Modifier 25 Madness – Disguises Continue

Posted September 7, 2018 Last October, Anthem announced that evaluation and management (E/M) services, historically eligible for separate reimbursement when reported by the same provider on the same day as a minor surgery, would be reduced by 50%. Anthem believed that physicians were being reimbursed for “duplicative services” relating to fixed/indirect practice expense when an E/M service denoted by use of the modifier 25 and billed on the same day as a minor surgery. Thanks to organized medicine, led by

Bruce Scott, M.D. Installed As 2018-2019 KMA President

2018 KMA Annual Meeting Also Honors Award Recipients, Program Graduates Bruce Scott, M.D., a Louisville otolaryngologist, was installed as the 168th President of the KMA on Aug. 25 during the Association’s Annual Meeting in Louisville. KMA members also elected two other officers during the 2018 Annual Meeting. R. Brent Wright, M.D., of Glasgow, was elected president-elect and Dale E. Toney, M.D., of Lexington was elected vice president. Dr. Scott completed undergraduate school at Vanderbilt University, medical school and residency at

Wayne Tuckson, M.D., Receives KMA Community Service Award

The Kentucky Medical Association presented its Community Service Award to Wayne Tuckson, M.D., of Louisville during the Leadership Dinner at the 2018 KMA Annual Meeting on Aug. 25. The award recognizes a physician who has made significant contributions to his or her community. Dr. Tuckson was selected for the creation of his Kentucky Educational Television (KET) television show Kentucky Health, a program that he also hosts. Dr. Tuckson communicates a wide range of health education topics, including various diseases, treatments, health

Wayne Tuckson, M.D., Receives KMA Community Service Award

Posted August 29, 2018 The Kentucky Medical Association presented its Community Service Award to Wayne Tuckson, M.D., of Louisville during the Leadership Dinner at the 2018 KMA Annual Meeting on Aug. 25. The award recognizes a physician who has made significant contributions to his or her community. Dr. Tuckson was selected for the creation of his Kentucky Educational Television (KET) television show Kentucky Health, a program that he also hosts. Dr. Tuckson communicates a wide range of health education topics,

Rep. Kim Moser Receives KMA Debra K. Best Outstanding Layperson Award

Posted August 29, 2018 The Kentucky Medical Association presented its Debra K. Best Outstanding Layperson Award to Representative Kim Moser of Taylor Mill during the Leadership Dinner at the 2018 KMA Annual Meeting on Aug. 25. The award is given to a non-physician or group in Kentucky who has made outstanding contributions in the field of public health and/or medical care. Rep. Moser has worked to support the medical community for many years. She recently concluded her term as President

Paducah Mayor Brandi Harless Receives KMA Advocacy Award

Posted August 29, 2018 The Kentucky Medical Association presented its inaugural Advocacy Award to Mayor Brandi Harless of Paducah during the Leadership Dinner at the 2018 KMA Annual Meeting on Aug. 25. The award is presented to individuals who have effected positive change in the healthcare space through their advocacy efforts and was established by the KMA House of Delegates in 2017. Mayor Harless has a background in global health, which includes HIV research in Sierra Leone, West Africa. As

Sen. Ralph Alvarado, M.D., Receives KMA Advocacy Award

Posted August 29, 2018 The Kentucky Medical Association presented its inaugural Advocacy Award to Sen. Ralph Alvarado, M.D. of Louisville during the House of Delegates at the 2018 KMA Annual Meeting on Aug. 26. The award is presented to individuals who have effected positive change in the healthcare space through their advocacy efforts. Sen. Alvarado witnessed over the years how government impacted the practice of medicine, and he wanted to do something about it, deciding to run for political office.

Bradon Wilhelmi, M.D., Receives KMA Educational Achievement Award

Posted August 29, 2018 The Kentucky Medical Association presented its Educational Achievement Award to Bradon Wilhelmi, M.D. of Louisville during the Leadership Dinner at the 2018 KMA Annual Meeting on Aug. 25. The award is presented to individuals who have made outstanding contributions and achievements in the area of continuing medical education. Dr. Wilhelmi is a professor of plastic and reconstructive surgery at the University of Louisville School of Medicine. He received his medical degree from Rush University Medical College

David J. Bensema, M.D., Receives KMA Distinguished Service Award

Posted August 29, 2018 The Kentucky Medical Association presented its Distinguished Service Award to David J. Bensema, M.D., of Lexington during the Leadership Dinner at the 2018 KMA Annual Meeting on Aug. 25. Dr. Bensema served as the KMA President from 2014-2015, a year in which the KMA underwent substantial internal changes when it implemented a year-long strategic plan known as “Focus Forward.”  The KMA honored him for his work implementing the changes, noting that “implementation can often be more

KMA Signs On to AMA Letter Regarding Proposed Changes to Physician Payment Rule

Posted Aug. 29, 2018 During KMA’s 2018 Annual Meeting, held this past weekend at the Louisville Marriott East, newly inaugurated president Bruce Scott, M.D. of Louisville spoke of the importance of physicians unifying around issues on which there was consensus, which includes reduction of administrative burdens. Yesterday, the American Medical Association (AMA), together with 150 health groups representing almost every specialty and state medical associations, including KMA, sent a letter to Centers for Medicare and Medicaid Services (CMS) Director Seema Verma applauding

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