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Medical Society of New Jersey e-Newsletter
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Renew your dues ONLINE by
October 15, 2017
and receive a 5% discount on your STATE dues!
When prompted enter discount code
msnj5
, then click "update price."
Discount is applied to physicians state dues only.
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MSNJ Policy & Strategy Panel: Gifts from Pharmaceutical Companies and Others
Thursday, October 12, 2017 from 5:30pm - 7:30pm at MSNJ
Governor Christie recently announced a regulatory proposal to severely limit physician relationships with pharmaceutical companies. Join us for a policy discussion with guest speakers on the issues of ethics, best practices and patient impact of physician-pharmaceutical relationships.
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 Legislative Update
ACA Reform
The AMA sent a letter to the Senate leadership Wednesday, expressing its opposition to the Cassidy-Graham-Heller-Johnson Amendment to H.R. 1628, the "American Health Care Act of 2017." The legislation does not meet the AMA's principles for health system reform that were shared with Congress on the first day of the 2017 legislative session. In particular, it would result in millions of Americans losing health insurance coverage, further destabilize the health insurance marketplace, undermine the health care safety net provided by Medicaid, and jeopardize important insurance reforms such as the ban on pre-existing condition exclusions and benefit caps. The Medical Society of New Jersey stands with the AMA against this legislation. Read press coverage about the impact to NJ and watch Senator Booker's remarks.
Prisoner Health
The Governor signed A.1661, which expands eligibility of inmates for medical parole and requires inmate enrollment in Medicaid under certain circumstances.
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News
UPDATE: UHC Delays Consult Code Policy
In July, MSNJ was joined by 36 medical and specialty societies in a
letter to United Healthcare (UHC) opposing its proposed policy change to no longer pay for consultation CPT codes 99241-99245 and 99251-99255 for dates of service on and after October 1.
This week, UHC advised MSNJ that it will delay implementation of the policy. An announcement regarding the delay, including details of the length of the delay, will be included in UHC's October 2017 Network Bulletin. MSNJ asked UHC to provide more information about the delay in advance of the Bulletin. We will keep members apprised of new developments in e-News.
MSNJ Continues Advocacy against AmeriHealth Modifier 25 Policy
As of August 1, AmeriHealth changed its payment policy to pay evaluation and management (E&M) codes appended with modifier 25 at 50% when they are submitted for the same date of service by the same provider as a minor procedure or when they are submitted for the same date of service by the same provider as a preventive E&M. MSNJ continues to advocate on this issue. Read our most recent letter to AmeriHealth. Please tell us
how this policy change has impacted your practice.
NJIN Adult Immunization Survey - Please Participate!
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Practice Management
PQRS Feedback Reports and Downward Adjustment Notifications
CMS recently released PQRS feedback reports for the 2016 reporting year. These reports show your PQRS performance for 2016 and whether you are subject to a payment penalty for 2018 claims. Eligible Professionals are urged to review their reports for accuracy. See the CMS Quick Reference Guide for Accessing 2016 PQRS Feedback Reports for more information on how to access your report. CMS will also issue letters to providers subject to the penalty soon. If you believe the penalty has been applied erroneously, you are entitled to an informal review. The informal review period ends December 1. View the CMS document 2018 Downward Payment Adjustment - Informal Review Made Simple for more information on how to file an informal review. Contact the CMS QualityNet Help Desk for additional assistance.
Ongoing Horizon NJ Health Payment System Issues
Last year, several of our members reported erroneous denials for claims submitted to Horizon NJ Health (HNJH). When MSNJ investigated the matter, we were advised by HNJH that a transition to a new vendor in April 2016 resulted in multiple claims payment issues, most of which have now been resolved. We were also advised by the NJ Department of Banking and Insurance that they were aware of HNJH's systems issue and that they were investigating the matter. Recently, we have heard from a few members who are still having claims payment issues with HNJH. If your practice has ongoing claims payment issues with HNJH, please
let us know
. Please do not include any patient information in your email.
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Upcoming Events
Join us on October 12 to learn more about the New Jersey Healthcare Executive Leadership Academy and how it can provide physician leadership training to help generate solutions towards some of NJ's pressing healthcare challenges.
Register before October 6!
AtlantiCare Regional Medical Center & Seabrook House CME Seminar - Understanding Addiction: Recognition, Treatment and Safe Prescribing
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.
AMA Webinar: Thriving Under MIPS - Where to start? Breaking down the complexity of MIPS
Wednesday, October 18, 2017 from 1:00pm to 2:00pm
More information and registration.
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.
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.
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Corporate Partner Feature
Banking:
Valley National Bank - 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.
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Member Benefits
All MSNJ members can now save $14 on Basic and $20 on Plus annually on AAA membership. Access discount.
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| 2017 © Medical Society of New Jersey. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise without the written permission of the Medical Society of New Jersey. |
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Lawrenceville, NJ 08648
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