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August 2017
Hardenbergh August 2017
Greeley July 2017

A Word from the President


Welcome to the August issue of NAMSS Gateway. With just a few months until the 41st Educational Conference & Exhibition, I’ve been planning my schedule and thinking about all of the opportunities there are to learn and grow this year. Whether young professional or veteran MSP, you’re sure to take home new skills, new contacts, and new ideas. In addition to the many educational offerings, the conference is filled with opportunities to transform your career.

One career-developing opportunity that stands out to me is the Leadership Certificate Program Live Course. For the second year in a row, MSPs who are dedicated to our field will gather just before the start of the conference for a two-day workshop. After participating in hands-on activities and engaging in dialogue about the challenges we face, these colleagues will leave as leaders in our field. I’m so excited to see how these bright minds will shape our field and foster the next generation of leaders. If you are ready to transform your career, I encourage you to take advantage of this distinct course, offered by NAMSS only twice a year.

Have you explored the schedule yet? Share what you’re most looking forward to by posting on Facebook, LinkedIn, or Twitter using #NAMSS2017. I hope to see you in Colorado Springs!

Susan DuBois, CPCS, CPMSM
NAMSS President
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Headlines

News From NAMSS

Can’t Make it to Colorado? Join Us Virtually!
Calling All Young Professionals
Recertify Today!
Obtain Your CPCS and/or CPMSM Certification Before the Year Ends
Last Chance: Physician Performance Webinar Series Concludes August 24
Call for 2018 NAMSS Committee Volunteers - Last Chance to Apply
NAMSS Board of Directors Election Opening Friday, September 15
Check out the NAMSS Career Center

Industry News

"Physician Workforce Trends and Their Implications for Spending Growth"
"Credential and Privilege Physicians Strategically for SNF Practice"
"Fake Doctor Pleads Guilty After Running Clinics in 4 States"
"Doctors Are Getting Older"
"The Company Behind Many Surprise Emergency Room Bills"
"Medical Malpractice Suits Filed Against Omaha Doctor, Cosmetic Surgery Clinic"
"Physician Gets Jail Time for Taking Blood-Lab Bribes"


News From NAMSS


Can’t Make it to Colorado? Join Us Virtually!

Registration is now open for the NAMSS Virtual Conference! With eight sessions streamed live from the 41st Educational Conference, you and your team can earn CE credits, learn from experts in real time, chat with other virtual attendees, and ask the presenter questions, all from the comfort of your own office. View the schedule of virtual sessions and register today!
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Calling All Young Professionals

Are you between the ages of 21 and 40? Join us at the NAMSS 41st Educational Conference and Exhibition to meet and network with young professionals. The NAMSS Young Professionals Working Group will be in the Leadership Lounge during the Opening Reception on Sunday, October 22. Young professionals and first-time attendees can use this opportunity to network, meet with NAMSS leadership, and learn how to become more involved with NAMSS. For more information, please contact us .
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Recertify Today!

The 2017 NAMSS recertification application is now available! The recertification application can be found online. Paper applications will not be accepted.

In order to submit an application, you must log in to the NAMSS website. Your application may not be properly received if you do not log in to your existing account.

Forgot your password? You can reset your password and retrieve your login information by clicking here and entering your e-mail address. Please contact the Executive Office should you need further assistance.

In order to remain certified, the 2017 recertification application must be completed and submitted by Friday, December 1st, 2017. All CE credits must also be achieved by this deadline. A listing of those due to recertify in 2017 can be found here. Please contact us with any questions.
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Obtain Your CPCS and/or CPMSM Certification Before the Year Ends

Take the next step in your professional career and obtain your certification to show your expertise in the field of healthcare credentialing, governance, law, accreditation, and regulatory compliance. If one of your goals this year is to obtain your CPCS and/or CPMSM certification, apply by Friday, September 8 for the fall testing period, October 28- November 18. This is the last certification testing window of the year! Looking for more information on certification? Download the Certification Handbook.
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Last Chance: Physician Performance Webinar Series Concludes August 24

