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This Week's E-Newsbrief: 

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Welcome to your MOA E-news Brief for December 7th, 2018!

The Highlights:  The 2019 Midwinter Symposium is Right Around the Corner: Click Here to Register. Legislative Updates: Midterm Election Results, AOA Public Policy Webinar Scheduled, Health Care Coverage for All of Maine Task Force Issues Final Report, News to Use: AMA Officially Recognizes COMLEX-USA as Equal to USMLE, Max Cohen, OMS III Recognized as UNECOM Student of the Year, AOA Makes Documentation Recommendation in light of denied claims, AOA Research Scholarship Opportunities  Public Health: Measles on the Rise, For-Profit Company Recognized for Role in Addiction Treatment in Maine, New Tick Found in the US, Practice Management: Webinar Scheduled with Community Health Options, MaineCare Issues Emergency Rule on Opioid Health Homes Plus: Professional Opportunities, classified ads /job postings,events & more! 

Happy December & Happy Reading!


MOA News 

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MOA Member Webinar with Community Health Options Scheduled for December 12th, 7pm

The MOA Has Scheduled a Webinar with Community Health Options on Wednesday, December 12th, 2018 at 7:00pm (Call-in information is below). This live presentation will be an overview of the Notification/ Authorization changes for OMT specialists scheduled to go into effect on 01/01/2019. Providers credentialed as OMT specialists with CHO are encouraged to participate in this presentation. 

Note: These changes will NOT impact DOs who are credentialed as primary care providers who occasionally provide OMT services.  

For members who are unable to join at this date/time, the session will be recorded and made available to members. If you have any questions about this virtual meeting, please contact Amanda Richards at arichards@mainedo.org.

Topic: MOA- CHO Webinar
Time: Dec 12, 2018 7:00 PM Eastern Time (US and Canada)
 
Join Zoom Meeting: https://zoom.us/j/307691277
 
One tap mobile:
+19294362866,,307691277# US
 
Phone:
        +1 929 436 2866 US
Meeting ID: 307 691 277

 

Have you registered yet?

Maine Osteopathic Association 2019 Midwinter Symposium: 
Leading Efforts of Growth & Change in Medicine

Register NOW!

Download the Conference Brochure Here.
(For Mail -in registrations and complete Draft Agenda)


Looking for a family-friendly activity during the Midwinter Symposium?

Image result for maine marinersImage result for mariners hockeyPlease Join Us During the MOA Midwinter Symposium 2019 for Mariners Hockey at the Cross Insurance Arena on Friday February 8th or Saturday February 9th--Discounted tickets in a dedicated MOA center ice section!
$15 /each (reg. $20)

 

Visit https://mariners.isportstix.com/order/group/GMOA/ to purchase your tickets now!

 

Holiday Inn by the Bay

 Call today to reserve your hotel room by January 5th, 2019 to get the MOA Rates.
Rates start at $119.00, Call 207-775-2311


It's the Giving Season... Please Consider a donation to the
2019 MOEF Silent Auction!

Our Annual Auction to benefit the Maine Osteopathic Educational Foundation, will be held on Friday, February 8th. Please consider making a monetary donation to this event, or donating an item.

Image result for giving season donate

Click Here for our Donation Form!


 

Do CME Banner

It's the end of the CME cycle...Need CME Credits Immediately?

Please click HERE to browse online osteopathic CME programs available online
from the MOA and other state osteopathic associations (1-A and 1-B credits).

NEW Programs Available NOW!

Over 150 Osteopathic Programs Available Online, On Demand: Click Here!


The MOA is partnering with the Cross Insurance Arena in Portland to bring you discounted tickets to upcoming events.... Next up is Disney on Ice!Image result for disney on ice cross insurance arena

Use code “GFRIEND” for discounted tickets to each of these upcoming events:


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NEW Offer From One Beat-- Save $$ On a Phillips HeartStart Defibrillator

Normal Retail Price: $1,354.00
Price for MOA Members: $975.00, plus $12.00 Shipping

Save more than 20% !!

* OVER HALF THE VICTIMS OF THE MOST COMMON CAUSE OF SUDDEN CARDIAC ARREST CAN SURVIVE WHEN TREATED EARLY WITH CPR AND SHOCK FROM A DEFIBRILLATOR.

Order NOW! Complete this order form and mail to the MOA Office with payment. 


Advocacy/ Legislative Update

photoAOA Public Policy Webinar: “What’s Next?” 

Now that the midterms are over, what happens next? On Wednesday, Dec. 12 at 2 p.m. EST, join members of the AOA Public Policy Department for a webinar about our 2019 federal and state priorities, and what you should expect from the 116th Congress. 

Register Today! 


2018 Midterm Election Results: Democrats Sweep House; Republicans Retain Senate Majority
AACOM Washington Insider, December 3rd, 2018

As the 2018 midterm elections conclude, the Democrats captured the House by a 234-199 margin and the Senate Republicans increased their majority by 53-47. With the Republican win from the special Senate election in Mississippi, Majority Leader Mitch McConnell (R-KY) secured a conference of 53 in the upper chamber.

