1 Registration Guide Practice Management 2015: A New Era A CME Conference jointly provided by the American Psychiatric Association and New Jersey Psychiatric Association A District Branch of the American Psychiatric Association Saturday, September 26, 2015 NJHA Conference & Event Center 760 Alexander Road, Princeton, NJ ACCREDITATION This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education through the joint providership of the American Psychiatric Association (APA) and New Jersey Psychiatric Association. The APA is accredited by the ACCME to provide continuing medical education for physicians. The APA designates this live activity for a maximum of 5.0 AMA PRA Category 1 Credit. Physicians should only claim credit commensurate with the extent of their participation in the activity. PROGRAM COMMITTEE Members of the program committee are: Michael Shore, MD, Erin Zerbo, MD, Consuelo Cagande, MD, Charles Ciolino, MD, Justin Faden, DO, Theodore Petti, MD, and Patricia DeCotiis, Executive Director. All program committee members agreed to disclose any conflict of interest that may arise during the planning of CME activities and recuse themselves from any discussions where a potential bias could exist. Michael Shore, MD reported that he is a consultant for Indivior and on the speakers bureau for Indivior and Orexo. No other planners report any competing interests.
2 Educational Objectives: PROGRAM OVERVIEW This Conference is designed to address highly relevant clinical and management concerns that impact on the practicing Psychiatrist and effect quality patient care and treatment outcomes. The topics to be taught are as follows: Advocacy Presentation: This will be a presentation by the Co-Chair of the NJPA Council on Advocacy including a panel discussion by the chief legislative liaison from the Medical Society of NJ and MBI, lobbyist for NJPA. This session will review legislative proposals and actions and the impact of these on practicing psychiatrists and patient care. The delivery of quality patient care requires a strong and ongoing advocacy effort to ensure that the best interests of patients and physicians are served. The membership of NJPA can best advocate for their patients if they are aware of the initiatives of the NJPA Council on Advocacy. It is also important for the NJPA leadership to receive feedback as to members advocacy concerns and priorities. Breakout sessions: There will be two breakout sessions and attendees will choose 1 of the 3 topics offered in each. These are: 1) A presentation by an attorney that frequently appears before the NJ Board of Medical Examiners. Physicians are increasingly impacted in their patient care by Board regulations. Many of these regulations have changed and/or recently been added, and greatly impact the physician s ability to most effectively provide necessary treatments. Ultimately these regulations are directed to improve the quality and safety of patient care and are essential for the clinician to be aware of. 2) PRMS, a provider of malpractice insurance and partner with NJPA, will be providing a presentation and on liability, risk management and contract negotiation; emphasizing how to best deliver state of the art treatments while meeting current legal and ethical guidelines. Common pitfalls and how to best avoid them will also be addressed. 3) A presentation on medical coding in This session will provide physicians with the skillset to employ the codes efficiently and effectively and accurately describe the complexity that best reflects the nature of what professional services were provided, so that physicians may be fairly and promptly paid for services rendered. Sunshine Act Review: The Wall Street Journal (WSJ) published an article in February 2015 entitled What Money? Many Docs Haven t Visited the Open Payments Database. The Open Payments Program, which is the implementation of the Sunshine Act, has been launched by the Centers for Medicare & Medicaid Services in order to report payments given to physicians and teaching hospitals. However, according to the WSJ article, a MedPanel survey reported that only 72% of physicians were aware the database exists, and only 53% were familiar with the law itself. Less than half actually visited the government website. This presentation will focus on the intent of the legislation and the manner in which it aims to maximize transparency in the activities of physicians. While there are some differences of opinion, there will be discussion on how physicians may be influenced in their prescribing