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September 2016
Hardenbergh Updated June 2016
Greeley

AMA
 

A Word from the President


Welcome to the September issue of NAMSS Gateway. I’m excited to announce NAMSS’ newest opportunity to further your career – the Virtual Executive Roundtable (VER). Designed for MSPs with over 15 years of industry experience, this program is meant to expand your expertise as a leader, help you develop ancillary skills that go beyond your current role, and gain a more in-depth understanding of issues facing the medical services profession.

Not only is this program career-transforming, it will help continue to advance the medical service profession on a wider scale. With a convenient virtual format, the VER combines live webinars presented by industry experts with facilitated discussions, reading assignments and community forum discussions, and provides 14.0 Continuing Education credits. Working in small groups, you will benefit from one-on-one interaction with industry thought leaders while discussing pertinent leadership issues in the context of the dynamic healthcare landscape. The sessions will be presented by David B. Nash, M.D., MBA, Founding Dean of Jefferson College of Population Health. NAMSS President-Elect Susan DuBois, CPCS, CPMSM will lead the small-group discussions.

If you’re an MSP veteran, I invite you to take part in this wonderful opportunity to challenge yourself! For more information, visit our website or contact the NAMSS team.

Bonnie Gutierrez, BHA, CPCS, CPMSM
NAMSS President
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Headlines

News From NAMSS

2017 NAMSS Election Results
There's Still Time to Register for the Virtual Conference!
Preview the NAMSS Leadership Certificate Program For Free
Recertify Today!
Social Corner

Industry News

"5 Ways to Improve Credentialing"
"Advocacy Group Aims to Close Malpractice Loophole in NPDB"
"Doctors Get Disciplined for Misconduct; Drug Firms Keep Paying Them"
"Survey: 1 in 3 Healthcare Organizations Not Satisfied With Credentialing Experience"
"Lawsuit Against Clinic That 'Fired' Patients Moves Forward"
"HealthStream Buys Credentialing Venture"


News From NAMSS


2017 NAMSS Election Results

Congratulations to the newly elected members of the 2017 NAMSS Board of Directors.
  • President: Susan DuBois, CPCS, CPMSM
  • President-Elect: Diane Meldi, MBA, CPCS, CPMSM
  • Secretary-Treasurer: Susan Diaz, CPCS, CPMSM
  • Immediate Past-President: Bonnie Gutierrez, BHA, CPCS, CPMSM
  • Director at Large: Rhonda Boyd, CPCS, CPMSM
  • Director at Large: Debbie Kesselring, CPCS
  • Director at Large: Pearl Williams, MSA, CPMSM
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There's Still Time to Register for the Virtual Conference!

Can’t join NAMSS in Boston for the 40th Educational Conference & Exhibition? Register your team for the NAMSS Virtual Conference to stream live sessions taking place in Boston! Through the new virtual conference portal, you can see the presenters in real-time, view their slides, and even ask questions.Visit the NAMSS website to view all sessions that will be available in the virtual conference portal. All virtual conference sessions are available on-demand and are also recorded for later use. Your registration provides you access to these sessions for 30 days after the conference. Visit the NAMSS website for more details and be sure to register before Friday, September 16.
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Preview the NAMSS Leadership Certificate Program For Free

The wait is over - online modules for the highly-anticipated Leadership Certificate Program are now live! Designed for certified Medical Services Professionals (MSPs) looking to serve as leaders within their department and industry, the Leadership Certificate Program combines both online and in-person courses to teach new and improve existing leadership skills.

Not sure if the program is for you? Try the first online module of the program for FREE. Plus, get one Continuing Education (CE) credit for your participation. Introduction to the NAMSS Leadership Certificate Program provides an in-depth overview of the entire program, including a closer look at content covered in both the online and in-person portions of the curriculum. Visit the NAMSS website for more information!
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Recertify Today!

Submit your Recertification Application Online

The 2016 NAMSS recertification application is now available! The recertification application can be found at www.namss.org/recertification. 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. Contact the Executive Office at info@namss.org should you need further assistance.

In order to remain certified, the 2016 recertification application must be completed and submitted by Thursday, December 1st, 2016. All CE credits must also be achieved by this deadline. A listing of those due to recertify in 2016 can be found here. Questions can be sent to certification@namss.org.
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Social Corner

Download the Mobile App! Your personal guide to the conference, the Mobile App provides easy access to all session descriptions, speaker information, and exhibitor listings. To access exclusive networking and sharing features, log in using your conference registration email address and the password: namss2016

Since Wi-Fi connection in convention center is often unreliable, log in to the app prior to traveling to Boston. You will remain logged in for the duration of the conference.

