New Physicians Foundation report addresses post-SGR Medicare pay

The Physicians Foundation has produced a ‘Medicare Watch List’ report that addresses the physician payment models that were established when the Medicare sustainable growth rate formula (SGR) was repealed when the Medicare Access and CHIP Reauthorization Act (MACRA) was passed into law.

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MAG to host call on chronic disease prevention on August 17

The Medical Association of Georgia (MAG) is encouraging physicians and applicable practice staff in Georgia to register for a town hall conference call that it will host at 6:30 p.m. on Monday, August 17 that will address chronic disease prevention (e.g., diabetes and obesity).

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Media Report: "50 years of Medicare and Medicaid"

"When signing the bill creating Medicare and Medicaid 50 years ago, President Lyndon B. Johnson held the ceremony in Independence, Missouri, where former President Harry Truman lived."

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RCMS monthly meeting

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Save the Date

09.22

PAMAG CME Conference

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Save the Date

9.18 - 9.21

Dougherty CMS Meeting

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Save the Date

08.25

Discounted rooms now available for MAG’s Summer Legislative Education Seminar

The Medical Association of Georgia will host its annual summer legislative education seminar at the Château Élan Winery & Resort in Braselton on Friday, July 31 and Saturday, August 1.

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AMA weighs in on Medicaid managed care proposal

The American Medical Association (AMA) has submitted a letter to the Centers for Medicare & Medicaid Services (CMS) that addresses its views on the “first proposed revisions to the Medicaid managed care program’s regulations in more than 12 years.”

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Aetna issues “response” to CMS/AMA ICD-10 guidance

Aetna has released a ‘Sharing our response to CMS/AMA guidance about ICD-10’ summary that addresses the ICD-10 billing codes that are scheduled to go into effect on October 1.

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MAG members encouraged to vote for 2016 legislative meeting venue

The Medical Association of Georgia (MAG) is encouraging its members to weigh in on where they would like to see MAG hold a (prospective) summer legislative meeting in 2016.

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New report highlights Medicare’s financial outlook

The Boards of Trustees of the Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds has released its annual report for 2015, which provides information about Medicare’s financial outlook.

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Airway on the Island

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Save the Date

08.14 - 08.16

Media Report: “Anthem to buy Cigna for $54 billion”...AMA weighs in

"Anthem (ANTM), a Blue Cross and Blue Shield insurer, said it would buy all of Cigna's (CI) shares in a cash and stock transaction."

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CMS to host ‘Countdown to ICD-10’ call on August 27

The Centers for Medicare & Medicaid Services (CMS) will host a ‘Countdown to ICD-10’ conference call at 2:30 p.m. on Thursday, August 27 – five weeks before the ICD-10 billing codes go into effect on October 1.

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MAG members can get 20% discount for Health Connect South

The Medical Association of Georgia (MAG) is encouraging physicians in the state to register for Health Connect South’s second annual event, which will take place at the Georgia Aquarium in Atlanta from 8 a.m. to 8 p.m. on Wednesday, September 15.

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Video of MAG/AMA town hall on EHR/Stage 3 now online

A video recording of the town hall meeting that the Medical Association of Georgia (MAG) and the American Medical Association (AMA) hosted in Atlanta on July 20 to address the pending Medicare and Medicaid program Stage 3 EHR meaningful use regulations is now available online.

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Details on new CME reporting requirements now on CMS website

The Centers for Medicare & Medicaid Services (CMS) has announced that it has updated its website with information about the new reporting requirements for continuing medical education (CME) that are included in the 2015 Medicare Physician Fee Schedule final rule.

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GCEP Rural Emergency Practice Conference

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Save the Date

09.26 - 09.27

DCH to suspend Medicaid providers who have failed to revalidate beginning August 1

“The Affordable Care Act mandates that states revalidate the enrollment of all providers every five years. Beginning in April 2014 and monthly thereafter, DCH and Hewlett-Packard Enterprise Services (HPES) sent letters to providers requiring that they revalidate their enrollment within 60 days of the date on the letter."

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More than 90 practice staff take advantage of free MAG webinar

A recording of the second installment of the free, three-part “Practice Management: What You Need to Know Now” webinar series that the Medical Association of Georgia (MAG) is hosting is now available online for MAG members and their staff.