Congressional leadership elections continue. House Democrats held their leadership elections last week, nominating Nancy Pelosi (D-CA) as Speaker of the House and Steny Hoyer (D-MD) as Majority Leader. Rep. Pelosi will face a floor vote in January where she must win a majority of votes in the House of Representatives. Furthermore, Kevin McCarthy (R-CA), current Majority Leader, will take on the role of Minority Leader in the new Congress, and Steve Scalise (R-LA), the current Majority Whip, will retain his role in the minority. In addition, Senate Majority Leader Mitch McConnell (R-KY) and Minority Leader Chuck Schumer (D-NY) easily retained their positions of leadership within their respective parties. Learn more.


129th Maine Legislature Convened This Week

The 129th Maine Legislature convened on Wednesday, Dec. 5 with legislators being sworn in at 9:30am. Legislators are expected to adjourn until early January 2, 2019, the day of the inauguration of Governor-elect Janet Mills.

Legislature’s Coverage Task Force Issues Report 
 

The Maine Legislature’s Task Force on Health Care Coverage for All of Maine has issued its final report. It has issued recommendations in three subject areas.

The first recommendations relate to the task force itself and legislative oversight of health reform proposals, including centralizing oversight of health care reform in the Insurance and Financial Services Committee, to be renamed the Committee on health Care, Insurance, and Financial Services. It also suggests reestablishing the task force in the next legislative session to continue its work.

The second set of recommendations suggest proposing legislation to address the transparency, accountability, and oversight of pharmacy benefit managers, as well as to consider changing the Maine Health Data Organization’s structure, funding, and capacity for reporting and analyzing health care costs and quality.

The third set recommend that a variety of areas be studied further. Those include prescription drug pricing, responses to changes in federal law and regulations, and looking carefully at the regulatory structure of Maine’s health insurance market.

The full report can be found here: https://legislature.maine.gov/doc/2509 .

GET INVOLVED!

The MOA Legislative Committee is chaired by David Scaccia, D.O. and will hold weekly calls when the legislature is in session (starting in January 2019). A planning call is expected to be scheduled soon. Stay tuned for details! If you have an interest in joining this committee (open to all members!), please email Amanda Richards at arichards@mainedo.org.

The Doctor of the Day Program will return for the 129th Legislative Session. Learn More Here!


Save the Date: Physician's Day at the Maine Legislature is set for March 13th, 2019

Image result for maine legislatureEvery other year, osteopathic and allopathic physicians, physician assistants, residents, medical students, and legislators come together at the Maine State Capitol to engage in discussions on important health policy issues including access to affordable, quality healthcare for all Mainers. We hope you will join your colleagues on Wednesday, March 13, 2019 from 8-4 p.m. Whether you’ve attended Physicians’ Day at the Legislature several times or never before, it is important for clinicians to visit with legislative members to represent your profession and your patients outside of the clinical setting.

An agenda and further details will be made available as we get closer to the event.

National Advocacy Day:

DO Day in DC: March 20, 2019. Details here.


News to Use 

American Medical Association Officially Recognizes COMLEX-USA’s Equality with USMLE
December 3, 2018

On Tuesday, November 13, 2018, the American Medical Association’s (AMA) House of Delegates voted unanimously to approve Resolution 955 “Equality for COMLEX and USMLE.” The resolution provides that the AMA “promote equal acceptance of the USMLE and COMLEX at all United States residency programs.” Further, that the AMA will “work with appropriate stakeholders, including, but not limited to the National Board of Medical Examiners (NBME), Association of American Medical Colleges (AAMC), National Board of Osteopathic Medical Examiners (NBOME), Accreditation Council for Graduate Medical Education (ACGME) and American Osteopathic Association (AOA) to educate Residency Program Directors on how to interpret and use COMLEX scores.” The new policy also calls for the AMA to work with residency program directors to promote higher utilization of COMLEX-USA for DO (osteopathic physician) applicants to ACGME residency programs in light of the new single accreditation system.

The NBOME’s Comprehensive Osteopathic Medical Licensing Examination of the United States (COMLEX-USA) series provides the pathway to licensure for osteopathic physicians in the United States, and is a graduation requirement for earning a DO degree from colleges of osteopathic medicine. The single accreditation system for graduate medical education, a joint agreement between the American Association of Colleges of Osteopathic Medicine (AACOM), AOA, ACGME, allows graduates of DO-granting and MD-granting medical schools to train in ACGME-accredited residency and fellowship programs. By 2020, all residency programs in the U.S. will be accredited by the ACGME, which now has six DOs on its Board of Directors, including Vice Chair, Karen J. Nichols, DO, MA, MACOI, CS.

Currently, most ACGME residency and fellowship program directors, teaching hospitals, and all of the nation’s state licensing boards accept, use, and/or require COMLEX-USA for DOs, and ACGME, AOA and the Federation of State Medical Boards, among others, have official policy recognizing COMLEX-USA and its validity. This endorsement by the AMA comes at a strategically critical time as the single accreditation system is fully implemented in 2020.


