The Medical Society of Virginia (MSV) has so much to celebrate after the 2015 General Assembly session. MSV’s top legislative priority this session, enacting legislation to reform the health plan prescription prior authorization process, passed both the House and Senate unanimously and was supported by Gov. Terry McAuliffe. MSV was also successful in keeping children safe from liquid nicotine poisoning, protecting Virginia’s workers’ compensation system and scoring numerous other legislative wins.

During this short session, 2,775 bills were introduced and MSV monitored 203 of them. MSV also hosted nine White Coats on Call Day with 389 participants. Thank you to everyone who supported our efforts—photos from our days begin on page 10.

Prescription prior authorization reformThanks to hard work and advocacy by MSV, the Virginia Academy of Family Physicians (VAFP), and numerous other physician groups, patient advocacy organizations, fellow health care practitioners and other health care stakeholders, HB 1942 and SB 1262, the bills implementing prescription prior authorization reform, were unanimously adopted.

MSV would like to thank all coalition members involved, especially bill patrons Del. Greg Habeeb (R-Salem) and Sen. Steve Newman (R-Lynchburg). Both bills were signed by the governor on March 23. Language that requires these reforms also apply to Medicaid managed care was included in the final version of the budget. This initiative faced substantial odds, so its passage is an achievement to be celebrated.The final bill includes the following reforms:

2924 Emerywood Parkway, Suite 300 Richmond, VA 23294 Phone: (804) 353-2721 Fax: (804) 355-6189www.msv.org

Big wins for MSV

continued on page 3

07 President’s update: The power of organized medicine

08 EVP reflects: The first 90 days

10 Thank you, WCOC participants

14 Are you prepared to face 5 years without income?

16 ICD-10 training in-person or online - Discount for members

IN THIS ISSUE

April 2015 g The power of physicians working together

LEGISLATIVE WRAP UPMEDICAL SOCIETY OF VIRGINIA

2015

MSV successfully reforms prescription prior auth

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Legislative Wrap UpAdvocate for My Profession

Big wins for MSV - continued from page 1

• Urgency. Requires a 24-hour turnaround on prior authorization requests for urgent medical needs.

• Timely response. Establishes a deadline of two business days for health plans to act on non-urgent prescription prior authorization requests.

• Interoperability. Requires that health plans accept electronic prescription prior authorizations that can be transmitted by electronic medical record, e-prescribing or health information exchange.

• Accountability. Health plans must provide a reason when denying a prior authorization request for a prescription.

• Stability. Requires health plans to honor an approved prior authorization from a patient’s previous health plan for at least 30 days when a patient switches plans.

• Transparency. Formularies, medications subject to prior authorization, prior authorization procedures and all prior authorization forms must be located in one place on the health plan’s Web site. Providers will be given a tracking number when requested so they can track the status of their requests.

• Continues the conversation. Establishes a workgroup with physician and health plan representatives to discuss and bring data forward on mental health, chronic disease management and generic medications and improvements to the prior authorization process for those medications.

Workers’ compensationMSV continues to work to protect Virginia’s strong workers’ compensation system, which boasts the fourth lowest insurance premiums in the country. Once again, MSV was able to stave off implementation of a Medicare-based fee schedule in workers’ compensation, while supporting HB 2384, which reforms the system through greater administrative efficiency. HB 2384, patroned by Del. Kathy Byron (R-Lynchburg), will create a timetable for payors and providers to utilize electronic claims, payment, and other reporting. This will require payors to conduct e-commerce and the transfer of information with providers consistent with national standards. We believe this will improve efficiency, reduce administrative burdens and enhance transparency. There are

provisions to allow for smooth implementation.Another bill, HB 1820, patroned by Del. Peter Farrell (R-Henrico),

went through many different versions and took various approaches to reviewing Virginia’s prevailing community rate statute. However, as adopted, HB 1820 will convene a workgroup at the Workers Compensation Commission to examine existing payor databases to determine if they have a role in future system reforms.

Chiropractic scope of practiceSB 1244, patroned by Sen. Steve Newman (R-Lynchburg), proposed expanding chiropractors’ scope of practice to allow them to conduct Department of Transportation-required physicals for those seeking a commercial drivers’ license (CDL). MSV was concerned that this legislation could jeopardize patient safety, as these physicals require extensive medical knowledge and training to be able to recognize potentially serious medical conditions such as hypertension, diabetes and cardiac arrhythmia. Pharmacological knowledge is also imperative to the performance of these exams, as is being able to recognize potentially dangerous medication interactions for someone who is operating an 18-wheeler or a school bus. MSV staff spoke to committee members on the potential negative ramifications of this bill, and it was tabled in subcommittee on Feb. 17.

Liquid nicotine packagingWith the proliferation of the use of e-cigarettes, there has been a dramatic increase in the number of liquid nicotine poisoning cases, especially among young children. Liquid nicotine comes in bright colors and flavors such as cotton candy or gummy bear and can be enticing to small children. Unfortunately, there are no regulations in place to require that containers of liquid nicotine be child-proof, which is why MSV and the Virginia Chapter, American Academy of Pediatrics worked together to support HB 2036 and SB 1325, to correct this problem. Sponsored by Del. Bill DeSteph (R-Virginia Beach) and Sen. Richard Stuart (R-Stafford), these bills require any liquid nicotine containers sold or distributed in Virginia to have child proof packaging and warning labels. The governor is offering amendments to the bill that will be considered at the veto session on April 15.

