To view this online go to: http://www.infoinc.com/NAMSS/0714_web.html

Banner
July 2014

 


 

A Word from the President


Welcome to the July issue of NAMSS Gateway, your go-to resource for the latest news from across the industry. As always, you’ll find general industry updates—from healthcare spending predictions to recent legislative developments—in addition to focused articles on a wide range of subjects. Be sure not to miss the recent news from the Federation of State Medical Boards (FSMB) regarding a potential new framework for an interstate compact to expedite physician licensing in multiple states. Check out the article and visit the NAMSS Facebook page to let us know what you think of the proposal!

Just a friendly reminder to register for the upcoming NAMSS PASS Training Webinar on Thursday, July 24, 2014 from 12:30pm - 1:30pm EDT.

I would also be remiss not to remind you all that I hope you see you in person at the NAMSS Annual Educational Conference, October 4-8 in New Orleans. Don’t forget to register on or before July 25th in order to receive discounted rates!

I would like to thank all of you for reading this newsletter. Continue on for the most relevant news this month.

John Pastrano, BBA, CPCS, CPMSM
NAMSS President

Share Facebook  LinkedIn  Twitter 

Headlines


News From NAMSS
Webinar Series - A Graduate Series on Advanced Practice Professionals
Update to the Certification Examinations and Recertification Information
Join NAMSS at a Discount, Save on Conference Registration!
The NAMSS Call for Committee Volunteers is Now Open!
New Physician Legal Issues Webcasts

Industry News
"Healthcare Spending Set to Spike by 6.8 Percent in 2015, Report Predicts"
"Audit Finds Doctors’ Criminal Cases Are Underreported"
"Probe Finds Problems at Valley VA"
"4 Ways Hospitals Can Foster More Female Leadership"
"FSMB Plan Offers Pathway to Multistate License"
"Doctors of Disruption: Forest Park Is Thriving Despite Push Against Physician-Owned Hospitals"
"Reform Update: New Reform-Related Jobs Require Unprecedented Skills"
"HIPAA Complaints Vex Healthcare Organizations"
"Doctor's Sex Assault Case Spurs Talk of Background Checks"
"5 Recent Legislative Developments Affecting the Healthcare Industry"


News From NAMSS




Share Facebook  LinkedIn  Twitter  | Return to Headlines
Webinar Series - A Graduate Series on Advanced Practice Professionals

A Graduate Series on Advanced Practice Professionals: A Comprehensive Review of the Role and Use of Nurse Practitioners, Nurse Anesthetists, Midwives, Clinical Nurse Specialists, and Physician Assistants

This three-part monthly webinar series covers a broad range of issues affecting the expanding role and use of non-physician practitioners in the ever-evolving health care industry. Regardless of the traditional labels for non-physicians, this series addresses the most pressing and up-to-date aspects of Advanced Practice Professionals (commonly known as NPs, CRNAs, Midwives, and PAs). Specifically, participants will learn licensure and scope of practice; credentialing, privileging and competency assessment; and billing and reimbursement.

Session Titles:

Licensure and Scope of Practice: Things are Changing
August 19, 2014

The Credentialing, Privileging, and Competency Assessment: Is it Really that Different for Advanced Practice Professionals?
September 29, 2014

Billing and Reimbursement for Advanced Practice Professionals: Opportunities and Pitfalls
October 28, 2014

Visit the NAMSS website for more information about this series.
Share Facebook  LinkedIn  Twitter  | Web Link | Return to Headlines
Update to the Certification Examinations and Recertification Information

Effective fall 2014, all CPCS and CPMSM examinations administered will contain multiple choice questions with three possible answer options, a decrease from the present format of four. For more information regarding the 2014 CPCS and CPMSM examination content outlines, please visit our Candidate Handbook

2014 Fall Testing Window:

Application Deadline: Friday, August 15 
Testing Period: Saturday, October 11 – Saturday, November 1

All candidates due to recertify in 2014 must submit their recertification application by December 1, 2014. For more information, view the NAMSS Recertification page and/or the 2014 Recertification Policies & Guidelines.
Share Facebook  LinkedIn  Twitter  | Web Link | Return to Headlines
Join NAMSS at a Discount, Save on Conference Registration!