News Shorts:

  • Identifying false credentialsThe distinction between U.S.-trained osteopathic physicians and foreign-trained osteopaths, has led to confusion about practice rights
  • Oversleeping May Increase Risk Of Death And Cardiovascular Diseases, Study Indicates.CNN (12/4) reports on its website that researchers found that sleeping more than “six to eight hours a night...is associated with an increased risk of death and cardiovascular diseases.” The findings were published in the European Heart Journal.
  • Garlic Found Effective In Lyme Disease Treatment. The Baltimore Sun (12/3) reports on findings from Johns Hopkins University that found garlic and other medicinal plants may be effective at combating the bacteria that cause Lyme disease, especially among patients who have already been treated with antibiotics. Lyme disease and other tick-borne illnesses are on the rise, according to the CDC. The findings were published online in the journal Antibiotics.

UNECOM STUDENT DOCTOR OF THE YEAR
NOVEMBER 30, 2018 ADMIN

Please help me Congratulate Max Cohen, OMS-III, who is UNE COM’s Student Doctor of the Year. Max was chosen based on his leadership skills, commitment to service, and excellence as a Student Doctor of Osteopathic Medicine
Max Cohen


UNECOM's Justine Lazatin Shares Article to The DO on SOMA's culinary workshop in San Diego during OMED 18.  25 Osteopathic Medical Students volunteered to teach physical and mental wellness thorugh nutrition to homeless individuals in need.

Read the full article here.


CLAIMS DENIED: Major insurers push back on claims involving modifier 25 and 59
DOs are advised to take a look at their clinical documentation practices as a growing number of large insurers deny claims.
The DO. By AOA STAFF Email, WEDNESDAY, NOV. 14, 2018

Physicians are advised to review their documentation practices in light of reports from DOs experiencing payment denials related to clinical validation edits made by an increasing number of large payers.

Click Here for the full article.

Tips to improve documentation:

  • Write legibly or simply do not handwrite any part of the patient’s medical record. Illegibility often results in claim denial.
  • Avoid cutting and pasting notes in the EHR. While the process saves documentation time, it also puts up a red flag to auditors.
  • Make sure the documentation supports a separate E/M for the visit. Insufficient notes may result in this part of the claim being denied or reduced.
  • Avoid upcoding. Payers are aggressively reviewing claims for the appropriateness of the E/M level.

Documentation resources

  • The Guide to Coding and Documentation: Osteopathic Manipulative Treatment is available at the AOA Store.
  • The Guide to Coding and Documentation: Osteopathic Manipulative Treatment webinar is available on the AOA Online learning platform.
  • The Coding Network provides chart audits and suggestions to improve documentation. AOA members receive discounted services.
  • MOA Exclusive Resources (Will need MOA Member login to access)

Image result for american osteopathic association CMENew CME Resolutions & AOA CME 2019-2021 Guide Comment Period

AOA Executive Committee Approves Two CME Resolutions
In response to a request from AOSED, the AOA Executive Committee reviewed two CME resolutions on Nov. 1. The committee approved Resolution EC-1 extending the life of enduring material to three years if the provider ensures the content is up-to-date and accurate. The previous requirement limited the life of enduring material to one year. The committee also approved Resolution EC-2 to eliminate the requirement for pre and post-tests for Category 1-A online programs. 

CME Guide Comment Period Open Through Dec. 19
The AOA specialty certifying boards and Bureau of Osteopathic Specialists (BOS) have been working to improve requirements for continuing medical education (CME). As part of that effort, the BOS has proposed policy changes for Osteopathic Continued Certification for the upcoming cycle in the 2019-2021 CME Guide.

The proposed 2019-2021 CME Guide has been posted for public comment on the AOA website. Please submit questions and comments through Dec. 19, 2018.

Proposed Council on Osteopathic Continuing Medical Education (COCME) Resolutions
In addition, there are two proposed Council on Osteopathic Continuing Medical Education (COCME) resolutions posted on the AOA Website for public comment for 45 business days as denoted below:

Other News from the AOA:

Apply Now for AOA Research Grants 

The AOA offers grant funding to DOs, osteopathic medical students and PhD researchers who conduct studies addressing one of five key focus areas. Grant application cycles last from Nov. 1, 2018 until Jan. 31, 2019. Funded projects will be announced in June 2019. Grants also are available for new investigators and for organizations to present live CME on opioid prescribing. Select an option below to learn more.

Register and apply online!

Questions? Email Gloria Dillard or call (312) 202-8006.


 

 

Download the FREE App to Find Upcoming Osteopathic CME Events Around the Country!
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Free "Know Your Doctor" Wheels Available!

photoThe “Know Your Doctor” wheel is an advocacy tool for use by members of the Scope of Practice Partnership (SOPP) to help legislators understand the differences in education and training between physicians and non-physicians. The wheel turns in a circle to highlight the education and training of non-physicians compared to physicians.  

The SOPP was founded in 2007 by AOA, the AMA and other state and specialty medical organizations to provide resources to help members combat inappropriate scope of practice expansion attempts by non-physician clinicians in their states. Membership is free for state medical societies, and currently 38 osteopathic state affiliates participate. The SOPP is funding “Know Your Doctor” wheels for use by its members during medical society lobbying days in 2018-2019, at no cost to SOPP members. This tool should only be used for legislative and regulatory advocacy. The wheels will be co-branded by the AMA and your organization.

