Professional Association of Health Care Office Management

Transcription

1 he ournal pecializing in hysician ractice anagement ince 1988 olume 25, umber 2 arch/pril 2012 rofessional ssociation of ealth are ffice anagement aking ommunity onnectivity a eality ederal funding for health information technology () has largely been directed at small practices in ruralurban areas. n addition to funding and training staff, most managers of these practices would probably agree that coordination of regional resources and a go-to knowledge base for implementing would help them better serve their patients and providers. by endra iler-arsiglio, h has extended its proven professional development tools into the field to assist members in finding reputable vendors and affordable, practical ways to implement. o help meet these needs in orth entral lorida, ommunityealth was formed three years ago. his 39-organization is a learning network and coordinating body for regional disease management and projects including systematic expansion of broadband, ensuring that providers have the appropriate foundational technology, facilitating electronic health record () implementation, and exchanging electronic health information through a 14-county regional health information exchange (). ndorsed by nterprise lorida the tate of lorida s economic development arm, ommunityealth serves as a platform to engage patients, medical facilities, and nonmedical stakeholders that include regional economic development organizations, workforce development boards, two egional xtension enters, and national providers. ommunityealth has raised the social capital needed within its communities to promote change in the rural-urban mix landscape. ommunityealth has partnered with the rofessional ssociation of ealth are ffice anagement () in this endeavor. has extended its proven professional development tools into the field to assist members in finding reputable vendors and affordable, practical ways to implement. ommunityealth added a hapter in our 14-county regional action plan because s organizational structure and opportunities are so beneficial to our many rural and underserved medical communities, said r. avid illis, chief medical information officer of the ommunityealth etwork., which is now a key partner, can help replicate our successes in similar healthcare delivery systems. ommunity ealth s action plan also includes systematically implementing three large-scale, regional efforts to enable rural providers to electronically exchange protected health information reliably and affordably. pecifically, the efforts are: continued on page 6... arch/pril 2012 t t 1

2 r. asucci found a better way. he power of a web - based network like athenahealth is that it has created a seamless integration between our billing and clinical services, allowing us to focus on patient care, which is our ultimate goal. ere s what he did. fter 30 years running a solo pediatric practice, r. eter. asucci* found a better way to manage his practice. ow, he spends more time with patients than ever and he s getting paid the money he s owed when he s owed it. ith athenahealth s integrated web-based billing, practice management, and electronic health record services, he s been able to: f educe ays in ccounts eceivable by 65%** f ncrease the percentage of claims paid at their contracted rate from 62% to 99%** f ind that elusive work/life balance he s been searching for ere s how he did it. f ow-cost, web-based, -certified software f constantly updated, patented database of insurance and clinical rules f ack-office services to handle your most time-consuming tasks ound interesting? s a member, you may qualify for a discount on athenaollector. o learn more about our billing, practice management and services, and the discount, visit l athenahealth.com/pahcom or call * r. eter. asucci participates in athenahealth s ational howcase lient rogram. or more information on this program, please visit ** ctual results may vary.

3 he ournal olume 25, umber 2.t" he ournal is published bimonthly by the rofessional ssociation of ealth are ffice anagement (). ntire contents copyrighted 2012,. ll rights reserved; reproduction in whole or in part is prohibited. ubscriptions are provided as one of the many benefits of membership. or information on advertising, deadlines for article submission, or reprint permission the national office at 1t'.#$[%4--'- eb: ational dvisory oard am ewis, ; hairperson endersonville, ember ince 2000 arah olmes,,,, - ecatur, ember ince 1999 tephen ohanns, olorado prings, ember ince 2001 aggie ac,,,,, ew ork ity, ew ork ember ince 1994 enee egal,, ake urich, ember ince 2009 ill enskytis, rexel ill, ember ince 2001 imberly ise,, ittsburgh, ember ince aking ommunity onnectivity a eality by endra iler-arsiglio, h 6 ourt ismissed 996 urgical laims gainst nitedealthcare or ack of 996 ssignments by r. in hou ealthcare: oney: octors oing roke hy? &! by r. in hou 9 ocial ecurity pplicants to ign uthorization lectronically 10 ips for uccessfully electing and mplementing by eith later 21 ow to aintain ndependence hile nvesting in and dapting to ew tandards for are, eimbursement and nformation xchange by avid ace, ational ffice taff xecutive irector ichard lanchette ssociation irector aren lanchette hief echnology fficer an abelle eb & rint esigner cott de asselle rint ditor ary iller dministrative ssistant eather chumacher ront esk isit.com > bout for and ational ffice ontacts. 4: he erspective 5: elcome ew orporate embers 7: onference ave the ate 12: hapter ews hapter upport ommittee; entura; reater hicagoland; ainesville; elco; tlanta; ikes eak 2: athenahealth 17: navicure 23: he ollege of t. cholastica 18: isterv ulse 19: ho will be the 2012 edical anager of the ear? 20: xam nfo 22: lips 24: ew embers arch/pril 2012 t t 3

