Oncall Quarter 4 2014

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Transcript of Oncall Quarter 4 2014

  • MAKING A DIFFERENCEPHYSICIANS GIVE BACK TO IMPROVE

    OUR COMMUNITYS HEALTH

    QUARTER FOUR 2014THE OFFICIAL PUBLICATION OF THE PALM BEACH COUNTY MEDICAL SOCIETY

  • Delray Beach Orlando Miami Jacksonville800.966.2120 info@dannagracey.com www.dannagracey.com

    Find out why we are the only agency endorsed by the Palm Beach County Medical Society.We make it our practice to genuinely care about yours. As a long-time supporter of the Palm Beach County Medical Society, we do much more than just negotiate the best med mal rates available. We are fi nancially and actively involved, both locally and statewide, in seeking solutions to some of healthcares most pressing issues.

    Call us today to see what we can do for you.

    The rates for all physicians throughout the state are set by the State of Florida. Your practice will pay the same price no matter where you choose to secure coverage. However, under the OptaComp program, you may be eligible for a potential dividend of up to 24.8%.

    Your membership with the PBCMS can provide savings that can be paid back in dividends. OptaComp has returned a dividend for 12 straight years, with over $4 million over the past six years to Florida medical societies members: $600,000 of that went to PBCMS members.

    The OptaComp (rated A by A.M. Best) program is endorsed by the PBCMS and is offered by Danna-Gracey, Inc. For more information, please call Tom Murphy at 800.966.2120.

    Did you receive money back on your premium last year?

    Many doctors have through the Palm Beach County Medical Society

    Workers Compensation Program.

    The rates for all physicians throughout the state are set by the State of Florida. The rates for all physicians throughout the state are set by the State of Florida. Your practice will pay the same price no matter where you choose to secure Your practice will pay the same price no matter where you choose to secure coverage. However, under the OptaComp program, coverage. However, under the OptaComp program, potential dividend of up to 24.8%.potential dividend of up to 24.8%.

  • Ronald Zelnick, MD President, Palm Beach County Medical Society

    Presidents Report

    During this past year as President of the Palm Beach County Medical Society, I have had the opportunity to meet with many of the practicing doctors, residents and medical students in the county. Our members concerns reflect those of physicians across the country, whether in private practice or employed. Physicians want to provide the best medical care for their patients, and the overarching theme that I have heard is that doctors want their patients care to come first.

    Towards that end, doctors have shared with me their wish lists for healthcare today.

    1. Allow patients to choose their healthcare provider and healthcare facility based upon the quality and the costs of services received.

    2. Allow patients to see any willing provider on any insurance plan, and allow physicians to balance bill their fees.

    3. Reimburse physicians for the time spent with their patients and the time required to document their services.

    4. Allow physicians to provide quality- care, based upon evidence-based medical care. Patients want their doctors to make the appropriate diagnosis and improve their health. They want appropriate surgical procedures with the best results.

    5. Require healthcare providers and healthcare facilities to post their fees on the internet. Complete transparency stimulates competition.

    6. Provide affordable malpractice insurance, so that physicians may practice without the fear of being sued and can make clinical decisions in the best interest of the patient.

    7. Create user-friendly and standardized electronic record systems, with agreed upon standards by organized medicine which allows for entry in real time.

    8. Emphasize education and personal responsibility to improve patient health. I am aware that many of these goals are not attainable in todays political and economic climate. However, as physician and author Ben Carson, M.D. notes, Success is determined not by whether or not you face obstacles, but by your reaction to them. And if you look at these obstacles as a containing fence, they become your excuse for failure. If you look at them as a hurdle, each one strengthens you for the next.

    If physicians really want change, they must be organized. While many physicians are critical of organized medicine, our county medical societies can influence policy on local, state and national levels. And while society members have the ability to influence changes in policy, they first must know what they want and articulate those goals. As a physician, if you are unhappy with our healthcare system, get involved. Whether you are a young physician new to the community or an experienced practitioner, we need to hear your views to affect change.

    If we are not at the table, we will certainly be on the menu.

