Your Weekly News & Updates
Medical Society of New Jersey e-Newsletter
August 31, 2017
Table of Contents
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Revolving Reference Committee to Hear Two Resolutions
Tonight, August 31 at 7:00pm, MSNJ's Revolving Reference Committee (RRC) will hear two resolutions via webinar:
  1. Ban Fracking in New Jersey- Hunterdon County
  2. Right to Healthcare - Bergen County
Information on these resolutions and the webinar may be found on MSNJ's website. Register online.

Please note: MSNJ will be conducting the RRC in a different format. Please join approximately 5 minutes earlier; you will be greeted by an operator and will be required to provide your name. Participants will be in a listen only mode until it is time for testimony. The operator will provide instructions on how to enter the queue in order to give testimony.

UHCUHC Hit with Class Action for Underpaying Out-of-Network Providers 
Mid-Atlantic Surgical Associates has filed a class action lawsuit in federal court alleging that United Healthcare has systematically underpaid out-of-network physicians for emergency services, contrary to New Jersey's hold-harmless regulations. If certified as a class, all out-of-network physicians rendering emergency services to UHC members would be members of the class. The suit also seeks declaratory relief requiring payment sufficient to ensure that a balance bill is not sent to the patient and that the physician may balance bill. The suit was filed on behalf of Mid-Atlantic Surgical Associates by the Brach Eichler law firm.

HIVAetna Hit with National Class for HIV Privacy Breach
A Philadelphia law firm has filed a national class action  lawsuit on behalf of Aetna members who received letters containing information about refilling HIV medications which could be viewed through the glassine window of the envelope. Clearly a HIPAA violation, the lawsuit leapfrogs over federal government enforcement which will inevitably occur after an investigation. Ironically, the letter was required as part of an agreement to settle prior HIPAA violations. Approximately 12,000 members from 23 states were affected.  Read more .
volunteerPhysician Volunteers Needed in Texas after Hurricane Harvey
Our thoughts go out to all who have been affected by Hurricane Harvey. Information and volunteer opportunities can be found on the Texas Medical Association's website  and Harris County Medical Society's website . Physicians who are hospital affiliated, or who are credentialed by a hospital or on the medical staff will not need a temporary permit. NJ physicians with no hospital affiliation will need to obtain a temporary permit and be sponsored by a Texas licensed physician. Information is posted on the Texas Medical Board   website .

overdoseOverdose Awareness Day
Governor Christie has declared today, August 31, 2017 as "Overdose Awareness Day." The proclamation is meant to bring attention to addiction as a disease and to combat the stigma associated with it.
recordkeepingRead MSNJ partner, First Healthcare Compliance's blog: How to Comply with Federal Recordkeeping Requirements for more information on employment recordkeeping.
membersMember In The News

Congratulations to MSNJ member, Dr. Stephen G. Rice, on receiving the 2017 Citation Award from the American College of Sports Medicine (ACSM), presented during their Annual Meeting in Denver, CO. for his significant lifetime contributions and innovations to the fields of sports medicine and exercise science. Read more .

PMPractice Management

LaminotomyEffective September 1: Aetna Bundling Laminotomy with Arthrodesis
Aetna announced in its June Newsletter that effective September 1, 2017, Aetna will deny payment for CPT codes 63030, 63042, 63047, and 63048 when billed with CPT code 22632. Likewise, Aetna will deny laminotomy/laminectomy CPT codes 63030, 63042, 63047, and 63048 when billed with arthrodesis CPT codes 22633, 22634, or 22612. Modifier 59, which indicates a distinct procedural service, will not override these denials. MSNJ continues to work with the state and national specialty societies on this issue.
surgeonsEffective September 1: Aetna Will Change Assistant Surgeon Payments
For dates of service on and after September 1, Aetna will pay multiple procedure claims appended with modifiers 81 and AS at: 12% for the primary procedure with the highest relative value units (RVUs); 6% for the secondary procedure, with the 2nd highest RVUs; and 3% for each subsequent procedure. This will apply to commercial and Medicare Advantage plans. MSNJ research indicates that most payers, including Medicare, reduce payments when modifier AS (indicating a non-physician assistant at surgery) is used. Most payers, including Medicare, also apply multiple procedure logic to assistant at surgery claims. However, Aetna appears to be the only payer applying a reduction to claims appended with modifier 81, which indicates that the assistance was minimal. Read more.
EMEffective September 1: UHC Policy on E&Ms
For dates of service beginning September 1, United Healthcare (UHC) will require use of modifier SA on evaluation and management (E&M) claims submitted by physicians on behalf of employed nurse practitioners, physician assistants and clinical nurse specialists. Likewise, the healthcare professional's NPI must be included in field 24J of the HCFA 1500 or its electronic equivalent. Read more about this policy change.
EHRDue October 1: Medicare EHR Incentive Program: Hardship Applications to Avoid 2018 Penalties
If you have never attested to meaningful use under the EHR Incentive Program before and you are transitioning to MIPs for the 2017 reporting year, you may be eligible to apply for a "Transitioning to MIPS Hardship." This is a one-time exemption and must be filed by October 1, 2017. Read more from the AMA.
upcomingeventsUpcoming Events