Stay social during the conference! Whether you’ll be in Boston, taking part in the Virtual Conference, or at home planning for the Education Summit, use #NAMSS2016 to share your experience and follow along!
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Industry News


5 Ways to Improve Credentialing
Becker's Hospital Review (08/25/16) Gooch, Kelly

Credentialing is mission-critical for hospitals and health systems, as it validates a provider's qualifications, board certifications, references, and work history. However, the credentialing process can be a significant hurdle for hospitals, ambulatory surgery centers, and doctor offices, causing significant delays in getting new clinical staff onboard and reimbursed for the services rendered. On the privileging side of credentialing, regulatory agencies require that disparate data sources be validated prior to granting a doctor privileges to provide a particular clinical service. On the provider enrollment side, insurers have different enrollment forms that must be processed before accepting a provider into their panel for reimbursement. The article outlines five improvements that could be made to the process. One, utilize an enterprise-wide cloud-based technology platform. Two, ensure data is accurate and current. Three, understand the impact of delayed processing on revenue. Four, streamline operations surrounding enterprise-wide technology. Finally, make sure all areas involved with the credentialing and privileging process work together.
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Advocacy Group Aims to Close Malpractice Loophole in NPDB
Medical Economics (09/07/16) Loria, Keith

Public Citizen is working to close a malpractice loophole that allows a physician to avoid being reported to the National Practitioner Data Base (NPDB). Currently, practitioners can evade filing with the NPDB for malpractice payments if a plaintiff agrees to exclude the physician from a lawsuit or claim and names the healthcare institution as the sole defendant. Public Citizen says NPDB reporting rules are not consistent with the federal statute under which it was established and undermines the accountability of physicians. Last month, the advocacy group filed suit in a U.S. District Court to seek action from the Department of Health and Human Services. A survey shows 9 percent of hospitals searching the NPDB found something about a physician they had not previously known.
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Doctors Get Disciplined for Misconduct; Drug Firms Keep Paying Them
National Public Radio (08/23/16) Huseman, Jessica

Pharmaceutical and medical device companies are continuing to pay doctors for speaking and advising roles after they've been disciplined for serious misconduct, ProPublica found. Disciplinary records for doctors in five states were checked against data released by the U.S. Centers for Medicare and Medicaid Services on company payments to doctors, including payments for speaking, consulting, and travel. ProPublica's analysis identified at least 2,300 doctors who continued to receive such payments between August 2013 and December 2015 despite reports of misconduct. Hundreds of the physicians in question were sanctioned for severe offenses, such as inappropriate prescriptions and cheating insurance programs. More than 180 had their licenses temporarily suspended or restricted, while 40 licenses had been revoked permanently. At least 400 drug and medical device makers were found to have made payments to doctors after they were disciplined by state medical boards.
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Survey: 1 in 3 Healthcare Organizations Not Satisfied With Credentialing Experience
Becker's Hospital Review (08/09/16) Gooch, Kelly

According to a new SkillSurvey poll of nearly 500 healthcare industry leaders, today's medical credentialing processes are generally burdensome, outdated, and plagued with delays. The survey's goal was to discover the impact credentialing delays and inefficiencies have on a healthcare organization's bottom line. Notably, over 50 percent of all U.S. states now recognize negligent credentialing as a reason for litigation against healthcare organizations, SkillSurvey's research shows. "While waiting to be fully credentialed, top medical talent sits on the bench, negatively affecting the hospital revenue cycle," remarks SkillSurvey CEO Ray Bixler. "Credentialing is long overdue for an upgrade." The survey further found that two in three credentialing processes are taking longer than five to six weeks to credential a clinician, 62 percent of respondents said it takes from one to three weeks for peer references to respond to traditional credentialing requests, and roughly 50 percent of respondents report it takes one to two weeks to verify a hospital affiliation.
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Lawsuit Against Clinic That 'Fired' Patients Moves Forward
Argus Leader (09/02/16) Ellis, Jonathan

A lawsuit against a clinic that dismissed several patients who had sued a former spine surgeon can proceed after a federal judge rejected Yankton Medical Clinic’s request to dismiss the case. The case is related to dozens of suits that have been filed against Dr. Allen Sossan, a spine surgeon accused of committing fraud by performing unnecessary procedures. Sossan did not practice at Yankton, but several of the clinic's doctors are being sued by Sossan's patients because those doctors were on the committee that granted Sossan surgical privileges at Avera Sacred Heart Hospital. Connie Howes, whose husband died after the clinic withdrew care, says the providers at the clinic have a monopoly on a number of specialist procedures in the area and have used that power to punish patients. Lawyers for the clinic argue that Troy Howes had previously canceled his appointment with Dr. Michael Pietila, who is among the physicians being sued for granting Sossan credentials. Pietila also claims he was not aware that Howes had submitted an affidavit in the Sossan case. The ruling could set a significant precedent, as courts typically make it difficult for antitrust cases to proceed.
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HealthStream Buys Credentialing Venture
Nashville Post (08/09/16) De Lombaerde, Geert

Nashville-based HealthStream has bought Morrisey Associates, which markets doctor credentialing and privileging services to hospitals. HealthStream agreed to pay about $48 million for the Chicago-based company. Morrisey, which offers automated approaches to the credentialing process, will be folded into HealthStream's provider solutions unit. "With the acquisition of Morrisey Associates, HealthStream gains an expanded source of market leading credentialing and privileging solutions, delivering important synergies for innovation in this key area of healthcare organizations' workforce requirements," says HealthStream CEO Bobby Frist.
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