Is physician performance something your facility struggles with? August is your last chance to take advantage of the Physician Performance Webinar Value Package! For a discounted rate of $115 (members)/$155 (non-members), you will get access to recordings of Evaluation of the Aging Physician and How to Move Peer Review from Quality Assurance to Performance Improvement, and live access to the August webinar:

Negligent Credentialing: How to Avoid Being in the Headlines
Thursday, August 24, 2017
2:00 – 3:00 pm ET (1:00 – 2:00 pm CT)
Sally Pelletier, CPMSM, CPCS

After you attend the August live webinar, you will earn 1.0 CE credits. Learn more about NAMSS webinars.
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Call for 2018 NAMSS Committee Volunteers - Last Chance to Apply

Volunteering to be appointed to a NAMSS governance committee is a leadership opportunity that shouldn’t be missed. If the time is right in your career, stand up and serve! Being an effective member of one of a NAMSS committee requires certain traits and skill-sets: integrity, responsibility, respect, and a positive attitude. If you see these qualities in yourself and you have the passion to serve your peers, now may be the time to set a course for your volunteer leadership path. Apply Today!

For more information, visit the NAMSS website.
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NAMSS Board of Directors Election Opening Friday, September 15

The NAMSS Board of Directors Elections will open for member vote on Friday, September 15. The NAMSS Board of Directors leads and advises NAMSS initiatives such as the annual conference, education programs, and NAMSS PASS™. The NAMSS membership looks to the Board as leaders in the field that can leverage their expertise to improve NAMSS programs in 2018 and future years. The nominees for the Board of Directors will be announced when the ballot opens, and members can vote until Monday, October 2.
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Check out the NAMSS Career Center

The NAMSS Career Center is a great resource for those looking for a position in the medical services field. Create an account to post your resume, set up job alerts and search for available positions from dozens of hiring companies. The career center is also perfect for employers looking for top-notch candidates; search resumes or post a job today.
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Industry News


Physician Workforce Trends and Their Implications for Spending Growth
Health Affairs (Summer 2017) Barbey, Christopher; Sahni, Nikhil; Kocher, Robert

Controlling the growth rate of healthcare spending is essential to the success of the Affordable Care Act (ACA) or any reform of it. Labor, though, represents over half of healthcare costs, and the size and composition of the healthcare workforce has ramifications for spending growth now and down the line. A research team endeavored to understand the trends underlying the growth in the clinical workforce and their potential implications for healthcare spending and policy. They used the Bureau of Labor Statistics' Occupational Employment Statistics files between 2005 and 2015, which recorded the number of jobs by industry and occupational type. Researchers limited their analysis to ambulatory healthcare services, hospitals, and nursing and residential care communities. Overall, they found a net increase of 2.6 million jobs in the healthcare sector over that 10-year span. Of that, 6 percent of these jobs were for physicians, including primary care doctors and specialists.
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Credential and Privilege Physicians Strategically for SNF Practice
HealthLeaders Media (07/31/17)

Practitioners anticipate rigorous credentialing when applying for hospital privileges. Many, though, are sometimes surprised by the same level of scrutiny in the long-term care arena and may steer clear of the niche as a result. "It can be difficult to recruit physicians to the long-term care setting in some markets," concedes Stefanie Corbett, postacute care regulatory specialist at HCPro in Massachusetts. "So, we have to be mindful of what administrative burden we place on them." Making the process as painless as possible for applicants can be especially difficult for senior homes affiliated with hospitals or health systems that seek to roll out their acute care credentialing approach systemwide. Corbett concludes, "Before [you] apply a blanket policy across the continuum, make sure that the expectations are practical for different settings."
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Fake Doctor Pleads Guilty After Running Clinics in 4 States
U.S. News and World Report (07/26/17)

