The Maine Osteopathic Association's Weekly E-Newsbriefs:

Important Updates & News Sent Weekly to your inbox.

Contact Amanda Richards, arichards@mainedo.org to sign up now!

 

This Week's E-Newsbrief: 

Welcome to the MOA E-newsletter for November 22nd, 2019:

  • MOA News: Happy Thanksgiving! Please Note: The MOA office will be closed for Thanksgiving Day and Black Friday, Midwinter Symposium 2020: Register Early & Save $50!
  • News to Use:  Stephen Shannon, DO Honored with AAMC Award, New Hampshire Board of Medicine Issues Ruling on Use of Nurse Anesthesiologist Title
  • Public Health: Vaping Now Surpassing Previous Youth Smoking Levels
  • Practice Management: MOA Medical Economics Committee Advocating for Maine DOs, MaineCare Health Home Applications Open-- Webinar for PCPs December 2nd at 12:00PM
  • Classifieds: Maine DHHS OCFS Medical Director Opportunity--Qualified applicants are encouraged to contact Dr Lisa Letourneau at lisa.letourneau@maine.gov with any questions, along with their resume.

MOA News

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The MOA Staff wishes all a healthy and happy Thanksgiving! 

Please note: Our office will be CLOSED Thursday, November 28th (Thanksgiving Day) and Friday November 29th in observance of the holiday. 


MOA's 2020 Midwinter Symposium: Early Registration is now Open Online!

Dates: February 7-9th, 2020 
Location: Holiday Inn by the Bay in Portland, ME

Our annual Midwinter Symposium will feature clinical updates, case presentations and exciting keynotes tailored to the PCP and related specialists. Please join us for a full weekend of learning, networking and fun with our Maine DO Family!

Our room block is now open: Call 207-775-2311 to book your room for the symposium. Rates start at $124.00. Please mention our event to get the group rate.

Click Here for the full draft agenda.

Register for the Symposium Early & Save $50! Click Here to Get Started.


 

The MOA has partnered with Cross Insurance Arena to offer your family discounted tickets to its upcoming show:

Disney on Ice: Celebrate Memories
Tickets Start at $11 Each When you use Promo Code: GFRIEND
*Offer Expires DEc. 16t at 4pm

How to Order:

Click Here & Enter Offer Code "GFRIEND"


News to Use

MOA Medical Economic Committee Advocating for Maine DOs
 
The Maine Osteopathic Association's Medical Economics Committee (formerly known as the MOA Payor/Payee Committee) has been actively engaged here on the local level with several payors on recent audits of claims relating to billing E/M and OMT codes on the same date of service with modifier 25. The Committee is co-chaired by Dr. Stephanie Collins and Dr. Kiran Mangalam with key input and advice from multiple committee members including Dr. Boyd Buser, former AOA and MOA President and national expert.
 
The Committee has held multiple conference calls with Anthem representatives in Maine to learn more about their policy on modifier 25 after a Provider Communications notice was sent out this spring. We have shared pertinent documents including the National Government Services (NGS) Local Coverage Determination for OMT; the CMS 2011 Federal Register; and the AMA RUC database pre-, intra-, and post- service work descriptions to demonstrate that the RUC and CMS took into account any potential overlap between the E/M and OMT codes when they established their values. Our discussions have been informative and we have an additional meeting scheduled for December. We anticipate that we will have information to share with the membership on or before the MOA Mid Winter Conference in February 2020.
 
In addition, the MOA Medical Economics Committee has met several times with Aetna to discuss the volume of DO practices impacted by their denials of E/M and OMT claims. We have shared the relevant documents and continue to have meaningful dialogue about osteopathic manipulative treatment. 

We have also reached out to Martin's Point to discuss the recent audits that many DOs have been impacted by which include a look back of up to two years of claims submitted related to modifier 25 when an E/M is billed on the same date of service with an OMT code. While these conversations are in the beginning stages, we do encourage DOs to appeal and to keep a detailed paper trail. If you are in need of template letters to assist you with your appeal, please contact the MOA office at 207-623-1101.

