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CSMS Recent Headlines

The Deadline to Submit a MIPS Targeted Review Request is 20 Days Away

You Have 20 days to Submit a Targeted Review RequestIf you participated in the Merit-based Incentive Payment System (MIPS) in 2017, your MIPS final score and performance feedback are available on the Quality Payment Program website. The payment adjustment you will receive in 2019 is based on this final score. A positive, negative, or neutral payment adjustment will be applied to the Medicare paid amount for covered professional services furnished under the Medicare Physician Fee Schedule in 2019.MIPS eligible clinicians or groups (along with their designated support staff or authorized third-party intermediary), including those who are subject to the APM …

Connecticut State Medical Society Launches Health Equity Tool Kit at October 11th Event

On October 11th, the Connecticut State Medical Society (CSMS) is holding a dinner event to launch and showcase their newly developed Health Equity Data Collection Guide, “How Do I Ask? Asking Sensitive Questions in the Quest to Reduce Health Disparities.”All in health care interested in learning about how this toolkit can help them and their patients are invited to attend. The program, sponsored by the Coverys Foundation, will be held from 5:00 – 8:00 p.m. at the New Haven Lawn Club and will include a cocktail reception, dinner, release of the tool kit, and panel discussion. Cost is $10 in …

The Physicians Foundation’s Sixth Biennial Survey Identifies Burnout and Social Determinants as Top Issues

The Physicians Foundation, a nonprofit organization that seeks to advance the work of practicing physicians, recently released the findings of its 2018 survey of U.S. physicians. The new survey includes responses from almost 9,000 physicians across the country and underscores the overall impact of numerous factors driving physicians to reassess their careers.Dr. Gary Price, president of the Physicians Foundation and past president of the Connecticut State Medical Society, talked to us about what these findings mean.Q: Physician burnout has been an issue the Physicians Foundation has been monitoring for years in its biennial surveys. What’s changed in this year’s results? …

State Medical Societies Collaborate to Impact Healthcare Disparities Through Utilization of Health Information Exchange Data

Seven state medical societies announced the creation of the Health Equity Network for Change (HENC) which is focused on improving the health status of medically underserved populations. HENC employs a new data source, health information exchange data, and powerful analytic tools provided by KAMMCO. Medical societies in each of these states have engaged KAMMCO to build physician-led exchanges: Kansas, Georgia, South Carolina, Connecticut, New Jersey, Missouri, and Louisiana.HENC chairman M. Natalie Achong, MD, MHL, FACOG shared, “Physicians across the nation are increasingly concerned about health disparities. To address this, HENC brings leading physicians together to examine trends in health disparity …

QPP Roundup: August 2018

Providing monthly updates on the Physician Advocacy Institutes' (PAI) activities and Quality Payment Program (QPP) news for you and your practice.PAI's QPP Tip of the Month: Review Proposed Changes for QPP Year 3Last month, CMS released the Physician Fee Schedule (PFS) Proposed Rule and with revisions to Year 3 of the Quality Payment Program (QPP summarized below):Definition of Eligible Clinicians (ECs) – CMS proposes expanding the definition to include physical therapists, occupational therapists, clinical social workers, and clinical psychologists. Modification of the low-volume threshold – CMS proposes adding a third criterion based on the number of covered professional services provided …

CSMS Opposes Proposed CMS Physician Fee Schedule/Quality Payment Program Rule

CSMS signed-on to letter to Administrator Verma regarding the E & M proposal in the 2019 proposed Physician Fee Schedule/Quality Payment Program rule. To reduce documentation, the Centers for Medicare and Medicaid (CMS) proposed to collapse coding and payment for office visits. As many of you know, the AMA rapidly convened a workgroup on E & M and plans to develop a CPT proposal by early November. The CPT editorial panel would then vote on the recommendations in February and the RUC then plans to develop revaluations by May.The AMA has spoken a number of times to senior administration officials …