4 he erspective a message from our ational dvisory oard... our 2012 looks forward to the leadership role they have been asked to take on. he goal of is to provide support for small group and solo physician practice managers and opportunities for professional growth. he is an important instrument for achieving that goal. he job of the is to look at opportunities for growth and change for the organization that will benefit not only each individual member, but the future of the industry. he is pleased to have two new members this year! hey are enee egal,, and imberly ise,,. ew ember, enee egal,, enee is the ractice dministrator of ake urich amily reatment enter. he has a aster s in ducation, peech-anguage athology as well as a aster s in usiness dministration. he is the resident of the reater hicagoland hapter, the 2011 hapter of the ear! enee and her husband tewart have been married for 34 years and have grown children. he loves spy novels and has just learned how to play games on her computer and phone, but often turns to her 5 year old grandson for tech support!!! ew ember imberly ise,, imberly considers herself a road warrior driving 120 miles each day to her job in hysician ractice ompliance at est enn llegheny 4 t he ournal t arch/pril 2012 ealth ystem in ittsburgh. im was a medical office manager for 21 years prior to taking this position 10 years ago. he loves comedy clubs and does arts and crafts projects for fun in her spare time. he hristmas season is so special to im that she keeps a 6 ½ foot toy soldier named ernard in her family room year round. im says e makes me smile and that is what matters. e all need to find joy where we can! ur returning board members are; ill enskytis, ; aggie ac,,,,, ; arah olmes,,,, -, ; teve ohanns, ; and myself. ou already know a lot about them, but here are some things you might not know. he job of the is to look at opportunities for growth and change for the organization that will benefit not only each individual member, but the future of the industry. ill enjoys following on witter and inkedn. he is hoping her 2 daughters follow her into the healthcare field. he received her 10 year membership pin last year. aggie is hopelessly addicted to peanut butter cups and anything with cinnamon. he lives a double life spending much of her time in ew ork with her cat, ollie, and in her home in learwater, lorida where she has a dog, eans. arah is designing her own clothing line with a friend and enjoys modeling. he has recently started a chapter in tlanta. teve is s edical anager of the ear for 2011! e enjoys reading, photography and hiking the beautiful mountains of olorado with his wife oyce. m am ewis and am honored to have been elected hairperson of the for a second year!!! y husband, on, and share our home with a rescued hound dog named iona. ou can see photos and learn more about all the members of your at; advisory_board.html ure, is comprised of professional managers but we re all people with varying backgrounds and interests. or 24 years we ve enjoyed not only helping each other with operational practice challenges, but supporting each other as friends working toward the common goal of improving healthcare in our communities. am confident that the future will hold even more opportunities for all of us to grow in our professional knowledge and friendships. am looking forward to embracing the new adventures that we will encounter! hope you are too! lways, am ewis, ational dvisory oard 2012 hairperson

5 elcome ew orporate embers elcome ew -ems: et to know all of our orporate embers! isit the online orporate ember irectory. ommunityealth ommunityealth etwork s vision is to enable safety net endra iler-arsiglio facilities to successfully implement and use coordinated (904) systems to improve community health, healthcare delivery [email protected] efficiencies, and bolster community economies. ompliance h ustom nline training.,, raud aste & buse, afe atient andling, ed lag ules, rgonomics, iring a atient, anaging ngry atients, enerating eferrals. ew courses added annually. ffice managers can easily track training progress, schedule training s,send automated reminders,quizzes and certificates online forms, monthly newsletter. se promo code at checkout for exclusive discounts for pahcom members. organ ervices, nc. organ means quality in linen & uniform rental services in both hospitality & medical environments. e ve built our reputation on the service performance of our members & the quality of our products. e have developed some of the most progressive service programs in the rental industry by listening to the needs of our customers. y providing service that s a cut above the industry standard, we can offer more than just the best products in the industry. e can deliver the best overall value. hysizech hysizech, an online publication, helps physicians and practice managers leverage technology to make the most of business and clinical opportunities. aily news coverage tracks legislative, compliance and regulatory concerns like meaningful use, 10, 5010, and government audit activity. ur editors closely follow changes to edicare & edicaid policies, the fundamentals of billing & collections, outsourcing strategies, process improvement techniques, staff recruitment and much more. elayealth elayealth enables the secure exchange of clinical, financial and administrative information between patients, providers, payers, pharmacies, pharmaceutical manufacturers and government agencies. elayealth processes nearly 15 billion healthcare transactions annually by integrating the delivery of high-quality care and improving the financial outcomes for its customers. cay nsign, director [email protected] rank chaefer ational ales anager (312) [email protected] ane ogue ssociate ublisher [email protected] [email protected] arch/pril 2012 t t 5

6 (continued from page 1) 1. oncurrent deployment of regional use with the $30 illion orth lorida roadband uthority project. his component ensures that rural providers have deeply discounted nternet connectivity for and use that is equivalent to what their urban counterparts enjoy. onsider looking for similar broadband projects in your area. 2. idespread implementation of federally certified s. ommunityealth members assist rural providers with affording s by helping them leverage regional, state, and federal resources such as s and other supported projects. hat programs are serving your communities? 3. doption of a nationally recognized, community. he ommunityealth is the regional adaptation of a provider-driven, community-supportive, and locally sustainable model originally developed by ealthy cala. owered by elayealth and orldoc, ommunityealth s will give credentialed providers and their patients immediate access to relevant medical information at the point of care. he health information exchange and clinical connectivity in general are growing in importance to the small physician practice, and the need is especially great in rural areas, said eff artland, senior vice president, elayealth. ommunityealth s initiative is certain to positively impact the healthcare providers it serves particularly federally qualified health centers as well as enhance the care and health of the communities it serves, he added. n sum, the ommunityealth nitiative: t ensures that rural medical providers have the same access to healthcare resources as their urban counterparts; t strengthens the connections and communications between rural and urban providers; t improves community health; t lowers healthcare costs; t bolsters the healthcare workforce; and t stimulates local economies. re you ready to start something similar where you live? f so, healthier communities through a better healthcare system can be achieved by engaging organizations like the ealthcare nformation and anagement ystems ociety () and. aren lanchette, the association director of, explained, has been facilitating the sharing of knowledge among medical practices for more than 24 years. ecause practices trust, it makes sense that we can help influence their adoption of technology. lanchette continued, e re pleased to be working with ommunityealth as they help small practices and rural health clinics adopt health information exchange for enhanced efficiency and improved outcomes. or more information, visit at index.asp and at endra iler-arsiglio, h is the director of the ural ealth artnership, a federally designated ural ealth etwork that is recognized as a national leader in rural. he is also the co-chair of the ommunityealth nitiative. ommunityealth, nc. is a orporate ember ince 2012 aking ommunity onnectivity a eality was originally written for and run in the hysizech inaugural issue, ebruary 6, hysizech is a orporate ember of ince 2012 and runs a column each month. ubscribe to hysizech for free by going to.com > orporate ember irectory > hysizech or ourt ismissed 996 urgical laims gainst nitedealthcare or ack of 996 ssignments anover ark, (eb) an. 04, n ec 30, 2011, the ederal ourt in outhern istrict of lorida, dismissed a lawsuit (amended complaint), by 4 surgical centers and 2 surgeons with 996 surgical claims, against nitedealthcare for lack of assignment, and ordered the plaintiffs to re-file the case with 996 actual assignments within 30 days. claim.com offers new ebinars to examine the profound impact of this federal court ruling, on requirements for ssignment of enefits (), and to discuss on how to secure valid and ssignment of enefits, in order to prevail on all provider appeals and judicial reviews. omplete & egulations and uidance can be found on website: o find out more about the otal laims and ppeals ompliance ervices from: r. in hou, resident, laim.com 6 t he ournal t arch/pril 2012