Certificate of Public Need (COPN) reformMultiple pieces of legislation were proposed and discussed this legislative session that would alter Virginia’s long-standing COPN law, which lays out the process by which physicians, hospitals and other health care providers expand their existing business, open a new facility or acquire more equipment. A minor change to the system was adopted whereby the full COPN process would not have to be sought by any hospital

continued on page 4

Thank you to everyone who served on the prescription prior authorization workgroup:Dr. Trevar Chapmon, Co-ChairDr. Mitch Miller, Co-ChairDr. Cliff DealDr. Suzanne EverhartMr. Gerard FilickoDr. Kenneth HeatonDr. Stuart HenochowiczDr. Roger Hofford

Dr. John Mann IIIDr. Edilberto PelausaDr. Sterling RansoneMr. Lucien RobertsDr. John ShemoDr. Kent WillyardMr. Bert WilsonDr. Bill Reha, Ex-Officio

4 www.msv.org

that makes capital improvements between $5 million and $15 million. Legislators also debated the philosophical reasoning behind COPN and eventually decided to study the issue further. Included in language in the state budget, Virginia Secretary of Health and Human Resources William A. Hazel Jr., M.D. will oversee a study of the need for changes to the COPN process and report back any findings to the General Assembly by December of this year. MSV will continue to monitor and work with stakeholders throughout this process.

TelehealthIn response to concerning legislation put forward on behalf of a direct-to-consumer telemedicine company that would have essentially prohibited prescribing in care situations like telepsychiatry while enabling prescribing of Schedule VI medications using only an online questionnaire, MSV worked closely with specialty groups and member health systems to carefully construct substitute language that promotes innovation while providing prescribers with clear guidance that, even with innovation, the standard of care must be met. MSV’s substitute language accomplishes the following aims: (1) amends the definition of “telemedicine” to clarify that an online questionnaire is not telemedicine; (2) establishes parameters under which a patient-prescriber relationship may be established

via examination through face-to-face interactive, two-way, real-time communications or store and forward technology; and (3) requires that the virtual care satisfies the standard expected of in-person care specific to the patient’s age and presenting condition, including the use of diagnostic testing and performance of a physical exam (which may be accomplished through the use of peripheral devices). The language further clarifies that the prescriber must transfer patient records based on state and federal law. The General Assembly unanimously supported our substitute language, and Gov. McAuliffe has signed Sen. Jeff McWaters (R-Virginia Beach) bill and Del. Terry Kilgore’s (R-Scott) bill.

Physician owned distributorships (PODs)Sen. Steve Martin (R-Chesterfield) proposed SB 1310, which would have prohibited physician ownership of device distributorships. The rationale was that PODs pose an inherent conflict of interest that is unethical, despite a complete lack of evidence of this being true. MSV supports efforts to increase transparency, but also believes physician ownership and provision of services or products ancillary to care can promote integrated and coordinated care, increase patient convenience and satisfaction, expedite care delivery and spur innovation. Because of this, MSV opposes any attempts to ban PODs and was pleased that SB 1310 was left in the Senate Committee on Education and Health without a hearing.

PEND program eliminationThe state budget adopted by the General Assembly includes funding to eliminate the Department of Medical Assistance Services’ PEND program, which is the unfair practice of downcoding emergency visit reimbursement upon retroactive review of the case. As the VA College of Emergency Physicians (VACEP) and MSV have expressed in previous legislative sessions, it is inappropriate to penalize an emergency physician for providing services that they are legally and ethically required to provide under the EMTALA statute, and we applaud the legislature for including elimination of PEND in the 2015 budget.

Graduate medical education (GME) funding studyAlso included in the budget is a study of hospital provider assessments being imposed by the commonwealth for the purpose of drawing down additional federal Medicaid funds. Sec. Hazel will oversee this study looking at potential means to secure funding, as well as various scenarios for distributing any additional resources. Within the study is also a review of GME in the context of larger scale systemic reform. MSV has asked the governor to maintain and even strengthen any review of GME funding, as Virginia is currently a net-exporter of medical students, and in-depth study would help in finding ways to make sure that Virginia retains some of these talented individuals after graduation. This study will require a report back to the General Assembly by Nov. 15. •

Advocate for My Profession

Big wins for MSV - continued from page 3

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Over the last few years, the Medical Society of Virginia (MSV) has celebrated many legislative successes, including efforts to reform prescription prior authorization, preserve a stable and affordable malpractice insurance market, ensure patient safety through scope of practice protections and protect public health with smoke free restaurants. All of these ideas were developed through MSV’s annual process to seek member input on its legislative agenda—which begins at the MSV legislative summit.

This year’s summit will be held on May 1 from 2:30 p.m. to 5:00 p.m. at MSV headquarters in Richmond. Be sure to come to learn about and discuss priorities for 2016.

It is easy to get involved. If you have an idea that you would like to be considered as part of MSV’s legislative agenda, you simply need to submit a proposal online at www.msv.org/legislativesummit. All MSV members and local and specialty medical societies have the opportunity to submit proposals for potential inclusion in MSV’s 2016 legislative agenda. After the summit, MSV’s legislative committee reviews the input and

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prioritizes issues for possible legislative initiatives based on MSV policy, available resources and the current political landscape. The issues are then presented to MSV’s board of directors for consideration in developing and approving the final MSV legislative agenda. •

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No single medical association can adequately represent an individual physician’s complete spectrum of interests. As physicians, we know we can be members of several different organizations to even attempt to capture the entire scope of our profession—including our state medical society (MSV), our national society (AMA), our national and state specialty societies and our component local medical societies. Each of these organizations represents us, benefits us and advocates for us in different, nuanced ways.