and treatment decisions in ways not always be in the best interests of the patient. Physician Monitoring Program (PMP) Presentation: This session will include a formal presentation by the NJ PMP administrator, followed by case discussions illustrating examples of the applicability of the PMP to real patient interactions. The PMP was developed in response to the worsening problems of prescription medication abuse, including diversion and utilizing multiple physician prescribers. The program is not mandated in New Jersey, but is highly encouraged, and has been an effective deterrent to prescription medication abuse. Furthermore, it diminishes the availability of controlled substances on the street and reduces overall morbidity and mortality associated with drug abuse and dependence. Panel and Q/A: At the end of the day, all speakers will participate in a Panel discussion related to the day s educational activities. Recognize contract provisions that may increase liability exposure, explain the types and benefits of medical professional liability insurances and understand the pitfalls of entering into an employment arrangement without a formal contract Learn about correct CPT codes for medical evaluation visits and medical evaluation with psychotherapy visits, prolong service codes and other useful CPT codes for psychiatrists, billing for services rendered rather than time Provide an overview on the Physician Payment Sunshine Act and educate participants about reporting obligations using actual examples of reportable transactions and exclusions to the rule Understand the legal and regulatory authority of the State Board of Medical Examiners, become familiar with the obligations of NJ Physicians under the law and learn preventive measures to reduce risk. Understand the concept and function of the New Jersey Prescription Monitoring Program (PMP) and deliver real examples of how the PMP provides valuable patient history information, improves coordination with other physicians, and diminishes the opportunity for patients to divert controlled medications and doctor shop. Foster a better understanding of issues facing the practice of psychiatry in NJ and demonstrate how advocacy relates to the practice environment and quality of care.
3 CONFRERENCE AGENDA Registration, Continental Breakfast, Vendors: 8:00 AM Opening Remarks 8:50 AM Legislative & Media Advocacy- Anna Rossi, DO (entire audience) 9:10 AM MSNJ, MBI (Mishael Azam, Esq. and Tim Martin) 10:00 AM Break, Vendors 10:30 AM 1 st Breakout (attendees choose one of three)** 11:00 AM Lunch 11:50 AM Nuts & Bolts of the Sunshine Act-Shari Graham, Esq. 12:25 PM Break, Vendors 12:55 PM 2 nd Breakout (repeat of 1st breakout)** 1:25 PM Prescription Monitoring Program-A Tool for Change (entire audience) James Mielo, Administrator PMP & Michael Shore, MD 2:15 PM Break, Vendors 3:15 PM Panel and Q&A (all speakers) 3:45 PM ** Breakout Sessions: CPT Coding 2015 Sherry Barron-Seabrook, MD Understanding the Legal and Regulatory Authority of the NJ Board of Medical Examiners Alex Keoskey, Esq. Employment, Malpractice Insurance and Technology Vendor Contracts 101 Ann McNary, Esq. CONFERENCE PRESENTERS/FACULTY Consuelo Cagande, MD NJPA President Michael Shore, MD NJPA Senior Vice President & Chair of Council on Education Mishael Azam, Esq. COO & Senior Manager Legislative Affairs, Medical Society of NJ Sherry Barron-Seabrook, MD, AACAP Healthcare Access and Economics Committee Shari Graham, Esq. APA Counsel s Office Alex Keoskey, Esq. Partner, Law Firm of DeCotiis, FitzPatrick & Cole, LLP Ann McNary, Esq. Senior Risk Manager, Professional Risk Management Services Tim Martin Senior Associate at MBI GluckShaw James Mielo, R.Ph. Administrator, PMP, NJ Office of the Attorney General Anna Rossi, DO Co-Chair of the NJPA Council on Advocacy DISCLOSURE POLICY The APA requires disclosure by faculty at CME activities of any significant financial interest(s) or other affiliations(s) with commercial organization(s) that may have a direct or indirect interest in the subject matter of the educational activity. A financial interest may include, but is not limited to, being a shareholder in or on retainer with the organization, or having research or honoraria paid by the organization. An affiliation may include holding a position on an advisory committee or some other role or benefit to a supporting organization. Michael Shore, MD reported that he is a consultant for Indivior and on the speakers bureau for Indivior and Orexo. No other faculty report any competing interests.