7 24 th nnual onference ilton learwater each, lorida ctober 16-18, 2012 egistration opens in pril with arly ird pricing through une 1 st only $715. ook for online registration, schedules, and speaker information coming soon on the website ( and in the ay/un ournal. eed assistance communicating the value of conference education to your physicians? se this template ( to get started as we ve already included the details for you. imply personalize it with your information. ontinuing education and networking in the industry is the only way you can keep yourself current and proficient. ake time for your professional development and be a stronger asset to your team! arch/pril 2012 t t

8 2012 ealthcare: oney: octors oing roke hy? &! by r. in hou fter my presentation on new federal healthcare reform laws, & laims egulations, at the 23rd nnual onference in lorida last year, was asked by ichard and aren as well as many members to explore the best ways to help every member to become an expert in 2012 on and laim egulations, in order to achieve the maximum compliant reimbursement. ere we are again in 2012 and oney just reported that more and more doctors in merica are going broke, quietly but surely and quickly, mainly due to the reimbursement problems. have sent my and comments, as the solutions to the problems, to the reporter of this oney article. aren and thought it might be a good idea to share these reimbursement secrets with all members, as our first step in 2012 to become & claims specialists. n 2012, we will make sure no doctors of our members will go broke. n anuary 5, 2012, a oney tory, entitled octors oing roke, reported: ( cnn.com/2012/01/05/smallbusiness/ doctors_broke/index.htm?hpt=hp_t3) octors in merica are harboring an embarrassing secret: any of them are going broke. his quiet reality, which is spreading nationwide, is claiming a wide range of casualties, including family physicians, cardiologists and oncologists. ndustry watchers say the trend is worrisome. alf of all doctors in the nation operate a private practice. o if a cash crunch forces the death of an independent practice, it robs a community of a vital health care resource. octors list shrinking insurance reimbursements, changing regulations, rising business 8 t he ournal t arch/pril 2012 and drug costs among the factors preventing them from keeping their practices afloat. his is a very timely and truthful story for doctors and hospitals in merica. his is also a 911 call for healthcare security. ore importantly, when we see stories about respected, established physicians, such as, r. eil arth whom the article reports; was $3.2 million in debt and contemplating personal bankruptcy, a move that could shutter his 31 year old practice and force 6,000 cancer patients to look for a new doctor, we in the industry should realize that, our healthcare system infrastructure earthquake is coming. his 2012 oney report is consistent with an report on arch 4, 2011 that 51% of doctors in are going broke. hile the doctors listed the shrinking insurance reimbursement as the force driving doctors into bankruptcy, the ongress also did its homework on why. he ongressional report on arch 16, 2011, 12 days after the report, concluded that 39% to 59% of insurance denials were reversed if appealed. et, in hio, one of six states in the s review, only 0.5% of the denied claims were appealed. ationwide, very few denied claims are appealed. n 2012, we will make sure no doctors of our members will go broke. t is time for us to connect the healthcare 911 dots from, to the ongress. n my feedback sent to the reporter of this oney article, state; or 36 years, governs more than 50% of.. healthcare expenditure, and most private health plan reimbursement, but was never understood by doctors, even never had an article on this issue.

9 ew healthcare reform law, laims ppeals egulations, went into effect on eptember 23, 2010, to be fully enforced in t will regulate almost all healthcare claims outside edicare and the edicaid market. s a practical solution to the healthcare problems in 2012, claim.com announces free webinars to discuss the major problems reported by this oney article. claim.com free ebinars will cover the following topics: 1. omments and analysis of the oney article on anuary 5, 2012: octors oing roke 2. omments and analysis of report on arch 4, 2011 that 51% of doctors in are going broke: 51% of exas doctors dug into personal funds to keep practices afloat in ore exas octors ipping nto ersonal eserves o eep ractices live 3. omments and analysis of the ongressional eport,.., ( arch 16, 2011): rivate ealth nsurance: ata on pplication and overage enials 4. ebsite of laim egulation and uidance: 5. ews elease: epartment of abor s creates new consumer assistance eb page [11/10/2011] htm 6. ederal epartment f nsurance omplaints ebsite for octors and atients: aspx?submit=ubmit+a+omplaint o find out more about the otal laims and ppeals ompliance ervices from claim.com: r. in hou, resident, laim.com ocated in a hicago suburb in llinois, for over 11 years, claim.com is the only & consulting, publishing and website resource for healthcare providers in the country. claim.com offers free webinars, basic and advanced educational seminars and on-site claims specialist certification programs for doctors, hospitals and commercial companies, as well as numerous pending national class action litigation support. r. in hou is regarded as the industry odfather of claims for healthcare providers. or any questions, please contact r. in hou, president of claim.com, at ocial ecurity pplicants to ign uthorization lectronically eginning in pril, many people applying for ocial ecurity disability benefits will be able to sign and submit the uthorization to isclose nformation to ocial ecurity (orm -827) form electronically, as the last part of the online process. ocial ecurity requests more than 15 million medical records each year on behalf of people applying for disability benefits, and a signed -827 accompanies each request. ffering the option of electronically signing and submitting the form helps the agency provide better service, reducing our application processing time by up to nine days. he ealth nsurance ortability and ccountability ct () and other applicable laws permit the use of electronic signatures, and ocial ecurity is encouraging medical providers to treat the new electronic signature the same as they would a wet signature on the ow it will work for the applicant dults applying for disability benefits will click and sign the -827 as part of the online application process, immediately making the form part of ocial ecurity s electronic disability folder. his eliminates the need for the applicant to print, sign, mail, or deliver a paper copy to a ocial ecurity offce. ocial ecurity will continue to take the appropriate steps to verify the identity of the signer and to protect the information and records received. pplicants also receive a copy of the electronically signed and dated -827 for their records. ow it will work for the provider edical providers will continue to receive a -compliant -827 with each of ocial ecurity s requests for records. he only change to the current form will be in the completed signature block, which will indicate that the applicant electronically signed using the new process. n electronically signed -827 requires no change to existing procedures for processing authorization forms. ccepting electronic -827s will help speed the application process and can result in ocial ecurity paying benefits to qualified patients more quickly, as well as providing edicare and edicaid coverage faster.he electronic -827 will also decrease the number of uninsured and underinsured patients medical providers serve. nitially, ocial ecurity will offer this new process only to adults applying online for disability benefits on their own behalf, so there will continue to be wet-signed -827s for other claims. he agency expects the use of this new signature process to expand over time as the number of online filers increases. or more information about this process, go to disability/professionals/euthorization.htm. arch/pril 2012 t t 9