We are all members of MSV because we’ve witnessed the many benefits that our membership brings to Virginia physicians. Our legislative victories, such as our recent efforts with prescription prior authorization, team-based care, the medical malpractice cap and the Fair Business Practices Act, are noteworthy examples of the successes we find when we work together to achieve victories on behalf of Virginia physicians and patients. At the state level, MSV has truly helped Virginia become a better place to practice medicine—but MSV is not alone in representing physicians on a national level.

MSV has a very active AMA delegation, which has helped to bring many pressing issues like sustainable growth rate (SGR), meaningful use, physician quality reporting system (PQRS), graduate medical education (GME) and national liability reform to national attention through the years. Through our collaboration with the AMA, we have been able to make big strides in shaping a healthier future for physicians and patients across the country.

While there is growing strength in our state and national presence, I have seen many changes in some of the local medical societies within Virginia in the last 10 years. When I started my practice in 1987, my local medical society was vibrant, and the meetings were well attended by most of the

physicians in the county. Today, however, it has gotten increasingly difficult to fill the officer positions of the society and get large numbers in attendance. As the needs of physicians change, they are not turning to these local societies as much as they did in the past to meet their colleagues, network and socialize.

Today, it seems like the health systems are the nucleus that physicians revolve around, especially as more and more physicians are employed by these systems. However, health systems may not provide the resources that directly align with the needs of its physicians the way that local societies seek to address them. If local and component medical societies disappear, we could lose this valuable resource for physicians.

I also believe that your specialty society is an important one to belong to because it provides education and background on issues specific to your field in ways that other associations cannot.

Although there are many different associations, and they all serve different

purposes, it is still very important for physicians to be involved with organized medicine at the local, statewide, national and specialty levels. Associations for organized medicine matter because they provide an avenue for change and an increased chance for your voice as a professional to be heard. When you hear from an association, you are actually hearing from many like-minded individuals who have come together for causes they truly believe in.

I encourage you to engage at all levels if you can so you can get a full picture of all the issues impacting your profession. All of the organizations I just mentioned represent us as particular physicians, but they also often collaborate together to represent all physicians as a whole.

Advocate for My Profession

Regards,

William C. Reha, M.D., M.B.A.President, Medical Society of Virginia

President’s message: The power of organized medicine

EVP Melina Davis-Martin and President William C. Reha, M.D., M.B.A. at the AMA Advocacy Conference.

The last 90 days have been a real treat for me as I’ve been out meeting with board members, others in leadership roles and various key stakeholders. On any given day, I’m likely to be driving out to any area in Virginia to meet with a board member one-on-one, heading to a local or specialty society meeting, representing MSV at an event or summit, meeting

with various departments or fitting these into a single day. I’ve been visiting with as many people as I can to get to build an understanding of this world and the various perspectives as quickly as possible—and I’ve really loved it.

Based on what I’ve seen and heard, I am very impressed with the people and the complexities we are facing together. I’ve learned that MSV is a strong organization with dedicated members who are truly passionate about what they do: advance the health of their patients and navigate through the challenges to high quality care.

Although the purpose of the physician profession seems clear, there are many obstacles to providing personal and quality care to patients and practicing medicine. I will say that MSV is absolutely committed to helping you; it has always been here for that purpose. Now is the time, however, for MSV to take a fresh look into how best to help in today’s environment and to be more strategic about the benefits we provide you. The board has shared its collective and individual opinions about key areas and expectations. We are using these as the foundational elements of our strategic planning process, which will continue through the majority of this year to ensure we are thoughtful and involve all the various stakeholders and member segments in the process.

Further, we are being mindful about the best ways to integrate further with and utilize our supporting organizations, MSV Foundation, MSV Political Action Committee and MSV Insurance Agency—each with their own unique programs and impact—to continue to strengthen our efforts to support you. We will consider their individual offerings and how they can best contribute to the value of MSV for its members.

I am looking forward to working with each of you to help strengthen MSV, its members and employees so you can best help others. I’m thrilled at the possibilities this upcoming year brings, and I believe this is an exciting time for all of us. If you have questions, please do not hesitate to reach out. I’m happy to talk with you and will be sure to continue to share more along the way.

8 www.msv.org

Coming to a town near you!

Medical-Quarter-Page-BW.indd 1 3/3/2015 12:05:03 PM

Advocate for My Profession

The staff of the Medical Society of Virginia (MSV) government affairs department is hitting the road and coming to a town near you to give legislative briefings and a general overview of all the exciting legislation that was passed or defeated during the 2015 session.

If you are interested in having us in your office, please contact Patti Seitz by e-mailing pseitz@msv.org or calling 804 | 377-1051. We will do our best to make it to as many group offices as our schedule permits.

EVP reflects: The first 90 days

Melina Davis-MartinExecutive Vice President, Medical Society of Virginia

10 www.msv.org

Advocate for My Profession

Thank you, White Coats on Call participants!

