If Your Group Practice Has Plans to Participate in the 2014 PQRS GPRO, Act Immediately!
The deadline for groups to register to participate in the CMS 2014 Physician Quality Reporting System (PQRS) Group Practice Reporting Option (GPRO) is September 30, 2014 11:59 pm EDT! If your group has 10 or more eligible professionals, participation in the 2014 PQRS GPRO allows your group a waiver for the automatic 2% reduction in payments that would occur in 2016. If your group practice did not participate in 2014, you can avoid the automatic payment adjustment in 2016 if the eligible professionals in the group participate in the PQRS as individuals and at least half of the eligible professionals meet the requirements. Additional information about these requirements can be found here.
How Has New York’s Health Exchange Affected Your Practice?
With New York heading into its second open enrollment period for its New York State of Health Healthcare Exchange starting November 15, it’s important for us to gain a better understanding of the experiences physicians have had in the first year of its existence. Working with MSSNY, we are also seeking to understand the experiences you’ve had with Medicaid managed care, as well as changes in the commercial market. This way we can inform state policymakers about how a practice has handled the new health care exchange infrastructure. You can find the survey here, and it only takes a few minutes to fill out.
Health and Public Policy Meeting
Early last week several prominent doctors from around the state met in Albany to discuss health and public policy. They went over concerns for the implementation for ISTOP and electronic prescriptions, as well as the 2015 legislative agenda.
Join the Effort to Ensure Medicaid Fee Parity for Primary Care Physician Visits
Please take action today and urge Senators Schumer and Gillibrand to support the "Ensuring Access to Primary Care for Women & Children Act" (S. 2694). To ensure parity for Medicaid patients, this bill would continue payment of Medicaid fees at Medicare levels beyond 12/31/14.
It takes less than a minute! A sample message is provided for you to personalize. Be sure to add an opening and closing and we urge you to edit the suggested text to reflect your own practice situation.
The two-year Medicaid Primary Care Pay Parity program was enacted as part of the Affordable Care Act (ACA), and was effective Jan. 1, 2013 through Dec. 31, 2014.
Before this program went into effect, many New York State Primary Care Physician practices were unable to accept more Medicaid patients because Medicaid reimbursement rates in New York were much lower than Medicare and other payers, an astonishing 42% of Medicare, well below the actual cost of care. Please show your support of S. 2694 and tell your senators that Medicaid fee parity is important to the overall health of New York State!
Click the link below to log in and send your message:
CMS Launches Road to 10 Webcast Series
The Centers for Medicare & Medicaid Services (CMS) has released a new webcast introducing the "Road to 10" tool. Accessible through the "Road to 10" link on the CMS website, the webcast covers the history of the International Classification of Diseases (ICD) and the benefits of ICD-10. This is the first in the new "Road to 10" webcast series. Five more webcasts will follow-all aimed at helping small practices get ready for ICD-10 by the October 1, 2015, compliance date.
Also available now is a brief video introduction to the "Road to 10" tool. Developed in collaboration with physicians, the "Road to 10" tool offers:
- Clinical documentation tips
- Coding concepts
- Clinical scenarios
- Training calendar
Go to the CMS ICD-10 website to get started on the "Road to 10" today.
Keep Up to Date on ICD-10
Visit the CMS ICD-10 website for the latest news and resources to help you prepare.
Chapter Leaders Meet With Acting NYS Health Commissioner Zucker
On Monday, July 14th, Chapter Leaders met with New York State Acting Health Commissioner Howard A. Zucker, MD, JD in his Manhattan offices. Those attending presented a brief overview of the Chapter's mission and focus on physician education, advocacy and quality improvement/patient safety. Dr. Zucker briefly addressed his vision for the future of healthcare in New York and discussed at length his concerns over physician workforce capacity in the area of primary care and general internal medicine. The Chapter was asked to prepare a list of options that could assist the Commissioner as he seeks ways to build and maintain physician capacity, with some emphasis on ways to support small practices.
Mandatory Electronic Prescribing Effective March 27, 2015
Amendments to Title 10 NYCRR Part 80 Rules and Regulations on Controlled Substances have been adopted and became effective as final regulations on March 27, 2013. The amendments authorize a practitioner to issue an electronic prescription for controlled substances in Schedules II through V and allow a pharmacist to accept, annotate, dispense and electronically archive such prescriptions.
The amendments require the following;
- Computer applications utilized must meet federal security requirements.The federal requirements are included in the Drug Enforcement Administration Interim Final Rule regarding Electronic Prescriptions for Controlled Substances. The rule may be accessed via the U.S Department of Justice DEA Office of Diversion Control website. Contact your software vendor to determine if your application meets the above mentioned requirements.
- Computer applications meeting federal security requirements must be registered with the Department of Health, Bureau of Narcotic Enforcement.
- To meet the New York State Public Health Law data submission requirements for electronic prescribing of controlled substances, the pharmacy must submit controlled substance dispensing data to the Department of Health, Bureau of Narcotic Enforcement, using the American Society for Automation in Pharmacy (ASAP) format Version 4.2 or greater.
- Pursuant to Public Health Law section 3302(37), an electronic prescription for controlled substances may only be issued in accordance with Department of Health regulations, as well as NYS Education Department regulations and federal requirements. NYS Education Department regulations may be accessed electronically.
New York State Regulations related to Electronic Prescribing of Controlled Substances may also be accessed electronically. Specific regulations pertaining to issuing electronic prescriptions for controlled substances may be accessed in 10 NYCRR 80.64
By March 27, 2015, all prescriptions (including prescriptions for non-controlled substances) issued in New York State must be electronically transmitted, with certain limited exceptions. Please continue to visit this webpage for information pertaining to electronic prescribing of controlled substances.
If you have met all federal security requirements and would like to register the application with the Bureau of Narcotic Enforcement, send an email to email@example.com. Include "Electronic Prescribing" in the subject.
- Letter to Pharmacies Regarding Electronic Prescribing Registration
- Letter to Practitioner Regarding Electronic Prescribing Registration
"Doctors Across New York" - Vital Program for our Future
NYACP sponsored visits at the State Capital along with representatives from several other state healthcare organizations as part of the WAG (Physician Workforce Advisory Group) to inspire support for continued and expanded funding of DANY (Doctors Across New York). DANY award recipients were present to tell their real life story of how they settled into a community and began their medical career with the assistance with this vital state funded program. DANY was established to promote recruitment and retention of physicians providing care to underserved populations in New York. We met with State Senators and Assemblymen to discuss the benefits of a strong primary care foundation in the State and the dialogue was very productive. Legislators were actively engaged about the looming physician shortage, especially in primary care, the increase in insured patients due to the New York's Health Benefit Exchange and the need for a solid primary care workforce to keep New Yorkers healthy. In addition to DANY, the WAG also promoted the continued funding of the PCSC (Primary Care Service Corps) to support the growth of allied health providers to increase effective care teams.
The DANY program has allocated more than 34.2 million dollars to more than 100 award recipients. Continuation and expansion of this program is a priority legislative goal.
Our online grassroots action center provides quick and easy access to your local and federal representatives.
NYACP advocates to increase access and quality of care, promote patient safety, and improve the public's overall health.
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