10 ips for uccessfully electing and mplementing by eith later may have different reasons for wanting to implement lectronic edical ractices ecords () software. t can be a step for first time adoption, or to replace their current with a new one. he planning and timing are both critical to a successful implementation that meets practice goals. he decision to adopt an can be motivated by many factors, including, securing incentives, improving clinical and administrative efficiencies or ensuring compliance with new regulations, (such as the introduction of -10). implementation and ease of use can make or break the successful adoption by providers. ith the push for practices to go electronic, practices and their vendors are often faced with a time limitation in which to complete an implementation. his is especially notable when enrolled in one of the ncentive rograms. ou can improve your chances for a successful implementation by planning your practice s selection and implementation process well in advance of your projected implementation date. ead on for some tips on successfully selecting and implementing. 10 t he ournal t arch/pril 2012 nderstand the timing: tart the selection process early n 2011, many available incentives were based upon calendar year implementation. he larger payouts were designed to encourage early adoption. hese incentives were a driving force behind purchase decisions and implementation timing for many practices. endors certainly expect this to continue. any vendors are experiencing an influx of new clients eager to take advantage of the incentives. hey must commit many hours of customer service to each client to ensure proper training and successful implementation. his can be especially true if the practice is not properly prepared for the transition. electing an vendor early will allow for the required time to successfully organize and manage the initial implementation and training, including time for providers to adjust to new clinical workflows and documentation requirements. arly planning allows providers and their staff to evaluate their paper workflow and ensure that, as much as possible, it is translated into an efficient electronic workflow. t can be challenging for the practice and vendor to agree on implementation times that work best for both. he practice may need to find a lull in which they re comfortable completing the go-live. he vendor may have to work around other practices already in line with golive dates. his is especially critical in the first years of achieving meaningful use or when attempting to meet a new government requirement as the rules are new to everyone. ltimately, planning ahead is a key element to ensuring that the initial go-live event is as successful as possible. elays in selecting a vendor can compress this critical planning time, and only increase the chance for a potential failure. elect an to meet the specialty s needs and objectives electing an that meets every need of a healthcare organization can be challenging. mall practices do not need the enterprise-wide systems offered by hospitals and large healthcare systems that contain features for every contingency. pt instead for an that is easy to use, yet powerful in its feature sets. ork with potential vendors to simulate real examples of what happens in your practice. ook for an that is flexible in its administration, documentation methods and functionality. ake sure that the system meets most of the needs and workflow within your specialty. equest a software demo to determine if the is a fit for your specialty, as well as your organizational size, type and objectives. ractices should also look to partner with an vendor with integrated practice management software, established implementation and training programs, and a reputation for providing ongoing technical support and product upgrades. his will ensure that your system will continue to grow with your practice.

11 ith a well planned implementation and the establishment of consistent, periodic monitoring, your practice can meet all of your objectives with minimal disruptions. elect an to help achieve meaningful use and regulatory requirements chieving meaningful use can sometimes require changes to existing clinical procedures. o provider wants to face a situation in which they assumed they were correctly using the to meet requirements when, in fact, they weren t. ake sure that you consider how the you choose will integrate with your current procedures. ith hundreds of s in the market today, choosing software that appears to meet your specialty workflow needs is just the beginning. ou must also be sure that the vendor you choose has shown ability and commitment to keep software current and provide upgrades to comply with the required functionality through all the stages of eaningful se and the recent 5010 introduction. hey should be prepared to adapt for upcoming regulatory requirements, such as the introduction of -10 into their products. o your research, ask for referrals and speak to other ractice anagers before you settle on a vendor. ppoint an hampion o one knows your practice better than you do! uring the vendor selection process consider assigning an champion to serve as the overall project manager to facilitate the vendor selection, contract and implementation process. hese responsibilities should include; securing the staff input toward the requirements you are seeking in a vendor, identifying the challenges the practice has with managing paper charts and determining need to have versus nice to have functionality. his information can significantly impact the system requirements and the financial budget. he budget includes the software pricing, new or upgraded hardware and networking equipment and additional support services offered by the vendor. ollowing the completion of software demos, the project manager should assist in reviewing the final contract to be sure that what you are purchasing meets all of your requirements. t this point, they can coordinate all of the information they have gathered from your staff and the vendor to set implementation goals and schedules that everyone can work with. onitor achievement of goals. nce the initial installation and go-live training phase is deemed complete, you should be well on your way to monitoring your goals for usage. re you attesting for meaningful use within a specific timeline? f so, you ll likely be managing daily/weekly/monthly monitoring and on-going education with your users. he practice will want to ensure that all clinical staff members with data entry responsibility are kept apprised of the periodic results of the clinical quality measures and reporting metrics. best practice recommendation would be to consider forming a committee that regularly reviews advanced tips and tricks, shares knowledge of how best to navigate the software and evaluates common problems that may require a formal office policy or procedure. his will help you to monitor the effectiveness of your system and the ability to address the needs for additional training or software as they arise. ith a well-planned implementation and the establishment of consistent, periodic monitoring, your practice can meet all of your objectives with minimal disruptions. eith later is ice resident and eneral anager of enry chein icro, a provider of simple, yet powerful and ractice anagement solutions helping to streamline operations for today s busy providers. or more information, visit orporate ember of ince 1994 ow do renew my membership on-line? here are several ways to renew on line: ou will automatically receive a reminder -mail containing a renewal link 30 days before your membership is due to expire. ou will receive additional reminders 14 days and again at 5 days prior to expiration. ust click on the link and follow the instructions! f you are within 60 days of your renewal date: o to > ember ools > ember elf-are and click the renew link at the top of the page. r > tore > rofessional evelopment and click on enew on t forget, renewing on-line saves you time and money, as we offer a $20 discount for on-line renewals! arch/pril 2012 t t 11