After more than 10 years, the Medical Society of Virginia’s (MSV) White Coats on Call (WCOC) days are still going strong. We had another successful year thanks to the more than 389 participants who came out to wear their white coats and speak in support of the issues that are important to physicians. This was the second largest showing of attendees for White Coat days that MSV has ever seen, and the increased number of participants makes a big difference, especially given that MSV held nine WCOC days during the 45-day legislative session.

MSV is grateful to the following physicians, residents, medical students, practice managers, physician assistants, physician assistant students, MSV Alliance members, and local and specialty society staff who participated. Some of these participants took time out of their busy schedules to come out more than once. Their personal visits with their delegates and senators were the key to our success.

Attendees marked with an * attended White Coats on Call more than once.

Thank you to all the local and specialty societies that came out in support of our White Coats on Call efforts:

•• American College of Physicians, Virginia Chapter (ACP-VA)

•• Arlington County Medical Society

•• Danville-Pittsylvania Academy of Medicine

•• Prince William County Medical Society

•• Psychiatric Society of Virginia (PSV)

•• Richmond Academy of Medicine (RAM)

•• Virginia Academy of Physician Assistants (VAPA)

•• Virginia Association of Family Physicians (VAFP)

•• Virginia Chapter, American Academy of Pediatrics (AAP-VA)

•• Virginia Chapter, American College of Surgeons (VA-ACS)

•• Virginia College, American College of Radiology (VC-ACR)

•• Virginia College of Emergency Physicians (VACEP)

•• Virginia Orthopaedic Society (VOS)

•• Virginia Section of the American Congress of Obstetricians and Gynecologists (VACOG)

•• Virginia Society of Anesthesiologists (VSA)

•• Virginia Society of Eye Physicians and Surgeons (VASEPS)

•• Virginia Society of Otolaryngology (VSO)

April 2015 11

Debora Garcia-Zalisnak, M.D. Paulami Guha, M.D. Samantha Hay Scott Hickey, M.D.Anahita Molayi Emily Jean OnuferLee Ouyang Peter Kemp, M.D. Bradley Kesser, M.D. Josh Lesko Beth Levin, M.D.Christopher Li Meher MalikMichael Martin, M.D.*Crystal Matthews Hana Mikdachi, M.D. Anahita Mostaghim Gradon Nielsen Danielle Oliver Jennifer Olsen Jake O’Shea, M.D.Mohamad-Mehdi Parva, M.D.Edilberto Pelausa, M.D., FACS, FRCSCHolly Puritz, M.D. Kenneth QiuArjun RameshNicole Rankins, M.D., M.P.H. William Reha, M.D., M.B.A.*

Carl Rudebusch Kevin Scott, M.D. Jesse Spangler, M.D. Camelia SolimanTiajuana StewartDale Stovall, M.D. Selamawi Tilahun Toby Ubu Omar Uribe-Francia Anthony Viti, M.D. Bob Ramsey, VACEP executive directorNicole Pugar, VA-ACOG lobbyist

Jan. 28 - Anesthesiology (VSA) DayJohn Butterworth IV, M.D.*Ona Dachsangvorn, M.D. Mike Fowler, M.D. Matthew Fulton, D.O.Christopher Guerry, M.D., MHSMaxine Lee, M.D., M.B.A.William Reha, M.D., M.B.A.*Robert Rhoades, M.D. Jessica Scarfe, D.O. Eva Smith, M.D. Andrew Mann, VSA*

Advocate for My Profession

Thanks again to all the individual attendees.

Jan. 21 - Leadership Day Michael Amster, M.D.Terri Babineau, M.D.Joel Bundy, M.D., FACP, FASNJohn Butterworth IV, M.D.*Trevar Chapmon, M.D.Sandy Chung, M.D., FACP, FACHE*Sheela DamleClifford Deal, M.D., FACSEhsan DowlatiJames Dudley, M.D., M.B.A.*Kurt Elward, M.D., M.P.H., FAAFP*Jacqueline Fogarty, M.D.Edward Koch, M.D.Byrd Leavell, M.D.Russell C. Libby, M.D., FAAPMichael Martin, M.D.*Hughes Melton, M.D., M.B.A., FAAFP*Bhushan Pandya, M.D.Pat Pletke, M.D.Pradeep Pradhan, M.D., FACPWilliam Prominski, M.D.Timothy Raines, M.D.Sterling Ransone, M.D., FAAFP*William Reha, M.D., M.B.A.*Carol Shapiro, M.D., M.B.A.*Richard Szucs, M.D.*Art Vayer, M.D.Alan Wagner, M.D., FACSJohn Ward, M.D., MSHAAlan Wynn, M.D., FACPChi Young, M.D.

Jan. 22 - Orthopaedic (VOS), Psychiatry (PSV), Radiology (VC-ACR) DayJohn Bauman Hugh Bryan, M.D.Scott Conrad, M.D.Adam Crowl, M.D.Bill Daner, M.D. Adam Deal, M.D.Shivan Desai, M.D. Victor Fong, M.D.Helen Foster, M.D.* Ryan Gabriel, M.D.