Not a member? Thinking of attending the NAMSS 38th Educational Conference & Exhibition this October? For a limited time, join NAMSS and earn extra savings on registration while gaining access to the benefits of a 5,000+ MSP network! From now until the Conference Registration Early-Bird Cutoff on July 25, NAMSS’ 18-month membership program is only $225. That means you’ll earn 18 months of NAMSS benefits at a 20% discount! Hurry and save – This offer ends July 25, after which all rates will increase.

Visit NAMSS online and go through the online application. Don’t delay – Join NAMSS by July 25! *Membership expires 12/31/2015.
Share Facebook  LinkedIn  Twitter  | Web Link | Return to Headlines
The NAMSS Call for Committee Volunteers is Now Open!

The NAMSS Call for Committee Volunteers is now open! Are you looking to expand your industry knowledge and expertise? Perhaps you want to broaden your professional network, or maybe you want to give back to the organization that has enriched your career. The reason doesn’t matter. We all share the same goal when we make the commitment to volunteer for NAMSS… to elevate the status of our professional organization. The deadline to submit an application is July 25th, 2014. Apply Now!
Share Facebook  LinkedIn  Twitter  | Web Link | Return to Headlines
New Physician Legal Issues Webcasts

The AMA-OMSS has announced a new series of webcasts for your medical leadership and legal teams. These CME and CLE activities are targeted toward all physicians and lawyers who work with health care-related cases. Participate in the following offerings:
Each webinar is $29 for AMA/Chicago Medical Society members and $79 for non-members. Have your physician leaders and healthcare lawyers sign up today!
Share Facebook  LinkedIn  Twitter  | Web Link | Return to Headlines
Share Facebook  LinkedIn  Twitter  | Return to Headlines

Industry News


Healthcare Spending Set to Spike by 6.8 Percent in 2015, Report Predicts
Modern Healthcare (06/24/14) Demko, Paul

A new analysis from PricewaterhouseCoopers' (PwC) Health Research Institute has found that the continued efforts by hospitals to purchase physician groups, coupled with the ongoing economic recovery and the increased numbers of consumers with health insurance, will help push up healthcare spending by 6.8 percent next year. The absorption of physician groups by hospitals is spurring an increase in healthcare spending because the trend has allowed a growing number of doctors to charge insurers hospital facility fees even when a procedure is not performed in a hospital. However, PwC's analysis found that health insurers are closely watching an effort by Highmark that would prevent doctors from charging such fees. The company expects to reduce claims by $200 million annually by no longer reimbursing doctors at hospital-based rates for outpatient cancer treatments. The analysis also found a number of factors that are helping to keep a lid on rising healthcare spending, including the growth in the number of employers offering employees high-deductible plans. The growing use of private health insurance exchanges is also helping to hold the line on healthcare spending, PwC found.
Share Facebook  LinkedIn  Twitter  | Web Link | Return to Headlines

Audit Finds Doctors’ Criminal Cases Are Underreported
Boston Globe (07/02/14) Kowalczyk, Liz

A Massachusetts state audit found that courts regularly fail to report doctors facing criminal charges to the state's Board of Registration in Medicine. The audit found that between 2002 and 2012, state courts only reported two doctors to the Board of Registration in Medicine. That is in stark contrast to the 84 active physicians with a felony, serious misdemeanor convictions, or a "continuations without a finding" in the same time period. The majority of the unreported infractions concerned driving under the influence, leaving the scene of an accident, or negligently operating a vehicle. Other cases involved assault and battery, fraud, drug distribution, larceny, and destruction of property among other offenses. Massachusetts Auditor Suzanne Bump says the lack of communication between the courts and the medical board means critical information on doctors is not accessible to the public. In order to make improvements, auditors recommend that the board upgrade its physician profile systems. The board signaled it is working to comply with a previous directive to improve that database, which was created in 2012.
Share Facebook  LinkedIn  Twitter  | Web Link | Return to Headlines

