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February 2017
Hardenbergh Updated June 2016
Greeley_December 2016

A Word from the President


Welcome to the February issue of NAMSS Gateway. In less than a month, Medical Services Professionals (MSPs) from all over the country will be gathering in Orlando, Florida for an immersive learning experience – the NAMSS Education Summit! MSPs in every stage of their career will participate in two-day, hands-on workshops that offer specialized education in a challenging, but fun, environment: Credentialing 101, the CPCS and CPMSM preparation courses, and the Leadership Certificate Program In-Person Course. Just in time for you to join us in Orlando, the Leadership Certificate Program In-Person Course pre-requisites have been modified so you only need to complete the two online modules that have a live component: Becoming an Effective Negotiator and Leading a Team.

If you need a credentialing introduction or refresher, help preparing for your certification exam, or the skills to reach the next level of your career, I hope you’ll join us March 10-11 in Orlando!

Thank you for your support of NAMSS and the profession.

Susan DuBois, CPCS, CPMSM
NAMSS President
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Headlines

News From NAMSS

2017 Membership Renewal
New Resource for Managed Care Credentialing
Leadership Certificate Program Online Modules Now Available Individually
Host a NAMSS Live Course in Your Area
NAMSS Live Webinars
Obtain Your CPCS and/or CPMSM Certification in 2017
Nominate a Deserving MSP for the NAMSS Healthcare Hall of Fame Program
NAMSS-Branded Apparel Now Available

Industry News

"Audit Slams N.J. for Lists of Medicaid Docs, Hospitals Filled With Errors"
"AMA Calls for End to Insurer Prior Authorization Policy"
"Who Is Appropriately Qualified to Perform Cosmetic Surgery? 'Confusing Jargon' Contributes to Misperceptions"
"Bogus Doctor Performed Physicals at Philadelphia High School"
"Hiring Foreign Physicians to Ease NH’s Doctor Shortages"
"Former Casper Doctor Arrested on Warrant for 12 Sexual Assault Charges"
"Physicians' Credentials Should Include Bedside Manners"


News From NAMSS


2017 Membership Renewal

NAMSS Members – Did you remember to renew your NAMSS membership for 2017? Memberships officially expired December 31, 2016, but don't worry - we’ve got you covered. We’ll keep your benefits intact until March 31st. Renew your NAMSS membership today before you lose access to all of the discounts, resources, and networking opportunities that come with your membership!

Log in to your account and then click on “My Profile” under the Membership tab to view, print, or pay your renewal invoice (you will see it listed on the right hand side).

Contact the Executive Office at info@namss.org should you need further assistance.
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New Resource for Managed Care Credentialing

NAMSS is committed to expanding its resource library and offerings to our industry colleagues working in the Managed Care environment. Recently, a group of NAMSS volunteer leaders set out to develop a Managed Care Resource Toolkit that provides a basic set of guidelines and templates to utilize for day-to-day credentialing functions.

NAMSS is requesting your feedback on this resource. We need your ongoing opinions to make changes, add new content, and ensure it holds value to you. Any other thoughts or ideas about resources NAMSS can create for you in the Managed Care realm are also welcome. Please submit your feedback and suggestions to info@namss.org.

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Leadership Certificate Program Online Modules Now Available Individually

For the first time since the launch, the Leadership Certificate Program Online Modules are now available for individual purchase. If you’re not quite ready to dive into leadership, dip your toes into the Leadership Certificate Program by enrolling in individual online modules today!
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Host a NAMSS Live Course in Your Area

NAMSS members already know the value of NAMSS education…but did you know that you can bring it to your area? We understand that travelling to the Education Summit or Educational Conference may not be realistic for everyone, so we offer the opportunity for state and local chapters to host their own live courses in an easy, cost-effective way. Learn more about hosting courses in your area.
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NAMSS Live Webinars

The MSP Pathway: How Do You Advance?
Tuesday, February 28, 2:00 – 3:00 pm ET
Speaker: Donna Goestenkors, CPMSM

The webinar has been approved for 1.0 CE Credits.

This session will focus on the career path of the MSP in light of the current industry trends and shifts, and the tools and skills available to help the MSP keep abreast of these shifts to advance their career path.
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Obtain Your CPCS and/or CPMSM Certification in 2017

If one of your 2017 resolutions is to earn your CPCS or CPMSM certification, apply before Friday, April 7 for the summer testing period, June 3 – June 24, 2017. Looking for more information on certification? Download the Certification Handbook.

Need more time to prepare for the CPCS and/or CPMSM exam? NAMSS will also offer a testing period in Fall 2017.
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Nominate a Deserving MSP for the NAMSS Healthcare Hall of Fame Program

NAMSS is excited to open nominations for the 2017 Healthcare Hall of Fame Program! This prestigious award is being presented by NAMSS and was created to honor Medical Services Professionals (MSPs) who have demonstrated characteristics of enthusiasm, passion, dedication and commitment to the profession. These individuals have advocated for excellence and made outstanding contributions and/or significant strides in the medical services profession of healthcare.

Those inducted into the NAMSS Healthcare Hall of Fame will be honored with the Hall of Fame distinction, provided a custom lapel pin and framed certificate to commemorate the honor, receive Honorary membership in NAMSS and be included on the Hall of Fame Display which will be present at each NAMSS Annual Conference.