Gautham Gondi, M.D. Harutyun Gyurjyan, M.D.Sameer Hassamal, M.D. Stephen Ho, M.D. Kevin Hoover, M.D. Mary Ann Huff, M.D. Suraj Kabadi, M.D. Karsten Konerding, M.D.*Cy Kump, M.D. Drew Lambert, M.D. Daniel Ortz, M.D. Ashvin Patel, M.D.John Prahinski, M.D.Steven Reece, M.D.William Reha, M.D., M.B.A.*Michele Retrouvey, M.D.Jonathan Revels, M.D. Sean Rinzler, M.D. Mark Romness, M.D.James Schuster, M.D.Jody Smith, M.D. Richard Szucs, M.D.* Mary Ann Turner, M.D. Mark Vaughn, M.D. Andrew Waligora IV, M.D. Susan Waller, M.D.Drew Walker Lara Knowles, VA-ACR*Ralston King, PSV lobbyistCal Whitehead, VOS lobbyistJames Pickral, VA-ACR lobbyistAndrew Mann, VOS*

Jan. 27 - Advocacy Boot Camp Leon Adelman, M.D. Ambika BabbarChristopher BednarzCarol Bender, M.D.Andy BunchKathleen CarlsonFrances Casey, M.D., M.P.H. Pamela Chavis, M.D. Christian Chisholm, M.D. Varun Choudhary, M.D., M.A. Ameya Chumble Jonathan D’Souza, M.D.James Dudley, M.D., M.B.A.* Joshua EikenbergKurt Elward, M.D., M.P.H., FAAFP*

continued on page 12

12 www.msv.org

Advocate for My Profession

Jan. 29 - Pediatric (AAP-VA) DayFatuma Bargadle Sam Bartle, M.D., FAAP, FACEPSarah Bernhards Valerie Bowman, M.D. Amanda Carter, M.D. Sandy Chung, M.D., FACP, FACHE*Adam Davis Phil Dawson, M.D., FAAP Michael Dougherty Mary Vaughn DeSoto, M.D. Katya de Souza Richard Erwin, M.D. Ashleigh Gardner, D.O. Harry Gerwanter, M.D., FAAP, FACR*Tina Goodwin Kara Greenfield, D.O. Robert Gunther, M.D., M.P.H., FAAPJohn Harrison Jacob John, M.D. Barbara Kahler, M.D., FAAP Rory Kelly, M.D. Tiffany Kimbrough, M.D. Gift Kopsonblut Robert Lehman, M.D. Michael Martin, M.D. Nicole McCann Charlotte McKnight, M.D. Morgan McCoy Joseph Mechak, M.D. Clark Morris Bill Moskowitz, M.D. Diane Pappas, M.D., J.D. Kris Powell, M.D. Helen Ragazzi, M.D. Stefanie Reed, D.O. William Rees, M.D., M.B.A., FAAPWilliam Reha, M.D., M.B.A.*Ryan Reopelle Ellen Schleckman Robert Shayne, M.D. Sarah Turse, M.D. John Unkel, M.D., M.P.A., D.D.S.Keon Vasudevan, M.D. Scott Vergano, M.D. Yvonne Yui, M.D. Aimee Perron Seibert, AAP-VA lobbyist

Lauren Schmitt, AAP-VA lobbyistJane Chappell, AAP-VA Executive Director

Feb. 3 - Richmond Academy of Medicine (RAM) DayN. Douglas Boardman III, M.D.Owen Brodie, M.D. Carolyn Burns, M.D. John Butterworth IV, M.D.*R. Randolph Chisholm, M.D. John Daniel III, M.D., FACP Russell Darling Georgean deBlois, M.D. Siobhan Dunnavant, M.D. Raymond Farhi, M.D. A. William Feria, M.D. Helen Foster, M.D.* Thomas Gallo Harry Gerwanter, M.D., FAAP, FACR*Jessica Gonzalez, M.D.

John Hilliard Karsten Konerding, M.D.* Hazle Konerding, M.D. Ritsu Kuno, M.D. Walter Lawrence, Jr., M.D. David MacMillan, M.D. Rhoda Mahoney, M.D. Thomas Moffatt, M.D. Kanayo Okafor, M.D. M. Craig Pinsker, M.D. Ghulam Qureshi, M.D. Margaret Sigman, M.D. Richard Szucs, M.D.* Bill Webb Carl Weiss, M.D. Joyce Whitaker, M.D. Bert Wilson Patrick Woodward, M.D. Vishal Yajnik, M.D. Peter Zedler, M.D. Lara Knowles, RAM*

Feb. 4 - Physician Assistants’ (VAPA) DayRobin AllenKen Anderson, PA-CWill BaderAshlyn BairdHarleen BathAnna BayerChelsea BenderJudy BlakeDustin BoganLaura BonnerAlexandra BrumfieldBrian BuccolaGreg BullCarina CardilloCourtney CarnKelsey CarrSamantha CartmellKaitie CastagnaMara Cate

Thank you, White Coats on Call - continued from page 11

April 2015 13

Lawrence Gaydos, M.D. Andrea Giacometti, M.D.Stuart Henochowicz, M.D., M.B.A., FACPMegan Janni Sonja Johns, M.D.Whitney JohnsonRebekah Kim, M.D.Susie KwonPeter Laplace, M.D.Michelle LeMary Leemputte Kristan Madison Kenneth Marshall, M.D.Monica Mason Lamson NguyenMukesh Nigam, M.D.Jennie Olympio Alison O’Neill Adlai Pappy, M.D.Mukesh Patel, M.D. Sathya Ram Prachi Ranade, M.D.William Reha, M.D., M.B.A.*Susan Samudre Rachel Seidel Carol Shapiro, M.D., M.B.A.*Gordon Simonett