Probe Finds Problems at Valley VA
San Antonio Express-News (Texas) (06/23/14) Christenson, Sig

An investigation by the Office of Special Counsel to President Obama found that a VA clinic in Harlingen, Texas, did not follow rules on the credentialing and privileging of surgeons. The clinic also didn't pay contract doctors quickly enough, which led to some veterans going untreated. In addition, the investigation found problems at VA hospitals across the nation. Carolyn Lerner, an executive with the Office of Special Counsel, said the VA often admits to serious deficiencies in patient care, while implausibly denying any impact on veterans' health. There were also 10 cases where the VA's conclusions contradict its own investigative results. Lerner maintained that the issues at the Harlingen clinic did not present a danger to the public and there were no other problems with VA facilities in Texas. The investigation comes as heavy scrutiny is being placed on the quality of care in VA facilities. A VA audit last week revealed a large number of veterans that waited longer than a month to be seen by a doctor across the country.
Share Facebook  LinkedIn  Twitter  | Web Link | Return to Headlines

4 Ways Hospitals Can Foster More Female Leadership
Becker's Hospital Review (07/07/14) Gamble, Molly

The National Center for Healthcare Leadership lists four evidence-based practices that can lower gender inequality among hospital CEO positions. One, hospitals and health systems should encourage the career goals of women through planning and promotion discussions. Two, hospitals should create formal mentoring programs to groom future talent. Three, such facilities should offer growth opportunities in the form of training and membership for high-profile projects. Finally, hospitals should support the creation of women's groups and networking events within a hospital or the community. The four practices were discovered after University of Michigan researchers studied the career paths of 20 female hospital CEOs.
Share Facebook  LinkedIn  Twitter  | Web Link | Return to Headlines

FSMB Plan Offers Pathway to Multistate License
MedPage Today (07/02/14) Wickline, Sarah

The Federation of State Medical Boards (FSMB) is considering a new framework that would expedite licensing to practice in multiple states through an interstate compact. Only board-certified physicians current in that certification would be able to apply for rapid multistate licensure to treat patients residing outside their principal licensing state. The cooperative would cover clinical practice in the virtual health world. The plan for a "one-stop" pathway to multistate licensing is the fastest moving initiative in the history of the FSMB, reports Humayun J. Chaudhry, DO, president of the organization. The compact is still in draft form, but Chaudhry hopes to complete the agreement and have it ready for submission to individual states by the end of this summer. The majority of licensing jurisdictions would need to support the plan to make it work, and Chaudhry believes all states will quickly endorse the compact. Dr. David Fleming, president of the American College of Physicians, says the compact could help ease the shortage of physicians in underserved areas and standardize medical board practices.
Share Facebook  LinkedIn  Twitter  | Web Link | Return to Headlines

Doctors of Disruption: Forest Park Is Thriving Despite Push Against Physician-Owned Hospitals
D Healthcare Daily (Dallas) (06/27/14) Hunter, Glenn

Forest Park Medical Center in Dallas is thriving despite a push against physician-owned hospitals. Forest Park isn't the only doctor-owned hospital company in North Texas. But because it has expanded so rapidly, it can be seen as something of a bellwether for physician-owned hospitals in Texas. Since Texas is one of about 15 states that doesn’t require a state-issued "certificate of need" to justify building new hospitals, it has become ground zero for these facilities. There are an estimated 5,000 "community" (nonprofit, for-profit, or state and local government) hospitals in the United States, but only about 230 are physician-owned facilities. Of those, as many as 75 of them are in the Lone Star State.
Share Facebook  LinkedIn  Twitter  | Web Link | Return to Headlines

