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Thank you for visiting the website of the New York State Neurological Society (NYSNS)! You can use the top menu to discover who we are and how to join as well as find resources for neurologists and the most recent updates on our 2017 conference. Feel free to contact us if you have any questions or want more information!


NYSNS Annual 2017 Conference

Our NYSNS Annual 2017 Conference will be held on October 14 – October 15 in New York City. We look forward to having you join us. Registration will open in early July. Please check back then for more information on the conference location, room blocks, cost, and registration. If you have any questions, please reach out to nysneurology@gmail.com.


Take Our Survey!

We want to hear from you! We created a quick NYSNS Needs and Value Assessment survey (below) to get a sense of how the NYSNS can best serve you.


News

CMS: New Quality Payment Program Resources Available and New Site Look

The Centers for Medicare & Medicaid Services (CMS) has recently revamped the look of the Quality Payment Program website and also posted new resources to help clinicians successfully participate in the first year of the Quality Payment Program.

CMS encourages clinicians to visit the website to review the following new resources:

  • MIPS Quick Start Guide: Outlines the steps MIPS clinicians need to take between now and March 2018 to prepare for and participate in MIPS, including checking participation status, choosing to participate as an individual or as part of a group, deciding how to submit data, and selecting measures and activities.
  • Medicare Shared Savings Program and Quality Payment Program Fact SheetExplains how the Shared Savings Program and the Quality Payment Program align reporting requirements for participating Accountable Care Organizations (ACOs) and MIPS clinicians, and how certain tracks in Shared Savings Program ACOs meet Advanced Alternative Payment Model (APM) criteria under the Quality Payment Program.
  • MIPS APM Fact Sheet: Provides an overview of a specific type of APM, called a MIPS APM, and the special APM scoring standard used for those in MIPS APMs.

CMS is Accepting Future Measures and Activities for Three MIPS Performance Categories until June 30

The Centers for Medicare & Medicaid Services (CMS) Annual Call for Measures and Activities for the Merit-based Incentive Payment System (MIPS) track of the Quality Payment Program (QPP) is open until June 30, 2017.

CMS encourages clinicians, measure stewards, organizations, and other stakeholders to identify and submit measures and activities to be considered for the Quality, Advancing Care Information, and Improvement Activities performance categories of MIPS in future years.

Submission Details

Measures and activities should be relevant, reliable, and valid at the individual clinician level. To be considered, proposals must include measure specifications, related research, and background.

A final list of measures and activities for MIPS clinicians will be published in the Federal Register no later than November 1 of the year prior to the first day of the performance period. Please note that some Advancing Care Information measures finalized in the 2018 final rule may not take effect until 2020, depending on the functionalities and workflow changes needed for implementation.

June 20, 2017: New York State Pain Society (NYSPS) Mandatory Prescriber Education Course

The New York State Pain Society (NYSPS) is providing the Mandatory Prescriber Education Course course to any and all prescribers in the state without fee.  Here is the registration link with venue, date, location.

June 20 – SUNY Gobal Center NYC *

https://crm.nypainsociety.org/public/event/details/6e3a02ae45f9929a3c566138d3736c35b98c659c

*NYSPS providing this live (limited to 125 people) at the SUNY Global Center midtown NYC  as well as simulcast (unlimited attendance) online.

June 15, 2017: CMS Webinar: Prepare your practice for Medicare’s Quality Payment Program (QPP) with CMS-funded technical resources

CMS will be hosting a webinar on June 15th to provide an overview of some of the upcoming deadlines practices are facing to avoid payment adjustments under QPP and other CMS payment programs, and to provide an overview of the CMS-funded technical assistance available to assist them in successfully participating in QPP and in transforming their practices.  Those practices that are successful can receive significantly higher reimbursement from CMS in the future, but many clinicians still have questions and concerns about this program, and are unsure where to go for help.

Please join the webinar on June 15th at 5pm.  It will be joined by CMS grantees and contractors that are funded to assist clinicians with QPP, and will present information about other available resources. The link for the webinar and dial-in information will be emailed to those who register a few days before the call.

https://www.eventbrite.com/e/macra-quality-payment-program-deadlines-and-resources-in-new-york-tickets-35012449178

Important Medicare Part C Reimbursement Changes Effective June 1, 2017

Medicaid reimbursement of Medicare Part C (Medicare Advantage or Medicare managed care) copayment and/or coinsurance liabilities for outpatient services provided to dually eligible Medicaid beneficiaries (individuals having both Medicaid and Medicare coverage) will change on June 1, 2017.