4 NEW CONFERENCE FEATURE Professional Liability Policy Review NJPA has asked PRMS, the leading medical professional liability insurance program for psychiatrists, to provide you with a FREE and PERSONALIZED policy assessment. For your insurance assessment, please bring a copy of your professional liability policy and declaration page to the meeting, and an experienced PRMS Account Manager will review it to make sure your insurance needs are being met. You will be under no obligation to switch your coverage to PRMS if you are not currently a PRMS policy holder. NJPA MEMBER-ONLY BENEFIT ARE YOU A SPEAKER SEEKING LECTURE OPPORTUNITIES? If you are a member of the NJPA you may bring your CV, including any prior lecture experience, and a list of course topics on which you speak to the conference. This information will be collected and shared with all NJPA Chapters as a resource for chapter meeting planning. It will also be shared with any other organizations calling the New Jersey Psychiatric Association looking for speaker and topic suggestions. NJPA THANKS As the leading medical professional liability insurance program for psychiatrists, PRMS is uniquely positioned to provide insurance and risk management resources and information to NJPA members. Through the Platinum Partnership with NJPA, members will now benefit from PRMS' educational programs, free access to quarterly risk management tips and alerts as well as claims data specific to New Jersey on the NJPA website. Please contact Remy Palumbo, Senior Account Manager at PRMS at or for more information. CONFERENCE PRICING BEFORE 9/5/15 (prices increase $15 on 9/5, excluding RFMs) NJPA Member and Spouse/Guest of Member: $115 NJPA Non-Member and Spouse/Guest of Non-Member: $160 Resident/Fellow Non-Member: $30 Resident/Fellow Member attends FREE: must hold seat with $30 check which will be returned upon arrival at event
5 SPEAKER BIOGRAPHIES Mishael Azam, Esq. Mishael Azam serves as the Chief Operating Officer and Senior Manager of Legislative Affairs at the Medical Society of New Jersey. She is responsible for overseeing the Society s advocacy agenda, policy development program, fundraising, and internal operations. Ms. Azam most recently served as the Director of Policy to the Majority Leader in the New Jersey Assembly Majority Office, where she crafted healthcare and other policy initiatives, working closely with the legislative and executive branches, as well as stakeholders and constituents. At the Majority Office, Ms. Azam also staffed the Assembly Health and Senior Services and the Assembly Budget Committee, as well as the Appropriations, Commerce and Economic Development and Environment and Solid Waste Committees. Prior to her five years at the Majority Office, Ms. Azam served as Associate Counsel at the Office of Legislative Services, the non-partisan research and legal arm of the New Jersey Legislature. In the Revenue, Finance and Appropriations Section of the Office of Legislative Services, Ms. Azam participated in the drafting of the annual State budget, honing an expertise on State fiscal matters. Ms. Azam is an elected member of the Camden County Democratic Committee and an appointee to the Haddonfield Environmental Commission. She is a member of the Women s Political Caucus of New Jersey and the New Jersey Bar Association. She holds a law degree from Boston University School of Law and a B.A. in English from Rutgers College. Sherry Barron-Seabrook, MD Dr. Sherry Barron-Seabrook, MD is a triple-boarded child psychiatrist. Following her graduation from University of Louisville School of Medicine, she did her Pediatric Residency at New York Hospital and then her Psychiatry and Child Psychiatry training at Rutgers Medical School in NJ. She opened her private practice in 1982 and founded NeuroBehavioral Associates, LLC, a child psychiatric group practice consisting of a child psychiatrist, psychologists, master level therapists, and a nurse practitioner in Dr. Barron-Seabrook has worked extensively with pediatricians, schools, and the legal system to meet the needs of the child psychiatry population. Dr. Barron-Seabrook joined the Coding and Reimbursement committee of AACAP in 1995 and has served as the AACAP RUC advisor since She represented AACAP when the psychiatric CPT codes were last presented. She has been a member of the Healthcare Access and Economics Committee since 2002 and is currently involved in the re-writing of the CPT codes and is on the sub-committee addressing the EMR needs for child psychiatrists. Dr. Barron-Seabrook is on the Executive Committee of the New Jersey Regional Organization and served as the RO Treasurer, Vice-President, President