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New CMS video addresses ICD-10 “myths and misperceptions”

The Centers for Medicare & Medicaid Services (CMS) has produced a video to “respond to myths and common misperceptions about ICD-10.”

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Recording of ‘Top Docs’ show on narrow networks online

Georgians for a Healthy Future Executive Director Cindy Zeldin joined Medical Association of Georgia (MAG) Executive Director and CEO Donald J. Palmisano Jr. on the 'Top Docs Radio' program on the Business Radio-X Network on July 14.

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Recording of MAG call on government & payer investigations/audits now online

A recording of a 45-minute town hall conference call that the Medical Association of Georgia (MAG) hosted on July 20 that addressed what a practice should do if it becomes the subject of a government or private payer investigation or audit is now available online.

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MAG/AMA encouraging physicians & staff to register for July 20 EHR town hall with Rep. Tom Price

The Medical Association of Georgia (MAG) and the American Medical Association (AMA) are encouraging Georgia physicians and practice staff to attend a ‘Break the Red Tape’ town hall meeting that will take place at the Westin Atlanta Perimeter North Atlanta at 7 p.m. on Monday, July 20.

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Media Report: Big insurance deal [Aetna/Humana] raises questions, fears (features MAG CEO)

"The biggest health insurance deal ever was announced earlier this month."

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MAG plays key role as Georgia Board of Pharmacy amends e-prescribing rule

The Georgia Board of Pharmacy has amended a rule that is related to electronically generated prescriptions so it is aligned with state law.

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MAG member elected to Georgia House of Representatives

GAMPAC has announced that Medical Association of Georgia (MAG) member Betty Price, M.D., was elected to the Georgia House of Representatives (District 48) in one of six special elections that took place in the state on July 14.

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DPH to host ‘Immunize Georgia’ event on September 11

The Georgia Department of Public Health (DPH) is encouraging physicians and other health care professionals to make plans to attend the 22nd Annual Immunize Georgia Conference, which will take place at the Crowne Plaza Atlanta Perimeter at Ravinia on Friday, September 11.

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DPH to host ‘Immunize Georgia’ event on September 11

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Save the Date

09.11

DCH to launch Medicaid enrollment & CMO credentialing process

The Georgia Department of Community Health (DCH) has announced that, “Effective August 1, 2015, (it) will implement a NCQA certified Centralized Credentialing Verification Process utilizing a Credentialing Verification Organization (CVO).”

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2016 QRDA implementation guide now online

The Centers for Medicare & Medicaid Services (CMS) has announced that the ‘2016 CMS Quality Reporting Document Architecture (QRDA) Implementation Guide (IG)’ for eligible professionals to use to report electronic clinical quality measures (eCQMs) and associated Schematrons and sample files is now available online.

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GAACP meeting

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Save the Date

10.23 - 10.25

MAG Foundation recognizes Georgia Pharmacy Foundation for supporting ‘TAI’ campaign

The MAG Foundation has recognized the Georgia Pharmacy Foundation (GPF) as a platinum-level sponsor for supporting its ‘Think About It’ campaign to reduce prescription drug abuse in the state with more than $20,000 in cash and in-kind donations.

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MAA Board Retreat

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Save the Date

08.15

MAG president appointed to state health insurance reform committee

The Georgia Senate recently announced the members of the S.R. 561 ‘Consumer and Provider Protection Act Senate Study Committee.’

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Leading patient advocate & MAG CEO to appear on 'Top Docs Radio' at 2:30 p.m. tomorrow

Georgians for a Healthy Future Executive Director Cindy Zeldin will join Medical Association of Georgia Executive Director and CEO Donald J. Palmisano Jr. and host C.W. Hall on the 'Top Docs Radio' program on the Business Radio-X Network at 2:30 p.m. tomorrow – Tuesday, July 14.

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Report says 40 percent of insurance networks "narrow"

The Leonard Davis Institute of Health Economics at the University of Pennsylvania has released a ‘Skinny on Narrow Networks in Health Insurance Marketplace Plans’ report that found that more than 40 percent of silver plans on the state and federal health insurance exchanges have narrow (“small” or “extra small”) physician networks (i.e., 25 percent or less of the physicians in the area.)