The MOA continues to advocate for appropriate reimbursement. If you have questions or need information, please do not hesitate to reach out.  Feel complete the MOA Hassle Factor Form and/or call the MOA office at 207-623-1101 to share your experience. This information helps us to track trends and changes in payment policy. 

More on the topic from the AOA: 5 Ways to get more of your modifier 25 claims approved. Click HERE to read the full article.


Dr. Shannon, Former AACOM President and CEO, Receives AAMC Special Recognition Award

During the Association of American Medical Colleges (AAMC)’s 2019 Annual Conference Gala, Stephen C. Shannon, DO, MPH, Immediate Past AACOM President and CEO, was recognized with the AAMC Special Recognition Award. The award was given to Dr. Shannon for his leadership, skillful collaboration, and steadfast promotion of medicine and health professions education. Watch his acceptance video and read all about the AAMC Award winners in this press release.

During his acceptance, Dr. Shannon voiced his gratitude for being in a welcoming position for interprofessional collaboration, noting his work with other organizations including with the AAMC, the American Osteopathic Association (AOA), and the Accreditation Council for Graduate Medical Education (ACGME). He also noted the tremendous growth of osteopathic medicine, including its change from a regional to a national profession and the doubling of the number of colleges and overall medical students.

Dr. Shannon spoke about his hopes for the future of medical education and the medical profession as a whole in his award video, “I would like to see the house of medicine in 50 years be much more diverse, with a better focus on professionalism and ethics. To think in terms of the big picture and to think in terms of population health and social determinants of health, but also to work with the other professions and be open to change.”

To read more about Dr. Shannon’s accomplishments during tenure as AACOM President and CEO, read his article Reflecting on 13 Years of Osteopathic Medical Education Leadership.


New Hampshire Board of Medicine Issues Ruling on Use of Nurse Anesthesiologist Title

In March 2019 the New Hampshire Board of Nursing (NHBON) issued a “Position Statement regarding the use of Nurse Anesthesiologist as a communication tool and optional descriptor for Certified Registered Nurse Anesthetists (CRNAs)” (Position Statement). The Position Statement allows nurse anesthetists to use the term “nurse anesthesiologist” and “certified registered nurse anesthesiologist” as optional descriptors. The Statement specifies that this does not amount to a title change and does not expand nurse anesthetist scope of practice. Yet, it is notable that the most recent licensing application for advance practices nurses (APRNs) in New Hampshire includes “nurse anesthesiologist” as a licensing option. In response to the NHBON Position Statement, the New Hampshire Board of Medicine (NHBOM) sent a memorandum to the NHBON expressing their serious concerns with use of the term “nurse anesthesiologist” by nurse anesthetists, indicating it is misleading and confusing for the public. The memorandum also indicated CRNAs using this term could be fined up to $50,000 for advertising themselves, to the public, as a physician.

Many medical associations also sent letters expressing concern with the NHBON decision, including the New Hampshire Medical Society (NHMS), American Medical Association, American Society of Anesthesiologist, American College of Physicians, New Hampshire Society of Eye Physicians and Surgeons, New Hampshire Osteopathic Association, New Hampshire Psychiatric Society, New Hampshire American College of Emergency Physicians, New Hampshire Academy of Family Physicians, New Hampshire Orthopaedic Society, New Hampshire Chapter of the American Academy of Pediatrics, New Hampshire Radiology Society and New Hampshire Society of Pathologist.

In November 2019, the NHBOM issued a ruling finding that anyone who uses the term “anesthesiologist” must be licensed by the Board of Medicine. The NHBOM’s unanimous decision was in response to a petition for declaratory ruling filed by the NHMS and New Hampshire Society of Anesthesiologist. In its ruling, the NHBOM specifically determined, “anyone in New Hampshire who identifies themselves as a nurse anesthesiologist or otherwise describes themselves using the term anesthesiologist in their professional title without a license from the Board of Medicine is holding oneself out as qualified to practice medicine when not qualified or licensed to do so, in violation of RSA 329:24” (refers to the unlawful practice of medicine statute).


Medical Students Will Soon Able to Serve on DO School Accreditation Entity
The AOA Board of Trustees approved the addition of two medical student members to the Commission on Osteopathic College Accreditation (COCA). The student members will fully participate in all COCA activities and have full voting authority. One of the two students will be nominated by the Student Osteopathic Medical Association (SOMA), and one by the Council of Osteopathic Student Government Presidents (COSGP).


