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Friday, November 27, 2015

Kentucky Makes Progress on kyhealthnow Goals

Kentucky has made progress in achieving the goals of the kyhealthnow initiative, Lieutenant Governor Crit Luallen said Friday at a Capitol press conference.


Doctor Maurice Oakley Nominated for 2016-17 KMA President-Elect

The Boyd County Medical Association has nominated Maurice Oakley, MD, for the office of KMA President-Elect.  


Medicare Extends Deadline to Appeal Two Penalties

Physicians and group practices facing penalties under the Medicare Physician Quality Reporting System and Value Based Modifier programs have until Nov. 23, 2015, to file an informal appeal. Requests for an informal review can only be made online through the Quality Reporting Communication Support Page of CMS. CMS promises a decision, which is final, within 90 days.

2016 OIG Work Plan Includes Review of ICD-10

One of the big-ticket items the Office of Inspector General (OIG) 2016 Work Plan will focus on is “how well” the Centers for Medicare & Medicaid Services implemented the 10th version of the International Classification of Diseases (ICD-10) codes into the Medicare and Medicaid programs. The review may include CMS’s and contractors’ assistance and guidance to physicians during the early implementation. It also will assess how the transition to ICD-10 is affecting claims processing, including claims resubmissions, appeals and medical reviews.

State Assumes Control of Kentucky Health Cooperative

Amid concerns that the Kentucky Health Cooperative may not have funds to meet its financial obligations, the Kentucky Department of Insurance has taken control of its day-to-day operations. The state will not assume any of the failed CO-OP’s liabilities, according to a news release from the Department of Insurance. View the KMA Job Aid for information for providers.


KMA-RFS Member Wins National Fellowship

Daniel T. Jackson, MD, a member of the KMA-RFS and the section’s current delegate to KMA, has been awarded the Jeanne Spurlock, M.D. Congressional Fellowship of the American Psychiatric Association and the association’s related organization, the American Psychiatric Foundation.


International Conference on Physician Health: Call for Abstracts

The American Medical Association, the Canadian Medical Association and the British Medical Association will host the International Conference on Physician HealthTM in 2016. The conference, which is held every other year and is hosted by a founding association, will be held Sept. 18-20, 2016, in Boston, Mass. 


KMA Job Aid: Kentucky Health Co-operative Closure

Amid concerns that the Kentucky Health Co-operative may not have funds to meet its financial obligations, the Kentucky Department of Insurance is in the beginning stages of reviewing the CO-OP's financial statements. The Kentucky Medical Association has prepared a Job Aid for physicians who may have questions regarding the CO-OP's closure.


ICD-10 Takes Effect -- Here are Some Reminders

The new ICD-10 coding system took effect Oct. 1, but you may still need to use ICD-9 coding for some billing. Here are some reminders and resources as you make the move to ICD-10.


Kentucky Health Cooperative Will Go Out of Business Dec. 31

The Kentucky Health Cooperative is going out of business at the end of this calendar year. The company announced in a press release Friday that it will not offer health insurance plans for 2016. The nonprofit health insurance company serving all 120 Kentucky counties did not receive federal risk corridor funding it had relied on, according to interim CO-OP CEO Glenn Jennings.


UofL, UK Students Lunch and Learn about Health Care Finance

KMA Executive Vice President Patrick Padgett shared insights into health care finance in Kentucky and in the nation with University of Louisville medical students Oct. 6 and University of Kentucky medical students Oct. 13. Padgett told the students the Affordable Care Act, or Obamacare, "has completely changed health care dynamics." He said the ACA has affected the health care marketplace in ways that we see regularly, as well as in ways we don't see.


UK Students Attend KMA Lunch and Learn

Around 50 University of Kentucky medical students took the time to “Lunch and Learn” with KMA Wednesday, Sept. 15, as KMA Executive Vice President Patrick Padgett shared information about the medical industry, health and marketplace in Kentucky. This was the first of four presentations to be made at the University of Louisville and University of Kentucky Medical Schools for the 2015-2016 school years.


ICD-10 Countdown -- Are You Ready?

Implementation of ICD-10 is two weeks away. Lindy Lady, medical business manager for the Kentucky Medical Association, offers some reminders for what physicians’ staffs will need to remember when processing claims.


Award Winners at the 2015 KMA Annual Meeting

The Kentucky Medical Association recognized several physicians and an Appalachian health activist for their work to improve the health of the community during the KMA 2015 Annual Meeting. Here are the award winners:


2015-16 KMA Officers

New officers were elected at the 165th Annual Meeting of the Kentucky Medical Association. From left, Nancy Swikert, M.D., of Union, was chosen as president-elect, and Brent Wright, M.D., of Glasgow, was selected vice-president. Theodore Miller, M.D., Ph.D., was installed as KMA president. G. Randolph Schrodt, M.D., of Louisville, was elected chair of the KMA Board of Trustees. Linda Gleis, M.D., of Louisville, continues as secretary-treasurer for the board.


Medicaid Members Must Update Addresses to Maintain Coverage

When Kentucky Medicaid receives returned Medicaid member mail starting Aug. 17, the member must update his or her address by the end of the following month to maintain Medicaid coverage. For example, if returned mail is received on Aug. 20, 2015, the member must update his or her address by Oct. 1, 2015.


Medical Student Outreach & Leadership Program

The Kentucky Medical Association has launched the KMA Medical Student Outreach and Leadership Program, or MSOL. The program is designed for medical students and residents in Kentucky. This webinar is designed for students interested in participating in the KMA Medical Student Outreach and Leadership Program. Completion of this webinar is mandatory for participation in the program. To view the webinar, click here.


KMA Receives Accreditation with Commendation

KMA recently received reaccreditation from the American Council for Continuing Medical Education (ACCME) for its CME accreditation program. For the first time, KMA received an “Accreditation with Commendation,” meaning that the association was recognized for being “a learning organization and a change agent for the physicians and patients you serve.” This is the first time KMA’s CME efforts have received such a commendation. KMA has use of the ACCME’s logo, indicating it is accredited with commendation. This accreditation is for a six-year term, not the typical four-year term. Of almost 2,000 accredited providers, only 20% achieve this status.

No More Delays for ICD-10

Physicians’ offices won’t be penalized for unintentional errors in diagnosis codes in the first year of ICD-10 use, as long as the codes are from the correct family of codes. That’s according to American Medical Association President Steven Stack, who elaborated on the announcement from the AMA and the Centers for Medicare and Medicaid Services earlier this month. KMA is offering a two-day ICD-10 Boot Camp to help physicians and their staffs with implementation of the new coding system.


Medicaid Update

Kentucky has awarded new one-year contracts to Anthem, Coventry Cares, Humana, Passport and Wellcare that began July 1 with four, one-year renewal options.


Aetna Announces Plan to Purchase Humana

Aetna Inc.’s plan to purchase Louisville-based Humana Inc. will create the nation’s second-largest domestic health insurer by membership.


How Did Your Legislator Vote?

Find out how your legislator voted on bills designated as key pieces of legislation by KMA during the 2015 Kentucky General Assembly.


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