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Republican leaders question ACA cost-sharing payments

U.S. Republican House Energy and Commerce Committee and Ways and Means Committee leaders recently sent letters to Health and Human Services (HHS) Sec. Sylvia Burwell and Treasury Sec. Jack Lew to express their concerns that the administration is “unlawfully and unconstitutionally misappropriating funds” to make payments to insurance companies under the Affordable Care Act’s cost-sharing reduction program (Section 1402 Offset Program).

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CMS releases first post-SGR physician payment proposal

The Centers for Medicare & Medicaid Services (CMS) has released the “first proposed update to the physician payment schedule since the repeal of the Sustainable Growth Rate through the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).”

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Good Samaritan of Cobb hiring medical director

The Good Samaritan Health Center of Cobb in Marietta is looking for candidates to serve as its medical director.

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MAG to host second free webinar for Georgia practice staff on July 20

The Medical Association of Georgia (MAG) is encouraging physicians in the state to forward this email to their front office staff and encourage them to take advantage of two free "Practice Management: What You Need to Know Now" webinars that MAG will host, including a "Missed Appointments = Missed Opportunities" session on July 20 and a "Front Office Success" session on August 17.

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AMA/CMS announce plans for ICD-10 grace period

The American Medical Association (AMA) and Centers for Medicare and Medicaid Services (CMS) have reached an agreement on “important elements of a [one-year] grace period” for the ICD-10 billing codes that are scheduled to go into effect on October 1.

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Media Report: “Nine states join Interstate Medical Licensure Compact”

"In May, three states joined the Interstate Medical Licensure Compact, in addition to the six states that had already joined."

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Media Report: Who owns health data? Supreme Court may try answering that question

"The U.S. Supreme Court is considering hearing a case that could have implications for self-funded insurers nationwide and as many as 16 states that have passed laws creating healthcare data collection programs."

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Media Report: Supreme Court upholds nationwide health care law subsidies

"The Supreme Court on Thursday upheld the nationwide tax subsidies under President Barack Obama's health care overhaul, in a ruling that preserves health insurance for millions of Americans."

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Recording of MAG webinar on maximizing patient collections now online for MAG members

A recording of the first installment of the three-part "Practice Management: What You Need to Know Now" webinar series that the Medical Association of Georgia (MAG) hosted on June 16 that addressed "Maximizing Patient Collections" is now available online.

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CMS promoting ‘ICD-10 Quick Start Guide’

The Centers for Medicare & Medicaid Services (CMS) is promoting the availability of an ICD-10 Quick Start Guide. CMS says that, “This guide outlines five steps health care professionals should take to prepare for [the] ICD-10 [billing codes] by the October 1, 2015, compliance date.”

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Media Report: Missouri federal judge limits False Claims Act claims involving vague Medicare regulations

"A Missouri federal judge has issued a summary judgment order that could serve as an important limitation on the U.S. Department of Justice’s expanding use of the False Claims Act and penalties aimed at recovering funds from government contractors."

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AMA encouraging physicians to call for ICD-10 grace period

The American Medical Association (AMA) is encouraging physicians to contact their Congressional leaders to ask them to provide a grace period to make the transition to the ICD-10 billing codes that are scheduled to go into effect on October 1.

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GCMB releases new vaccine protocol forms

The Georgia Composite Medical Board (GCMB) has released new documents and forms that are required by H.B. 508, legislation that mandates all vaccine protocols be filed with the GCMB by July 1.

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U.S. House votes to repeal medical device tax

On June 18, the U.S. House of Representatives voted overwhelmingly to repeal a tax on medical devices that comprised part of the funding for the Affordable Care Act. The legislation repealing the tax does not propose an alternate source of funding to replace the lost revenue.

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U.S. Senate Chairmen respond to OIG report on CMS oversight of health insurance exchanges

In a letter sent on June 17, the U.S. Senate Finance Committee Chairman Orrin Hatch (R-Utah) and Judiciary Commitee Chairman Charles Grassley (R-Iowa) responded to the Centers for Medicare and Medicaid Services (CMS) Acting Administrator Andy Slavitt after the release of the Office of Inspector General's (OIG) report criticizing CMS oversight of the Health Insurance Marketplace.

