August 26, 2013

 
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Legislature to Reconvene Thursday to Vote on Bonds

A unanimous endorsement this past week by the Appropriations and Financial Affairs Committee of nearly $150 million in borrowing paves the way for the full Legislature to give a two-thirds vote of approval this coming Thursday.  Assuming a two-thirds vote in favor, the bond issue will go to the voters this November.  On Thursday, the Legislature may also consider the issues surrounding funding and staffing for the Riverview Psychiatric Center. 

The $149.5 million package includes funds for transportation projects (primarily repairing roads and bridges), waterfront development in Portland, and higher education (divided equally between the University of Maine System and the Maine Community College System).  The final $14 million will be used to improve and repair armories in the state.

In other bonding news, the Governor's office issued a press release this past week stating that it expected to sell the liquor revenue bond this coming week which would facilitate the payment of the MaineCare debt to the hospitals.

New Laws Impacting Your Practice: LD 597, Copy of Lyme Disease Test Results

Each week MMA will be running weekly articles highlighting new laws passed by the 126th Legislature that impact the practice of medicine in Maine.  We are also happy to present an overview of new laws to your medical staff, practice or specialty society and have posted a summary of laws and explanatory slide presentation on the MMA website. 

Treatment of Lyme disease was a very hot topic at the legislature this session.  Rep. Briggs (D-Mexico) introduced LD 597, which, as introduced, would have required the MeCDC to provide information on its website about the International Lyme and Associated Diseases Society treatment guidelines for Lyme disease that promote long-term antibiotic therapy.  After much debate, in the end LD 597 requires: 

  • Every health care provider that orders a laboratory test for the presence of Lyme disease shall provide the patient with a copy of the results of the test.  MMA has advised physicians that a mailed or electronically-delivered version of results is sufficient, however a phone call is not. 
  • That the MeCDC post additional information on its website about Lyme disease, including treatment alternatives. 
The requirement to provide patients a copy of their test result goes into effect October 9, 2013 and the full text of the law can be found here
 
With questions or for more information contact the MMA at jbarnard@mainemed.com or gsmith@mainemed.com
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WINXNET Offers Free HIPAA Security Audits to 20 MMA Members

Compliance with the HIPAA Security Rule can be daunting. It can be even more difficult when you don’t have a firm grasp on the underlying technology. When you dig deep and try to understand the tasks and procedures you need to protect electronic data, you are likely to encounter technical terms and IT buzzwords that are confusing.

Winxnet, a HIPAA compliant IT consulting and outsourcing firm, has worked with hundreds of healthcare organizations to help them understand and cost-effectively address their technology needs.  The Winxnet Security & Compliance Health Check is designed to help healthcare organizations quickly cut through the confusion by providing answers to the question, “Do I have the correct administrative, physical and technical controls in place to pass an audit?”

How does it work? It’s simple and can be completed in one day.  

A team of Winxnet Certified HIPAA Security and Compliance Professionals will conduct a health check which includes the following steps:

  1. Review a short list of questions with you.  
  2. With your permission, run a secure software program to gather information about the state of your information security.
  3. Conduct a vulnerability scan of your internal network (Internal test). 
  4. Conduct a vulnerability scan of your firewall (External test). 
  5. Review the documented findings with you.  

After gathering the needed information the team will analyze the data, document findings and recommendations, and review them with you with a clear path forward. 

The results of the findings may include steps you need to take towards full compliance with the HIPAA Security Rule.  If you need outside support to address some or all of the recommendation towards full compliance, Winxnet has a team of Certified HIPAA Security and Compliance Professionals ready to assist.

Through the MMA and our strategic partnership, this Health Check valued at $949 is being offered at no cost for the first 20 MMA members.  If interested, send an email to HIT@winxnet.com or call 207.780.0497 and reference the MMA.  [return to top]

Compliance Deadline for New HIPAA Rules Approaching Sept 23

The Sept. 23 compliance deadline for the omnibus rule/HITECH amendments to the Health Insurance Portability and Accountability Act (HIPAA) is just around the corner.  

Your practice will need to ensure compliance with the changes in the Privacy Rule, Breach Notification and Security Rule.  MMA has tools and resources to assist you, incuding a sample Notice of Privacy Practices, Sample Business Associates Agreement and overview slide presentation.  See http://www.mainemed.com/education-info-cme/hipaa for more information.  

