NCMS News Bulletin
NACMED News & NCMS Bulletin

Nassau County Medical Society

NACMED NEWS

Mark J. Cappola - Editor
exec@nacmed.org


 President's Message

Paul A. Pipia, M.D.

As you know, the Medical Society of the State of New York, along with several medical specialty societies, has been participating in a Task Force, convened by Governor Spitzer and chaired by Insurance Superintendent Eric Dinallo and Health Commissioner Richard Daines, to make recommendations to address the fiscal solvency of the medical liability insurance companies and address the fundamental drivers of high medical malpractice costs.  

In a recent Task Force meeting as well as in follow-up speeches to physician groups, Superintendent Dinallo has made the startling statement that, in the absence of action by the State Legislature to control the cost of medical liability insurance, he will be forced to:

*  Raise medical liability insurance premiums to physicians by 15-25% in each of the next 
   five years;

*  Assess over multiple years a cumulative $50,000 surcharge on every physician in New   
   York State in addition to their premiums; and/or 

          *  Impose a $230,000 surcharge on every physician in the MMIP pool

It is beyond question that none of these suggested solutions can be met by the physician community which is already struggling to cope with the 14% increase just enacted this past July.
 

At our request, Mr. Dinallo, Sen. Kemp Hannon, Assem. Earlene Hooper, Mr. Ed Amsler of MLMIC, Mr. Gerald Dolman, of PRI, came to the NCMS on January 11,  to present their opinions and to hear from physicians first hand how they have been unable to cope with the current reductions in reimbursements coupled with rising costs.

The meeting began with Mr. Dinallo reminding attendees that he is compelled by law to set insurance premiums that will allow underwriters to maintain solvency. The recent practices of the former Superintendent of Insurance to set premium rates artificially low have resulted in the loss of nearly all reserves by MLMIC and PRI.   Mr. Dinallo stated quite clearly that he intends to correct this matter as he is required to do.  Mr. Amsler and Mr. Dolman both gave reports that verify the financial crisis these carriers now find themselves in.  Our elected officials from the Senate and Assembly urged physicians to seize this opportunity to both lobby strongly for reforms and to work in collaboration with the all parties at the table to come up with sound options. Richard Peer, MD, Task Force member and Past President of MSSNY gave the physicians’ perspective on the crisis at hand and urged all physicians to join in a common effort to make their voices heard.

While tempers flared and frustration among the physicians was evident at times, this event proved a valuable opportunity for physicians to air their concerns. 

It was also an opportunity to hear candid comments from our elected representatives and state government officials about the need for physicians to join together and present a unified voice.

Although there were numerous announcements made about the program, with responses from over 100 members, there were only about 75 in attendance.  This, I am sure, was not overlooked by our guests.  If we ever hope to achieve satisfaction we need to show solidarity.  On March 4th, physicians from across New York State will be going to Albany to meet with our legislators on this urgent matter.  WILL YOU BE THERE?  Call the Society at 516-832-2300, ext 13 for more information. 

NCMS Forum On Medical Liability

 


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Although NCMS believes the following classified advertisements in this section to be from reputable sources,  NCMS does not investigate the offers made and assumes no responsibility concerning them. 

OFFICE SPACE TO RENT/LEASE 

GARDEN CITY—Garden City Medical Center, located at 520 Franklin Avenue has office space available.  For information, please call 516-7472900. 


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NCMS Announces a New Membership Benefit

The Nassau County Medical Society is pleased to announce that a new member benefit program is available to members of the Society.

              MedjetAssist is the premier worldwide emergency medical evacuation/repatriation membership program for business and pleasure travelers. If a MedjetAssist member is hospitalized more than 150 miles from home and requires further hospitalization, MedjetAssist will pick them up from anywhere in the world and  fly them to the hospital of their choice in a medically equipped and staffed aircraft.  There are no out-of-pocket expenses or deductibles.  MedjetAssist has been  selected by the AARP, endorsed by the Nassau County Dental Society and many other organizations as well as recommended by the top travel writers and magazines.

In addition to a special NCMS member rate, your membership provides you and your family with the following benefits:

¨ No medical necessity—MedjetAssist will evacuate you for injury or illness, as long as our transport destination is an inpatient hospital setting.