DO Day on Capitol Hill-- Registration OPEN!

The 2020 DO Day will take place on Tuesday, March 17th and Wednesday, March 18th. This is an exciting opportunity for DOs and osteopathic medical students to come to Washington, D.C. to educate Members of Congress and their staff about the osteopathic profession and the importance of osteopathic medicine. Participants will also engage with lawmakers and ask them to support legislation that is vital to the practice and principles of osteopathic medicine.

REGISTER FOR DO DAY!


Public Health Updates

Increase In Underage Vaping Said To Overshadow Drop In Traditional Smoking Among Youths

The AP (11/21) reports that “the smoking rate among U.S. high schoolers took its biggest hit ever this year, federal figures show, falling to a new low,” but “the milestone was relegated to a lone figure at the bottom of a government press release and went unremarked by anti-tobacco groups that have spent decades working to stamp out youth smoking.” The AP calls this “a new era in the tobacco wars – one in which the alarming rise of underage vaping has almost completely overshadowed a parallel drop in traditional smoking.” The piece says that “the pivotal question of whether electronic cigarettes are inadvertently helping to wipe out smoking among young people has become a polarizing topic: embraced by some experts, dismissed by others.”


HealthCare.gov 2020 Open Enrollment Period Now Through December 15

2020 Open Enrollment

Open Enrollment for 2020 health insurance coverage through the Health Insurance Marketplace began on Friday, November 1 and runs through Sunday, December 15.

There are now more free and low-cost health coverage options in Maine  With the expansion of MaineCare eligibility and declining premiums on HealthCare.gov, more Mainers can now get a comprehensive plan that works for their budget.

This year there is a new resource to help Mainers understand their options and connect to local help.  Visit CoverME.gov for information about affordable health coverage for Maine. 

Information about health coverage options and enrollment assistance is also available at enroll207.com.

Healthcare.gov Enrollment Assistance

A directory of brokers and assisters in Maine is available at https://localhelp.healthcare.gov

Open Enrollment for AOA Insurance
Open Enrollment for AOA member health insurance runs through Dec. 15. Plans sold during Open Enrollment are effective Jan. 1, 2020. If you miss the Dec. 15 enrollment deadline, you won’t be able to receive ACA-compliant coverage in 2020 unless you qualify for a Special Enrollment Period. Enroll today.


Practice Management 

MOA Medical Economic Committee Advocating for Maine DOs
 
The Maine Osteopathic Association's Medical Economics Committee (formerly known as the MOA Payor/Payee Committee) has been actively engaged here on the local level with several payors on recent audits of claims relating to billing E/M and OMT codes on the same date of service with modifier 25. The Committee is co-chaired by Dr. Stephanie Collins and Dr. Kiran Mangalam with key input and advice from multiple committee members including Dr. Boyd Buser, former AOA and MOA President and national expert.
 
The Committee has held multiple conference calls with Anthem representatives in Maine to learn more about their policy on modifier 25 after a Provider Communications notice was sent out this spring. We have shared pertinent documents including the National Government Services (NGS) Local Coverage Determination for OMT; the CMS 2011 Federal Register; and the AMA RUC database pre-, intra-, and post- service work descriptions to demonstrate that the RUC and CMS took into account any potential overlap between the E/M and OMT codes when they established their values. Our discussions have been informative and we have an additional meeting scheduled for December. We anticipate that we will have information to share with the membership on or before the MOA Mid Winter Conference in February 2020.
 
In addition, the MOA Medical Economics Committee has met several times with Aetna to discuss the volume of DO practices impacted by their denials of E/M and OMT claims. We have shared the relevant documents and continue to have meaningful dialogue about osteopathic manipulative treatment. 

We have also reached out to Martin's Point to discuss the recent audits that many DOs have been impacted by which include a look back of up to two years of claims submitted related to modifier 25 when an E/M is billed on the same date of service with an OMT code. While these conversations are in the beginning stages, we do encourage DOs to appeal and to keep a detailed paper trail. If you are in need of template letters to assist you with your appeal, please contact the MOA office at 207-623-1101.