12 hapter ews ntroducing the hapter upport ommittee! n mid-2011, recognized that several chapters were well known in their communities as leaders in their medical community. hey are involved with local medical societies, colleges, payors, and more. t these chapters, truly makes a difference for the members involved, their practices, and the community as a whole. t s a beautiful thing. t the same time in other regions, chapters are struggling. t s a story we ve all heard; physicians not seeing the value, members spreading themselves too thin, poor vendor support, etc. or 24 years has been sharing knowledge between medical office managers and helping each other with our combined experience. he hapter upport ommittee () was developed to deliver that same benefit to chapters across the country. e have the experience; now we ve built an infrastructure to facilitate sharing that knowledge! he committee began as a subcommittee of the ational dvisory oard and it quickly became apparent that this committee needed to expand and branch out on its own, with members who focus specifically on assigned chapters. hat s how we ve moved forward in 2012! he communicates with chapters through various means including direct phone calls, s, scheduled conference calls, etc. t s all in an effort to understand challenges, identify strengths, and share knowledge like we do for each other as office managers every day. he is also helping chapters learn how to utilize the many resources available to them via hapter fficer ools on the website. oday s focus is the education calendar showing all of the chapters upcoming events/meetings. ach chapter must have a minimum of 6 meetings per year posted on the calendar. ee.com > ducation > alendar. upport ommittee can be reached via the webpage at.com > hapters > upport ommittee. ew orking roups ach member of the committee has been assigned to specific chapters as their personal chapter liaison as follows: ail minhizer, hairperson ayton, orpus hristi, ontgomery ucks, ensacola, hoenix arlene orn,, entral ersey, etrolina, pring ill, raverse ity ebbie arlson, eartland, ravis ounty, entura, ictoria rossroads edra yer,,,,, -,, ntietam, elco, ainesville, ong sland athryn iler,, kron, hicagoland, rlando, ikes eak ebbie ay tlanta, tlantic ape, ehigh alley, arasota ew fficers entura ounty hapter of welcomes our new chapter officers for hey are: inger iper, resident; olly cheaffer,, ice resident; hylene ay ecretary; mber ills adour, reasurer; and isa opez, and hannon evesque, o-embership irectors e look forward to a really great year. his is an exciting time for chapters and we are thrilled to be able to support chapter growth and most importantly, the sharing of knowledge, which ultimately benefits member practices, patients, and their communities. f you would like more information on the or chapters in general, please feel free to contact me at [email protected]. lease help us welcome the. ach of you is invited to contact the to identify chapter programs we can learn from or that need help. embers of the hapter entura hapter from left to right: isa opez, hannon evesque, inger iper, olly cheafer, aren owney, hylene ay. ot pictured: mber ills adour 12 t he ournal t arch/pril 2012

13 inally, we will be planning our embership rive that will be a major focus this year and setting up our exam schedule and review schedule. hat s what has been going on with. e thank all of our members for their generosity in our projects. hen we help others, it makes us all better human beings. e thank for their support. e ll keep you posted on the doings in hicagoland as they happen. ntil then, best wishes to all of our colleagues and friends in this ew ear. reater hicagoland members join together to celebrate the holiday and friendship. reater hicagoland ings ut 2011 nd ooks orward o 2012 t has been a merry-go-round since conference in ctober. e were very honored and excited to earn the hapter of the ear ward for ur goal was met and we had accomplished much. owever, we all know that, once you achieve the climb to the top, you have to try to do it again. o, the last quarter of 2011 was very busy for. e undertook two public service projects this quarter, rather than just the one we usually do. n ctober and ovember, we had a rive for our ation s ervicemen and omen in which we collected all types of items that would be appreciated by those serving our country in faraway countries where luxuries are few and families are absent. any boxes and bags of personal items, games, and nonperishable food were gladly accepted by one of our local banks that was acting as a drop site for rmed ervices onations. aren pellman, our event oordinator, said that the bank personnel didn t know quite what to do with everything when it wouldn t fit in the box they had available after she had made many trips back and forth from her car, but they made room with smiles. mmediately following this project, we geared up for our nnual oys for ots rive. ducationally, we had a great meeting on the subject of ompliance in ovember and installed our officers for enee egal will be resident for a second year; izz ietrich will be ice-resident; anielle chroeder will be ecretary; o ick will be reasurer; and anice oodyear and aren pellman will remain our embership fficers was a tremendous year for, but 2012 is now dawning. he educational calendar is being finalized and we are very lucky to have some extremely talented and knowledgeable sponsors who will be sharing their knowledge with us. opics will include ccounts eceivable and utting ore ollars in our ractice s ocket; ealthcare nsurance roduct nowledge from the onsumer s and rovider s erspectives; egal ealthcare opics of 2012; ; and a ini-inancial eport orkshop. his is just the first half of the year. enee egal, resident, (left) and ynthia (indy) enkala, oys for ots hairperson (right), proudly display just a portion of the many toys that were donated by our members, sponsors, and guests. reater hicagoland uts miles on ots aces ollowing our very successful ollection of tems for our ervicemen and omen, we moved immediately into our nnual oys for ots rive. t our ecember oliday arty, it has become tradition for to ask our members, sponsors, and guests to bring a toy to donate to oys for ots, in addition to the holiday cheer each brings to the party. t our party, additional cash donations could be made for a raffle for coding books that were donated by the merican edical ssociation. ll of this money was used to buy additional toys to add to what was already donated. $285 was collected for the raffle and toys were purchased with this money. ach year, it seems that we top the prior year. aybe it is because we know there are so many struggling families out there in these difficult times. hatever the reason, everyone who is a part of really stepped up. ur project was chaired by indy enkala, who did an outstanding job of handling the logistics of getting the details taken care of. e collected enough toys to fill many bags. indy did all of the shopping for the toys that were purchased with the proceeds from the raffle and she arranged to drop all of the toys off at an area library that was a drop site. he said they were surprised and pleased with the seven trips she made in with the numerous large bags. indy put it best, rocks with generosity! think we can all smile just imagining so many bright smiles on small faces that we helped make possible during this holiday season. hank you! arch/pril 2012 t t 13