Here are some key steps you should be taking between now and September 23rd: 

1. Update your Notices of Privacy Practices to comply with the new HITECH requirements. The amended Notice of Privacy Practices should be posted in a prominent location, placed on your website (if you maintain a website), given to new patients, and made available upon request to existing patients who have already received and signed a Notice of Privacy Practices.

2. Update and revise existing business associate agreements to address the final rule provisions and obtain new business associate agreements as needed. (Note that covered entities that have business associate agreements that were effective before Jan.25, 2013 have until Sept. 23, 2014 to update them.)

3. Update your breach response policies. The Final Rule changed the definition of “breach” as well as the risk assessment that must be undertaken to determine if there has been a breach. It is more likely that an impermissible access, use or disclosure of PHI will be a “breach” necessitating notification to the individual, HHS, and possibly the media. Breach response policies should reflect the new standards.

4. Review and update your HIPAA Policies and Procedures Manual. Perform a "gap" analysis to determine what changes are needed to existing HIPAA policies and procedures and update them accordingly. It is important to ensure that the policies and procedures accurately reflect both the new rules and the operations of your practice. 

5. Notify business associates of their obligation to comply with the HIPAA Security Rule and certain parts of the HIPAA Privacy Rule. 

6. Train your employees on the new HIPAA requirements.  Document the training.  MMA attorneys are available to come to your practice to train you and your employees on the new requirements. 

Contact Jessa Barnard at jbarnard@mainemed.com for more information.   [return to top]

Employers Required to Notify Employees of Health Insurance Marketplace By Oct 1

Beginning January 1, 2014, individuals and employees of small businesses will have access to health insurance through a new competitive private health insurance market – the Health Insurance Marketplace. Section 18B of the Fair Labor Standards Act, as added by the Affordable Care Act, generally provides that an applicable employer must provide each employee at the time of hiring (or with respect to current employees, not later than October 1, 2013), a written notice about the heath insurance marketplace and health insurance options.  

Employers are required to provide the notice to each new employee at the time of hiring beginning October 1, 2013 or to all current employees no later than October 1, 2013.  The requirement applies to employers to which the FLSA applies.

The notice must include: 

  • Informing the employee of the existence of the Marketplace (referred to in the statute as the Exchange) including a description of the services provided by the Marketplace, and the manner in which the employee may contact the Marketplace to request assistance;
  • If the employer plan's share of the total allowed costs of benefits provided under an employer's health insurance plan is less than 60 percent of such costs, that the employee may be eligible for a premium tax credit if the employee purchases a qualified health plan through the Marketplace; and
  • If the employee purchases a qualified health plan through the Marketplace, the employee may lose the employer contribution (if any) to any health benefits plan offered by the employer and that all or a portion of such contribution may be excludable from income for Federal income tax purposes.

For more information, and sample notices based on whether you currently offer health insurance to your employees, see: http://www.dol.gov/ebsa/healthreform/ [return to top]

MMA Webinars: The Affordable Care Act Marketplace Update, Sept 11 & 25

The Affordable Care Act: Marketplace Update (and more)

September 11th, 12-1:30 pm or 

September 25th, 12-1:30 pm 

Presented by CarePartners - MaineHealth, Consumers for Affordable Health Care, Maine Medical Association/Maine Medical Education Trust, and the Maine Primary Care Association.  

Topics will include: 

  • The ACA Overview: What has happened so far
  • Details on coverage, enrollment and subsidies for the new health insurance marketplace opening Oct 1 
  • Where to send patients for assistance in enrollment and how practices and health systems can help with enrolling the uninsured
  • Implications for practices and health care systems

Free and open to any hospital or medical practice staff, administrators or clinicians. To register, contact Jill Barkley at jbarkley@mainemed.com.   Log in information will be emailed after registration.   

Supported with funding from the Maine Health Access Foundation.  

 
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Processing of Medicare Claims Transitioning to NGS on Oct. 25

On Feb. 22, 2013, CMS made a contract award to National Government Service (NGS) for Jurisdiction K (Maine, New Hampshire, Vermont, Massachusetts, Rhode Island, Connecticut and New York) for the processing of Medicare claims for both Part A and Part B.  In doing so, CMS consolidated the contracts for what was previously known as Jurisdiction 13 (Ct. and NY) and jurisdiction 14 (remaining New England states).  The effective date of the change from the current NHIC states for Part B claims is Oct. 25, 2013.  NGS will also be responsible for processing Medicare home health and hospice claims in all the New England states.  NGS is a subsidiary of Wellpoint and has extensive experience across the country in administering Medicare claims.  NHIC, which has been the part B carrier in Maine for several years will still have a role in the process, but will provide that service as a contractor to NGS.