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MAG urging physicians in Georgia to review BCBSGA letter regarding hospital admitting privileges

On Monday, June 15, BlueCross BlueShield of Georgia (BCBSGa) mailed letters to some physicians in their Pathway Network notifying them that according to BCBSGa's records, they do not have admitting privileges to an in-network hospital.

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MAG summary addresses OIG alert on "anti-kickback" statute

The Medical Association of Georgia has produced a summary of the Office of Inspector General's (OIG) recent alert addressing fraudulent compensation arrangments with third parties.

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AMA letter urges U.S. House to repeal IPAB

The American Medical Association (AMA) has sent a letter to the U.S. House urging representatives to vote "yes" on H.R. 1190, which would repeal the Independent Payment Advisory Board (IPAB).

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Georgia DPH "Medical Cannabinoid Oil Registry" now online

The Medical Association of Georgia has produced a document for physicians explaining how to register patients with state to legally use medical cannabinoid oil.

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MAG HOD meeting

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Save the Date

10.17 - 10.18

CMS responds to AMA letter addressing ICD-10 implementation

The Center for Medicare & Medicaid Services (CMS) has responded to a letter from the American Medical Association (AMA) and other organizations including the Medical Association of Georgia (MAG) that addressed the ICD-10 implementation process.

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Dougherty CMS General Membership Meeting

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Save the Date

09.22

Recording of MAG call on immunizations, GRITS now online

A recording of a town hall conference call that the Medical Association of Georgia (MAG) hosted on June 16 that addressed adult immunizations in Georgia is now available online.

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Physicians Institute for Excellence in Medicine EVP appears on MAG's ‘Top Docs’ show

Bob Addleton, EdD, the executive vice president of the Medical Association of Georgia's Physicians Institute for Excellence in Medicine (PIEM), appeared on the ‘Top Docs Radio’ program on the Business Radio-X Network on June 9.

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CMS correcting eCQM measures for 2016 eReporting

The Centers for Medicare & Medicaid Services (CMS) has announced that it is “updating select electronic clinical quality measures (eCQMs) that eligible professionals and eligible hospitals will electronically report in 2016 [that were posted on the CMS website on May 1] for the annual update of the 2014 measure set."

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Financial Times honors MAG member 401(k) plan manager

Kevin Rainwater – a managing partner at the Atlanta Capital Group who manages the 401(k) retirement plan that is available to MAG member physicians and practices – has been honored as one of the Financial Times’ ‘Top 401 Retirement Advisers.’

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MAG to host free three-part webinar series for Georgia practice staff

The Medical Association of Georgia (MAG) is encouraging physicians in the state to forward this email to their applicable front office practice staff and encourage them to take advantage of a free, three-part "Practice Management: What You Need to Know Now" webinar series that MAG will host, including a "Maximizing Patient Collections" session on June 16, a "Missed Appointments = Missed Opportunities" session on July 20, and a "Front Office Success" session on August 17.

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Gov. Deal signs landmark “name tag” bill into law – MAG unveils fact sheet addressing key provisions

On May 12, Georgia Gov. Nathan Deal signed a crucial bill (H.B. 416) into law that will require the vast majority of licensed health care practitioners in the state to wear an ID on their “lab coats or similar distinguishing clothing or uniforms” that states their name and license or educational degree when they are caring for a patient.

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Avalere releases ‘Hospital Acquisitions of Physician Practices & 340B’ report

Avalere Health LLC recently released a white paper that determined that “340B-participating hospitals were more likely than non-340B hospitals to acquire independent physician practices” – keeping in mind that “The 340B program requires manufacturers to provide certain health care providers with discounts on outpatient drugs.”

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Physicians Institute for Excellence in Medicine EVP to appear on 'Top Docs' at 2:30 p.m. today

Bob Addleton, EdD, the executive vice president of the Medical Association of Georgia's Physicians Institute for Excellence in Medicine (PIEM), will appear on the 'Top Docs Radio' program on the Business Radio-X Network at 2:30 p.m. today, Tuesday, June 9.