Isabel Kesari Gervais, a fake naturopathic doctor accused of operating medical clinics in four states, has pleaded guilty. Federal prosecutors say the 60-year-old used the name Dr. Rose Starr and claimed to use naturopathic medicine to cure such illnesses as cancer. Gervais admitted that she lied about her medical license, experience and credentials in her guilty plea. Prosecutors say she used aliases to run clinics in Alabama, Arkansas, Georgia, and Kansas over a 15-year span. Gervais faces a maximum penalty of 30 years in prison and a $1 million fine at her sentencing in November.
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Doctors Are Getting Older
MedPage Today (07/21/17) Walsh, Thomas

Currently, 23 percent of all practicing physicians in the United States -- or roughly 242,000 doctors -- are age 65 or older, according to the American Medical Association's Council on Medical Education. Consequently, one of the big questions moving forward will be: "How can balance be found in weighing the virtue of experience against the risks associated with age, be it cognitive or physical?" Recommendations cover both doctors and their organizations. They include: individual physicians undergoing voluntary physical exams; healthcare organizations developing policies for mandatory testing at certain ages; local medical societies providing resources for support and peer review for solo practitioners, particularly those in rural and underserved areas; national professional membership organizations promoting standards for testing at certain ages; and, finally, professional liability insurers reducing fees for doctors who voluntarily submit to medical examinations and peer evaluations.
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The Company Behind Many Surprise Emergency Room Bills
New York Times (07/24/17) Creswell, Julie; Abelson, Reed; Sanger-Katz, Margot

EmCare ranks as one of the country's biggest physician-staffing companies for emergency rooms (ERs). But a Yale University study released late last month found that the rate of out-of-network doctors' bills for customers of one large insurer rose when EmCare entered a hospital. The rates of tests ordered and patients admitted from the ER into a hospital also climbed, while the use of the highest billing code increased, too. EmCare has since issued a statement in which it described the study as "fundamentally flawed." However, it has conceded that surprise billing -- a term used for when a doctor is unexpectedly not part of an insurance network -- is "a source of dissatisfaction for all payors, providers, and patients in our current health care system." In addition, EmCare has publicly committed to reaching agreements with insurers for the majority of its doctors within the next two years.
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Medical Malpractice Suits Filed Against Omaha Doctor, Cosmetic Surgery Clinic
Omaha World-Herald (08/02/17) Anderson, Julie

Earlier this month, seven women filed lawsuits in Douglas County (Neb.) District Court alleging medical malpractice by an Omaha doctor and his cosmetic surgery clinic. The lawsuits allege that the women suffered disfigurement, scarring, and pain due to the direct actions of Dr. Gerard J. Stanley Jr. and Sculpt Contemporary Cosmetic Surgery in Omaha. Attorney James Martin Davis is representing the seven females and two spouses. He says the women all thought Stanley was a plastic surgeon and subsequently underwent procedures in his office ranging from breast lifts to tummy tucks to an eyebrow lift. Since the lawsuits were filed, Davis has been contacted by four other women who have raised similar charges.
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Physician Gets Jail Time for Taking Blood-Lab Bribes
HealthLeaders Media (07/17/17)

Dr. Bernard Greenspan will spend 41 months in jail for accepting bribes in return for referring patients to Biodiagnostic Laboratory Services (BLS) in Parsippany, N.J, as part of a scheme operated by the blood-testing lab. According to the U.S. Justice Department, BLS paid physicians to refer their patients to BLS, receiving more than $100 million in total payments from private insurance companies and Medicare as a result. BLS pleaded guilty to the scheme last summer and subsequently forfeited all of its assets. Greenspan was convicted of multiple charges, most notably violating the Anti-Kickback Statute and the Federal Travel Act from March 2006 to April 2013. During that time span, he received around $200,000 in bribes from BLS in exchange for his referrals that generated BLS nearly $3 million in business. Greenspan has also been fined $125,000 and must forfeit more than $200,000. Five other doctors have recently pleaded guilty to similar charges in connection with the scheme. All five are from the New York-New Jersey area and will be sentenced in December.
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