This change represents implementation of the plans of CMS to contract with fewer carriers across the country. MMA staff recently met with NGS representatives and discussed this significant change and came away from the meeting believing that NGS is committed to a smooth transition.

National Government Services has been working with NHIC to identify differences between their business practices.

They have identified the following areas where providers may notice a difference in the JK MAC:

  • Local coverage determinations (LCDs) are being standardized throughout the jurisdiction
  • New electronic data interchange (EDI) connectivity front end (M2)
  • New P.O. Box numbers for use with JK MAC
  • New interactive voice response/recognition (IVR) format for use with JK MAC
  • New toll-free customer care telephone numbers for use with JK MAC
  • New business organization telephone numbers for use with JK MAC
  • Fax on demand option (available through IVR)
  • Telephone Reopening Unit (TRU) telephone numbers and process (available for Part B providers)
  • Medical records are not accepted via fax
  • New contractor ID numbers

To learn more, please visit the JK Transition Information Website and click on the link for Part B providers.   NGS also encourages providers to subscribe to their Listserv/Email updates program to receive important information about the JK MAC transition and upcoming training opportunities. Register today on the National Government Services Web site:

  • Go to the http://www.NGSMedicare.com start page
  • Select your line of business as applicable
  • Accept the site attestation
  • Select Publications > E-mail Updates from the left navigation
  • Select Subscribe  
  • Enter your e-mail account information
  • Create your profile
  • Select the desired E-mail Update categories and select Submit
  • Once registration is complete you will be notified by e-mail to confirm your account information.
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First Friday's Educational Programming Resumes on Sept. 6 with the Annual Risk Management Seminar

On Friday morning, Sept. 6, three senior risk managers from Medical Mutual Insurance Company of Maine will present three current risk management topics at MMA's offices in Manchester (also offered via webex).  

Stacey Doten, Senior Risk Manager for Medical Mutual, will present on the new risk management issues raised by the increased use of electronic medical records systems.  Nancy Brandow, Senior Risk Manager for Medial Mutual will discuss how to improve patient safety through effective medication reconciliation.  And Lou Anne McLeod, Senior Risk Manager at Medical Mutual will give a talk entitled, "Are Your Office Systems Putting Your Practice in Jeopardy." MMA EVP Gordon Smith, Esq., will moderate the morning session.

The last two First Friday programs of 2013 will be held on Friday Nov. 1 (Annual Compliance Seminar) and Friday, Dec. 6 (Accountability, Transparency & Public Reporting).

Registration is available on the MMA website or through calling MMA at 622-3374.

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Make Your Reservations NOW for MMA Annual Meeting, Oct. 4-6, in Portland

MMA is excited to be holding its 160th Annual Session in downtown Portland Oct. 4-6.  Most events, including the Saturday evening Anniversary Gala, will be held at the Holiday Inn by the Bay.  Seven and one-half hours of category one CME are available and the theme of the Session is The Changing Face of Medical Education.

The Association has not held its Annual Meeting in Portland in many years and this Anniversary Meeting is shaping up to be one of the most popular meetings in several years.  Being close to many of Maine's medical education facilities made the topic for this year's meeting relatively simple.  We will be looking at the changes in all aspects of medical education, including undergraduate, graduate and post-graduate.  We will also be offering tours of the Hannaford Center for Safety, Innovation and Simulation at the Brighton Campus of the Maine Medical Center. 

The CME portion of the meeting begins at 1:15pm on Friday afternoon, Oct. 4, with a keynote presentation by Edison Liu, M.D., PhD., President and CEO of Jackson Laboratory.

The Saturday evening Anniversary Gala will begin at the Portland Museum of Act and then move to the Holiday Inn for dinner.  Music for dancing after the dinner will be provided by the popular Bob Charest band.

Registration for the meeting and a full schedule of events is available on MMA's website. Registration materials were also mailed to each member in July.  Room reservations at the Holiday Inn by the Bay can be made by calling 1-800-345-5050.  Call soon, as the room block expires on Sept. 3rd.

