Category Archives: Medical Practice Blog

Sign up today to be a Leader for Medicine and Patients

Being a physician automatically puts you in a position to be a leader in the view of your patients and the public, especially in the rural community. Patients look to their physicians for answers to health questions, help with insurance/billing, legislative advice on voting, disease prevention and more. Are you ready to be that leader? KMA has partnered with Butler University to help members get the leadership training they will need to be leaders in their communities. This year, KMA

Get Pumped – Heart Screening in February

February is the perfect month for patients to be screened for cardiovascular risk factors. The U.S. Preventive Services Task Force (USPSTF) recommends referring adults who are overweight or obese and have additional cardiovascular disease (CVD) risk factors to intensive behavioral counseling interventions to promote a healthful diet and physical activity. Medicare will cover patients without apparent signs or symptoms of cardiovascular disease once every five years. Other insurers cover these tests as well; please check with each insurer for coverage

So, What is KMA Doing for You?

KMA will be very busy this year advocating for you, your practice and your patients’ health. Did you know the top priorities for KMA this year include: Smoking cessation help by eliminating the mandatory step requirements for drug/counseling treatment to get the treatment YOU want for patients. Domestic violence changes in mandatory abuse reporting by having physicians simply provide victims with easily accessible referral information for the regional domestic violence programs or rape crisis centers and documenting the injuries in

Determine Your Status under the Medicare Quality Payment Program

Since Medicare published the final regulations on the Quality Payment Program, several changes have been made and some things have been clarified. Here’s a review of those changes: Threshold changes Physicians, physician assistants, nurse practitioners, clinical nurse specialists and certified registered nurse anesthetists are eligible to participate in the Medicare quality payment program, which includes the Merit Based Incentive Payment System (MIPS), if: More than $30,000 is billed to Medicare or care is provided to more than 100 Medicare patients

MIPS and MACRA — The Time is Now!

Starting in 2017, physicians must make an important decision each year—one that will affect Medicare reimbursements. The new Medicare Quality Payment Program, which includes the Merit Based Incentive Payment System (MIPS), has an implementation date of Jan. 1, 2019, but physicians must take action starting in 2017 to avoid payment reductions or have a chance to receive payment incentives in 2019 of up to 4 percent. “Due to the advocacy efforts of the American Medical Association, the Kentucky Medical Association

Tort Reform on the Agenda–Legislative Changes Bring New Opportunity for Health Care-Related Issues

A new look to the Kentucky House of Representatives offers new opportunities for legislation important to physicians in the 2017 session of the Kentucky General Assembly, which convenes Tuesday, Jan. 3, and continues for 30 legislative days. Republicans gained control of the House for the first time in nearly 100 years; they now have a 64-36 supermajority advantage to match the supermajority Republicans have held in the Senate for many years. Early indications suggest the Republicans will attempt to capitalize

MIPS in Action: Take action in 2017 to prevent Medicare payment reductions in 2019

The new Medicare Quality Payment Program, which includes the Merit Based Incentive Payment System or MIPS, has an implementation date of Jan. 1, 2019, but physicians must take action starting in 2017 to avoid payment reductions or have a chance of receiving payment incentives in 2019 of up to 4 percent. This article is the last in a three-part series. Earlier you were provided with MIPS terminology and how to navigate MIPS regulations. In this final article, we share the

DEA Changes Registration Renewal Process

Beginning Jan. 1, 2017, the Drug Enforcement Administration (DEA) will no longer send its second renewal notification to DEA registrants by mail; an electronic reminder will be sent via email. If a registration expires, registrants will have one calendar month to reapply; after that timeframe, registrants must file for a new DEA registration. Regardless of whether a registration is reinstated within the calendar month after expiration, federal law prohibits the handling of controlled substances or List 1 chemicals for any period

Transitional and Chronic Care Management – Focus of OIG

The Office of Inspector General (OIG) in November released the annual Work Plan, which is designed to ferret out fraud, waste and abuse in the Medicare and Medicaid programs. Typically, the OIG identifies potential problem areas based on previous small-sample (probed) audits. The work plan includes one area of particular concern to physicians: Medicare Payments for Transitional Care Management (TCM) and Chronic Care Management (CCM) The OIG will review TCM and CCM payments to ensure compliance with Medicare requirements while

KMA Launches ‘Know Your Meds’ Campaign

The Kentucky Medical Association has formally launched the “Know Your Meds” campaign to encourage physicians and patients across the Commonwealth to work together to prevent prescription drug abuse through knowledge and education. Prescription drug abuse is a public health epidemic in Kentucky resulting in more than 1,000 deaths from overdoses each year. Physicians and patients both have important roles to play in stopping improper use of prescription medicines that can lead to abuse and addiction.  The Know Your Meds campaign

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