14 ainesville-cala rea hapter ick-ff he newly formed ainesville-cala rea hapter had a wonderful ick-off event on ebruary 7th. he chapter is looking for new members to join us. lease refer to the chapter page for upcoming events and contact information. elo hapter resident speaks about health careers at local school eri iseley,, and current resident of the elco hapter of was invited to speak with 10th graders at the ulti- ultural harter chool in hiladelphia on ecember 20, eri met with the students to talk about the many career opportunities in the healthcare field. he students were very well prepared for the meeting with questions about educational preparation, what skill sets were the most useful, resume building, and interview skills. eri was well received and the students were very enthusiastic about healthcare possibilities. eri iseley,, and resident, ichele iller, tudents at ulti-ultural harter chool having some fun! s we go forward with our first full year as a chapter there will be great educational meetings for the chapter members. e want to remind all eorgia members that there is an tlanta hapter and invite all to attend. elco honors ary llen orum, edical ociety elo nnual embership eeting t its ecember meeting, the elo hapter hosted a festive, educational and networking rich membership drive. uring the evening our new officers were installed and a presentation was made by the edical ociety on the 2012 ork plan. ith the help of other state and county medical society executives, the chapter honored s. ary llen orum for her continuous support and for sharing her knowledge with managers throughout the state. ur anuary meeting was held on anuary 25, 2012 at 3:00.. kicking off the year with eam uilding and otivating taff. ur arch 2012 meeting will be held on ednesday, arch 21, 2012 at 3:00 with heryl hirico presenting on eaningful se, -prescribe and ecurity ocation: ech ro, 3580 ierce rive, uite 160 tlanta, ttending local meetings is a great way to network with your local members and earn s. et s all do our part to grow the tlanta hapter! 14 t he ournal t arch/pril 2012

15 ikes eak s ontracts: nderstanding bligations & anaging perations resh from s nnual onference in learwater, arbara rury,, and resident of ricare nc., gave a comprehensive presentation on the obligations and operational effects of electronic health records () vendor contracts to members of ikes eak in early ovember, s. rury is an independent consultant with a national practice serving physician offices since mong s. rury s credentials are her services as an appointee to the 12-person ffice of the ational oordinator s echnical xpert anel on nintended onsequences of /. he is the isk anager for liability carriers (olorado) and he octor s ompany ( in regon/ashington/daho), and is the editor of s enchmarks for lectronic edical ecord ystems and s atient afety rogram. dditionally, s. rury is consultant to the olorado edical ociety for ealth nformation echnology and eaningful se. f that s not enough, s. rury is active in the ealth nformation and anagement ystems ociety () as a ellow, a member of ublic olicy ommittee, avies mbulatory ward ommittee, and the olorado hapter of oard of irectors. n short, she is a very accomplished expert in her field. ikes eak members spent time dissecting contracts and their various parts. he group looked at contract examples of practices from a position of having already signed an agreement and from that of practices who are about to sign. s. rury provided a hands-on experience providing verbiage from actual contracts and letting members evaluate each contract element. he then led a group discussion on the pros and cons each example provided. s. rury concluded her presentation with several proactive options to protect practices as they navigate their course, as well as latebreaking updates to eaningful se legislation for edicare and edicaid providers. or those in attendance, it was time well spent. ikes eak s nnual oliday reakfast ovember and ecember mark the season when many people express gratitude for life s gifts, acknowledge the needs of others in the community, and develop goals for the future promises a brand new year brings. embers and sponsors of ikes eak are no exception. n fact, their introspection and generous support of the community grows each year. ompared to other areas of the country hard hit by the recession, olorado has weathered recent difficult economic times relatively well. owever, we have a long way to go to reach full recovery, as evidenced by 8-9% unemployment and a 47% increase in the number of edicaid recipients in our state. s in years past, ikes eak pools its collective resources and comes together for its community in a remarkable display of kindness. or nearly two decades, member racie roome,, olorado prings eurological ssociates, has worked with the local epartment of uman ervices () to bring hristmas to children who simply don t qualify for other community levels of oliday assistance. s word spread of her efforts, ikes eak happily joined her 7-8 years ago in her quest to provide gifts to children in need. ocial workers identify children and provide a simple wish list for each child. racie and her team procure a truckload of eddy ears to represent each child on the list, and distribute them to each person or organization who has agreed to help one or more children. articipants then shop for gifts on each child s list and wrap presents. racie collects the gifts and delivers them to in time to distribute the eddy ears and assorted gifts to the children identified on the list. he does all of this without neglecting her responsibilities to her practice! hristmas for ids eddy ears articipation in the program has grown substantially each year through the generous acts of friends and members of ikes eak. or the past two years, the local medical society has turned over its holiday party funds to this program. ikes eak members, their practices, and the chapter s corporate sponsors have become involved in growing numbers. rom humble beginnings helping only the number of children her practice could support, racie s efforts this year resulted in meeting the needs of 172 children! ikes eak s equally significant contribution to its community is its involvement in the azette-l omar oundation mpty tocking und. he mpty tocking und provides resources for 15 local health and human services agencies throughout the ikes eak region. or more than ten years, ikes eak has hosted a oliday reakfast and ift uction to raise money for the mpty tocking und, and each year s donation surpasses the dollar amount donated the year before. uring this event, the chapter hosts a full breakfast buffet and donates approximately season-appropriate gifts for auction. orporate sponsor and radio voice ob osche fulfills the role of auctioneer. ach attendee is given a stack of play money to initiate bidding; however, when the desirability of a gift is particularly good, play money quickly advances to real money and the excitement begins as arch/pril 2012 t t 15