Potential exhibitors and sponsors should contact Lisa Martin at MMA (lmartin@mainemed.com or call 622-3374 ext. 221) [return to top]

Maine Dirigo Geriatric Society to Meet Oct 17

SAVE THE DATE:

Maine Dirigo Geriatric Society Meeting

October 17, 2013 at 5:30 p.m.

Maple Hill Farm Inn and Conference Center

Hallowell, ME

Mark your calendar for the Maine Dirigo Geriatric Society Meeting, scheduled for October 17, 2013 at 5:30 p.m. to include dinner, a presentation about Choosing Wisely and time for discussion and networking around geriatric care in Maine.  Meeting will occur at Maple Hill Farm Inn and Conference Center in Hallowell, ME.  Details to follow. [return to top]

Job Openings

Department of Psychiatry, Medical Director

The Department of Psychiatry is seeking a full time senior faculty member to serve as Medical Director of Riverview Psychiatric Center in Augusta, Maine.

Riverview Psychiatric Center is the flagship inpatient treatment center for Maine’s public mental health system.  Riverview consists of 92 adult inpatient beds, two outpatient clinics, and a forensic ACT team.  Housed in a beautiful facility built in 2004, Riverview provides tertiary psychiatric care to civil voluntary and involuntary patients as well as forensic care.

The Riverview Medical Director will serve as the chief clinical officer of Riverview Psychiatric Center. The Medical Director works with the superintendent to help lead the facility, overseeing the quality of clinical care, and directly supervising the psychiatrists and psychologists.  The Dartmouth tie adds colleagues who are leading other public sector hospitals, educational opportunities, and access to expert consultation. The role includes promoting excellent clinical care, supporting teaching and training, and facilitating research activities that serve the mission of both Riverview and the Department.

The ideal candidate will have a passion for public sector care, a patient-centered clinical orientation, forensic experience, excellent clinical leadership skills, sound interpersonal skills, administrative experience, a strong academic background and board certified in Psychiatry and license eligible in Maine. Academic rank and salary will be consistent with experience.

A letter of interest, curriculum vitae, and three letters of reference should be addressed to:

Dr. William Torrey, Search Chair, and e-mailed to psychiatry.jobs@dartmouth.edu. Please reference search number PS0813D.

The Geisel School of Medicine at Dartmouth is an Equal Opportunity/Affirmative Action Employer and encourages applications from women and members of minority groups.

8/26/13

Full-Time PA-C or FNP Position Available

We are searching for an experienced healthcare provider to join our supportive team-based Family Medicine Practice.  Full Circle Family Medicine is a physician owned private practice in Mid Coast Maine.

We are a full spectrum, well established practice with a focus on preventative, wellness and mindfulness based care.

Please forward CV and references to:  Full Circle Family Medicine, Attn:  Wendy Williams, 68 Chapman Street, Damariscotta, ME  04543 or via email to: wwilliams@fullcirclefamilymedicine.com. Questions: please call 207-563-6623 option 7 to speak with Wendy.

We look forward to hearing from you.

9/2/13

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Upcoming Events

 Attend Commercial Driver Medical Examiner Training - 2 Dates/2Locations

The Maine Academy of Family Physicians is pleased to announce two more opportunities to complete the newly Federally required “Commercial Driver Medical Examiner (ME)” training here in Maine.

Sept. 7th in Portland

Oct. 26th in Bangor. 

This day-long program will be eligible for AMA Cat I CME credits (as well as AAFP Prescribed credits)

For more information or to register, click here.

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Maine TB Update 

September 11, 2013

9:00 AM – 3:45 PM

Online and in-person training  

In-person training held at: 

University of Southern Maine

Lewiston-Auburn College - Room 170, 51 Westminster St., Lewiston

Jointly Sponsored By Maine Center for Disease Control and Prevention  and New Jersey Medical School Global Tuberculosis Institute. The purpose of this one-day update course is to provide public health nurses and other health care professionals in Maine with enhanced knowledge and skills in the management of tuberculosis (TB). The format includes lectures, panel discussions, and two breakout sessions.  Please register online at: Mainetbupdate2013.eventbrite.com

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Washington and Hancock County Workshops: Safety Net Programs for Maine’s Seniors

September 11, 2013

Machias, The Kay Parker Building, 26 Hadley Lake Road 

9:00 AM—NOON 

OR 

Ellsworth, Washington Hancock Community Agency, 248 Bucksport Road

2:00 PM—5:00 PM 

Topics include updates on the Medicare Savings Program, Drugs for the Elderly, MaineCare; the Food Supplement Program – formerly known as Food Stamps; and My Maine Connection.