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MGMA promoting free webinar series for practice managers/staff

The Medical Group Management Association (MGMA) is encouraging both member and non-member medical practice managers and staff to register for one or more of its free summer webinar series.

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DCH to terminate suspended Medicaid providers on June 1

The Georgia Department of Community Health (DCH) has announced that it will terminate suspended Medicaid providers who fail to revalidate their enrollment before May 30, 2015.

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White House report details consequences of state decisions not to expand Medicaid

The White House Council of Economic Advisers (CEA) has released a report on the estimated health and economic benefits that states receive if they expand Medicaid under the Affordable Care Act.

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AMA touts six characteristics of successful physician-hospital relationships

"For physicians who want to work in hospitals or health systems, or for those who are seeking to integrate their practices, the move can be confusing. New guidelines from the AMA and the American Hospital Association outline the six principles that enable successful integrated leadership."

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CMS finalizes rules for Medicare Shared Savings Program

"The Centers for Medicare & Medicaid Services (CMS) today released a final rule updating the Medicare Shared Savings Program to encourage the delivery of high-quality care for Medicare beneficiaries and build on the early successes of the program and of the Pioneer Accountable Care Organization (ACO) Model. This final rule is an effort to provide support for the care provider community in creating a delivery system with better care, smarter spending, and healthier people."

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MAG CEO featured on Fulton Government TV "Health Line" program

The Medical Association of Georgia (MAG) is promoting a Fulton Government TV "Health Line" program featuring MAG CEO Donald Palmisano Jr. and MAG Foundation 'Think About It' Co-Chair Dallas Gay that aired late last month.

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Classified: Physicians needed to perform physicals

A private disability company is seeking physicians as independent contractors who have a Georgia medical license and board certification in family or internal medicine to perform physicals in Brunswick, Athens, Gainesville or Calhoun on Saturdays and/or Macon on Thursdays and Saturdays.

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CMS releases data on Medicare hospital and physician utilization, payment

The Centers for Medicare and Medicaid Services (CMS) has released "new sets of data designed to increase transparency in the Medicare program."

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DCH-i addresses revalidation, paperless initiative, and long-term care background checks

The latest edition of the monthly DCH-i newsletter addresses Medicaid provider revalidation enrollment, the Georgia Medicaid paperless initiative, and the voluntary long-term care background check program.

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Media Report: Some generic medicine prices up sharply

"Reversing a long-term trend, prices for more than one in four generic medicines widely used by older Americans increased in 2013, some very sharply, according to a survey by AARP."

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Media Report: Antitrust lawsuits target Blue Cross and Blue Shield

"Blue Cross and Blue Shield health insurers cover about a third of Americans, through a national network that dates back decades."

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MAG rallying support for RAC reform bill

The Medical Association of Georgia is encouraging physicians to contact their Congressional leaders to encourage them to co-sponsor the Fair Medical Audits Act of 2015 (FMAA) by Rep. George Holding (R-NC).

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Physicians Foundation promoting free ICD-10 tool

The Physicians Foundation is encouraging physicians to take advantage of a free ‘ICD-10 Charts’ resource that was designed to help medical practices make the transition to the ICD-10 billing codes that will go into effect on October 1, 2015.

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GAO report addresses 2012-2013 Pioneer ACO results

The U.S. Government Accountability Office (GAO) has released a “Medicare: Results from the First Two Years (2012-2013) of the Pioneer Accountable Care Organization (ACO) Model” report.

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Group promoting free cardiac/diabetes health webinars

The Georgia Clinical Transformation Team (GCT2) will host a number of free webinars in 2015.

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MAG calling for nominations for 2015 awards

MAG is encouraging county medical society leaders and MAG members to nominate those individuals who they believe deserve to be recognized for their outstanding contributions to the medical profession.

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PAI supports bill addressing Medicare audits

The Physicians Advocacy Institute (PAI) is encouraging lawmakers to pass the “Fair Medical Audits Act of 2015” – a bill by U.S. Rep. George Holding (R-NC) that PAI says “addresses many concerns that physicians have with regard to the extraordinary lack of transparency and expensive, time-consuming and often unfair processes that plague the current Medicare audit program.”