and Immediate Past President. She represented the New Jersey RO at the Assembly since Dr. Barron-Seabrook has been a frequent speaker in her community and has given many presentations to physicians, educators and local community groups. She co-authored a chapter on Coding and Reimbursement for the Child Psychiatric Clinics of America and articles on coding for AACAP News. Dr. Barron-Seabrook served on the volunteer child psychiatry faculty of Columbia College of Physicians and UMDNJ-Robert Wood Johnson Medical School in NJ. Shari Graham, Esq. Shari Graham is the Assistant General Counsel of the American Psychiatric Association. Before joining the APA, Shari practiced employment law in Bloomfield Hills, MI, and was responsible for counseling clients on a variety of labor and employment issues including discrimination, harassment, and wrongful termination. Shari began her legal career at the law firm of Skadden, Arps, Slate, Meagher & Flom, LLP in New York, where she practiced for five years as a litigation associate. Shari has a history of public service including having interned or worked for the Equal Employment Opportunity Commission, Partnership for Public Service, the White House, and B'nai B'rith Youth Organization. Shari graduated from the University of Michigan Law School, and is a Phi Beta Kappa graduate of the University of Michigan undergraduate school with a BA in political science and psychology. Alex Keoskey, Esq. Alex J. Keoskey is a partner in the Teaneck office of DeCotiis, FitzPatrick and Cole. He joined the firm in 2003 and became a partner in He is a member of the Litigation and Healthcare Law practice groups. Mr. Keoskey handles a variety of complex litigation, including tort, civil rights and contract matters on behalf of public and private clients. He has defended licensed physicians, chiropractors, nurses and other health professionals before their respective licensing boards in New Jersey, the Office of Administrative Law and hospital administrations in matters involving medical malpractice, professional misconduct, insurance fraud and regulatory violations. Mr. Keoskey has participated in numerous jury trials and has litigated cases in New Jersey Superior Court in eighteen (18) counties. He also has trial and litigation experience in U.S. District Court, the New Jersey Office of Administrative Law, New Jersey Workers Compensation Courts and before numerous hospital committees. Mr. Keoskey is certified by the New Jersey Supreme Court as a Civil Trial Attorney. Though there are in excess of 70,000 attorneys licensed to practice law in the state of New Jersey, as of the end of 2012 there were only 1080 Certified Civil Trial Attorneys in our state. Prior to his legal career, Mr. Keoskey was in the United States Marines, serving in a variety of locations. Mr. Keoskey is a New Jersey native. He received his B.A. from Rutgers University in Political Science, and was awarded his J.D. from Rutgers as well.
6 Timothy Martin Tim Martin joined the MBI GluckShaw team in 2002 after graduating from Millersville University with a Bachelor of Arts Degree in Pubic Relations and Political Science. As a student, he interned with the Urban League of Lancaster County and the Assembly Minority Office in Trenton. Tim s work with organized medicine goes back to his first day with MBI, which has been representing NJPA and the Medical Society of New Jersey since He has served as the primary staff contact since 2007, overseeing numerous successful efforts such as advocating for the Assignment of Benefits, Right to Refer and Involuntary Outpatient Commitment laws. Tim has also organized grassroots opposition to the proposed conversion of Horizon Blue Cross Blue Shield and helped to establish the Medical Society of New Jersey Medical Student Section. Tim s other responsibilities with MBI GluckShaw include the day-to-day management of political action committees as well as grass roots outreach programs, and the development of extensive contacts in the Department of Health & Senior Services, the Department of Banking & Insurance, the Department of Law & Public Safety, and the Department of Environmental Protection. Ann McNary, Esq. Ms. McNary received her BA in Political Science from the University of Kansas and her JD from Washburn University School of Law. Following four years in private practice, Ms. McNary served eight years as in-house counsel at Kansas Medical Mutual Insurance Company (KaMMCO) working in both the claims and risk management departments. While at KaMMCO, Ms. McNary also served as an adjunct instructor to Kansas University School of Medicine, Wichita where she provided risk management