¨ Hospital of Choice—you decide where you want to go in the event of a medical evacuation.

¨ Domestic and International—guaranteed inpatient transports in the United States and Internationally. As long as you are 150 miles from your primary residence, you qualify.

¨ Specialty Hospital Option—You don’t necessarily have to be traveling. If required specialty care is unavailable in your hometown hospital, an annual member can be transported to a specialty hospital 150+ miles away in the US, Canada or Mexico.

¨ No Cost Limitation—MedjetAssist is a pre-paid membership program with no dollar limits on costs for medical evacuation, repatriation and specialty hospital transports.

¨ No Pre-Existing Conditions, Health Questions or Deductibles— no pre-existing condition or adventure travel exclusion, no health questions for enrollees up to age 75, nor deductibles, co-pays or claim forms. For members over 75, there is a required health statement. 

For more information on NCMS member MedjetAssist membership, visit their website at: www.medjetassist.com/NCMS

REMINDER 

Your 2008 dues bill has been mailed to you.  Please pay your dues promptly.

 

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Albany Update

STATE LEGISLATIVE DAY– ALBANY

Tuesday March 4, 2008 

The minute you settle for less than you deserve, you get even less than you settled for.  Maureen Dowd

 

This year’s Annual State Legislative Day in Albany is more important than any in recent times.  Superintendent of Insurance Dinallo’s message to the Governor’s Task Force of major increases in liability premiums this July has brought the crisis to the forefront.  The Legislature needs to take action before these increases are implemented.

However, unless you are there to meet face-to-face with our representatives, in Albany, in their offices, they will continue to believe that there is no crisis and they can continue to ignore the problem. To legislators, no-shows = no complaints.

You owe it, not only to your patients, your profession, and your colleagues, but to yourselves, to take the time and make the trip to Albany.  If the proposed premium increases are going to have a negative impact on your ability to deliver quality care to the membership, then you have to be the one to deliver that message to your legislator.

The Nassau County Medical Society will make arrangements to get as many buses as we need to get everyone that wants to go to Albany. We will do what we can to give you the opportunity to deliver your message. The rest is up to you.

If you are interested in going to Albany on March 4, you MUST contact the Society at 832-2300, ext 14 AS SOON AS POSSIBLE.

 

All Physicians MUST continue to do the following:

1.     Call the Liability Reform Hotline, 1-866-728-3397, which will generate a faxed letter to Governor Spitzer, Assembly Speaker Silver, and Senate Majority Leader Bruno.

2.      Urge your patients to call the 1-866 hotline.  There is a patient access point that generates a similar patient focused letter to the above-referenced leaders.

3.      Send a letter to your local Assemblymember and Senator from the MSSNY website.  There is a link on the front page of the MSSNY website to the sample letter.  There is also a patient letter on the website www.mssny.org.

4.      Arrange to meet with your local legislators.

5.      Advise your colleagues regarding the importance of taking steps #1-#4.  

MSSNY has also begun advertising in the Legislative Gazette, a paper read by many legislators and staff in the State Capitol, to urge needed reform. These ads are the first in what will be an aggressive media campaign over the next several months. Not surprisingly, the Trial Lawyers have upped the ante with a series of strident and insulting ads to the physician community that deny there is need for medical liability reform. 

50TH ANNIVERSARY OF NASSAU ACADEMY OF MEDICINE

Plans are underway for the 50th Anniversary celebration of the rededication of the Nassau Academy of Medicine’s building at 1200 Stewart Ave.  2008 will mark this auspicious event and we are looking for interested members to serve on the celebration and historical committees.  

If you would like to help, please call the Academy at 516-832-2300, ext 13 or e-mail us at nassaumed@verizon.net.

 

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Is Your Web Site Linked to Ours?

 

Is Your Web Site Linked to Ours?

As a member benefit, you can now have your web site linked

to ours.  Increase visibility and access to your practice at no cost

to you as a member of NCMS.