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MAG CEO featured in Bloomberg article on Humana in Georgia

"Obamacare has been great business for U.S. health insurers. Just not everywhere."

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Alliant Quality gets CMS award to improve immunization rates

Alliant Quality, the Quality Innovation Network-Quality Improvement Organization (QIN-QIO) for Georgia and North Carolina, has been awarded a new project by the Centers for Medicare & Medicaid Services (CMS) to improve adult immunization rates in Georgia.

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Recording of MAG call on POLST, end-of-life issues now online

A recording of a town hall conference call that the Medical Association of Georgia hosted on May 18 that addressed the role of a physician order for life-sustaining treatment (POLST), POLST legislation in Georgia, the Institute of Medicine’s 2014 “Dying in America” report, and the resources that are available on the Georgia POLST Collaborative website is now available online.

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Oconee County Jail wins MAG’s ‘Spivey’ award

The Medical Association of Georgia’s (MAG) Correctional Medicine Committee awarded its Herman E. Spivey, M.D., Award for Excellence to the Oconee County Jail during a ceremony that took place in Watkinsville on April 20.

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TV pilot to feature ‘Think About It’ co-chair...studio seats available

The MAG Foundation is encouraging physicians in the Atlanta metro area to sign up to be a member of the studio audience for a pilot episode of Generation Nation with Bobbie Battista, which will feature Tennent Slack, M.D. – the co-chair of the MAG Foundation’s ‘Think About It’ campaign to reduce prescription drug abuse.

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MAG members assume key roles at Physicians Foundation

Two Georgia physicians will serve in key leadership positions at The Physicians Foundation for the next three years – including Walker Ray, M.D., as president and Alan Plummer, M.D., as vice president.

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House HHS vice chair appears on MAG’s monthly ‘Top Docs’ show

Georgia Rep. Rick Jasperse (R-Jasper) – the vice chairman of the House Health and Human Services Committee – joined Medical Association of Georgia (MAG) Executive Director and CEO Donald J. Palmisano Jr. and MAG Government Relations Director Marcus Downs on the 'Top Docs Radio' program on the Business Radio-X Network on May 12.

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CMS flagging deadline for last MAC/CEDI ICD-10 test

The Centers for Medicare & Medicaid Services (CMS) says that, “During the week of July 20 through 24, 2015, a final sample group of providers will have the opportunity to participate in ICD-10 end-to-end testing with Medicare Administrative Contractors (MACs) and the Common Electronic Data Interchange (CEDI) contractor.” CMS will accept volunteers through May 22.

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New AMA documents address H.R. 2 details, timeline

The American Medical Association has produced two documents that address the recently-enacted “Medicare Access and CHIP Reauthorization Act of 2015” (H.R. 2), including “a detailed section-by-section summary…[and] a chronological list that shows when some of the major provisions will take effect.”

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New CMS newsletter includes fraud/abuse program update

The Centers for Medicare and Medicaid Services (CMS) has distributed its “Spring Edition of the CMS Pulse,” which includes an update on the Health Care Fraud and Abuse Control Program.

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MAG & AMA encouraging physicians to thank Congress for Medicare reform

The Medical Association of Georgia and the American Medical Association are encouraging physicians to thank to the Congressional leaders who supported the “Medicare Access and Chip Reauthorization Act” (H.R. 2) by posting a message on their social media accounts.

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CMS releases mid-year 2014 QRUR reports

The Centers for Medicare & Medicaid Services (CMS) has released the “2014 Mid-Year Quality and Resource Use Reports” (MYQRURs) for physicians who participated in the Shared Savings Program or a Pioneer Accountable Care Organization (ACO) or the Comprehensive Primary Care (CPC) initiative in 2014.

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Georgia gets B grades on telemedicine reports

The American Telemedicine Association (ATA) has released two state reports that assign “grades ranging from A-to-F based on telemedicine reimbursement and physician practice standards.”

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MAG encouraging HOD attendees to reserve room ASAP

The Medical Association of Georgia (MAG) will hold its House of Delegates meeting at the Hyatt Regency in Savannah on Saturday, October 17 and Sunday, October 18.

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