education to medical students and residents. She later served as Vice President, Risk Management for NCRIC, Inc., a Washington D.C. based medical professional liability insurance carrier. Since joining PRMS in 2006, Ms. McNary has written and lectured extensively on various healthcare law and risk management topics and currently serves as editor for the PRMS quarterly publication, Rx for Risk. James Mielo, R.Ph. James Mielo, R. Ph., began serving as Administrator of the New Jersey Prescription Monitoring Program (NJPMP) on January 9, Before that time he worked as a data analyst and field investigator for Medco Health Solutions, a Pharmacy Benefits Manager with clients including the State of New Jersey, other States, the Federal government, local agencies, and unions, with a network of approximately 64,000 enrolled pharmacies. Mr. Mielo began at Medco in 2000 as a field investigator for the Northeastern United States region, conducting field audits to identify compliance issues as well as fraud, waste and abuse. In 2008 he was promoted to conduct data analysis nationwide, in which he monitored the pharmacy network for issues including the possible over-usage of controlled substances. This information was used to direct investigations by the field staff. Prior to working at Medco, Mr. Mielo worked in retail pharmacy for approximately six years. He graduated from the Rutgers College of Pharmacy in 1994 and remains a State-licensed pharmacist in New Jersey. Anna Rossi, DO Anna Rossi, D.O. graduated from the University of Medicine and Dentistry of New Jersey School of Osteopathic Medicine in After completing her psychiatric residency at Long Island Jewish-Hillside Hospital, she worked at Riker s Island Jail as part of service for the National Health Corp Scholarship she received during medical school. Dr. Rossi has since enjoyed working in a variety of treatment settings, including private practice, a university counseling center and multiple correctional settings-most currently for several years with Rutgers University-University Correctional Health Care at the ADTC (a treatment center for incarcerated sex offenders). For advocacy work related to her correctional work, Dr. Rossi was the recipient of a 2012 New Jersey Psychiatric Association Remarkable Achievement Award. She is now the Co-Chair for the NJPA Council on Advocacy and the TriCounty Chapter Representative to the NJPA Board. Additionally, she has volunteered on the Fairleigh Dickinson University Institutional Review Board for many years as a Prisoners Rights and General Board Member. Michael Shore, MD Dr. Shore completed his Medical training at Temple University Medical School in Philadelphia in He then attended Thomas Jefferson University and completed his 4 year general adult training in Psychiatry in 1984, serving as Chief Resident in his final year. Following two years as an attending at Jefferson, serving as director of the acute inpatient Unit and Acting Director of the Crises Center, he joined his wife and they completed 4 years in the National Health Service Corps with the Indian Health Service in Arizona. From 1990 to 2002 Dr. Shore worked in various venues, including Director of the Inpatient Unit at Cooper University Hospital in Camden, NJ; Residency training director for Psychiatry at Cooper; Medical Director of the Malvern Institute, a drug and alcohol treatment facility; Chief of Substance Abuse Services at Hampton Hospital; and part time work in outpatient chemical dependency treatment programs at Rancocas Hospital and Princeton House. Dr. Shore has maintained an outpatient private practice of Psychiatry and Addiction Medicine since 1993, and has been full time in private practice since He also serves as the Medical Director for Elm Lifelines, a women s IOP program, and Lakeside Recovery Center in Sicklerville, NJ. Dr. Shore has received several Top Doc awards for South Jersey in Psychiatry and Addiction Medicine, most recently in Dr. Shore was honored as the Addiction Medicine Physician of the Year for 2012 by New Jersey Society of Addiction Medicine. He currently holds the position of President of the NJ Society of Addiction Medicine. He was elected in 2015 as the Senior Vice President of the NJ Psychiatric Association and is the Chair of the NJPA Committee on Education and continues to serve on the NJPA Council on Advocacy. He was appointed to the NJ Psychiatric Association as a Trustee in Dr. Shore has organized and chaired two CME programs jointly sponsored by NJPA and NJSAM, including Buprenorphine 201 Advanced Topics in 2012, and most recently Addiction Medicine 2014 Hot Topics.
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