• Thursday, March 29, 2018 12:58 PM | Carol Burke (Administrator)

    The data submission deadline for the Merit-based Incentive Payment System (MIPS) is March 31. Resources:

    ·       Submitting 2017 Transition Year Data Fact Sheet

    ·       Quality Performance Category Fact Sheet

    ·       Quality Measure Specifications

    ·       Quality Benchmarks

    ·       Quality Measure Specifications Supporting Documents

    ·       Quality Performance Category Claims Data Submission Fact Sheet

    ·       Eligible Measure Applicability Resources

    ·       Patient-Facing Encounter Codes Fact Sheet and List

    ·       30-day All-cause Hospital Readmission Measure

    ·       Improvement Activities Fact Sheet

    ·       Scores for Improvement Activities Fact Sheet

    ·       Web-Based Training Courses

    For More Information:

    ·       Quality Payment Program website

    ·       Resource Library webpage

    ·       Contact the Quality Payment Program Service Center at QPP@cms.hhs.gov or 866-288-8292 (TTY: 877-715-6222)


  • Thursday, March 29, 2018 9:35 AM | Carol Burke (Administrator)
    This is a reminder that Saturday, March 31, 2018 is the final day for applicable manufacturers and group purchasing organizations (GPOs) to submit and attest to data for the June 30, 2018 publication of Program Year 2017 data.   

    In order for your Program Year 2017 data submission to be considered timely and be included in the June 2018 data publication, you must complete the attestation for your submitted data by 11:59 p.m. (ET) on March 31, 2017.

    Reporting entities are encouraged to perform final submission and attestation of all entered records as soon as possible to avoid potential processing delays nearing the reporting deadline.

    Data submission and attestation activities can be completed by logging into the Open Payments system through the EIDM Portal.

    If you have reported data during previous program years but have not yet begun reporting for Program Year 2017, you will need to recertify in the Open Payments system before you can begin any 2017 submission activities.

    For more information about the recertification process as well as new registrations, refer to the Applicable Manufacturer and GPO Registration and Re-Certification – Quick Reference Guide [PDF]to help you complete this necessary step.

    For all other resources including the Open Payments User Guide, go to the Resources page on our website.

    Questions—Contact Live Help Desk

    Need help or have more questions? Contact the Open Payments Help Desk at openpayments@cms.hhs.gov or call 1-855-326-8366.The Help Desk is available Monday through Friday, from 8:30 a.m. to 7:30 p.m. (ET), excluding Federal holidays.

    The Help Desk will be available on Saturday March 31, 2018 8:30 am – 7:30 pm

    The Help Desk refers media inquiries to CMS’ Press Office for response.

  • Tuesday, March 27, 2018 11:25 AM | Carol Burke (Administrator)

    We are proud to be a finalist for the Greater Rochester Quality Council’s Performance Excellence Awards! 

    We appreciate the dedicated physician leaders & healthcare stakeholders in our community who sit at our Quality Collaborative table, making it a model for other parts of the country!

  • Tuesday, March 20, 2018 4:00 PM | Carol Burke (Administrator)

    Centers for Medicare & Medicaid Services Special Open Door Forum:
    New Medicare Card Project

    Tuesday, March 20, 2018
    2:00 – 3:00 pm Eastern Time
    Conference Call Only

    CMS will host a Special Open Door Forum (ODF) to give Providers an opportunity to ask questions about CMS’ New Medicare Card Project. Use this call to get answers to your questions so you’re ready to accept the new Medicare Beneficiary Identifier (MBI) starting April 1, 2018.

    For more information about the New Medicare Project, please visit our website:https://www.cms.gov/newcard

    Feedback and questions on the New Medicare Card Project can be sent to: NewMedicareCardSSNRemoval@cms.hhs.gov

    Special Open Door Participation Instructions

    Participant Dial-In Number:  1-800-837-1935

    Conference ID #: 4588156

    Note: TTY Communications Relay Services are available for the Hearing Impaired. For TTY services dial 7-1-1 or 1-800-855-2880. A Relay Communications Assistant will help.  

    A transcript and audio recording of this Special ODF will be posted to the Special Open Door Forum website at https://www.cms.gov/Outreach-and-Education/Outreach/OpenDoorForums/PodcastAndTranscripts.html for downloading.

    For automatic emails of Open Door Forum schedule updates (E-Mailing list subscriptions) and to view Frequently Asked Questions please visit our website at http://www.cms.gov/OpenDoorForums/.

  • Friday, March 16, 2018 8:55 AM | Carol Burke (Administrator)

    Our congratulations to YourCare Health Plan Chief Medical Officer Joe Stankaitis, MD on his Lifetime Achievement Award from the American Diabetes Association of Rochester! Well deserved! http://bit.ly/2pijiU4

  • Monday, March 12, 2018 10:58 AM | Carol Burke (Administrator)

    Deadlines are fast approaching if you plan to submit data for the 2017 Merit-based Incentive Payment System (MIPS) performance period. Don’t wait until the last minute to submit your data.  Submit early and often.