Call for CSMS Officer Nominations

The Connecticut State Medical Society (CSMS) presents the roster for the 2019 slate of General Officers of CSMS. This slate was nominated by the CSMS Nominating Committee, in accordance with the process set forth in the CSMS Bylaws.The CSMS Bylaws allow any CSMS member in good standing to also submit his/her name for nomination as a General Officer. If you wish to submit your name for nomination as a General Officer of CSMS, you must submit such nomination, in writing, and delivered either by US Mail, facsimile, or email to:Matthew C. Katz, Executive Vice President/CEO, CSMS127 Washington Avenue, East Building, …

Seeking an Association Health Plan

CSMS is beginning the process to create an Association Health Plan to help reduce the cost of health insurance for you, your family and your employees.In order to get quotes from health insurance carriers, we must present a census of interested groups, including physicians, their families, and their employees. By combining TOGETHER, we can create a larger group and offer 2 – 3 different plans through our association. You do not need to be a member of CSMS to participate in the census, but you do need to be a member* to take part in the association plan.Here’s all you …

Women Physicians: Get Involved, Make an Impact

The Women’s Physician Section of CSMS (WPS) aims to increase the influence of women physicians in leadership roles within organized medicine and highlight women’s health issues.Now more than ever, we need a strong and robust WPS of CSMS to address topics of importance to women physicians and their patients, and bring those concerns to other representatives within organized medicine. Now is the time for you to get involved in the WPS!In order for the WPS to be an actively function section, the section needs strong leadership. At the outset, we are looking for individuals to fulfill three key leadership roles.The …

Quality Payment Program Exception Applications are Now Available on QPP.CMS.GOV

The 2018 Quality Payment Program Exception Applications for the Promoting Interoperability (PI) performance category and for Extreme and Uncontrollable Circumstances for the Merit-based Incentive System (MIPS) are now available on the Quality Payment Program website.Promoting Interoperatability Hardship ExceptionsIf you’re participating in MIPS during the 2018 performance year as an individual, group, or virtual group—or participating in a MIPS Alternative Payment Model (APM)—you can submit a Quality Payment Program Hardship Exception Application for the PI performance category, citing one of the following specified reasons for review and approval: MIPS-eligible clinicians in small practices (new for 2018) MIPS-eligible clinicians using decertified EHR …

MIPS Performance Feedback and Payment Adjustment Update

If you submitted 2017 Merit-based Incentive Payment System (MIPS) data through the Quality Payment Program website, you can now view your performance feedback and MIPS final score.CMS originally displayed a single payment adjustment amount, which included an additional adjustment for exceptional performance available to MIPS eligible clinicians and groups with a final score of 70 or greater. However, based on feedback from various clinicians and groups, we have updated the system so that your MIPS payment adjustment, and if applicable, your additional adjustment for exceptional performance, are now displayed separately. The system will continue to display your total MIPS payment …

CMS Final Rule on Hospital Inpatient Rates and More

On Friday, August 3, 2018, the Centers for Medicare & Medicaid Services (CMS) released its final rule entitled, “Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2019 Rates; Quality Reporting Requirements for Specific Providers; Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs (Promoting Interoperability Programs) Requirements for Eligible Hospitals, Critical Access Hospitals, and Eligible Professionals; Medicare Cost Reporting Requirements; and Physician Certification and Recertification of Claims.”CMS estimates the final rule will result in an increase in payments of $4.8 billion in 2019.The …

Now Accepting Nominations

CSMS is now accepting nominations for the Paul K. Maloney Distinguished Service Award and the Health Care Leader/Innovator Award.The 2018 Paul K. Maloney Distinguished Service Award: The award is given annually in memory of Paul K. Maloney Jr., MD to a member physician who has exemplified Dr. Maloney’s intense commitment to community service.The 2018 Health Care Leader / Innovator Award: This award will recognize a member physician at all stages of practice who have demonstrated exceptional commitment to leadership / innovation.The 2018 awards will be presented on September 27, 2018 at the CSMS 226th Annual Meeting.Nominations must be submitted in …

CSMS Voices Opposition to Proposed Rule on Title X

CSMS recently wrote to the U.S. Department of Health and Human Services (HHS) in response to the the proposed rule, "Compliance with Statutory Program Integrity Requirements" published in the Federal Register. The Proposed Rule would fundamentally alter the Title X Family Planning Program (Title X), and put at risk nearly 50 years of progress in public health and undermine the patient-provider relationship.Read our full statement here.