These workshops are designed for Community Service Providers and provided at no charge.  RSVP to Jennifer Sanborn at Maine Equal Justice Partners (MEJP) with your name, organization, phone number, and email address:  626-7058 x 200 or jsanborn@mejp.org.

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4th Annual Patient Safety Academy

Friday, September 13th

9:00am – 4:00pm

University of Southern Maine, Portland Campus, Abromson Center

Cost: $50, with a discounted rate of $25 for students

12 workshops, including the USM School of Nursing Simulation Lab! The Patient Safety Academy is returning for its fourth year! Last year over 150 health care professionals representing Maine hospitals, physician practices, pharmacies, long-term care facilities, agencies, organizations and advocacy groups participated in knowledge and skill building workshops. Any individual interested or engaged in patient safety activity is invited to attend.

To learn more or register, click here

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12th Annual Downeast Ophthalmology Symposium

Presented by the Maine Society of Eye Physicians and Surgeons

September 20-22, 2013

Harborside Hotel & Marina - Bar Harbor, ME

This Symposium offering 15 hours of CME is open to ophthalmologists across the country!

For more information, visit www.maineeyemds.com.

Additional Questions?  Call  Shirley Goggin at 207-445-2260 or sgoggin@mainemed.com.

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Maine Health Management Coalition’s 20th Anniversary Symposium

Getting Health Care Right: Past Successes and Future Imperatives

October 10, 2013

8:30 am – 3:30 pm

 Abromson Center (USM) in Portland

The Coalition’s annual symposium brings together employers, providers, payors and patients from across Maine’s health care market to hear from nationally recognized speakers about current trends in health care payment and delivery.  This year’s keynote is world famous geneticist, author, and professor Dr. William Haseltine.

For more information or to register, click here.  Maine Medical Association members are eligible for discounted tickets.

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Maine Dental Access Coalition Fall Conference

Friday, October 18, 2013

8:00 am - 4:00 pm

Morgan Hill Event Center, Hermon, Maine

 All One Body:  Creating Optimal Health Outcomes A Symposium for Medical and Dental Health Providers

Keynote: Medical Dental Collaboration:  Why it Matters and How It Works by Dr. John R. Luther, DDS, Senior Vice President of Dental Management and Chief Dental Officer at DentaQuest

Registration information to follow.  Visit http://www.mainedentalaccess.org/events.php

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Maine Public Health Association 29th Annual Meeting 

October 22, 2013 

8:30 am - 4 pm 

Augusta Civic Center 

For more information, click here

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2013 Maine Primary Care Association Annual Conference

October 23 - October 24, 2013

Bar Harbor Club, Bar Harbor, Maine

This year's conference, "Health Care Reform: Putting the Promise into Practice" will highlight emerging trends and opportunities in the face of health reform—with specific emphasis on how Maine’s health centers can play a pivotal role in delivering on the promise of health care reform. 

For more information, or to register, click here

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Maine Cardiovascular Health Council's 2013 Cardiovascular Summit

Stroke - The First 3 Hours: Bridging the Health System and the Community

   Thursday, November 7, 2013

8:00 am - 4:00 pm

Samoset Resort, Rockport, Maine

In this one day event, we are combining scientific sessions with population health.  As we move into a more collaborative healthcare environment, this is the ideal conference to learn about the newest information regarding stroke care, along with resources available through our state and local programs.

For more information or to register, click here

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2013 Division of Infectious Disease Annual Conference

November 13, 2013 

Augusta Civic Center

 Sponsored by the Maine Center for Disease Control & Prevention

Since 1983, the Maine Center for Disease Control and Prevention, Division of Infectious Disease, Department of Health and Human Services has organized an annual infectious disease conference targeting public health issues of emerging concern to medical practitioners throughout the State. Presentation topics will focus on a range of infectious diseases and immunizations. This year’s conference includes aspects from the Division of Infectious Disease’s Epidemiology, Immunization, HIV, STD and Viral Hepatitis Programs. 

For more information or to register, click here

 

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For more information or to contact us directly, please visit www.mainemed.com l ©2003, Maine Medical Association