    Here are key upcoming dates for MIPS:

    • March 16 at 8 pm ET - deadline for 2017 data submission for groups reporting via the CMS web interface.
    • March 31 - deadline for 2017 data submission for all other MIPS reporting, including via qpp.cms.gov
  • Monday, February 26, 2018 9:28 AM | Carol Burke (Administrator)

    Please join Kelly Reed and the Huther Doyle team and more than 300 Health and Human Service Providers for a cost-effective professional development event. 

    8th Annual Health & Human Service Conference & Recovery Institute

    March 27 & 28, 2018

    Rochester Riverside Hotel, Rochester, NY

    “Developing Competence – Facilitating Change"

    The conference is designed as a two-day experience.  The first day has been developed with a focus on accelerating clinical skills and understandings.  The three focus tracks include The Opiate Emergency, Personal Trauma and Systems Transformation.  An array of speakers will facilitate interesting discussions around the various presentations.  The second day will provide a broader array of workshops concerned with human service practice and conditions and will promote discussions about key issues such as poverty, wellness, housing and Self-Sufficiency. Tracks in day two include Best Practice Models, Care Management and Service Coordination, Strong and Healthy Communities, Youth and Young Adult Issues, and Poverty and Self-Sufficiency.  We encourage everyone to participate both days; however, you may choose one or the other if you wish.  Continuing education credits for Licensed Mental Health Counselors and CASAC credit hours. Special Lunch Recognition on March 28th Celebrating Retiring Champions of Poverty -James Norman, Jean Carroll and Donna Ecker.

    Registration Link:
    Click here to register for the 2018 HHSC & Recovery Institute

     Important Items and dates to rememember
     We encourage you to register today as the Early Bird Registration Rate deadline is Saturday, March 10, 2018.

    The Regular Registration Rate deadline is Tuesday, March 20, 2018

     Large organizations should assign a designated person to coordinate the registrations for your organization to ensure that proper discounts are applied.

    Questions and Information please contact: 
    Sara Taylor at (585) 654-9083 / events@taylorjonesenterprises.com
    or Craig Johnson at (585) 325-5100 / cjohnson@hutherdoyle.com

  • Friday, February 23, 2018 11:36 AM | Carol Burke (Administrator)

    Webcast Highlights Two New FAIR Health Reports

    Aim Is Clarity in Healthcare Pricing and Industry Trends

    On Thursday, March 22, 2018, from 2 to 3 pm ET, FAIR Health President Robin Gelburd will host a webcast entitled, “FAIR Health Economic Index and Industry Trends: Providing Clarity in a Rapidly Changing Environment.”

    The webcast will introduce two new ways to derive insights from healthcare data: the FAIR Health Economic Index™ and FAIR Health Industry Trends™. Drawing on the independent nonprofit’s national database of billions of privately insured healthcare claims—the largest in the country—these two tools apply different approaches to illuminate different aspects of the national healthcare sector.

    • The FAIR Health Economic Index tracks median charges and allowed amounts associated with six procedure categories: professional evaluation and management (E&M), hospital E&M, medicine, surgery, pathology and laboratory, and radiology.
    • FAIR Health Industry Trends analyzes places of service for trends and patterns in utilization, geographic and demographic factors, diagnoses, procedures and costs.
    • FAIR Health can work with you to create custom indices and trending reports that offer specific data subsets particular to your needs.

    Click here to register for FAIR Health’s free, one-hour webcast to learn more about these valuable new analytic tools and how they can inform decision making for all healthcare stakeholders.

  • Thursday, February 22, 2018 10:39 AM | Carol Burke (Administrator)

    All 6 sessions start on 3/5/2018 at Monroe County Medical Society. 


    Click here to register: 

    Over 620 Rochesterians have already taken this course which is being given for the 15th time!

    When: 6 Monday evenings from March 5, 2018 through April 9, 2018
    6:15 PM to 8:30 PM 

    Where: Monroe County Medical Society, 132 Allens Creek Rd. Suite 100, Rochester, NY 14618


    • General public, Physicians in training, and clinicians not receiving credit: $150
    • Physicians and Dentists receiving credit: $300
    • Physician Members of MCMS receiving credit: $250
    • Physician Assistants, Nurse Practitioners and others receiving credit: $250
    • Students (MD, DO, RN, RD, PA, NP, DC, DPh etc.): $100

    Professionals enrolled for credit will receive a link to download a certificate from the University of Rochester.

    All other students will receive a certificate of completion from Rochester Lifestyle Medicine, PLLC.

    All profits will go to the Rochester Lifestyle Medicine Institute.

    Rationale: Our nation’s economy is being jeopardized by our expensive health care system which costs nearly twice as much per person as most other advanced nations. At the same time, our population is heavier and, in many ways, sicker than it as ever been. We rank approximately 30th among the nations of the world in expected longevity. Many health care professionals and members of the public have become interested in addressing these issues with simple and inexpensive lifestyle changes. This course is designed for them. 