The Deadline for Submitting a MIPS Targeted Review Request Is Now October 1, 2018

If you participated in the Merit-based Incentive Payment System (MIPS) in 2017, your MIPS final score and performance feedback is now available for review on the Quality Payment Program website. The payment adjustment you will receive in 2019 is based on this final score. A positive, negative, or neutral payment adjustment will be applied to the Medicare paid amount for covered professional services furnished under the Medicare Physician Fee Schedule in 2019.MIPS eligible clinicians or groups (along with their designated support staff or authorized third-party intermediary), including those who are subject to the APM scoring standard may request for CMS …

New Partnership with DrFirst ePrescribe Gives Members One Click Access to the Connecticut Prescription Monitoring and Reporting System

Easy access to more thorough prescribing history boosts members’ clinical decision-making and improves patient health outcomesThe Connecticut State Medical Society (CSMS), representing more than 6,000 physicians in Connecticut, has selected DrFirst, a leading provider of e-prescribing and patient medication management solutions, as the vendor of choice for its robust e-prescribing tool, iPrescribe, for its members.iPrescribe, for iOS or Android smartphones, will provide Connecticut physicians with seamless and automatic access to prescription data from the Connecticut Prescription Monitoring and Reporting System (CPMRS) with one click for more informed decision making at the point of care. With trustworthy, patient-level prescribing history, iPrescribe …

CMS Proposes Historic Changes to Modernize Medicare and Restore the Doctor-Patient Relationship

Proposed changes to the Medicare Physician Fee Schedule and Quality Payment Program would streamline clinician billing and expand access to high-quality care Today, the Centers for Medicare & Medicaid Services (CMS) proposed historic changes that would increase the amount of time that doctors and other clinicians can spend with their patients by reducing the burden of paperwork that clinicians face when billing Medicare. The proposed rules would fundamentally improve the nation’s healthcare system and help restore the doctor-patient relationship by empowering clinicians to use their electronic health records (EHRs) to document clinically meaningful information, instead of information that is only …

QPP Roundup: July 2018

PAI's QPP Tip of the Month: An Updated Look-Up ToolCMS updated the Quality Payment Program (QPP) Look-Up Tool with 2018 Merit-based Incentive Payment System (MIPS) eligibility and Qualifying Alternative Payment Model (APM) Participant (QP) data. You can enter your National Provider Identifier (NPI) to determine: 1) whether you are required to participate in MIPS in 2018 and 2) your Predictive QP status. You can also check 2018 MIPS eligibility at the group level and APM Predictive QP status at the APM entity level by logging into the QPP website with your Enterprise Identity Data Management credentials and the Taxpayer Identification Number …

New Resources Available from CMS

The Centers for Medicare and Medicaid Services (CMS) has posted new resources on CMS.gov to help eligible clinicians and groups understand their Merit-based Incentive Payment System (MIPS) final score, performance feedback, and payment adjustment, as well as the targeted review process.The new resources include: MIPS Performance Feedback Fact Sheet: Offers an overview of what performance feedback is, who receives the feedback, and how to access it on the Quality Payment Program website. Targeted Review of the 2019 MIPS Payment Adjustment Fact Sheet: Details what a targeted review is and when and how to request a targeted review. Targeted Review of …

New Law Effects Physician Prescribing for Family Members

CSMS advocated for ethical prescribing guidelines to be met. Public Act 18-166 became effective on July 1, 2018. Section 2 of this act places into law language limiting how and when any prescriber can prescribe for immediate family members. CSMS worked with legislators, other professions with prescribing abilities, the HAVEN program, the administration, and the Department of Consumer Protection to ensure that language was consistent with AMA guidelines for ethical prescribing.Under the new law, prescribing practitioners generally may not prescribe, dispense, or administer schedule II to IV controlled substances to themselves or immediate family members. An “immediate family member” is …