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. Feel free to contact us if you have any questions or want more information!
Conditions and COVID Vaccine
New York State’s vaccine roll–out inspires a number of questions for doctors and patients. The link HERE provides the list of conditions which qualify for COVID vaccination outside of age and profession.
Our Annual Winter Meeting November 14 – 15, 2020 Was a Success!
Congratulations to the Mt. Sinai Neurostakes Team, this year’s Neurostakes Champions!
Sathiji Nageshwaran, MD
Daniella Sisniega, MD
Adam Karp, MD
Kate Kerpen, MD
Phil Maynard, MD
Stay Tuned for the Date of the Next Annual!
Community-Based Physicians and Staff: Obtaining COVID Vaccinations
Doctors who are on a medical staff or affiliated with a hospital, employed or not: The New York State Department of Health (DOH) has stated that you will receive your vaccination from the hospital. Priority is to be given based on exposure risk and personal health risk factors, NOT based on employment status.)
Please note that there are different procedures for New York City and for the rest of New York State whether making appointments for health care professionals to be inoculated or ordering vaccine for your practice.
For Everyone Before Your Appointment: You will need to complete the NYS COVID-19 Vaccine Form (PDF) in order to get vaccinated. NYS requires the provider administering the vaccine to check that you completed the form. In addition, you will need to bring proof of employment, such as an employee ID card, a letter from your employer or affiliated organization, or a recent pay stub; or proof of your priority status, such as your practice letterhead, etc.
New York City
Community–based physicians and their staff, in New York City, can now make appointments to receive the vaccine at one of the locations listed on the web page of the NYC Department of Health and Mental Hygiene (DOHMH) – click HERE. To make an appointment, some of these locations ask you to enter your information online. Other locations ask you to call them on the phone. We have learned that some physicians have been able to set up appointments fast, and some have even received the vaccine. The City plans to ramp up capacity at these sites and add sites over the coming weeks
New York State Outside New York City
Community-based physicians and their staff, outside of New York City, can now make appointments to receive the vaccine at one of the locations listed on the website of the New York State Department of Health (DOH). Click HERE for a series of web pages that will ultimately give you a list of vaccination sites within 100 miles of your zip code, with the facilities’ names and addresses and instructions for how to schedule an appointment. Most of the facilities require you to phone and give the phone number.
You can become a vaccine provider in your own practice. You will have vaccine for yourself, your staff and your patients. This goal is doable, but you and/or your staff will have to manage the vaccine and the recipients. (Note about reimbursement: Providers will be required to offer the COVID-19 vaccine to people regardless of their insurance status or ability to pay. Providers are not permitted to bill the recipient. They are permitted to bill the recipient’s health insurance plan only – and only for an administration fee, not for the cost of the vaccine.)
Managing the Vaccine
You will not receive a shipment unless you commit to:
- Using each shipment within a week
- Complying with strict priority requirements
- Using as much of the shipment as possible within your facility – and, if you have vaccine left over, vaccinating outside populations (again, following strict priority)
- Complying with cold chain requirements
- Reporting every shot within 24 hours (online or via EMR)
Managing the Recipients
You must make plans for:
- Scheduling appointments and enforcing safety requirements (masks, social distancing)
- Making sure that each recipient fills out the vaccine form, and provides proof of eligibility or priority status (there are FINES if you vaccinate someone without proof of eligibility)
- Setting up appointments for the second shot, and making sure that each recipient actually receives the second shot
- Informing recipients about “V-Safe” (the smartphone app for adverse reactions)
For more information, go HERE.
Steps for Ordering Vaccine for New York City Practices
If you have a New York City practice, you must be currently registered with New York City’s CIR (Citywide Immunization Registry). If you are not already registered with the CIR or have not reported to the CIR in over a year, you should register now by visiting the Online Service Registration page HERE. Next, you will be asked to complete and sign a COVID-19 Vaccination Program Provider Agreement, which is handled by the CIR. For instructions, go HERE. When you have gathered the information and are ready to apply online for access instructions, go HERE.
Steps for Ordering Vaccine for Practices Outside of New York City
If your practice is outside of New York City, you must register for NYSIIS, New York’s Immunization Information System (if you are not already enrolled in that system). See the Checklist to Go Live with NYSIIS HERE.
