2020 Medicare Update Webinar

Presented by: Seth P. Stein, Esq. & Rachel Fernbach, Esq.
Webinar Date: December 18, 2019


HIPAA Update

Last month, HHS issued a HIPAA Final Rule implementing, among other things, a number of provisions of the HITECH Act with the goal of strengthening privacy and security protections for health information and enhancing patient's access to their own information. 


2013 CPT Changes

NYSPA has been actively working to educate our members about major current procedural terminology (CPT) changes that went into effect on January 1, 2013.


NYSPA Issues Press Release on SAFE Act Reporting Requirements

Recently, NYSPA has been mentioned in several newspaper articles regarding the SAFE Act reporting requirements. 


NYSPA Lead Plaintiff in Class Action Lawsuit Against United Healthcare and Affiliates

NYSPA is pleased to announce that it has joined as first named plaintiff in a class action lawsuit against United Healthcare and affiliates addressing access to coverage


Will NYS’s Transition to Medicaid Managed Care Serve Those with Serious Mental Illness Well?

Barry B. Perlman, M.D. & Henry Harbin, M.D.
Skepticism, not cynicism, will be in order during the coming year as New York State’s efforts to place all of its Medicaid enrollees, including those with serious and persistent mental illness, into Medicaid Managed Care Plans (MMCPs) is realized. 


August 27th I-STOP Deadline Rapidly Approaching

Starting August 27, 2013, all physicians who prescribe Schedule II, III and IV controlled substances will be required to consult


The SAFE Act:  Guidelines for Complying With the New Mental Health Reporting Requirement

The Secure Ammunition and Firearms Security (SAFE) Act, signed into law earlier this year, is a gun control statute that substantially strengthens rules


Glenn Martin, MD

NYSPA Congratulates 

Glenn Martin, M.D., on his election to the position of APA Assembly Recorder. 


NYSPA Provides Testimony on SAFE Act Reporting Requirement 

On May 31, 2013, NYSPA presented testimony at a Senate hearing regarding the impact of the SAFE Act mental health reporting requirement. 


Significant HIPAA Changes to Take Effect September 23, 2013

Earlier this year, HHS issued a Final Rule that makes significant changes to the existing HIPAA privacy, security and breach notification rules.  The compliance date for the Final Rule is September 23, 2013. 


Empire Blue Cross Blue Shield Double-Copay Issue

In response to member reports, NYSPA recently contacted Empire BlueCross BlueShield

New OMH Regional Centers of Excellence 

The New York State Office of Mental Health (OMH) recently announced its Regional Centers of Excellence Plan 
a plan that calls for major changes in State-operated mental health services, representing a shift from inpatient services to community-based services.


Avoiding the 2015 Medicare PQRS Payment Reduction

All physicians who treat Medicare patients and who fail to report required PQRS quality measures during the 2013 calendar year will be subject to a 1.5% payment reduction in 2015. 


New York Health Benefit Exchange Webinar

On August 14, 2013, the New York Chapter of the American College of Physicians hosted a webinar


Ann M. Sullivan, MD Appointed Next OMH Commissioner

NYSPA is proud to report that Governor Andrew M. Cuomo has announced the appointment of Ann M. Sullivan, MD as Acting Commissioner of the New York State Office of Mental Health (OMH) in November 2013.  


DOH Establishes Transition Period for I-Stop Compliance

As you know, the new I-Stop duty to consult goes into effect on August 27, 2013. The Department of Health recently posted the below message on its website, which indicates that all practitioners unable to establish an HCS account and access the PMP despite good faith efforts may continue to write prescriptions for Schedule II, III and IV medications.  DOH expects this period of transition to last through October 2013.


PQRS Clarification

In response to our recent website article on the new PQRS 2015 payment reduction, NYSPA has received several inquiries from members regarding the use of Measure #9 (Major Depressive Disorder (MDD): Antidepressant Medication During Acute Phase for Patients with MDD)


NY Times Highlights NYSPA Class Action Lawsuit

The New York Times recently published an article entitled "Lacking Rules, Insurers Balk at Paying for Intensive Psychiatric Care," which addresses the failure of health insurance carriers to cover the cost of care for individuals with serious mental illness. 
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