The MOA continues to advocate for appropriate reimbursement. If you have questions or need information, please do not hesitate to reach out.  Feel complete the MOA Hassle Factor Form and/or call the MOA office at 207-623-1101 to share your experience. This information helps us to track trends and changes in payment policy. 

More on the topic from the AOA: 5 Ways to get more of your modifier 25 claims approved. Click HERE to read the full article.


MaineCare Health Home Applications Open

The Health Home program is a vital component of Maine’s Value-Based Purchasing strategy, a multi-pronged MaineCare initiative designed to improve the healthcare system, improve population health, and reduce cost. Health Home practices partner with Community Care Teams and Behavioral Health Home organizations to serve MaineCare members with chronic physical conditions and mental health needs. Participating practices receive a per member, per month payment to provide Health Home services. Both adults and children may be enrolled in the Health Home program.

  • Applications open Wednesday, November 13, 2019 and close Monday, December 9, 2019. Practices with more than one location must complete a separate application for each location. To apply on or after November 13th, please access the online application.

  • Practices that apply and qualify will be able to participate in Health Homes as of January 21, 2020. To review current MaineCare policy for Health Home Services, please see the MaineCare Benefits Manual, Chapter II, Section 91: Health Home Services.

  • A webinar for interested primary care providers will be held on Monday, December 2, 2019 at 12:00 PM.  To register for the webinar, please send your organization’s name, participant name, phone, and email address to the Value-Based Purchasing Unit.

  • Additional information about the Health Home programs and a PDF of the Health Home application can be found at MaineCare's Value-Based Purchasing website.


CMS Now Accepting Applications for Primary Care First Payment Model

Earlier this year, the Centers for Medicare & Medicaid Services (CMS) announced Primary Care First, a new value-based payment model to transform primary care services. CMS recently announced that the start day will be delayed from January 2020 until January 2021. Physician practices currently participating in the Comprehensive Primary Care Plus (CPC+) are also eligible to participate in Primary Care First, but not until January 2022.

Individual physician and group practices interested in participating in Primary Care First starting January 2021 are required to submit an application by January 22, 2020

To start an application for Primary Care First, register for an Application Portal account. The link for this portal is on the Primary Care First website. All applicants will complete the same application, regardless of the model option desired. If you have questions about the Application Portal, please direct them to CMS via email at PrimaryCareApply@telligen.com. 

More Information
To see if the payment model is offered in your region, including information on model participation options, practice eligibility and payment visit the Primary Care First website.

Primary Care First Process Timeline

 


CMS Updates-- Update MBIs to Avoid Payment Delays

Do not wait. Update your patients' records and use Medicare Beneficiary identifiers (MBIs) now, before you are busy with other patient insurance changes in January.

We encourage people with Medicare to carry their cards with them since we removed the Social Security Number-based number; if your patients do not bring their Medicare cards with them:

  • Give them the Get Your New Medicare Card flyer in English (or Spanish).

  • Use your Medicare Administrative Contractor’s look-up tool. Sign up for the Portal to use the tool.

  • Check the remittance advice. Until December 2019, we return the MBI on the remittance advice for every claim with a valid and active Health Insurance Claim Number (HICN).

Starting January 1, you must use MBIs to bill Medicare regardless of the date of service:

  • We will reject claims submitted with HICNs with a few exceptions

  • We will reject all eligibility transactions submitted with HICNs

See the MLN Matters Article for answers to your questions on using MBIs.

​PHYSICIAN FEE SCHEDULE 2020 Final Rule Fact Sheet


Did you know that MOA offers online CME Programs?

Please find MOA on-demand CME programs at our new CE21 site:
https://docme.ce21.com/category/moa 

308 Osteopathic CME Programs are now available via this site!


Upcoming Events

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SAVE THE DATE FOR 2020 CME EVENTS:

MOA Midwinter Symposium
Holiday Inn by the Bay, Portland, ME
February 7-9th, 2020

Register Here!
 