- NYSIIS is located on the Health Commerce System. If responsible staff do not yet have an HCS account, they must apply for one.
- Take the NYSIIS Administrative User Training located HERE.
- Enroll in the COVID-19 Vaccination Program. Please review the following attached documentation and complete the online COVID-19 vaccine enrollment application located in the Health Commerce System.
4.When COVID-19 vaccine is available, providers in NYS, outside of NYC, will order Covid-19 Vaccine through NYSIIS. Orders will be approved by NYS DOH and shipped directly from the vaccine manufacturer or CDC distributor. 5. When vaccine is available, functions staff perform in NYSIIS or CIR will include monitoring vaccine inventory, entering doses administered and/or performing data exchange (uploading and downloading data) between the provider’s electronic health system and NYSII/CIR; entering vaccine returns and wastage, and generating reports for internal review (e.g. doses administered).
Volunteering to Administer Vaccines
Do you want to volunteer to administer the vaccine? The first step in this process is to sign up for ServNY. This volunteer management system, established after 9/11 and administered by the Health Department’s Office of Health Emergency Preparedness (OHEP) is a Web-based registry of individuals who make themselves available to assist on behalf of New York State during an emergency. For more information about the volunteer management system, including a further link for registration, go to: Roll Up Your Sleeves and ServNY.
It is important that you register in advance; your credentials will be verified upon registration and periodically thereafter. (For registration, you’ll be routed either through the NYS Department of Health or through the NYS Health Commerce System, if you already have an account with the Health Commerce System.) When volunteers are needed, ServNY will automatically notify potential volunteers via phone or e-mail with the information necessary for volunteers to determine whether they are ready and available for the assignment. Physicians would most likely be contacted by their local Department of Health, the regional hospital hub or by the county’s Medical Reserve Corp. Activation through this system ensures that there are liability protections for physicians and other health care providers.
NYS Department of Health has two numbers for assistance:
- 1-866-529-1890, option 1 – for assistance with the Health Commerce System
- ServNY at 1-518-408-5163
NYSDOH COVID Complaints or Comments
If you have difficulties with any of the above suggestions, it’s important that you let the New York State Department of Health know. Please send your complaint or comments directly to: COVID19vaccine@health.ny.gov
Thanks to our exhibitors and CME providers below for helping to make our November 14/15, 2020 Meeting possible.
The Janice F. Wiesman, MD, Memorial Lecture Sponsor in 2020
See you at the next meeting!
2019 Winter Meeting Highlights
Gil I. Wolfe, MD, FAAN, president of the New York State Neurological Society (right), recognizes Elliott Gross, MD, the founder of the NY State Neurological Society, at the 2019 Winter Meeting. Dr. Gross received an honorary plaque.
The December 14, 2019 Winning Neurostakes Team from NYU Langone, with (center) NYSNS Vice President Mill Etienne, MD, MPH, FAAN.
MLMIC Says . . .
For the first time, the July 2019 issue of MLMIC’s Case Review is available here as a podcast (see below). Now you can listen to an audio version of each case study and its accompanying legal and risk management analysis. The cases in this new issue include: Gastroenterologist and Hospital Absolved after Disastrous OutcomeAND Poor Communication Regarding Medical Management Results in Patient Death. Listen in at MLMIC Podcast
Check Out MLMIC Case Review
As previously discussed in the Spring 2017 1ssue of Dateline, MLMIC Insurance
Company is increasingly using summary judgment motions to successfully defend
medical professional liability lawsuits commenced against its policyholders, thus
precluding the need for a lengthy and expensive trial The following IS one such case.
MLMIC (NYSNS Endorsed) Earns A+ Rating According to AM Best
AM Best has assigned a Financial Strength Rating of A+ (Superior) and a Long-Term Issuer Credit Rating of “aa-” to MLMIC Insurance Company (MLMIC) (New York, NY). The outlook assigned to these Credit Ratings (ratings) is stable.
The ratings reflect MLMIC’s balance sheet strength, which AM Best categorizes as strongest, as well as its adequate operating performance, limited business profile and appropriate enterprise risk management. The ratings also benefit from the financial support provided by MLMIC’s direct parent company, National Indemnity Company, which is ultimately owned by Berkshire Hathaway Inc. [NYSE: BRK.A and BRK.B].
