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November 5, 2018

In This Issue
IN THE SPOTLIGHT
CMS Issues Final Medicare Physician Payment Rule
VOTE!
Signatures being Collected for Citizen Initiated Proposal on Physician Assisted Death
New Web-based Decision Support Tool Helps With Chronic Pain Treatment
Health Insurance Marketplace 2019 Open Enrollment Now Through December 15, 2018
AMA Urges FTC to Act on Insulin Prices
MaineGeneral to Offer X-waiver Course
Ten Takeaways from the Surgeon General's Opioid Report
"Great American Smokeout" November 15th; "Tar Wars" Anti-smoking Education
Webinar: The Changing Landscape of Retirement - Tuesday, November 13 5pm
128th MAINE LEGISLATURE
MMA Presentation on Healthcare Issues Considered by 128th Legislature Now Available
MMA Legislative Committee's Organizational Meeting Scheduled for December 6
UPCOMING EVENTS
Upcoming Specialty Society Meetings
Next Steps in Addressing Maine's Opioid Crisis: 11/7 Presentation Scheduled
Introduction to Lean in Healthcare Full-Day Workshop on Friday, November 9
Division of Disease Surveillance Annual Infectious Disease Conference - November 14
MICIS 3-hour Opioid CME Presentation - November 26 in Portland
Enrollment Underway for Maine’s Physician Executive Leadership Institute - The Advanced Course - Deadline for Enrollment at Discounted Price: November 30th
Identifying Substance Use Early Saves Lives! - SBIRT with Motivational Interviewing Training - 1-day Sessions Offered on Dec 8, Feb 2, Mar 2, Apr 6
HEALTHCARE EMPLOYMENT OPPORTUNITIES
Physician – Leeds
Psychiatric Mental Health NP - Leeds
Psychiatric Nurse Practitioner - Nasson Health Care
Primary Care Physician
PCHC wants to add more Family Physicians at Multiple Locations!
Outpatient Internal Medicine Physician – Bangor, Maine
OB/GYN Physician Opportunity
Franklin Health Behavioral Services is seeking a BC/BE Psychiatrist/Medical Director
Internal Medicine MD or DO (BE/BC)
Podiatrist (Non-Surgical)
Internal Medicine Outpatient Physician
Seeking Medical Director for Family Medical Practice in Waterville, ME
Internal Medicine Physician
Opportunities at the VA for Volunteer Physicians

 
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IN THE SPOTLIGHT

CMS Issues Final Medicare Physician Payment Rule

In addition to the changes to the proposal to collapse the E & M codes, CMS also proposed to minimize some administrative burden and expand Medicare coverage of virtual health visits via new covered codes for technology-based services including virtual care and remote patient monitoring. Changes were also made to the MIPS reporting requirements.  
 
The changes are effective for services furnished under the Medicare Physician Fee Schedule on or after Jan. 1, 2019.
 
For CY 2019 and beyond, CMS is finalizing the following policies designed to minimize the current administrative burden:
 
  • Elimination of the requirement to document the medical necessity of a home visit in lieu of n office visit;
  • For established patient office/outpatient visits, when relevant information is already continued in the medical record, practitioners may choose to focus their documentation on what has changed since the last visit, or on pertinent items that have not changed, and need not re-record the defined list of required elements if there is evidence that the practitioner reviewed the previous information and updated it as needed. Practitioners should still review prior data, update as necessary, and indicate in the medical record that they have done so;
  • Additionally, CMS is clarifying that for E & M office/outpatient visits, for new and established patients for visits, practitioners need not re-enter in the medical record information on the patient's chief complaint and history that has already been entered by ancillary staff or the beneficiary. The practitioner may simply indicate in the medical record that he or she reviewed and verified this information; and 
  • Removal of potentially duplicative requirements for notations in medical records that may have previously been included in the medical records by residents or other members of the medical team for E/M visits furnished by teaching physicians.  
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