For Dates of Service on and after July 1, 2016, Medicaid will reimburse at the rate of eighty-five percent (85%) of the Medicare Part C copayment or coinsurance amount for the following accepted claim scenarios:

  • Institutional and professional claims: When submitting claims for Medicaid reimbursement of a Medicare Part C copayment or coinsurance.
  • Pharmacy claims: For drugs and supplies submitted via an NCPDP transaction or by a professional claim.
  • All applicable claims with dates of services on or after July 1, 2016, shall be retroactively adjudicated by Medicaid to reflect the new cost-sharing limits.

No reimbursement changes are being made for ambulance providers and psychologists. Medicaid will continue to reimburse full Medicare Part C copayment/coinsurance amounts.

Remember: Providers of Medicare Part C benefits cannot seek to recover any copayment or coinsurance amount from Medicare/Medicaid dually eligible beneficiaries. The provider is required to accept the Medicare Part C health plan payment and any Medicaid payment as payment in full for the service. The Medicaid beneficiary may not be billed for any Medicare Part C copayment/coinsurance amount that is not reimbursed by Medicaid.

Please see the April 2017 issue of the Medicaid Update for more information:http://www.health.ny.gov/health_care/medicaid/program/update/2017/apr17_mu.pdf

2016 PQRS Educational Materials

CMS is pleased to announce the posting of several 2016 PQRS educational materials. Some highlights include:

  • The “2016 Implementation Guide,” available on the PQRS How To Get Started webpage, contains information for individual eligible professionals and PQRS group practices participating in 2016 PQRS.
  • The 2016 PQRS measures documents, for those reporting via the claims and registry reporting mechanism, are located on the PQRS Measures Codes webpage.
  • The 2016 group practice reporting option (GPRO) Web Interface measures documentation is available on the PQRS GPRO Web Interface webpage.
  • The PQRS Spotlight webpage contains a list of all recent documents and resources. Please check this page regularly for updates.

Be sure to look at the reporting mechanism-specific pages for “Made Simple” documents as well as other 2016 PQRS information. 2015 PQRS resources will be transferred to a separate webpage following the 2015 submission period.

For questions regarding 2016 PQRS reporting, please contact the QualityNet Help Desk at1-866-288-8912 (TTY 1-877-715-6222) from 7:00 a.m. to 7:00 p.m. Central Time Monday through Friday, or via e-mail at qnetsupport@hcqis.org.

 

 


Federal Legislative Updates

Congress passed the FY2017 spending bill, which includes $34 billion for the NIH, an increase of 6.2% from FY2016. The BRAIN Initiative received $260 million, which was a request of the AAN’s Neurology on the Hill effort in February. The bill also provided substantial increases in funding for Alzheimer’s disease, telehealth, and opioid abuse.

On May 4, 2017, the House of Representatives narrowly passed the American Health Care Act (AHCA), a bill that repeals and replaces several provisions of the Affordable Care Act. Due to concerns about reduced access to health insurance coverage, the AAN and most other medical groups oppose the bill. The legislation will now advance to the Senate.

The Furthering Access to Stroke Telemedicine (FAST) Act (HR. 1148/ S. 431), now has 80 bipartisan cosponsors in the House and seven bipartisan cosponsors in the Senate. The bill has also been included in several key legislative packages. On May 15, 2017, AAN member neurologist and American Heart Association advocate Lee H. Schwamm, MD, testified in support of this legislation before the Senate Finance Committee.

 


State Legislative Updates


AAN Monthly Updates

Review the AAN’s 2016 accomplishments, financial results, and an outline of the 2017 strategic plan in the2016 Annual Report: We’ve Got Your Back.

The AAN and American Psychiatric Association released the dementia management quality measurement set update on May 1. The measures and publication are available online. Select dementia management measures are available in 2017 for use in CMS’ Merit-based Incentive Payment System (MIPS).

The Axon Registry® has been designated a Quality Clinical Data Registry (QCDR) for reporting year 2017 by CMS. This means the registry can report neurology specific quality measures under the MIPS program. Visit our website for information on how to join the Axon Registry and what it could do for your practice.