    Goal: Participants will learn the rationale behind eating a whole-food, plant-based diet. The power of lifestyle changes to prevent, arrest, and reverse our nation’s most expensive and devastating diseases—including obesity, diabetes, and heart disease—will be addressed. Participants will discover that a healthy plant-based diet is abundant as well as optimal for human health. They will learn how to nourish themselves, and their families and friends, with a diet free of animal products, and will be given advice on shopping for food, and eating at restaurants and social gatherings. They will be able to explain how this way of eating benefits their health, the future of the planet, the welfare of animals, and our nation’s prosperity and security. Physicians and other health care providers will learn how to empower their patients to take charge of their own health by moving as close as possible to a plant-based diet. 

    Course Instructors: Ted D. Barnett, M.D. (primary instructor) with Carol H. Barnett, Ph.D., J.D. assisting. Dr. and Mrs. Barnett are Co-Coordinators of the Rochester Area Vegan Society (RAVS rochesterveg.org). As of January 2018, they and their three children (ages 30, 28, & 25) will have been vegan for 27 years. Dr. Barnett graduated from Yale College in 1976 and Tufts University School of Medicine in 1980. He received his board certifications in Diagnostic Imaging in 1984, and Vascular & Interventional Radiology in 1995. He has practiced in the Rochester area since 1986. 

    Dr. Barnett is also the Founder and executive Medical Director of Rochester Lifestyle Medicine, PLLC and founder of Rochester Lifestyle Medicine Institute. 

    Who should take this course: Physicians, dentists, nurses, chiropractors, PA’s, NP’s, RD’s, medical students, and members of the general public.

    Should RLM's CHIP patients take this course? The principles taught in this course are completely compatible with CHIP. This course is more academic than CHIP and many people take both.

    CLICK HERE to review the online resources for the course.

    CLICK HERE for the current syllabus and course description.

    ACCREDITATION: The University of Rochester School of Medicine and Dentistry is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. 

    CERTIFICATION: The University of Rochester School of Medicine and Dentistry designates this live activity for a maximum of 12.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

    No commercial funding was received to support this activity. 

    Format: This is a 6-session course given over 6 weeks, with each class lasting 2 1⁄4 hours. Each class will consist of two entertaining multi-media lectures with a 15-minute break in between. During the break, there will be sampling of dishes prepared by Carol Barnett following recipes that are included with the handouts for that class. Although not a cooking demo, students can see and sample the dishes as prepared, and Carol will be happy to answer questions about ingredients, techniques, and variations on the recipes. There will be ample opportunity for Q&A. Attendees will receive printed materials and other handouts; they will also have access to many websites, resource lists, and recipe files to complement their learning. During the course, many important points will be repeated, and the key concepts of the course will be presented in every one of the classes. 

    In addition to the weekly handouts, we highly recommend the following video and books: 

    “Forks Over Knives” (DVD) as well as companion book and cookbook of the same name

    Prevent and Reverse Heart Disease, Caldwell Esselstyn, Jr., M.D.
    Dr. Neal Barnard’s Program for Reversing Diabetes, Neal Barnard, M.D.
    21-Day Weight Loss Kickstart, Neal Barnard, M.D. 

    The Engine 2 Diet, Rip Esselstyn
    The China Study, T. Colin Campbell, Ph.D. and Thomas Campbell, MD
    Whole, T. Colin Campbell, Ph.D. with Howard Jacobson, Ph.D.

    Power Foods for the Brain, Neal Barnard, M.D.

    Defeating Diabetes, Brenda Davis, R.D. and Tom Barnard, M.D.

    The McDougall Program, John McDougall, M.D. 

    Supplemental reading: 

    Younger Next Year, Chris Crowley and Henry S. Lodge, M.D. (Exercise and motivation)

    Wherever You Go, There You Are, Jon Kabat-Zinn, Ph.D. (Mindfulness and meditation)

    The Pleasure Trap, Doug Lisle, Ph.D. (How modern culture tricks our paleolithic brain) 

    All of the above titles are available in the Monroe County Library System, and also can be purchased from area bookstores or Amazon. We recommend any other titles by Dr. Barnard, Dr. McDougall, or Brenda Davis, RD (all of them have written several books). Rip Esselstyn’s book is an especially good practical guide to adopting a no- oil-added plant-based diet, with accessible recipes and even exercises you can do at home without special equipment.

    If possible, attendees should measure and document their weight and blood pressure at the beginning and end of the 6-week period; we also urge attendees to have their cholesterol and blood sugar tested before starting the program and, again, at the end. If you are on medication for cholesterol, high blood pressure, or diabetes, your dosages may need to be adjusted. Please be prepared to discuss this with your doctor.

    Refund policy: 100% of the tuition is refundable until 1 week before the course begins.

    Missed classes: Missed classes can be made up by viewing the recorded videos which are posted online.

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