Get this tool FOR FREE from the MOA! Just call 207-623-1101 and we would be happy to ship copies to your office.


Public Health

Groups: Recover Together Recognized for Impact on Addiction Treatment

Bangor Daily News, November 26th, 2018  (edited)
 
The company, a for-profit chain of addiction treatment clinics, is expanding rapidly in Maine and throughout the country, applying a startup mentality to combatting the nation’s most pressing public health crisis.
 
The company has managed to grow where traditional providers have struggled to keep up with the need, raising larger questions about who is, or should be, responsible for delivering care. While some observers are concerned about Maine increasingly relying on a single, private business to care for vulnerable patients, others simply see more people getting well.

Groups Recover Together prescribes buprenorphine and provides weekly counseling in nine Maine communities: Biddeford, Portland, Lewiston, Augusta, Rockland, Ellsworth, Calais, Machias, and Farmington. By early next year, it plans to open locations in Bangor, Houlton, Waterville, and Belfast, and by next summer it anticipates adding Newport and Rumford.

Groups Recover Together now operates 60 clinics in eight states including Maine and as far west as California. The company has committed to seeing patients within a week, with no wait lists.

CEO Cooper Zelnick said the company’s model rewards it for helping people get better, rather than for simply rendering services that are profitable for it to deliver. Through its contract with DHHS for the opioid health homes, the company is paid one rate for a bundle of valuable services it provides to uninsured residents, he said. That’s in contrast to the “fee for service” payments more typical in health care, in which providers get paid every time they deliver a service, such as a urine drug screen, regardless of whether that service helps patients get better, he said.

“By keeping people in treatment and helping them actually recover and ultimately get off medication and be successful and healthy, we’re massively lowering the cost to the health care system,” he said. “When we make money, we are participating in the value that’s created.”

The company claims retention rates well above the national average. While no government source reports retention rates, Groups Recover Together compares its rates to those of outpatient Suboxone providers who report their outcomes to one private insurer.


Rural Hospital Closures: Number and Characteristics of Affected Hospitals and Contributing Factors
United States Government Accountability Office, August 2018 
"Research has shown that hospital closures can affect rural residents’ access to health care services and that certain rural residents— particularly those who are elderly and low income—may be especially affected by rural hospital closures. This report describes (1) how HHS supports and monitors rural hospitals’ financial viability and rural residents’ access to hospital services and (2) the number and characteristics of rural hospitals that have closed in recent years and what is known about the factors that have contributed to those closures."
Click here for the full report.  


Measles Cases Rise, Pockets of Vaccine Refusal Threaten Community Health 
[from AMA Morning Rounds]

The New York Times (11/29, Gladstone) provides coverage of a report issued yesterday by the World Health Organization and the U.S. Centers for Disease Control and Prevention warning that the number of measles cases around the world, particularly in Latin America and Europe, is on the rise, partly fueled by parents refusing to vaccinate their children. In the case of Latin America, the increase in cases “was partly attributable to an economic calamity afflicting Venezuela, where many public health services have stopped or are mired in dysfunction.”

The Washington Post (11/29, Omer) discusses the declining vaccination rate in the U.S. and its potential to negatively impact the populations’ herd immunity. The article says the situation could be further worsened by “clustering of susceptible individuals.” In addition to this trend, the piece references “an analysis of U.S. measles outbreaks since 2000” finding “that vaccine refusers are disproportionately represented in early stages of outbreaks,” meaning “people who deliberately go unvaccinated can provide the critical mass of susceptible individuals that can help start outbreaks that vaccination would otherwise have prevented.” The article concludes “as the vaccine-refusal rate inches up, public health authorities, physicians and parents need to pay attention to clustering as well as overall rate of vaccine refusal. Otherwise, we are likely to continue to see more and larger outbreaks.”


New Tick Arrives in US From Asia 

[from AMA Morning Rounds]

The Washington Post (11/29, Sun) reports two studies issued this week say the Asian longhorned tick has arrived in the U.S., “the first invasive tick to arrive in...about 80 years,” The species is “native to eastern China, Japan, the Russian Far East and the Korean Peninsula, and is now also established in Australia and New Zealand.” While there is currently no evidence the species “has spread pathogens to humans, domestic animals or wildlife in the United States, according to a [CDC] report,” it has spread disease in other part of the world, namely human hemorrhagic fever which “kills up to 30 percent of its victims.” Lyle Petersen, director of CDC’s Division of Vector-Borne Diseases, said, “[It] is potentially capable of spreading a large number of diseases... We really don’t know if diseases will be spread by this tick in the United States and, if so, to what extent. But it’s very important that we figure this out quickly.


Millions Of Americans Expected To Drop Health Coverage In 2019 Following Repeal Of ACA Penalty.