 

HERE IS WHAT YOU WILL FIND AT WWW.NACMED.ORG

* Frequently Asked Questions * Legislative Updates

* Upcoming Meetings & Programs * Workers' Compensation

* Member Benefits and Insurance * Academy of Medicine

* Professional Liability Insurance

* Medicare/Medicaid Addresses and Phone Numbers

* Links to Professional Medical Associations and Member Sites

* Membership Application and Information

* and MUCH MORE!

 

Nassau County Medical Society's web site has all this information

for you at your fingertips. 

Visit us TODAY at
- WWW.NACMED.ORG -

We welcome your comments and suggestions on our web site and its contents. 

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Infection Control Training

NASSAU ACADEMY OF MEDICINE 

Wednesday - February 27, 2008
6:00 PM - 8:00 PM

 NASSAU ACADEMY OF MEDICINE

1200 STEWART AVENUE, GARDEN CITY, NY 11530

 

SEATING CAPACITY IS LIMITED AND  PRE-REGISTRATION IS REQUIRED 

ACADEMY MEMBER FEE - $10.00  NON-MEMBER FEE - $40.00 

RESIDENT PHYSICIANS AND MED STUDENTS  - NO CHARGE

 

Call 516-832-2300 Ext 13, for more information 

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Washington Watch

The NPI is here. The NPI is now.

Are you using it?  

Important Information for Medicare Providers 

Urgent: Test Your Medicare Claims Now!


After Medicare providers have submitted claims containing both NPIs and legacy identifiers and those claims have been paid, Medicare urges these providers to send a small batch of claims now with only the NPI in the primary provider fields. If the results are positive, begin increasing the number of claims in the batch.

(Reminder: For institutional claims, the primary provider fields are the Billing and Pay-to Provider fields. For professional claims, the primary provider fields are the Billing, Pay-to, and Rendering Provider fields. If the Pay-to Provider is the same as the Billing Provider, the Pay-to Provider does not need to be identified.)  

Need More Information?

Not sure what an NPI is and how you can get it, share it and use it? As always, more information and education on the NPI can be found through the CMS NPI page www.cms.hhs.gov/NationalProvIdentStand on the CMS website. Providers can apply for an NPI online at https://nppes.cms.hhs.gov or can call the NPI enumerator to request a paper application at 1-800-465-3203. Having trouble viewing any of the URLs in this message? If so, try to cut and paste any URL in this message into your web browser to view the intended information.

Note: All current and past CMS NPI communications are available by clicking "CMS Communications" in the left column of the www.cms.hhs.gov/NationalProvIdentStand CMS webpage. 

Getting an NPI is free - not having one can be costly.

 

MEDICAL BILLING 

Docsbackoffice is an Internet based medical billing service providing physicians and their staff with an easy an inexpensive way to process claims.

No monthly maintenance or software to purchase.

If you’re paying more than 4%, you’re paying too much. Call Tim Haniffy at 516-622-2242.

www.docsbackoffice.com

 


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Health Department Alert

Meningococcal Disease Confirmed in Massapequa Student

The Nassau County Department of Health has been informed that a 17-year old Massapequa High School student was diagnosed with Meningococcal Meningitis and died today. He was a senior who played on the St. Rose of Lima  CYO (Catholic Youth Organization) basketball league and worked part-time as a stock boy at the local King Kullen Supermarket on Merrick Road in Massapequa Park. 

The Health Department is notifying those individuals who have been identified as close contacts with the student and advising them of the need for preventive treatment.  Persons who worked or shopped in the grocery store do not need preventive treatment nor do those who may have had casual contact in a classroom or office. 

Every individual identified as having shared food, drink, eating utensils or a beverage container, such as a water bottle, or exchanged oral secretions or had any similar exposure with the student between January 13th and January 23rd, 2008, should contact his/her health care provider immediately to receive preventive antibiotic treatment. 

Meningococcal disease is a bacterial infection of the bloodstream or meninges (a thin lining covering the brain and spinal cord) caused by the meningococcus germ. The disease is spread by direct close contact with nose or throat discharges of an infected person.  Symptoms can include high fever, headache, vomiting, stiff neck and rash and appear most often within five days after exposure, but can appear anytime between two and ten days.  Individuals who think they have symptoms suggestive of the disease should contact their health care providers immediately. 

