IMS Foundation Raffle to be held during IMS 2014: Physician Driven. Patient Centered.

IMS Foundation Raffle to be held during IMS 2014: Physician Driven. Patient Centered. The IMS Foundation is scheduled to hold a raffle during IMS 2014: Physician Driven. Patient Centered. April 12, 2014. Tickets cost $25 each or $100 for five and can be purchased with cash or check only at the IMS Registration Desk. Raffle proceeds benefit IMSF medical student programs. See the artists’...

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Drs. Klitgaard and Bender to Lead Panel at IMS 2014. Register today!

Drs. Klitgaard and Bender to Lead Panel at IMS 2014.  Register today! The new age of health care has left physician practices in the uncomfortable position of determining how to best care for their patients and meet their bottom lines. Forming accountable care organizations (ACOs) and patient-centered medical homes are options many practices are exploring. During the...

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Congressional Committees Reach Critical SGR Deal - Work Remains

Congressional Committees Reach Critical SGR Deal - Work Remains The Senate Finance Committee and the House Committees on Energy and Commerce and Ways and Means have agreed on legislation to immediately repeal the SGR. Offsets to pay for the cost of SGR repeal, however, have not been identified and, as such, final floor passage is not guaranteed. Some lawmakers are...

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Congress approves 3-month SGR patch

Congress approves 3-month SGR patch To alleviate the scheduled cut of 20.1 percent due to the Sustainable Growth Rate (SGR) formula and give Congress more time to pass the SGR repeal legislation, this week the Senate approved and sent to the President, who is expected to sign it, the “Pathway for SGR Reform Act of 2013”...

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IMS Board Endorses Innovative New Tort Reform Measures

IMS Board Endorses Innovative New Tort Reform Measures Meaningful tort reform in Iowa is a top legislative priority of the Iowa Medical Society. While the General Assembly earlier this year appeared poised to enact several reforms, IMS was disappointed when legislative leaders yielded on reform in negotiations during the final hours of session. In assessing...

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DUR requests physician feedback

DUR requests physician feedback The Iowa Medicaid Drug Utilization Review (DUR) Commission is seeking physician feedback on proposed changes to clinical prior authorization criteria. The proposed changes affect the following medications: 1) Sodium Oxybate (Xyrem®) 2) Anti-Diabetics, Non-Insulin agents 3) Proton Pump Inhibitors Details of the proposed changes are available here. Physicians wishing to provide...

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CMS releases Medicare physician payment rates for CY 2014

CMS releases Medicare physician payment rates for CY 2014 On November 27, the Centers for Medicare & Medicaid Services (CMS) released its final rule for the CY 2014 Medicare physician fee schedule. The rule (PDF 3.59MB) is currently on display at the Office of the Federal Register and is scheduled to be published in the Federal Register on December 10,...

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UPDATED: CMS releases Medicare Physician Fee Schedule proposed rule for CY 2014

UPDATED: CMS releases Medicare Physician Fee Schedule proposed rule for CY 2014 Although CMS is still assessing the impact of the partial government shutdown on completion of the CY 2014 Medicare fee-for-service payment regulations, CMS intends to issue the Final Rule on or before November 27, 2013, generally to be effective on January 1, 2014. Previously, the Final Rule was expected...

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IME Continues Building Wellness Plan Provider Network; PCP Agreements Due Nov. 8

IME Continues Building Wellness Plan Provider Network; PCP Agreements Due Nov. 8 State officials continue to recruit physicians to serve as primary care providers (PCPs) for the new Iowa Wellness Plan currently under development as part of the Iowa Health & Wellness Plan. Providers familiar with the current MediPASS managed care program will recognize several similarities...

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Streamlined Access to PECOS, EHR, and NPPES

Streamlined Access to PECOS, EHR, and NPPES Register for CMS National Provider Call Changes have been made to simplify the way providers and suppliers access the Provider Enrollment Chain and Ownership System (PECOS), the EHR Incentive Program, and the National Plan and Provider Enumeration System (NPPES). These updates, available since October...

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Iowa Health Insurance Marketplace Resources

Iowa Health Insurance Marketplace Resources Research suggests physicians will be one of the top three sources for patients seeking information regarding the new Health Insurance Marketplace. Are you prepared to point them in the right direction? To help your patients obtain the coverage they need, use the following resources. What is the Marketplace? Established...

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Plug into IMS Advocacy!

Plug into IMS Advocacy! Have you signed up to receive the IMS Advocate and IMS Action Alerts? State and national policymakers make decisions every day which impact your medical practice. As busy professionals, it’s simply not practical to keep track of all the proposals being put forward. IMS is here to help. As your representative before lawmakers, state and national...

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Updates on Medicare claims for incarcerated beneficiaries

Updates on Medicare claims for incarcerated beneficiaries Recently, the Centers for Medicare & Medicaid Services (CMS) initiated recoveries from providers and suppliers based on data that indicated a beneficiary was incarcerated on the date of service. Medicare will generally not pay for medical items and services furnished to a beneficiary who was incarcerated...

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UPDATED: Wellmark new provider credentialing delays continue to plague medical practices

UPDATED: Wellmark new provider credentialing delays continue to plague medical practices In response to IMS' formal communication regarding ongoing and protracted new provider credentialing delays, Wellmark has provided a response (PDF 634KB) outlining the challenges they have faced and steps they have taken to address them. IMS formally communicated...

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House Energy & Commerce Committee Votes to Repeal SGR

House Energy & Commerce Committee Votes to Repeal SGR On July 31, the House Energy & Commerce (EC) Committee passed HR 2810, the “Medicare Patient Access and Quality Improvement Act,” by a bipartisan vote of 51-0. This legislation repeals the Sustainable Growth Rate formula (SGR) and provides for a five-year period of stability in physician...

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Watch Michael Romano, MD talk about RAGBRAI and why he enjoys practicing medicine in Iowa

Watch Michael Romano, MD talk about RAGBRAI and why he enjoys practicing medicine in Iowa "Getting physicians to visit Iowa is the tough part. Once we get them here, they figure it out and ask, 'Where have you guys been?' They discover that Iowa is really a gem. Once they figure out that they actually have to live where they practice, they decide that Iowa is a pretty...

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