The Los Angeles Times (12/3) publishes a Kaiser Health News piece which says millions of Americans are likely to drop their health insurance for next year now that the ACA’s penalty for not having coverage has been eliminated. The Congressional Budget Office predicted that “the repeal of the penalty would move 4 million people to drop their health insurance next year – or not buy it in the first place – and 13 million in 2027.” The article says some consumers “who from the start hated the Affordable Care Act, or Obamacare as it is often called, will drop their coverage as a political statement,” while others will do so because of affordability.


Health Insurance Marketplace 2019 Open Enrollment Now Through December 15, 2018

Health Insurance Marketplace Open Enrollment for 2019 began on November 1. Many people can get help with premiums or out-of-pocket costs for plans in the Health Insurance Marketplace.

2019 Open Enrollment ends on December 15, 2018.


Practice Management​

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MOA Member Webinar with Community Health Options Scheduled for December 12th, 7pm

The MOA Has Scheduled a Webinar with Community Health Options on Wednesday, December 12th, 2018 at 7:00pm (Call-in information is below). This live presentation will be an overview of the Notification/ Authorization changes for OMT specialists scheduled to go into effect on 01/01/2019. 

For members who are unable to join at this date/time, the session will be recorded and made available to members. If you have any questions about this virtual meeting, please contact Amanda Richards at arichards@mainedo.org.

Topic: MOA- CHO Webinar
Time: Dec 12, 2018 7:00 PM Eastern Time (US and Canada)
 
Join Zoom Meeting: https://zoom.us/j/307691277
 
One tap mobile:
+19294362866,,307691277# US
 
Phone:
        +1 929 436 2866 US
Meeting ID: 307 691 277

In Case you Missed It....
On October 15, 2018 CHO announced modifications to its utilization management program for therapeutic, adjustive, and manipulative services, requiring notification, and prior approval for OMT which will go into effect January 1, 2019. This new requirement impacts DOs who are credentialed as specialist providers who exclusively perform OMT services. It does NOT impact DOs who are credentialed as primary care providers who occasionally provide OMT services in the primary care settings.


MaineCare Issues Emergency Rule on Opioid Heath Homes 
Maine Medicine Weekly Update, December 3rd, 2018

MaineCare currently provides Opioid Health Home (OHH) services to MaineCare members through section 93 of the MaineCare Benefits Manual and to the uninsured through OHH contracts that mirror those rules. With the emergency adoption of the new rule last week, the reimbursement of OHH services at a per member per month (PMPM) rate will now be based on the level of care of services provided to the member the OHH provides coordinated case management to. Urine drug screening will be part of the OHH bundled reimbursement.  Medication costs will be excluded from the PMPM and can be billed separately.  

Opioid Health Homes were established by legislative action in 2017 to provide an integrated care delivery focused on whole-person treatment (See PL 2017, ch. 2, Part P, effective March 15, 2017.). Uptake by providers has been slow until the recent participation of the company Groups which previously had operated on a primarily cash basis.  Groups now has over 600 MaineCare patients in an OHH. With the adoption of the new rule, it is expected that several other major providers of addiction treatment, including Maine Health, will be able to expand the number of slots for OHH patients.
 
While the rule is contingent upon approval of the federal government (CMS) of a state plan amendment, MaineCare is confident enough in future CMS approval to be offering the increased reimbursement immediately.

Office of MaineCare Services: Required Training for Electronic Visit Verification (EVV)

To prepare for the implementation of EVV requirements, we are implementing the Sandata’s EVV system. Providers are required to attend EVV training before receiving credentials to access this system or utilizing an alternative EVV system. We will offer multiple free trainings on a variety of topics related to EVV and about how to use the Sandata EVV system. The online webinar and in-person trainings will begin on December 17, 2018 and continue into 2019.

More information here.


MaineGeneral to Offer X-waiver Course Dec. 11 
 

Office-Based Treatment of Opioid Dependence Course
FOR: All physicians, NPs, PAs, MAs, other medical office staff
DATE: Saturday, December 8, 2018
LOCATION: MaineGeneral Thayer Center for Health
149 North Street, Waterville, ME
AAAP’s “Half and Half” Course
with Dr. Richard Fein (8am-12:30pm)
----------------------------------------------------------------------------------------------
AAAP’s “Half and Half” course with Dr. Richard Fein is a free American Academy of Addiction Psychiatry program that combines 4.25 hours of face-to-face/in-class instruction and 3.75 hours of online training. Those wishing to qualify for a waiver to prescribe buprenorphine (Suboxone, Subutex) must complete both components of this program.
Training will focus on clinical vignettes to help participants think through “real life” experiences in opioid dependence treatment. The online modules provide a background on the treatment of opioid dependence and substance use disorders. This program has been approved for a maximum of 8 AMA PRA Category 1 CMEs. Note that NPs/PAs can take this 8 hour waiver training and it will count towards their waiver application.
To register or for more information email shane.gallagher@mainegeneral.org
The  


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CMS Contractor Advisory Committee (CAC)--October 16th, 2018 Meeting Updates:
From your MOA Medical Economics Committee Chair, Stephanie Collins, D.O.