16 bidding wars ensue. s in year s past, all money raised through this auction is matched by ikes eak, and 100% of the funds are forwarded to the mpty tocking und. his year s generous donations were record breaking a grand total of $3,566! ikes eak s 2012 pdate or some, there is an annual sense of dread in fulfilling mandatory compliance education in physician practices. ut for ikes eak members, at least annual education is relatively painless. eorge lynn, s egion ompliance ssistance pecialist, brought timely information to ikes eak members and their respective office staff in ebruary during his annual update. eorge has been in the role of outreach and education for several years, and brings vast experience as an inspector to his health care presentations. ast year, eorge discussed how authorized more of its budget for hiring inspectors and increasing the agency s ability to get more inspectors into the field. his year, eorge explained that is using strong language and characterizing health care as a poor performer. s an industry strong in job growth, it follows that workplace incidents and complaints are on the rise. ith a renewed sense of understanding of the work to be done, ikes eak members left eorge s presentation better prepared to address workplace safety. ikes eak s 2012 edicare pdate nlike the saying about what happens in as egas, what happens at the enters for edicare and edicaid ervices () affects more than just a few people. ikes eak likes to begin each year with a update, direct from. n anuary, 2012, ark evine,, hief edical fficer, enver egional ffice,, presented news and information from new work and work in progress at. or this event, r. evine took a close look at ccountable are rganizations (), omprehensive rimary are nitiative, undled ayments for are mprovement odels, the ealth are nnovation hallenge, and alue ased urchasing. ew challenges and new ideas for tackling impossible problems were the theme of this anuary s event. orking in tandem with r. evine s presentation was arilyn issmiller, enior irector, ivision of ealth are inancing at the olorado edical ociety. arilyn s department is working closely with representatives from various health care organizations, including ikes eak, to bring -10 education to providers and health care managers throughout 2012 and new series of webinars has been developed and will begin in early 2012 that will offer olorado physicians and health care managers an opportunity to learn about the impact of this significant change in reimbursement, and how to implement strategies to maintain smooth operations during transition from -9 to -10. hapter of the ear ompetition ends uly 31 st et in on the un! cash award of $1000 (one thousand dollars) and will be honored as special guests at the next nnual onference wards anquet. he hapter ranking second will receive a cash award of $500 (five hundred dollars) and the chapter ranking third will receive a cash award of $250 (two hundred fifty dollars). o see the criteria for earning points and how your chapter is doing so far this year, go to the chapter menu at pahcom.com. o see how you can help your chapter win, contact your local chapter representative! s your local chapter in the running for hapter of the ear? he hapter of the ear ward is won by the chapter with the most points earned from ugust 1 through uly 31 of each year. he winning chapter will receive a ot sure how to contact your local chapter? t s easy, go to > hapters > irectory. lick on the chapter nearest your location to find the latest chapter news, events and meeting schedules as well as contact information for your local chapter representative. 16 t he ournal t arch/pril 2012

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18 isterv ulse o ilter or ot o ilter ecently was off work for a week for some much needed &. uring that week, made a very conscious effort to check my regularly, like normally do during a regular workday. o when did finally check it, was floored by the number of messages in my inbox. here were over 200 messages and it had only been 24 hours since checked it last! guess by checking it multiple times throughout the day, never realized just how many s actually got. ike many of you, belong to and have signed up for multiple newsletters, department stores, social networks, coupon clubs, etc. ll of which send things to my almost daily, of which most are just plain junk mail, not unlike junk mail you get in your snail mailbox. ut the ones from the isterv are junk. o found myself going down the list picking and choosing which s will just trash and which felt warranted my time to open and read all while thinking to myself, there has to be a better way to do this. had in the past read on the isterv that some members were filtering their messages, but never took the time to figure out just how to do this. guess by checking my regularly, never felt the need to filter. his event made me realize just how helpful filtering could be. use ahoo for my , so started looking at how could use this tool myself. etting it up couldn t have been easier! just went to mail options and filters. indicated that want mail from pahcomnetwork@talk. netatlantic.com to drop into my isterv folder. ow, all my isterv posts will drop directly into my isterv folder in my mail box on ahoo. ther services also have ways to do this simple filter but may call it something different..com has recently added a tutorial to make this process even easier! ou can learn how to filter your isterv mail with links for help with utlook, otmail, mail and ac ail. ust go to.com > ember ools > ist erv orum and click on the bright orange icon. oo uch ail he whole point is don t want to see a single manager not sign up for or drop the isterv because of the large number of posts. am telling you, learn something from the isterv each and every day. f you feel that all the messaging is just too much and clogs your inbox, then try the filter and see if this is helpful to you. on t miss out on the continuing education that goes on each and every day on the isterv orum. ey, belonging to the isterv should be worth at least 1 continuing education credit. int, int ational!!!! ue umwalt, ember ince t he ournal t arch/pril 2012

19 ho will be the 2012 edical anager of the ear? ominate your favorite manager for this prestigious award! e rely on those of you working in the field to identify the outstanding individuals who demonstrate excellence in medical office management and a strong commitment to improving their communities. elp us give them the recognition they deserve! ligibilty for ward 5 ust be an active member in good standing 5 ust have a minimum of 3 years as a ational ember 5 ust be a ertified edical anager () andidates are nominated by sending an unformatted nomination letter to ational ffice. ax: ail: ella ruz rive, uite 360 ady ake, he nomination letter may be submitted by anyone that is aware of a deserving the recognition. e sure to obtain confirmation of receipt for your nomination letter. omination letters must be received no later than pril 23, ominees will receive an information request package from the ational ffice. he package will include multiple questions and essays. resume and photo are required. he nformation ackage responses from nominees must be submitted to ational by une 01, ommittee he selection committee is comprised of the ational dvisory oard (). ecipient election rocess 5 ominees will return all information packages to the ational ffce 5 ackages are held until all are received 5 ll nominee packages will be provided to the for their review uring the review process, each committee member will receive a scoring sheet and independently score the information package of each nominee. coring sheets will then be returned to the hair for further discussion with the and selection of the winner. coring heet ach item is scored according to the following schedule: 5 involvement 5 ocal level (5 points possible) 5 ational level (5 points possible) 5 ontributions/ccomplishments (20 points possible) 5 ears in ealthare (1 point for each year up to 5 possible) 5 ears as an ffce anager (1 point for each year up to 5 possible) 5 ears as member (1 point for each year up to 10 possible) 5 esume emphasis on formal and continuing education (5 points possible) 5 ommunity involvement, awards, honors (5 points possible) 5 wo essays: (10 points possible for each) 5 y ost mportant ontribution to the provision of health care in my community 5 utobiography 5 trength of omination letters (10 points possible) eanette ufour 1992 amona oyle 1993 anet ciarmid, 1994 amela ayne, 1995 hirlyan urt, 1996 im ruger, uth hibeault 1998 arol iken, 1999 rieda obertson, 2000 olleen urgess, 2001 iana rijbag, 2002 aul enderson, 2003 aren chell, 2004 eri rseneau, 2005 ebbie mmons, 2006 ynthia enkala, ebecca ronauge, 2008 oan issmiller, 2009 anet urch, 2010 ill enskytis, 2011 tephen ohanns, arch/pril 2012 t t 19