“Practice Guideline: Sudden Unexpected Death in Epilepsy Incidence Rates and Risk Factors” was published in Neurology during the Annual Meeting on April 24, 2017. It was codeveloped with the American Epilepsy Society and endorsed by the International Child Neurology Association.

“Practice Guideline: Reducing Brain Injury After Cardiopulmonary Resuscitation,” was published online ahead of print in Neurology on May 10, 2017. It was endorsed by the Neurocritical Care Society.


MSSNY Monthly Updates

With limited time left of current legislation session in Albany, we need to remain active in the legislative process. The end of session usually brings a lot of negotiations and deals on various bills and regularly includes surprises. While it’s hard for us to predict the unpredictable, there are ways to get involved and tip the odds in our favor. As we monitor bill introductions and meet with every legislator, our physicians must keep up on the most up-to-date information and important material to boost our efforts. Our grassroots action network click here is filled with informational materials and ways to contact your legislators. Please call, write and meet with your legislators before the end of session which is scheduled for June 21st.

All physicians are urged to continue to contact their legislators (click here) to oppose bills moving in the Legislature that could drastically increase the cost of medical liability insurance at a time when no increases can be tolerated. MSSNY has been working closely with hospital associations and specialty societies to demonstrate the health care community’s shared concerns regarding the serious adverse consequences to our healthcare system were any of such one-sided bills to be adopted. The timing of these bills could not be worse. We now have multiple malpractice insurance companies operating in New York State that appear to be in serious financial jeopardy which can ill-afford to absorb the substantial costs of a brand new cause of action. Moreover there is a great uncertainty in the NY healthcare delivery system as a result of legislation before Congress that could profoundly restructure Medicaid spending. Please urge you elected officials to oppose the following bills:

  • Lengthening the Medical Liability Statute of Limitations (A.3339/S.4080) – would substantially lengthen the statute of limitations for medical malpractice actions and lead to enormous increases in the cost of liability insurance for physicians and hospitals.  If enacted this bill could increase your liability premiums by 15%. This bill is on the Assembly floor and can be voted on at any time.
  • Expansion of Wrongful Death Actions (A.1386/ S.411) – would greatly expand the categories of damages which a plaintiff may recover in a wrongful death action.  Actuarial studies have predicted that this bill could increase liability premiums by over 50%. This bill is on the Assembly Codes Committee next week.
  • Direct Actions Against a Third Party Defendant (A.1500 / S. 412) – would permit a plaintiff to bypass the defendant he or she sued to collect a judgment from a third party defendant who or which had been sued by the defendant for contribution or indemnification as a result of the underlying action.
  • Prohibiting Ex-Parte Interviews of Plaintiff’s Treating Physician (S.243/A.1404) – would prohibit a physician’s defense counsel in a medical liability action from conducting an interview with the plaintiff’s treating physician. This bill would present significant issues for physicians in a medical liability action by limiting the opportunity to fully examine the plaintiff’s health condition to evaluate the merit of the plaintiff’s claim.

With just a few weeks left in the Legislative Session, physicians are urged to contact their legislators to ask them to support legislation strongly supported by MSSNY to address prior authorization hassles imposed by health insurance companies, increase coverage for patients, and to limit the ability of health insurers to narrow their networks. These bills include:

  • S.3943 (Hannon)/A.2704 (Lavine) – would provide physicians and other health care practitioners with necessary due process protections where health insurers seek to terminate a physician from its network by failing to renew the physician’s contract.  The bill has passed the Assembly and was recently reported to the Senate floor.
  • S.3663 (Hannon)/A.4472 (Gottfried) – would permit independently practicing physicians to collectively negotiate patient care terms with market dominant health insurers under close state supervision. In addition to the ability to push back against exorbitant administrative hassles imposed by insurers, it would also help to protect physicians to have a stronger option to remain in independent practice. The bills have advanced to the Senate Finance Committee, and the Assembly Ways and Means Committee.
  • S.5675 (Hannon)/A.7671 (Rosenthal) – would require health insurers to make out of network coverage options available through the New York Health Insurance Exchange. Currently, there are no out of network coverage options in the Exchange in downstate New York, despite Exchange officials strongly encouraging the offering of these options by insurers. The bills are in the Senate.

 

 

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