Cara Sweeney Lauren TamMichael Thompson Liem Tran Julia TseStephanie Van John Paul Verderese, M.D.Edward Wright, M.D. John Yassin, M.D. Stacy Castro, Executive Director, Arlington County Medical Society

Feb. 11 - Family Physicians’ (VAFP) Day Tim Beirne, M.D. Grace Chiu, M.D.Bob Elliott, M.D. Kurt Elward, M.D., M.P.H., FAAFP*Charles Frazier, M.D. Jesus Lizarzaburu, M.D., FAAFPHughes Melton, M.D., M.B.A, FAAFP*Sean Reed, M.D. Sterling Ransone, M.D., FAAFP*Lindsey Vaughn, M.D. Terry Schulte, EVP, VAFPHunter Jamerson, VAFP lobbyist

Advocate for My Profession

Katherine ChuiBrian CollinsShea Dempsey, PA-CKayla DeVoreAngela DiFabioDaniel DohertyCody EccardAndrew EidbergerSallie ElliottKodi EthridgeDavid Falkenstein, PA-CEmma FauserBill FerrellRobert Glasgow, PA-C, MPAS, M.P.H.Chiara GlassJillian GolesKhalila Guzmán Andrea HallHolly HarmonLauren HawesRobert Hill, Jr.Mavis HodgesKimberly HoilmanMegan HotsinpillerKathryn HoytAlexander HuelskampTravis HughesAnia JankowskiWilton Kennedy, DHSc, PA-CRachel KobeskiSamantha LeahyMarlea LeeKristina LieuAllison LoyMarissa MachakKim MackSpencer McAndrewsAriel McGarry, PA-CKatherine Rose McSweeneyAshley MeadorMackenzie MeadorMaxwell MelloKaren MogensenLoren MoscinskiKristen MurphyWalker NecessaryKaren NeidererJames NorrisKaitlin O’BrienAlexandra Ornell

David Paulk, PA-C, EdD, DFAAPAKristen PeanaskyLaura PetersTaylor PiatkowskiStephanie PillaiMegan PodymaNicole RickabaughSam RobbinsKaitlyn RobinsonAurielle RoweAnnie Rose Rutherford, PA-C, MSPASKathleen Scarbalis, PA-C, MPASAlyssa SchroederSherry Secrest, PA-C, MPASTeri SemonesNatalie SestoElise ShellenbergerColleen ShendowKate SistareElaine Marie SmithShannon SnyderDon Solimini, PA-C, M.H.A.Maddie StarkBrad StevensMollie StricklerLauren StyerEleanor TanseyJamie TaylorLauren TaylorAshley TurnamianKyle VaughnAnne WeinholdJennifer Weiss, PA-CGerald WenigerEric WilliamsRhonda WilliamsRachel WitowskiJennifer Wohl, PA-C, DHSc

Feb. 5 - All Call Day Manik Aggarwal, M.D., M.P.H.Leslie Andriani Paula Bergamini, M.D. Elizabeth CardSamantha Catlett Christine Chan Blake Choplin Alexa CoughlanAbida Faiz Bill Fox, M.D., FACP

Why do people participate in White Coats on Call? •• To meet the lawmakers and inform them of our side of the story.

•• It is an important opportunity to represent physicians on significant issues and lets our legislators know we care and hold them accountable.

•• To be seen and heard.

•• Our legislators need to hear that physicians do not want them to interfere with the patient-physician relationship.

•• If I don’t, who will?

Have you thought about what your life would look like if you were unable to earn an income for five or more years? How would you pay your bills, buy your groceries or provide for your family?

Nobody wants to think about it, but an unexpected accident or illness could financially devastate you at any time. This is why investing in the right disability income insurance policy is one of the smartest decisions you could ever make.

The Medical Society of Virginia Insurance Agency (MSVIA) is here for you when you need it most. MSVIA offers a discounted higher-limit disability program with 1752 Financial through Lloyd’s of London exclusively to MSV members to help you get the full income protection you need to have peace of mind.

“After spending all the years preparing for your medical career, your ability to earn an income is one of your greatest assets. It is important to make sure that all of your income is fully protected and that is where a strong disability income insurance plan comes into play. MSV has worked hard to find you a special disability insurance program that includes many valuable features and at a member discounted rate. I welcome the opportunity to help you find the right income protection plan for you and your family!”

-Matt Brotherton, AIF®, CLTC, President, 1752 Financial

Make your dues work for youEnrollment for this coverage is open through May 31. Contact Dustin Beekman, MSVIA director of life and health, at dbeekman@msvia.org or 877 | 226-9357 ext. 1006 to find the right product for your needs.

*Council for Disability Awareness.

14 www.msv.org

Are you prepared to face 5 years without income?

Manage My Pratice

Take advantage of the high-limit supplemental disability program created exclusively for Medical Society of Virginia (MSV) members.

THE BENEFITSGuaranteed Coverage Coverage is offered to MSV members on a guaranteed basis without any exclusion other than the standard policy exclusions.

High Limit You can qualify for up to $25,000 in monthly disability benefits.

Premium Discount & Guarantee A premium discount of up to 20% to all eligible members. Premiums are guaranteed during the policy term.

Own Occupation If you are unable to work in your specialty, full benefits are payable even if you are working in a different occupation.

Transferability Ability to take the policy with you if there is a change in employment.

For more information, contact Dustin Beekman, MSVIA director of life and health, at 877 | 226-9357 or dbeekman@msvia.org.