109th Annual Convention
The Samoset Resort, Rockport, ME
June 5-7th, 2020


Opioid CME credit:

MICIS Academic Detailing Sessions (1 Hour Sessions)-- FREE, With CME Credit Offered

Academic detailing is peer-to-peer educational outreach which is designed to improve prescribing practices.  It is useful for improving quality of care and identifying priorities for change.

Prescribers (MD, DO, PA, NP) and Medical Directors may request an individual Academic Detailing session at their practice location.  This direct learning session will be lead by Elisabeth Fowlie Mock, MD, MPH, an experienced clinician, teacher and leader in the opioid crisis and an Academic Detailer with MICIS since 2011.  There is no charge for this session.

This service is directed to two groups of prescribers: those who have complex patients with chronic pain on opioids and those who are considering providing buprenorphine treatment for opioid use disorder.  Sessions can be scheduled for any time of day, cover one hour of content, and multiple sessions for providers in the same or nearby practices can be scheduled on the same day.  Participants will be able to prioritize their learning needs and customize the learning session.

Contact MICIS to schedule an Academic Detailing session. More information can be found here.


Osteopathic Cranial Academy CME Offerings

February 15-19, 2020 Midwinter Introductory Course in
Osteopathy in the Cranial Field

Course Director: Zina Pelkey DO FCA
Associate Director: Therese M. Scott DO
Hilton Norfolk The Main, Norfolk, Virginia

 

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


Photo credit: D. Halbach

Location: DoubleTree by Hilton Portland - 363 Maine Mall Rd, So. Portland, ME 04106

28th Annual Family Medicine Update & Annual Meeting  ~  April 1-4, 2020

  • April 1st – 1-5pm - KSA Study Group
  • April 2nd & 3rd – 8am – 5pm each day 28th Annual Family Medicine Update CME sessions
  • Annual Business Meeting
  • April 4th – (Tentative) Opioid Education Session – FREE to MAFP Members! 
  • (meets Maine Licensure CME requirements)

Full brochure & registration information available after January 15, 2020


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 & Job Postings 

Maine DHHS Office of Child & Family Services (OCFS) Medical Director Opportunity:  The Maine Office of Child & Family Services (OCFS) is looking to identify a new Medical Director and is eager to identify qualified physicians, nurse practitioners, or physician assistants who are interested in applying for the position. 

The OCFS Medical Director is responsible for providing clinical leadership, strategic policy direction, technical assistance, and clinical support for OCFS program and staff, and supports OCFS goals and objectives established in coordination with the OCFS Director and the Commissioner’s Office of DHHS. The Medical Director supports development and implementation of policy that aims to improve health outcomes for Maine children and families by improving both their experience of care and population health outcomes. The Medical Director will provide consultation and technical assistance to OCFS staff and community-based providers; participate in relevant advisory groups; and when needed, interact with state legislature and legislative committees at the direction of OCFS leadership.  The position is expected to be 0.8-1.0 FTE and is based in Augusta.

Qualified applicants are encouraged to contact Dr Lisa Letourneau at lisa.letourneau@maine.gov with any questions, along with their resume.


MaineCare Medical Director Opportunity:  The Office of MaineCare Services (OMS) is continuing its search for a new MaineCare Medical Director and is eager to identify qualified physicians, nurse practitioners, or physician assistants who are interested in applying for the position.  More information & position qualifications are included in the attached position description, but in brief…

The Office of MaineCare Services is seeking qualified candidates for the position of MaineCare Medical Director.  The Medical Director is responsible for providing clinical leadership and policy direction and oversight to the MaineCare program and staff and supports MaineCare goals and objectives established in coordination with the MaineCare Director and the Commissioner’s Office of Dept of Health & Human Services (DHHS). The Medical Director supports development and implementation of policy that aims to improve health outcomes for Medicaid beneficiaries by improving population health outcomes and member experience and promotes the cost-effective use of resources. The Medical Director directly communicates with healthcare providers in the state, participates in relevant advisory groups, and when needed, interacts with state legislature and legislative committees at the direction of MaineCare leadership.  The position is expected to be 0.8-1.0 FTE and is based in Augusta.

Qualified applicants are encouraged to contact Dr Lisa Letourneau at lisa.letourneau@maine.gov with any questions, along with their resume.


Image result for one beat cpr

MOA Members--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. 

 

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