    QUARTER FOUR 2014 ON CALL MAGAZINE 3

  • 561.659.0210 | palmbeachillustrated.com

    Palm Beach Illustratedis proud to support

    Palm Beach County Medical Society

  • Board of Directors Ronald Zelnick, MD

    PresidentStephen Babic, MD

    President-ElectJames Goldenberg, MD

    First Vice-PresidentShawn Baca, MD

    SecretaryBrandon Luskin, MD

    TreasurerK. Andrew Larson, MD

    Immediate Past President Marc Hirsh, MD

    Member at LargeVijay B. Harpalani, MD

    Member at Large

    H. Daniel AdamsVincent Apicella, DO

    Sandra Blair Michael Dennis, MD Roger Duncan, MD

    Brad Feuer, DO James Howell, MD

    Tulisa Hanflink LaRocca, MDBeth-Ann Lesnikoski, MD

    Alan Pillersdorf, MD Jack Zeltzer, MD

    Board of Trustees Brent Schillinger, MD Chair

    Jose F. Arrascue, MDSteven Babic, MD Shawn Baca, MD

    Malcolm Dorman, MDJames Goldenberg, MD Lawrence Gorfine, MDK. Andrew Larson, MD

    Alan Pillersdorf, MD Ronald Zelnick, MD

    Jack Zeltzer, MD

    PBCMS StaffTenna Wiles, CEO

    Tennaw@pbcms.org

    Deanna Lessard, Director of Member Services & Education

    Deannal@pbcms.org

    Helena Wiley, Finance

    Finance@pbcms.org

    Mindi Tingler, Administrative Assistant

    Mindit@pbcms.org

    Lauren Tome, Meeting and Events Coordinator

    Laurent@pbcms.org

    Graciela Gordillo, Project Access Program Director

    Gracielag@pbcms.org

    Melissa Nicoleau, Project Access System Coordinator

    Melissan@pbcms.org

    Thomas Sebastian, Project Access System Navigator

    Thomass@pbcms.org

    Clara Yvette Acero, Project Access System Navigator

    claraa@pbcms.org

    John James, Director of Disaster Services

    Johnj@pbcms.org

    Stuart Miro, MD, Triple Aim Diabetes Initiative

    Stuartm@pbcms.org

    Sherra Sewell, Marketing and Events

    Sherras@pbcms.org

    Demi deGioia, Communications Coordinator

    Demid@pbcms.org

    Patricia Beeler, Administrative Assistant

    triciab@pbcms.org

    Gwendolyn Marrero, Administrative Assistance

    Gwendolynm@pbcms.org

    On Call Magazine is designed by Form G Design

    info@formgdesign.com or www.formgdesign.com

    Subscriptions to On Call are available for an annual rate of

    $50. For more information contact PBCMS at (561) 433-3940.

    The opinions expressed in On Call are those of the individual

    authors and do not necessarily reflect official policies of

    Palm Beach County Medical Society or its committees.

    On call is owned and published four (4) times per year by Palm

    Beach County Medical Society, Inc., Forest Hill Blvd., #101,

    West Palm Beach FL33406. (561) 433-3940 & (561) 276-3636.

    Copyright 2013 Palm Beach County Medical Society, Inc.

    QUARTER FOUR 2014 ON CALL MAGAZINE 5

    Features

    07 What's Your Collection Rate?08 Florida Workers' Comp System in Jeopardy

    10 Future of Medicine Summit VIII14 Starfish and Snowflake Gala17 Be Cybersecure18 Take the Pain Out of Claims Processing

    Articles

    03 President's Report21 Med Memo22 Welcome New Members

    Contents

  • Caring for patients is your calling. Helping you fulfill that calling is ours. Your Florida Medical Association dedicated to the worlds most noble

    profession for over 140 years.

    FLORIDA MEDICAL ASSOCIATION

    www.FLmedical.org

    A Helping Hand

    BDO IS PROUD TO SUPPORT

    PALM BEACH COUNTY MEDICAL SOCIETY

    TAMMY B. CLARKE, CPAtclarke@bdo.com

    BDO440 Columbia Drive, Suite 500West Palm Beach, FL561-689-7888

    Accountants and Consultantswww.bdo.com

    2014 BDO USA, LLP. All rights reserved.

  • A Practice Management Company will take a cut off the top of what it collects for you. But if they dont produce, they dont get paid. This keeps them highly motivated to collect your revenue. If you dont get paid they dont either.

    If you are collecting less than 95% of what your contracted rates allow, including the patients responsibility, you should be concerned. The Medical Group Management Association (MGMA) has established receipts collections benchmarks for medical practices. Your practice should collect at least 90% of the expected amount within six months of the date of service and 95% or more of the expected amount within nine months of the date of service.

    Achieving and maintaining these levels is not easy and requires a concerted and dedicated effort from your entire staff as well as a sound and efficient practice operation and supervision. Staff turnover, knowledge of your practice management system, proper insurance eligibility verification, changes in insurance plans payment and coverage policies, are things you shouldnt have to worry about on a daily basis. If any of