Category Archives: Medical Blog

KMA Leaders Travel to DC for Discussion on Surprise Billing; Members Asked to Contact Congress

Posted July 15, 2019 Last week, KMA leaders traveled to Washington, DC to meet with members of Kentucky’s congressional delegation regarding legislation related to out-of-network or “surprise” billing. KMA Secretary-Treasurer Bob Couch, MD, along with KMA Executive Vice President Pat Padgett and KMA Deputy Executive Vice President/Director of Advocacy Cory Meadows met with both Kentucky Senators and its six Representatives. The meetings were well-received and came at a crucial time for the legislation, as discussion has continued to intensify. KMA

Important Update on the Telehealth Regulation – Effective July 1, 2019

Posted July 3, 2019 Avoid denials by using place of service – 02 On July 1, 2019, the telehealth regulation requires the Department of Medicaid Services (DMS), Medicaid managed care organizations (MCOs) and commercial health plans to cover medical services provided via telehealth to the same extent they cover medical services provided in-person.  The Medicaid rate for telehealth services will be 100 percent of the fee schedule. In June, Kentucky Medicaid distributed a provider letter that outlined the use of

Internationally Renowned Gastroenterologist to Speak at Kentucky Society of Gastrointestinal Endoscopy Annual Meeting

Posted July 1, 2019 In the United States, colorectal cancer is the third leading cause of cancer-related deaths in men and in women, and the second most common cause of cancer deaths when men and women are combined, according to the American Cancer Society. It’s expected to cause about 51,020 deaths during 2019. But with increased screening and treatment, the number of deaths from colorectal cancer has been dropping for several decades. Piet C. de Groen, M.D., Professor of Medicine, Division of

KMA Delegates and Students Attend AMA Annual Meeting

Posted June 27, 2019 KMA’s delegation to the American Medical Association (AMA) proudly represented the organization during the 2019 AMA Annual Meeting June 8-12 in Chicago. Delegates provided testimony on a variety of issues and voted on important policy to the body of medicine. Alternate Delegate Shawn Jones, M.D., served on a reference committee focused on issues surrounding science and technology. University of Kentucky  medical student Anita Shanker began her service as AMA Medical Student Section Alternate Delegate to the

Lab Fee Schedule Update from Anthem

Posted June 27, 2019 Anthem sent out orange envelopes on June 1 announcing updates to their lab code fee schedule. Providers have thirty days from the date of the letter to decide if they will accept the fee schedule that was sent with this announcement, dated June 1, 2019. Note: These new fees are significantly below both Medicare and Medicaid rates. While the letter sounds like a more complete list of updated fees is forthcoming, GLMS and KMA received clarification

President’s Message: The Next Generation…of Nicotine Addicts

Posted June 17, 2019 Tobacco usage among Kentucky adults is nearly double the national average. Annual smoking related healthcare costs in Kentucky total $1.9 billion dollars, of which nearly $600 million is covered by Medicaid. That is $1,116 per Kentucky household in state and federal taxes for government spending on tobacco-related health care. Beyond the financial cost, the human costs of pulmonary disease and cancer are well documented. These “shocking” statistics are not surprising to physicians – we see the

Notice of Application for Appointment to the Kentucky Board of Medical Licensure

Posted June 6, 2019 Physicians interested in being considered for a gubernatorial appointment to the Kentucky Board of Medical Licensure (KBML) must submit an application and their curriculum vitae to the Kentucky Medical Association by July 1, 2019. Applications are being sought for the KBML four-year term beginning Aug. 1, 2019, and ending July 31, 2023. Click here to obtain an application. Return the completed application to Laura Hartz by email at or by mail at KMA, Attn: Laura Hartz, 9300 Shelbyville Road, Suite 850, Louisville,

The 2019 General Election Field is Set

Posted June 4, 2019 On Tuesday, May 21, the Primary Election was held, and Kentuckians went to the polls to select Democrat and Republican nominees for the Commonwealth’s six constitutional offices, including the Office of Governor. The General Election, scheduled for Tuesday, November 5, will see Governor Matt Bevin and his running mate, Senator Ralph Alvarado, M.D., square off against Attorney General Andy Beshear and his choice for Lieutenant Governor, Jacqueline Coleman. The gubernatorial race will be contentious with more

Update on Telehealth Law that Takes Effect July 1, 2019

Posted June 3, 2019 The recent 2019 Kentucky Telehealth Summit, held May 23 in Bowling Green, provided clarification and updates on the telehealth law passed in 2018 and becomes effective July 1, 2019. The law requires Medicaid, managed care organizations (MCOs) and commercial health plans to cover medical services provided via telehealth to the same extent they cover medical services provided in-person. Stephanie Bates, Deputy Commissioner, Kentucky Department for Medicaid Services, confirmed the Medicaid rate for telehealth services will be

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