For more information on eligibility and the application process, please visit the NAMSS website. The deadline to submit nominations is Friday, March 10.
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NAMSS-Branded Apparel Now Available

Show your NAMSS pride with new NAMSS-branded products! Professional polos and oxfords, cozy jackets, and sporty pullovers are available for purchase in our online shop.
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Industry News


Audit Slams N.J. for Lists of Medicaid Docs, Hospitals Filled With Errors
NJ.com (01/25/17) O'Brien, Kathleen

In New Jersey, a state audit found that regulators have failed to make sure insurance companies serving Medicaid patients have enough doctors, dentists, and other providers. Additionally, their lists of providers were deemed to be "widely inaccurate," creating the false impression insurers provide robust networks. Responding to the audit, the N.J. Department of Human Services insisted it "rigorously" monitors the insurance companies and detailed the steps it routinely takes to make sure there are enough caregivers for the 1.6 million residents covered by Medicaid. Nevertheless, the audit found that insurers "misreported facilities in their networks as general acute care hospitals in certain counties, thus giving the appearance Medicaid beneficiaries had access to the general acute care hospital services when they did not." In addition, four out of the five managed care networks allegedly misrepresented more than 40 facilities in 14 counties as general acute care hospitals.
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AMA Calls for End to Insurer Prior Authorization Policy
Healthcare Finance News (02/08/17) Morse, Susan

The American Medical Association (AMA) last week urged attorneys general in all 50 states to take the same action as recently taken by New York Attorney General Eric Schneiderman in ending the insurance company policy of requiring prior authorization for medication-assisted treatment of substance use disorders. Additionally, the AMA is prodding all insurers to eliminate policies that require patients to repeat step therapy protocols or retry therapies failed under other benefit plans before qualifying for medication-assisted treatment coverage. The AMA made its requests following January's announcement by Schneiderman that Anthem would do as Cigna had previously done in ending its policy of prior authorization for medication-assisted treatment.
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Who Is Appropriately Qualified to Perform Cosmetic Surgery? 'Confusing Jargon' Contributes to Misperceptions
ScienceDaily (02/06/17)

Choosing between a "plastic surgeon" and a "cosmetic surgeon" has important implications for selecting an appropriately qualified physician, according to a report in the February issue of Plastic and Reconstructive Surgery. "Our study shows that the public, and the ultimate consumer, is confused by the titles," states senior author Dr. Rod J. Rohrich of the University of Texas Southwestern Medical Center. Researchers designed an online poll to assess public perceptions of aesthetic or cosmetic surgery. More than 5,100 respondents completed the survey. Incorrectly, 87 percent of respondents believed that surgeons must have special credentials and training to perform these procedures. Over 50 percent were unsure about the training needed to become a "board-certified" plastic or cosmetic surgeon. In reality, surgeons must have at least six years of residency training to be certified by the American Board of Plastic Surgery (ABPS) versus just one year for certification by the American Board of Cosmetic Surgery (ABCS). The ABPS certification is recognized by the American Board of Medical Specialties. The ABCS certification is not.
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Bogus Doctor Performed Physicals at Philadelphia High School
Fox News (01/23/17)

In Pennsylvania, state and local authorities are investigating how a woman with fake medical credentials was able to give physicals at a Philadelphia public high school last year. According to one school district spokesman, the woman performed physicals on dozens of students. The district has offered no explanation as of press time as to how the vetting process works for those who give exams. District officials have confirmed that new protocols are in place to prevent anything like this from happening again. The district has set up new, free physicals for anyone who had been examined by her.
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Hiring Foreign Physicians to Ease NH’s Doctor Shortages
NH Business Review (02/03/17) Murray, Michael

With an aging population, the primary care physician shortage nationwide continues to get worse. Enter the Conrad 30 J-1 Visa Waiver program, which has emerged as a great resource for hiring doctors. This federal initiative assists foreign physicians in pursuing a career in the United States. Under terms of the program, these doctors must agree to provide services in a rural area for a three-year period in order to take part. Each state is allotted up to 30 slots on a yearly basis. Typically, health facilities still try to fill positions with an American citizen. But if they can't attract talent to their area, the Conrad 30 J-1 Visa Waiver program permits them to hire international medical graduates eager to serve. Recent research shows that around 25 percent of primary care in the U.S. is provided by foreign physicians.
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Former Casper Doctor Arrested on Warrant for 12 Sexual Assault Charges
Casper Star-Tribune (WY) (01/30/17) Schmelzer, Elise

Paul Harnetty, a former Casper (Wyo.) doctor, has been arrested in Minnesota on a Natrona County warrant charging him with a dozen counts of sexual assault and attempted drug possession. More specifically, court documents show the 46-year-old was arrested and booked into jail on a warrant for nine counts of criminal sexual conduct in the second degree, three counts of criminal sexual conduct in the third degree, and one count of attempted possession of a controlled substance. Details about the sexual assault charges were not immediately available. An affidavit related to the drug charge alleges Harnetty attempted to purchases 3.6 grams of Nandrolone, a synthetic steroid, from a business in China via e-mail. Harnetty moved to Minnesota sometime between last April and September. Court documents allege he fled Wyoming in order to avoid prosecution. Harnetty, who specialized in obstetrics and gynecology, had privileges with the Wyoming Medical Center.
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Physicians' Credentials Should Include Bedside Manners
Cerebral Palsy News Today (02/03/17) Clouse, Brittney

Columnist Brittney Clouse recently had to see a urogynecologist after nightly bed-wetting turned out to be more than an infection that didn't go away with antibiotics. Her symptoms also included pelvic discomfort and lower stomach pain. Her primary care physician said the specialist would very likely have to do a "scope," which scared her. "I thought this doctor would understand and be helpful," she wrote. She was disheartened when the doctor ignored most of her comments and instead asked her questions from a pre-written checklist. The ensuing exam was also very painful. She believes bedside manners should be taught and possibly part of the credentialing process. "If you are a doctor," she concluded, "I encourage you to really think about your patients and what they could be experiencing. Please listen and please believe them."
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