  • Beneficiary enrollment for Medicare plans starts October 15, 2018 and will allow changes to Medicare Advantage Plans in the first quarter of 2019-- Be sure to verify your patients' status.
  • Category III CPT Code Updates-- Effective January 1, 2019
  • NGS will be seeking opinions on improving services to rural areas, including Northern Maine. 
  • A new LCD process is being rolled out as before the LCDs were internally generated, now producers and providers who have business in a CAC area can initiate an LCD and there will be a transparent process. The timeframe is not yet determined as the demand and or priority of new LCDs will need to be considered on an individual level.
  • There are some new specialty codes from CMS, such as hyperbaric medicine specialty and with this providers are reminded they need to update their medicare validation process if the specialty changes or EVERY 5 years. The online process (PECOS takes 5-10 minutes and 60% of providers are doing this electronically.) with tutorials on the NGS website available herePaper application here. 
  • 'Tis the Season...the Flu Season that is! Influenza Virus Vaccine and Administration Codes have been updated for smoother billing and reimbursement -- See them here. A Resource Sheet for Providers on Flu Vaccines can be downloaded here.
  • NGS/ MS also has a similar tool for other types of preventative services, which you can find here.

We have Military Health History Pocket Cards for Clinicians! 
Contact the MOA office to Receive Some for Your office! We would be happy to send them to you.
Ask these questions of military service members and all Veterans:

It is important to know whether a patient or an immediate family member has military service. You know that your patients at VA have had military service. It is also important to ask your patients outside of VA "Have you or a loved one served in the military?"

Asking Veterans these questions will provide you with information helpful in understanding patients' medical problems and concerns, and in establishing rapport and therapeutic partnerships with military service members and Veterans. Answers may also provide a basis for timely referral to specialized medical resources.

Unique Health Risks for Each Era of Military Service

Or Download here: Military Health History Pocket Card


 

Image result for hospitality homesFYI: A Resource for Families of Your Patients Receiving Care in the Boston Area

Hospitality Homes is a nonprofit organization that provides short-term housing in volunteer host homes for families and friends of patients receiving medical care in the Boston area. Our services are free of charge and are made possible by the generosity of our volunteer hosts and supporters. 

Founded in 1983, Hospitality Homes was the first program of its kind in the nation. Since then we have served more than 15,300 families. The need for convenient, caring, and cost-free accommodations for patients’ family members increases every year.

Hospitality hosts do not provide meals or transportation.  A few of them live within walking distance of the major hospitals; most live in ares with access to public transportation (subway or buses).  Hospitality Homes charges no fees.  We rely on donations from guests and others to sustain the program. 

Hospitality Homes is available to people of all races, nationalities, and faiths, provide the guest:

  • Lives far enough away from the hospital so that commuting is difficult. 

  • Can provide help translating if English is not the first language of the family members.

  • Has a permanent home to return to.

  • Is an important support person for the patient.

  • Is not likely to put the host family at risk

 


Upcoming Events​

 

Caring for ME Upcoming Events:

MICIS: Co-Prescribing Benzodiazepines and Opioids: The Black Box of Increased Overdose Risk

Speaker: Elisabeth Fowlie Mock
Tuesday, December 11, 201812:00 PM - 1:00 PM EST Register Here
 

Pen Bay Medical Center - "Half-and-Half" Course for Buprenorphine Waiver Training - Fri, Dec 14, Rockport: The IMAT (Integrated Medication Assisted Therapy) Team is offering training for those interested in seeking their waiver to prescribe buprenorphine in the treatment of opioid use disorder. To obtain the waiver to prescribe, physicians are required to take 8 hours of training. We are offering the Half-and-Half format (4.25 hours of face-to-face training with an instructor followed by 3.75 hours of on-your-own on-line training). NPs and PAs can also take this course and receive credit for 8 hours. This will then apply to their 24 hour training requirement. To register, please contact: Cathy Hopler at chopler@pbmc.org


IDENTIFYING SUBSTANCE ABUSE EARLY SAVES LIVES!

Maine AAP offering regional training for Pediatric Providers

SBIRT and Motivational Interviewing

The Maine AAP will be offering one day Saturday sessions in several regions of Maine, providing training and coaching to Pediatricians and Pediatric Specialists in SBIRT (Screening, Brief Intervention and Referral to Treatment) and effective conversational skills in Motivational Interviewing.  Plan to join us for the session in your region. 

Confirmed Dates for all sessions:

Saturday, December 8, 2018 - Presque Isle/Northern Maine 

Saturday, February 2, 2019 - Bangor

Saturday, March 2, 2019 - Machias

Saturday, April 6, 2018 - Saco/Biddeford

Please save the date if you are interested in one of the other area trainings - these are confirmed locations and dates and registration will open when the venues are secured. 

Instructor: Stephen R. Andrew LCSW, LADC, CCS, CGP is a storyteller, consultant, trainer, co-author of Game Plan: A Man's Guide to Achieving Emotional Fitness, and Chief Energizing Officer of Health Education & Training Institute. He maintains a compassion-focused private practice in Portland, Maine (USA) where he also facilitates a variety of men's, co-ed, couples, and caregiver groups. Stephen has been a member of the International Motivational Interviewing Network of Trainers (MINT) since 2003 as well as a MIA-STEP (Motivational Interviewing Assessment; Supervisor Tools for Enhancing Proficiency) trainer for the New England ATTC. Stephen has been MITI trained and has over 100 hours of training in Motivational Interviewing. He provides coaching and training domestically and internationally for social service agencies, health care providers, substance abuse counselors, criminal justice, and other groups.