STI Computer Services MIPS Basics Live Webinars for MSNJ Members
  • Wednesday September 6 at noon
More information and registrationUse invitation code: NJ67

Memorial Sloan Kettering Interventional Cancer Pain Medicine Symposium
September 8-9, 2017
Zuckerman Research Center in New York City
More information and registration.

National Suicide Prevention Week: September 12, 2017
NJDHS Seminar: Take a Minute, Change a Life
September 12, 2017 from 8:30am to 4:15pm
War Memorial, Trenton, NJ
More information and registration.

First Healthcare Compliance Webinar: Improper Retention of Overpayments: Reverse False Claims and Private Payor Policies
September 12, 2017 at 12:00pm

NJHA Webinar Series - Opioid Misuse: Innovative Tools to Improve Patient Care Across the Continuum
Please note: The above webinars do not satisfy the continuing education requirement for the next biennial license renewal period.

AMA-SAN QPP/MIPS/ACI Webinar - Security Risk Analysis
Wednesday, September 13, 2017 from 1:00pm to 2:00pm

New Jersey Association of Mental Health and Addiction Agencies' and Attitudes In ReverseĀ® Fifth Annual National Suicide Prevention Day Conference, Back to School: Finding Strength from the Start
September 15, 2017 from 8:30am to 1:00pm
Carrier Clinic, Belle Mead, NJ
More information and registration .

2017 Novitas Solutions Medicare Symposium
September 19, 2017
Crowne Plaza Philadelphia/Cherry Hill, Cherry Hill, NJ
More information and registration.

Free Conference for Medicaid Providers! Complex Care in NJ Medicaid: Setting a Vision
September 19, 2017 from 8:30am to 3:00pm
The War Memorial, Trenton, NJ
More information and registration.

Seminar: Youth Suicide Prevention: Using the Media to Begin the Conversation
September 20, 2017 from 9:00am to 12:00pm
Monmouth University, School of Social Work
More information and registration

FierceHealthcare Webinar: Drive Revenue and Market Share with Telemedicine
Wednesday, September 20, 2017 at 2:00pm
More information and registration.

AtlantiCare Regional Medical Center & Seabrook House CME Seminar - Understanding Addiction: Recognition, Treatment and Safe Prescribing
Saturday, September 23, 2017 from 8:30pm to 2:00pm
Stockton Seaview Hotel & Golf Club
More information and registration.

FREE AMA Webinar on Human Factors Engineering and Patient Safety
Tuesday, September 26, 2017 at 8:00pm EST
More information and registration.

Surgery Center Coalition's "A Day of ASC Compliance"
Thursday, September 28, 2017 from 8:00am to 4:00pm
The Palace in Somerset
More information and registration.

Medical History Society of New Jersey Annual Fall Meeting
Wednesday, October 4, 2017 at 3:30pm
The Nassau Club of Princeton
More information and registration.

NJHA CME Seminar: Physician Know Thyself
October 10, 2017 from 8:30am to 3:45pm
NJHA Conference & Event Center
More information and registration.

New Jersey Healthcare Executive Leadership Academy Conference: Improving Care at the End-of-Life
Thursday, October 12, 2017 from 9:00am to 3:00pm
NJHA Conference & Event Center
More information and registration.

2017 AMPAC Campaign School
October 27-29, 2017
AMA Office, Washington, DC
More information and registration.

NJ Chapter, American College of Surgeons: 66th Annual Clinical Symposium
Saturday, December 2, 2017 from 7:00am to 3:00pm
The Renaissance Woodbridge Hotel
More information.
CPCorporate Partner Feature       
Financial Services:
Citizens One Home Loans - Bronze Level Partner
Member Resource Guide 
Check out the current  MSNJ Member Resource Guide! Inside, you will find a complete listing of partners by service/product category, along with contact information. Also, be sure to check out the individual Corporate Partner pages on our website as some offer additional discounts to members!

It is important to note that MSNJ does not endorse any vendor, service, or product. However, we encourage members to please consider our Corporate Partners first as the financial support received from these organizations is vital to our association. It is our hope that their investment in MSNJ will help keep your membership dues and programming affordable.
benefitsMember Benefits      
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