Exclusive program is brought to you by:

PEACE OF MINDPROTECTING ALL OF YOUR INCOME HAS NEVER BEEN THIS EASY.

“I knew that I did not have enough disability insurance to cover my family’s

needs with my existing disability policy, but had found it difficult to obtain it at a more reasonable price until I called MSVIA. They offered one of the best disability policies with the oldest and most reputable insurer, Lloyd’s of London. Because of my MSV membership, I also received a significant discount. Nice to know our dues are working for us!”

—Suzanne Everhart, D.O.

1 in 8 professionals will be disabled at least 5 years during their working careers.*

Take advantage of the high-limit supplemental disability program created exclusively for Medical Society of Virginia (MSV) members.

THE BENEFITSGuaranteed Coverage Coverage is offered to MSV members on a guaranteed basis without any exclusion other than the standard policy exclusions.

High Limit You can qualify for up to $25,000 in monthly disability benefits.

Premium Discount & Guarantee A premium discount of up to 20% to all eligible members. Premiums are guaranteed during the policy term.

Own Occupation If you are unable to work in your specialty, full benefits are payable even if you are working in a different occupation.

Transferability Ability to take the policy with you if there is a change in employment.

For more information, contact Dustin Beekman, MSVIA director of life and health, at 877 | 226-9357 or dbeekman@msvia.org.

Exclusive program is brought to you by:

PEACE OF MINDPROTECTING ALL OF YOUR INCOME HAS NEVER BEEN THIS EASY.

16 www.msv.org

Manage My Pratice

ICD-10 training in-person or online – Discount for members

The Medical Society of Virginia (MSV) has online and in-person educational options that are designed to give physicians and office staff the information they need to be ready for the Oct. 1, 2015 ICD-10 conversion. Pick the method that works best for you! MSV members and their staff receive preferred pricing.

On-demand educationMSV is excited to partner with the American Health Information Management Association (AHIMA) to offer online ICD-10 training opportunities for physicians, clinicians and out-patient and in-patient staff with special pricing exclusively for MSV members. For more information, visit www.msv.org/icd-10.

These ICD-10 training modules can be accessed on a computer or mobile device. There are comprehensive training modules as well as three to five-minute modules that cover specialty-specific diagnoses and conditions, making the learning targeted, flexible and highly relevant. The specialties that are included are:

2015 coding books Visit www.msv.org/codingbooks to order discounted 2015 coding books, including the latest ICD-10 manual, that are available to MSV members at cost.

For more detailed information on the conversion to ICD-10, please visit the MSV ICD-10 knowledgebase at www.msv.org/icd-10.

Primary care Specialists Surgical specialistsInternal Medicine Cardiology Otolaryngology

Family Practice Dermatology General Surgery Pediatrics Emergency Medicine Urology Endocrinology Ortho: Spine Gastroenterology Ortho: Sports Medicine Hematology Oncology Ortho: Hand Upper Extremity Hospice Ortho: Foot Ankle Infectious Disease Ortho: Joint Reconstruction Nephrology Obstetrics Neurology Gynecology Psychiatry Pulmonary

FINAL RULE FOR

ADOPTIONM19.22

SEVENTHCHARACTEREXTENSION

F63.0

CODE STRUCTURE

N18.5INTERNATAA IONALCLASSIFICATAA ION

OF DISEASES

INCLUSION TERMS

AAPC

ICD-10CC18 6

In-person boot camps Join AAPC-certified ICD-10 instructor Lesley Wagner for a two-day boot camp that will prepare you for the transition to ICD-10 diagnostic coding. Register for a boot camp in your area at www.msv.org/classes. Boot camps are running all year.

Coming soon! ICD-10 refresher trainingICD-10 is coming – again. Many in the health care community prepared for the deadlines with education and testing, and it’s time to ramp up again for the new Oct. 1, 2015 deadline. This course is intended to refresh individuals on ICD-10 basics with instructor-led exercises to build your skills. Please note: AAPC membership is not required to take this course.

As the nation’s largest physician-owned

medical malpractice insurer, we have an

unparalleled understanding of liability

claims against internists. This gives us a

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also accounts for our ability to anticipate

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reduce risk. When your reputation and

livelihood are on the line, only one

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GENTAMICIN

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DRUGS MOST FREQUENTLY INVOLVED IN MEDICATION-RELATED MALPRACTICE CLAIMS AGAINST INTERNISTSSource: The Doctors Company

THE DOCTORS COMPANY DOES.THE DOCTORS COMPANY DOES.THE DOCTORS COMPANY DOES.THE DOCTORS COMPANY DOES.

7%

18%

20%

5%

5%

DOES YOUR MEDICAL MALPRACTICE INSURER KNOW WHICH DRUGS LEAD TO LAWSUITS IN INTERNAL MEDICINE?

DOES YOUR DOES YOURDOES YOUR MEDICAL MALPRACTICE MEDICAL MALPRACTICE MEDICAL MALPRACTICE MEDICAL MALPRACTICE INSURER INSURER INSURER KNOWKNOWKNOW WHICH DRUGS LEAD TO LAWSUITS IN WHICH DRUGS LEAD TO LAWSUITS INWHICH DRUGS LEAD TO LAWSUITS IN WHICH DRUGS LEAD TO LAWSUITS ININTERNAL MEDICINE?INTERNAL MEDICINE?INTERNAL MEDICINE?