MLMIC’s risk-adjusted capitalization, as measured by Best’s Capital Adequacy Ratio (BCAR) is categorized as strongest and AM Best expects it to remain at a similar level in prospective years. The balance sheet strength assessment also considers the company’s track record of positive reserves development, as well as good financial flexibility provided by its publicly traded ultimate parent Berkshire Hathaway Inc.
MLMIC has historically generated an adequate level of operating results, supported by modest underwriting profits and moderate investment returns. Underwriting results have consistently benefited from reserve releases on prior accident years. Prospectively, AM Best does not expect any material change in the company’s profitability levels.
MLMIC’s insurance portfolio is concentrated in the medical malpractice line of business. The company underwrites risks only within New York state, which represents one of the nation’s most challenging market environments. However, management has been able to operate successfully through underwriting cycles while maintaining MLMIC’s leading market position within New York. In addition, risk management capabilities have proven appropriate for the risk profile of the company.
MLMIC is the only endorsed medical liability company of the New York State Neurological Society. To learn more go to https://www.mlmic.com/
You Tell CMS (Do It by August 12)
Have you tangled with prior authorization problems connected with Medicare Fee For Service (FFS), Medicare Advantage, Medicaid Advantage or Health Insurance Marketplace Plans? The Regional Office of the Centers for Medicare/Medicaid Services (CMS) would like to hear from you, and soon (deadline August 12, 2019). Please send your experiences and comments concerning pre-authorization procedures and related “hassles” to PatientsoverPaperwork@cms.hhs.gov. CMS will keep all comments, stories, experiences and recommendations you share anonymous. (Exceptions: Your “role” (e.g., clinician), your “location” (e.g., state), or the “facility type” (e.g., hospital).) The information will help to shape policy and educate operational staff, and may become part of internal presentations. More information on the “Patients Over Paperwork” initiative is available at: Patients Over Paperwork
Federal Legislative Updates
State Legislative Updates
August 1, 2019
The Medical Society of the State of New York reports that the New York State Department of Financial Services (DFS) says New York will be delaying adoption of its Workers’ Compensation fee schedule changes for the No-Fault Auto system until October 1, 2020. The delay stems from auto carriers not having the ability to factor in the medical fee increases when making their rate increase request to adjust auto insurance premiums.
June 19, 2019
The State Legislature is currently considering multiple bills that would drastically increase medical liability insurance premiums and decrease patients’ access to essential health care services. Malpractice payouts in New York State continue to be far out of proportion to the rest of country, and WalletHub has again listed New York as the worst state in the country in which to be a doctor. Send emails right now! Go to Write an Email NOW
June 14, 2019
The New York State Neurological Society is proud to have been part of the coalition that fought for immunizations and a stop to the measles epidemic in New York. If you have a moment, thank Assemblymember Jeffrey Dinowitz (office number (518) 455-5965) from the Bronx and Senator Brad Hoylman (office number (518)455-2451) from Manhattan. They continued a fight in the face of vocal and intimidating opposition.
Cuomo signs ban on nonmedical vaccine exemptions https://www.crainsnewyork.com/health-care/cuomo-signs-ban-nonmedical-vaccine-exemptions … via
May 4, 2019
The Board of Directors of NYSNS has signed on with a number of other medical societies around the State of New York supporting 1) Assembly Bill 2371/Senate Bill 2994 which would clarify that the only permissible exception from New York’s vaccination requirements is for patient medical conditions that would place patients who are immunized at risk for adverse outcome; and 2) Assembly Bill 3038/Senate Bill 2847 which would significantly reduce the exorbitant pre-authorization barriers experienced by patients and their physicians that get in the way of timely treatment and medication and would help to protect consumers’ access to their prescription drugs.
Workers’ Compensation News
The Medical Society of the State of New York reports that the New York State Department of Financial Services has decided to delay implementation of the recently updated Workers’ Compensation Medical Fee Schedule until October 1, 2020 for the Auto No-Fault Program.
Therefore, you will need to keep the Workers’ Compensation Fee Schedule that was effective on June 1, 2012 for billing claims for the treatment of persons injured as the result of auto accidents.
Public comment can be sent to Camielle.Barclay@dfs.ny.gov before April 22, 2019.