20 ?! ere are five actual questions taken from recent exams. nswers are on page hen the primary insurance company denies services as non-covered and edicare is the secondary payer, edicare will:. deny coverage. force the primary insurer to pay. provide coverage as the primary payer. pay only what edicare would pay as the secondary payer 2. hat does stand for?. reminder for patients. regulatory field for practices. rules for practitioners. request for proposal 3. hich of the following is not a approved category for s?. wavered. controlled. moderately complex. high complexity 4. f the practice is sued as a result of the actions of the office manager:. he office manager would not have any potential exposure because he/she was working for the practice. the physician would not have any exposure because the office manager is the person who performed the error. both the office manager and the physician have potential exposure. neither party should be concerned because typical office insurance policies cover all lawsuits against the practice 5. he patient s obligations to the physician include:. ell the truth regarding medical symptoms. ollow the physician s instructions regarding therapeutic regimen. ay for all services according to the insurance plan. ll of the above 20 t he ournal t arch/pril 2012 xam chedule ayton hapter arch 21, 2012 ayton hapter ay 16, 2012 ayton hapter uly 18, th nnual onference ctober 15, 2012 or more locations visit.com > ertification > xam locations isa iller, riealth melia, ember ince 1995 pecialty: ulti-pecialty nly $6.25! ey s! how your pride! rder your official coffee mug from the tore today! o to:.com > tore. anuary/ebruary nswers

21 ow to aintain ndependence hile nvesting in and dapting to ew tandards for are, eimbursement and nformation xchange by avid ace, physicians in small or solo practices, the atient rotection and ffordable or are ct () sets clear expectations for reforms in healthcare delivery improve the quality and outcomes of care while also reducing costs. he law also presents a multifaceted challenge how to maintain independence while investing in and adapting to new standards for care, reimbursement and information exchange. eeting the challenge may require a multi-faceted approach adopting innovative care concepts such as patient-centered medical home (), and investing in technology that can help physicians better engage with patients, as well as help them qualify for eaningful se incentives. ealth nformation echnology (health ) can help an organization reach its care coordination and efficiency goals, and enable access to care in ways not imaginable in a paperbased system. o accomplish this, health must drive and support workflow, process, and relationship changes that will support meaningful and necessary changes to care delivery. n interconnected health network with capabilities that optimize engagement and coordination of care is required to support accountable care at the primary care level. he tools you consider should have robust abilities for patients to communicate and exchange information with a care team, including physicians and specialists. t should be easy for patients to use, give them access to wellness and self-care applications, and remain available even if they change physicians or insurance companies. he merican ecovery and einvestment ct (), was signed into law in ebruary he ealth nformation echnology for conomic and linical ealth ct () was included in the $789 billion economic stimulus package legislation. allocates $19 billion to hospitals and physicians who demonstrate eaningful se of certified lectronic edical ecords (). nder, physicians can qualify for up to $44,000 in edicare incentives if they meet eaningful se requirements. n a small practice with three eligible providers, for example, the incentive would total $132,000 across five years. eaningful se criteria include both a core set and a menu set of objectives that are specific to eligible professionals (ambulatory and outpatient care providers). here are a total of 25 objectives, and 20 (15 core, plus five of the remaining 10) must be met to qualify for an incentive payment. o qualify for incentive payments, eligible professionals must meet the requirements in the following ways: t edicare ncentive rogram: uccessfully demonstrate meaningful use of certified technology every year they participate in the program. t edicaid ncentive rogram: dopt, implement, upgrade or demonstrate meaningful use in the first year of participation. uccessfully demonstrate meaningful use for subsequent participation years. t dopt: cquire and install certified technology. t mplement: egin using certified technology. t pgrade: xpand existing technology to meet certification requirements. n acquiring technology to fulfill these requirements, physicians should seek a single solution that offers secure health information exchange (), secure personal health records () and fully certified ambulatory. our technology partner should examine and understand strategic goals such as physician alignment, communications and safety, while providing a secure and robust aa-based infrastructure that supports the strategic needs of all stakeholders. t the health system level, community physicians can be offered clinical integration and capabilities without being asked to change an existing system. hese technological innovations meld well with the care concept of the, which focuses on continuous and comprehensive team-based coordinated care, as well as extended access after hours, weekends, via secure messaging and other technology. he combination of technology and care innovations will provide small practices with reduced investment in infrastructure and fewer implementation disruptions, while increasing patient and physician alignment and improving overall efficiency. avid ace, is edical irector for cesson elayealth. elayealth enables the secure exchange of clinical, financial and administrative information. or more information, visit avid is also the hairman of the atient-entered rimary are ollaborative (), a coalition of stakeholders across the healthcare spectrum who have joined together to develop and advance the patient centered medical home. o learn more about, visit elayealth is a orporate ember ince 2012 arch/pril 2012 t t 21

22 et onnected! knows you re busy, so we give you quick and easy access to all the latest news anytime you want it! heck out the ome age ews eed at.com. ll the latest news and events scroll along the right side of the screen! ou can even get on your smart phone or tablet! ust scan the lips offers lots of webinars on a variety of important and interesting topics to keep you up to speed on technology and industry changes. o to the ducation alendar at > ducation > alendar and see what interests you! eet other edical ffice anagers in your area. ttend a local hapter event! ou ll be glad you did! id you know that anuals are used as edical anagement textbooks in colleges? f you missed out on last year s onference, be sure to make plans to attend this year s onference in ctober! ot sure when your membership renewal is due? > ember ools > ember elf-are ample nswers from page ; 2. ; 3. ; 4. ; t he ournal t arch/pril 2012 code on the back cover of this issue! or you social media fans, is on acebook, witter, ou ube, and inkedn! imply click on ollow right above the ome age ews eed at.com! ike on acebook!. ow do find a specific document in the ember ibrary?. ocuments in the ember ibrary are listed chronologically, by the date added to the ibrary, most recent first. f you do not know when the document you are looking for was added, the easiest method is to use the earch function located near the top right corner of the ember ibrary screen, ( > ember ools > ember ibrary). his function searches the entire ibrary for you instantly. ype a key word into the search bar. ou can use the author s name if you know it or a key word from the document title. t is best to start with a general term such as evaluation. ou can add more parameters to narrow your search if necessary. edical chools aylor of ichigan olumbia anderbilt of ashington emple uke oston of ennsylvania ohns opkins ornell ake orest orthwestern mory ase estern hapel ill itt ayo edical artmouth ale of hicago arvard of ochester tanford ount inai he solved puzzle can be found at in the homepage news! ast issue s puzzle answers can be found on page 20.

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