. Reagan Anderson.
Anthem Trying to Reduce Payments
Anthem recently sent out a Notice of Material Change dated December 1, 2017, to be effective March 1, 2018. The Notice Reads:

For claims processed on or after March 1, 2018 Evaluation and Management (E/M) Services that are eligible for separate reimbursement when reported by the same provider on the same day as a minor surgery (0 or 10 day global period) WILL BE REDUCED by 50%!

In accordance with C.R.S. 25-37-104, you must object in writing to this material change no later than December 15. If the health care provider objects in writing to the material change within fifteen days and there is no resolution of the objection, either party may terminate the contract upon written notice of termination provided to the other party not later than sixty days before the effective date of the material change (December 27, 2017).

Send your objection to Anthem by December 15, 2017, regarding the Notice of Material Change regarding reimbursement on claims with Modifier-25 to:
Erica Kloehn
Anthem Blue Cross Blue Shield
Provider Network Department
700 Broadway
Denver, CO 80273

Not enough time in the day to run a compliant, efficient medical practice?

Sign up for one of our HI PAA or OSHA Packages to lessen your burden and free up your time to spend on other things. 

Click here to  Review Package Options

For more information, Email Jessica Petty at or call 719.591.2424.
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