Submit Your Nominations for Administrator and Practice of the Year

Annually, the North Carolina Medical Group Management Association (NCMGMA) recognizes outstanding performance by an individual and a medical practice with our Administrator of the Year Award and our Practice of the Year Award. For 2019, both awards will be presented at our Annual Conference, to be held May 8-10 in Wilmington, NC. Nominations for both awards are now open.

NCMGMA-Medical Mutual Administrator of the Year Award

medical-mutual-medEach year, NCMGMA and Medical Mutual recognize a healthcare administrator, affiliated with the NCMGMA, who has exhibited exceptional leadership management proficiency and enhanced the effectiveness of healthcare delivery in his/her practice and community through recent, noteworthy achievements.

If you wish to learn more about this award and/or nominate a colleague, follow this link to fill out a complete form or email our offices at info@ncmgm.org to nominate an administrator. The deadline for nominations is March 8, 2019.

NCMGMA-First Citizens Bank Practice of the Year Award

First-Citizens-HorizontalThe North Carolina Medical Group Management Association (NCMGMA) is proud to partner with First Citizens Bank to present the 7th Annual Practice of the Year Award. This award recognizes a medical group practice that has made a significant contribution to their community, patients and/or staff through volunteer work, indigent clinics, fundraisers, staff wellness programs, community clean ups, community screenings and education (internal & external), etc.

Follow this link to learn more about the award or to begin the nomination process. The deadline for submissions is March 8, 2019.

Questions

If you have any questions, please contact the NCMGMA offices at info@ncmgm.org or 800-753-MGMA (6462).

NCMGMA Awarded 2nd Place in MGMA 2019 State Participation Award

ncmgm19-pa450aLast week, members of NCMGMA’s Board of Directors were present for MGMA’s State Leadership Summit in Denver, CO, where NCMGMA was awarded 2nd place in MGMA’s State Participation Award category. NCMGMA will be awarded $2,500 for winning 2nd place.

The State Participation award recognizes the efforts of outstanding state MGMA affiliates in promoting the medical practice management profession. Award recipients are chosen based on how well they performed in three main areas of focus: advancement of the profession through ACMPE, advocacy and survey participation.

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In photo from left to right: Melissa Klingberg; Todd Pittman, CMPE; Lisa Hooks, CMPE; Sandra Jarrett, FACMPE; Jane Lutz; Chad Ghorley; Steve Parker; Leah Paraschiv, CMPE; and Tessa Wolfarth.

Thank you MagMutual for helping to underwrite the NCMGMA board of director’s trip to the MGMA Leadership Summit!

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Welcome New Members

Our membership continues to grow! Take a look at the list of healthcare professionals and students who have recently joined NCMGMA (January 5, 2019 through January 24, 2019):

Active

Elisa Barnes, Carolina Women’s Health, PA, Raleigh, NC
Geoffrey Norwood, East Carolina Anesthesia Associates, Greenville, NC
Sheri Raymer, Eagle Physicians, Greensboro, NC
Nurys Rivera, Carolina Family Health Centers, Inc, Wilson, NC

Affiliate

Nate Culp, McGriff Insurance Services, Winston-Salem, NC
Brunson DePass, Physicians Wear Medical Linen Service, Columbia, SC
Jason Deshayes, Elliott Davis PLLC, Raleigh, NC
Debra King, monocleHR, llc, Apex, NC
Jann Martin, TriMed Technologies, Corp., High Point, NC
Caleb Reyes, CORA Physical Therapy, Raleigh, NC
Kathie Walsh, DocuRep, Wake Forest, NC
Maria Yeremin, CORA Physical Therapy, , SC
Todd Zempel, Gordon Asset Management, LLC, Durham, NC

Corporate Active

Mario Aguilar, UNC Physician’s Network, Raleigh, NC
Ardith Charles-Harris, Physicians East, Greenville, NC
Claudia Dean, NHRMC – PQP, Wilmington, NC
Kathy Garner, The Carolina Clinic, Chapel Hill, NC

Student

Brenda Bradrick, University of North Carolina, Charlotte, Midland, NC

2017-18 NCMGMA Impact Report

As the year comes to a close, the NCMGMA board of directors would like to share with you a glimpse into what 2018 looked like for the association. To increase our transparency and to give you a better idea of the overall activity of the organization, we have put together a 2018 Impact Report which you can access at the link below.

Inside you will find a letter from our 2017-18 President, Sandra Jarrett, metrics from our various 2018 programs and events, and a glimpse into our board’s vision for 2019. Our hope is that this report will help give you a better idea of the association’s activity and health, and how the membership dollars are spent.