MaineHealth Announces 2018-19 Tobacco Treatment Training Program 

The MaineHealth Center for Tobacco Independence (CTI) provides a variety of trainings and educational programs for health care professionals throughout the state of Maine. CTI is pleased to announce the 2018-19 Training and Educational offerings, training descriptions and additional information is available in the attached brochure and at: http://www.cti-trainingmaine.org/home

These training opportunities are available to provide healthcare professionals with the knowledge and skills to successfully engage their patients/clients with proven strategies for lasting tobacco abstinence. Advice and assistance from health care professionals remains a powerful tool for helping tobacco users quit.

The 2018-19 Training program includes:

·       Electronic Cigarettes & Vaping: Implications for Tobacco Prevention & Treatment (April 10th, Rockland)

·       Annual Tobacco Treatment and Prevention Conference (June 17-18th, South Portland)

Continuing Education Credits will be available for all trainings

 



MOA Midwinter Symposium 2019

February 8-10th, 2019

Holiday Inn by the Bay Portland, ME

For More Details & To Register Online, Click HERE!


OSTEOPATHIC CRANIAL ACADEMY CME OFFERINGS

 

February 16-20, 2019 Midwinter Introductory Course in

Osteopathy in the Cranial Field

Course Director: Zina Pelkey DO FCA

Associate Director: Daniel A. Shadoan DO

Crowne Plaza Astor

New Orleans, Louisiana

 

February 22-24, 2019 Pediatric Course

Course Director: Margaret A. Sorrel DO FCA

Associate Director: Mary Anne Morelli-Haskell DO FACOP

Crowne Plaza Astor

New Orleans, Louisiana

 

The Osteopathic Cranial Academy

3535 E. 96th Street, Suite 101    Indianapolis, IN 46240

(317) 581-0411    FAX: (317) 580-9299

E-mail: info@cranialacademy.org   

Web site: www.cranialacademy.org

 


27th Annual Family Medicine Update & Annual Meeting
April 3 - 6, 2019 in Bar Harbor, Maine

Schedule Includes:
- April 3 th – 1-5pm - KSA Study Group
- April 4 th & 5 th – 8am – 5pm each day –
- 27 th Annual Family Medicine Update
-Annual Business Meeting
- Sat. April 6 th – (Tentative) Opoid
Education Session – FREE to MAFP Members! (meets Maine Licensure CME requirements)

Full brochure & registration information available after January 15, 2019 on the web at:
www.maineafp.org



Need a Change of Scenery? Find Osteopathic CME Live Programs All Over the US!

Download NOW! Android Users: Google Play Store      Apple Users: Apple Store


Classified Ads

Primary Care Physician – Family Practice 

The Primary Care Physician provides the full scope of primary care services commensurate with his/her field of training and State of Maine licensure; duties include, but not limited to, diagnosis, treatment, coordinator of care, preventative care and provision of health maintenance services to patients of all or applicable life cycles.

Qualifications include:

  • A minimum of 5 years experience in the practice of family or internal medicine required

  • Clear understanding of and commitment to the health center’s mission.

  • Knowledge of health problems and disparities affecting homeless and other low-income persons. Work effectively with culturally and economically diverse population. 

  • Electronic Medical Records experience, and Microsoft Windows/Microsoft office experience required.

  • Graduate of an accredited medical school and completion of residency in Family Practice or Med/Peds.

  • Current State of Maine Medical license.

  • Current D.E.A. certificate

  • Board eligibility or Board Certified in applicable discipline is desired.

  • Demonstrate insurability under Federal Tort Claims Act (FTCA)

  • Maintain current CPR

  • Obtain ACLS within 12 months of employment, if required

For more information, or to apply, contact Danel Adams at 207-469-7371 Ext: 622 or email DAdams@brhcme.org.

12/31/18


Seeking Medical Director for Family Medical Practice in Waterville, ME 

Elmwood Primary Care, a hospital-employed outpatient Family Medicine practice located in the lakes and streams region of Maine, is recruiting for an experienced Family Medicine physician as the practice Medical Director.  We are looking for an individual with a commitment to providing care to an underserved population, as well as a strong interest in team building, mentorship, and collaboration.  The weekly schedule would involve 16 hours of direct patient contact, with the remainder of time dedicated to practice leadership and care coordination.  Elmwood Primary Care has considerable behavioral health support, including a psychiatric nurse practitioner, a licensed clinical social worker providing counseling services, and social work services within the practice.  We strive to improve the health and well-being of our patients and the community as a whole, and we wish to find someone who shares this desire.  Interested candidates should email Tiffiny Parker, Physician Recruiter at tiffiny.parker@mainegeneral.org.