Additional information on Meningococcal Disease may be found on the New York State Department of Health Website at www.health.state.ny.us/diseases/.  Information is available on the Nassau County Department of Health’s information line at (516) 571-2500.

 


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New York State Immunization Information System (NYSIIS)

 

The NY State Department of Health has launched the New York State Immunization Information System (NYSIIS) as of January 1, 2008. Regional rollout of trainings has begun. The NYSISS is the state’s new web-based immunization registry and requires physicians and other health care providers to report all immunizations administered to persons 19 years and younger on January 1, 2008.  

The law also requires that past immunizations histories of all person 19 years and under who receive vaccines after January 1 be reported to NYSIIS. Physicians will need to keep track of all immunizations that they give while awaiting training for the system. Under DOH’s proposed requirements, physicians must have internet access and a Health Provider Network (HPN) account to access the registry. Free training to learn the system will be available in a classroom setting, webinars, on-line and by a user’s manual. 

Physicians and other providers will not be expected to report to the registry until after the training has concluded in their particular region of the state. Physicians will receive a letter from DOH indicating when that training will take place. Physicians can begin the process of securing an HPN account by logging https://commerce.health.state.ny.us/pub

 

GOVERNOR PROPOSES TO FULLY FUND EXPANSION OF STATE CHP PROGRAM

Governor Eliot Spitzer’s proposed Executive Budget to be released Tuesday will include $37 million to assure that New York can implement a law to raise the eligibility level for the Child Health Plus Insurance Program (CHP) from 250% FPL to 400%. According to Governor Spitzer, raising the threshold will provide eligibility to 70,000 additional children in New YorkState. The money will be used to replace the funds that New York had been expecting to receive from the federal government to support this CHP eligibility expansion. New York had enacted a law as part of last year’s State Budget to increase the eligibility level. However, there were concerns that New York would not be able to implement this change due to the rejection by the federal government of New York’s application for receiving increased funds to cover this expansion. In an August 2007 letter, the Center for Medicare and Medicaid Services (CMS) announced that states would not be able to obtain additional funding to support expansion of their respective CHP programs above 250% FPL unless they first enrolled 95% of eligible uninsured children under 200% FPL. This standard would be very difficult for New York to meet. New York as well as nine other states has sued the federal government challenging this CMS position. MSSNY has fully supported the actions of Governor Spitzer in challenging this CMS position. 

CPH Seeks New Medical Director
MSSNY is seeking an experienced psychiatrist or addictionist to serve as Medical Director of the Committee for Physician Health (CPH). The Medical Director will oversee the clinical, educational and quality activities of CPH, one of the nation’s oldest physician recovery programs. CPH offers confidential non-disciplinary assistance to physicians suffering from substance-related and other psychiatric disorders.
 
The position could be part-time or full-time and requires at least three days per week in the Albany office, though permanent relocation is not required. The typical work week for a full time candidate would be 35 hours with little weekends or call.

For further details about this opportunity please contact: Terrance M. Bedient, CHE, Vice President, Medical Society of the State of New York, Director, Committee for Physician Heath, 99 Washington Avenue – Suite 410, Albany, NY 12210 or call 518-694-0002 or email terry@cphny.org

 

SAVE THE DATE 

INFECTION CONTROL TRAINING—required NYS Training being given on Wednesday, February 27, 2008—6-8PM at the Nassau Academy of Medicine.  Registration and payment required. 

MSSNY STATE LEGISLATION DAYALBANY, March 4.  Members interested in going to Albany on that day to visit with our legislators should contact the Nassau County Medical Society. 

NCMS/NAM JOINT MEMBERSHIP MEETING— Tuesday, March 27 at the Chateau Briand, Carle Place. 

47th ANNUAL MEDALLION BALL—APRIL 5, 2008 honoring Martin Greenfield, MD, President, at The Woodlands in Woodbury NY.  Reservations required.

 

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Nassau County Medical Society, Inc.
1200 Stewart Avenue
Garden City, New York  11530
(516) 832-2300
(516) 832-2323 Fax
nassaumed@verizon.net

 


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