5394_VA_VirginiaMedNews_April2015_flat_f.indd 1 3/4/15 9:52 AM

18 www.msv.org

MSV news

The Virginia Medical News Spring Issue, April 2015 (ISSN 1532-8058) is published three times a year by the Medical Society of Virginia, 2924 Emerywood Pkwy., Ste. 300, Richmond, VA 23294 for members of the Medical Society of Virginia, a non-profit organization with membership devoted to the advancement of the medical profession in Virginia. Periodicals postage paid at Richmond, VA and at additional mailing addresses. POSTMASTER: Send address changes to Virginia Medical News, 2924 Emerywood Pkwy., Ste. 300, Richmond, Virginia 23294.

This association is not responsible for the authenticity of opinion or statements made by authors or advertisers, or in communications submitted to Virginia Medical News. Advertisers must conform to the policies and regulations established by the Medical Society of Virginia. The Virginia Medical News is a member subscription and payment is included in annual dues. Copyright 2015. Medical Society of Virginia.

Last year, the Medical Society of Virginia Foundation (MSVF) honored some phenomenal physicians and medical students with 2014 Salute to Service Awards, including:

1. Service to the Profession – The Honorable Ralph S. Northam, M.D.

2. Service to the Uninsured and Underserved – Janet Eddy, M.D.

3. Service to the International Community – Mary Susan Carlson, M.D.

4. Service by a Medical Student or Resident – Christopher J. Li

5. Service by a Medical Student or Resident – Tara G. Nagaraja

6. Service to the Commonwealth for Advancing Patient Safety and Quality Improvement – Joseph F. Territo, M.D.

Do you know individuals who can join the ranks of these accomplished individuals for their accomplishments as physician leaders and humanitarians? If so, please visit http://foundation.msv.org to recognize someone today or learn more about last year’s winners.

How can someone qualify for a Salute to Service Award? Who do you know who “wows” you with their efforts in the international, patient safety and quality improvement, uninsured and underserved communities as well as outstanding volunteerism and leadership by a medical student? Share their stories and help the Medical Society of Virginia Foundation (MSVF) give them a salute by nominating them!

Winners will be recognized with a wonderful tribute at this year’s Physicians’ Gala during the Annual Meeting at the Westfields Marriott in Chantilly on Oct. 24. The awards are sponsored by The Doctors Company.

For additional information, call 804 | 377-1053 or e-mail foundation@msv.org.

MSVF salutes those who serve our profession well

1

3

5

2

4

6

Simply complete the online form at http://foundation.msv.org.It’s easy to nominate someone!

October 24, 20157-11 p.m.

MSV Foundation

The Westfield’s Marriott • Chantilly, Virginia

Gala

Save the Date MSV Foundation Gala • October 24, 2015

Presented by:

MSVPAC school duel - Is your school the best?

MSV news

The Medical Society of Virginia Political Action Committee (MVPAC) is pleased to announce the return of its medical school duel!

For those of you who missed it last year, here is how it works: students from Eastern Virginia Medical School (EVMS), Virginia Commonwealth University (VCU) - formerly Medical College of Virginia, University of Virginia (UVA) and Virginia Tech Carilion (VTC) form teams to plan events at their respective schools. They recruit other students, residents, professors, alumni, physicians from the community and anyone willing to attend the event and/or make a contribution to MSVPAC.

During this competition, students learn the importance of investing in the political process and how it greatly impacts the medical community. Prizes for the winning school are given out at the MSV Annual Meeting.

Host levels for the event are the same as MSVPAC normal giving levels: $2,400, $1,200, $600, $365 and $150. Tickets for physicians are $50 and tickets for students and residents are $15. Events will take place throughout the month of April.

Check out our Web site at http://msvpac.msv.org/ for the dates for each school. You can visit http://msvpac.msv.org/PAC/Contribute.aspx to make a contribution online right now. If you are interested in attending or helping out with the events, please contact Patti Seitz, MSVPAC fundraising manager, at 804 | 377-1051 or e-mail pseitz@msvpac.org.

SD

Host LevelsIndividualMSVPAC ............. $150

PAC365 ................ $365

Silver ..................... $600

Gold ..................... $1200

Platinum ............... $2400

Other.................... $

Corporate/GroupSilver ..................... $2500

Gold ..................... $5000

Platinum ............... $10000+

Cut this form out and mail to MSVPAC, 2924 Emerywood Parkway, Suite 300, Richmond, VA 23294

Disclaimer: MSVPAC is a segregated fund established by the Medical Society of Virginia. Contributions to MSVPAC/AMPAC are not deductible for federal income tax purposes. Voluntary political contributions by individuals may be personal or corporate. $100 of the suggested contribution amount is transmitted to AMPAC or $10 for a student or resident. Funds from corporations will be used for political education activities and/or state election activities where allowed. Contributions are not limited to suggested amounts. Neither the AMA nor MSV will favor or disadvantage anyone based upon the amounts of or failure to make PAC contributions. Voluntary political contributions are subject to limitations of FEC regulations.

� Enclosed is my check made payable to MSVPAC.

� I prefer to contribute via monthly credit card payments.

� Please charge my: � VISA � MasterCard � Discover � American Express

The school I would like to support:� Virginia Tech Carilion

� Virginia Commonwealth University

� Eastern Virginia Medical School

� The University of Virgina

Yes, I would like to support MSVPAC School Duel by making a contribution of $

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