Reform Update: New Reform-Related Jobs Require Unprecedented Skills
Modern Healthcare (07/02/14) Robeznieks, Andis

Brown & Toland Physicians, a California-based network of 1,500 independent doctors, is currently looking for a "PPO ACO program manager." This search may prove difficult, though, because the position did not exist just two years ago. The new hire will be responsible for planning, contract negotiation, implementation, and ongoing operations of Brown & Toland's preferred provider organization-related accountable care organization programs. Stephanie Mamane, Brown & Toland PPO and ACO director, states, "We need someone who can be a facilitator to health plans and our internal teams." While some organizations create new leadership positions as they pursue new payment and delivery models fostered by the Patient Protection and Affordable Care Act, others are forcing existing executives to shoulder the responsibilities. ACOs have typically begun showing results about a year and a half into the program. Mamane, though, said it's essential to have a clear picture of an ACO's performance much earlier than that. She concludes, "It's important to have a program manager monitor performance throughout the year so we won't have major surprises."
Share Facebook  LinkedIn  Twitter  | Web Link | Return to Headlines

HIPAA Complaints Vex Healthcare Organizations
InformationWeek (07/08/14) Diana, Alison

According to an analysis by TrueVault, the number of complaints over Health Insurance Portability and Accountability Act (HIPAA) violations is on the rise. The total number of complaints the Department of Health and Human Services (DHHS) received through May increased by 20.6 percent year over year. As of May 31, there have been 111,286 complaints versus 96,726 last year. Of those, 26 percent required corrective action, while 14 percent resulted in no action from DHHS. Morgan Brown, vice president of growth at TrueVault, said the cause of the increased complaints is likely consumer awareness and regulatory changes. Brown expects the enactment of the Omnibus Final Rule enforcement of rules will increase. Jerome Meites, DHHS chief regional civil rights counsel, said last year the government would pursue organizations more aggressively for HIPAA violations. Audits that began in 2013 will continue through 2015. States are also undertaking their own enforcement efforts related to HIPAA violations.
Share Facebook  LinkedIn  Twitter  | Web Link | Return to Headlines

Doctor's Sex Assault Case Spurs Talk of Background Checks
Baltimore Sun (06/14/14) Dance, Scott

Maryland lawmakers are expected to consider a bill during the next legislative session that would require physicians to undergo criminal background checks before being licensed. The push for criminal background checks comes after it was discovered that Dr. William Dando was able to obtain a medical license despite a rape conviction on his record. The Catonsville, Md., doctor is currently on trial over allegations that he sexually assaulted a patient in April. Maryland is currently one of only 13 states that do not require background checks on physicians. The most recent legislative push to require background checks, led by Del. Barbara Robinson, came in 2013, but that bill was derailed over whether to use the word "may" or "shall" in the language requiring background checks. Robinson says she plans to submit a similar bill during the next General Assembly session. The Maryland Board of Physicians is expected to release a legislative proposal following meetings this summer.
Share Facebook  LinkedIn  Twitter  | Web Link | Return to Headlines

5 Recent Legislative Developments Affecting the Healthcare Industry
Becker's Hospital Review (07/07/14) Ellison, Ayla

Several legislative developments affecting the healthcare industry have been reported over the past month or so. Sen. Jay Rockefeller (D-W.Va.) introduced legislation that would continue funding for the Children's Health Insurance Program through Sept. 30, 2019. The U.S. Senate, meanwhile, passed legislation to reform the Department of Veteran Affairs and address the problems at its facilities. The CMS announced that it will accept public comments on the burdens of the in-office ancillary services exception to the Stark Law until July 14. Alaos, a bill was introduced that would help coordinate care for children with complex medical conditions who have healthcare coverage through Medicaid. Finally, Medicare Advantage plans will not be able to drop providers in the middle of the year under a bill introduced in Congress.
Share Facebook  LinkedIn  Twitter  | Web Link | Return to Headlines



Abstract News © Copyright 2014 INFORMATION, INC.
Powered by Information, Inc.