12/3/18


MOA Exclusive Opportunity--Addiction and Recovery Practice Seeks Physician-- Skowhegan, ME

Looking for a DO with an XDEA who would be able to invest as much time as they would like helping individuals with addiction.  Each provider would be their own entity developing their own schedule and have the ability to be telemed.  They would be responsible for their own insurance and taxes.  DO's would make 55% of the profits per patient; administrative needs would be covered by clinic staff.  Unlike a traditional practice there is no call coverage, billing that needs to be done as this is a cash only practice.

Contact Rosemary McDonald at rboudreaumcdonald@gmail.com or by phone at 207-660-1652. 


Seeking Medical Director for Family Medical Practice in Waterville, ME 

Elmwood Primary Care, a hospital-employed outpatient Family Medicine practice located in the lakes and streams region of Maine, is recruiting for an experienced Family Medicine physician as the practice Medical Director.  We are looking for an individual with a commitment to providing care to an underserved population, as well as a strong interest in team building, mentorship, and collaboration.  The weekly schedule would involve 16 hours of direct patient contact, with the remainder of time dedicated to practice leadership and care coordination.  Elmwood Primary Care has considerable behavioral health support, including a psychiatric nurse practitioner, a licensed clinical social worker providing counseling services, and social work services within the practice.  We strive to improve the health and well-being of our patients and the community as a whole, and we wish to find someone who shares this desire.  Interested candidates should email Tiffiny Parker, Physician Recruiter at tiffiny.parker@mainegeneral.org.

10/29/18


PCHC wants to add more Family Physicians at Multiple Locations! 
 

PCHC is recruiting Family MedicinPCHC is recruiting Family Medicine Physicians for locations in Belfast, Old Town, and Bangor. e Physicians for locations in Belfast, Old Town, and Bangor. This is your chance to work for a nationally recognized FQHC that is a leader in integrated primary care!

  • Come and join our team at Seaport Community Health Center and become a part of a vibrant and active coastal community!

  • Work and play minutes away from the flagship university of the University of Maine System by working at our Helen Hunt Health Center!

  • Become a part of the health center where it all began, Penobscot Community Health Center located in the heart of Bangor, Maine!

We are the largest and most comprehensive FQHC in Maine and the 2nd largest in New England. PCHC offers family medicine, psychiatry, mental health, pediatrics, specialty services, physical therapy, pharmacy, social work, lab, x-ray, and a large public health dental center -- all within our organization. If your passion is in community health, there is no place else to be. Questions? Contact Vanessa Sanderson, Recruitment Coordinator at (207)404-8015 or vsanderson@pchc.com.

10/29/18


Physician – Leeds 

DFD Russell Medical Centers (DFDRMC) operates three community health centers in central Maine.  We are seeking a full time Physician, for our Leeds location.

Our three health centers serve a multicultural, rural population of about 10,000 patients and have a family practice focus serving pediatrics to geriatrics. We have excellent clinical support staff.

This position requires a high degree of flexibility, good clinical skills and commitment to team work and open lines of communication. It is a full-time at 4 days per week.

This position combines making a difference in patients' lives with a family-friendly work life, please e-mail your resume to Laurie Kane-Lewis, CEO. (Laurie.Kane-Lewis@DFDRussell.org) EEO

Requirements
Current Maine license. Proficiency with electronic medical records.

Benefits
Excellent benefit package: medical, dental, life, 401(k), flexible spending accounts and a generous paid time-off plan. Salary is commensurate with experience; there is also an incentive plan and a CME reimbursement.

10/29/18


 

 Medical Office Space Available April 2018, Falmouth, ME

Two Doctors of Osteopathy are looking for a third practitioner to share their office suite. We have up to 3-4 offices available including two exam rooms, a lab, and an office. The building is a small, two suite, single story, Class A, Energy Star rated facility in West Falmouth just off exit 53 of the Maine Turnpike (I95). Amenities include a shared kitchen/lunchroom, staff bathroom, bright waiting room with skylights, beautiful landscaping, outdoor lunch area, and 25 dedicated parking spaces. Ideally we'd like to find a family practice doc who is an osteopath or a nutritionist/life coach type of practitioner. There may be an opportunity to purchase equipment and furnishings from the outgoing doctor. The lease is triple net and includes operating expenses which we expect to decrease in years to come as we make energy efficiency improvements over time. Rent for all four offices would be $2025/month. Three offices would be $1561/month. Availability starts April 2018, possibly earlier.

Contact info:  Karen L. Roberts, D.O., office:  541-9285; cell: 462-0997.


Opportunities at the VA for Volunteer Physicians

The Physician Ambassador Program was created by the Department of Veterans Affairs as a best practice recruitment and placement initiative seeking fully licensed physicians and clinicians to enhance health care services for Veterans.

The Physician Ambassador Program is a without compensation program that provides civilian physicians and clinicians an opportunity to give back to the Veteran community by serving in a volunteer role to deliver health care services to Veterans. 

If you are interested in participating in this program at VA Maine Healthcare System, please contact Jonathan Barczyk at (207) 621-4886.


Classified Ads are free for MOA members.
Email ad information to office@mainedo.org

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Maine Osteopathic Association, PO Box 315, Manchester, ME 04351
www.mainedo.org | P. 207.623.1101 |  F. 207.623.4228