Thank you for being a member of NCMGMA and we look forward to another successful year in 2019, continuing our vision of being “the leaders for tomorrow’s healthcare.”

New Year, New ACMPE Updates

New Year, New ACMPE Updates

Incentives to Join MGMA-ACMPE

  • Possible “New Year, New You” campaign: January 14-31st, $50 off certification and Fellowship applications.

ACMPE Volunteer Opportunities: Opening Soon

  • MGMA will be introducing a new volunteer portal; however, they are recruiting for the ACMPE Fellowship Submission Committee, the Examinations Committee, and the Body of Knowledge Standing Committee. Visit the volunteer opportunity web page soon for more details.

MGMA Website Updates

  • MGMA has launched the new website and they are working daily to optimize the user experience.
  • The ACMPE claiming of continuing education has been launched under “Manage My Account.” New features will continue to be added including export and transcript details.
  • Information on Board Certification and Fellowship can be found under “Career Pathways.”

Offering ACMPE credit for state educational programs

For an activity to meet the criteria for ACMPE continuing education credit hours, it must:

  • Be relevant to the Body of Knowledge for Medical Practice Management.
  • Be delivered in a structured learning environment.
  • Have an element of interactivity.

What the 2019 Changes Mean

For Nominees:
If you do NOT hold a bachelor’s degree or have 120 college credit hours by Dec. 31, 2018 you will need to:

  • Complete and pass both examinations by the Dec. 1-15 exam cycle. Exam results expected late January.
  • Log all 50 hours of continuing education (CE) hours under the current CE requirements, starting 30 days prior to their acceptance date. If your exams are passed, you will receive a 6 months extension to complete your 50 hours by June 31, 2019 under the 2019 continuing education requirements.

If you have a bachelor’s degree, 120 college credits or are currently in the process of completing your degree, you will remain as a nominee and will need to begin working toward the following starting on Jan. 1, 2019:

  • Earn your CMPE credential within three years. If accepted before Jan. 1, 2019, you will have until Dec. 31, 2021 to complete the program.
  • Log 50 hours of CE credit under the new 2019 CE requirements.

For CMPEs pursuing Fellowship:
If you have a bachelor’s degree AND seven years of healthcare management AND two years in a leadership role; OR if you have a master’s degree with five years management, AND two years in a leadership role, you will need to begin work on the following starting Jan. 1, 2019:

  • Complete Fellowship within two years of your application date. If accepted before Jan. 1, 2019, you will have until Dec. 31, 2020 to complete.
  • If you have a paper outline submitted and accepted prior to Jan. 1, 2019, you may continue working on your paper manuscript up until two years from your outline approval date. Starting in 2019, business plan submissions will be the only acceptable submission if no outline is previously accepted.
  • Log 50 hours of continuing education (CE) every three years following the new 2019 CE requirements. These CE requirements also apply to maintain your current CMPE credential in 2019.

Study Groups

  • Fellowship Preparation Series is available on-demand presented by Lee Ann H. Webster, FACMPE and Nina Chavez, FACMPE.
    • Session 1 – ACMPE Fellowship: Requirements and the Submission Process
    • Session 2 – Developing a Fellowship Manuscript or Business Plan
  • ACMPE Board Certification Study Group Series
    • Registration is open for on-demand, For CE credit, you must also register for the post assessments for each session.
      Topic:

      • Board Certification Program Overview
      • Financial Management
      • Operations Management
      • Risk and Compliance Management
      • Human Resources Management
      • Organizational Governance and Patient-Centered Care

Upcoming Exam Dates

  • March 9-23, 2019
    Exam registration: January 22 – February 7, 2019
  • June 8-22, 2019
    Exam registration: April 22 – May 6, 2019
  • September 7-21, 2019
    Exam registration: July 22 – August 7, 2019
  • December 7-21, 2019
    Exam registration: October 21 – November 4, 2019

 

Nominations are Open for Administrator of the Year and Practice of the Year

Annually, the North Carolina Medical Group Management Association (NCMGMA) recognizes outstanding performance by an individual and a medical practice with our Administrator of the Year Award and our Practice of the Year Award. For 2019, both awards will be presented at our Annual Meeting, to be held May 8-10 in Wilmington, NC. Nominations for both awards are now open.

NCMGMA-Medical Mutual Administrator of the Year Award

medical-mutual-medEach year, NCMGMA and Medical Mutual recognize a healthcare administrator, affiliated with the NCMGMA, who has exhibited exceptional leadership management proficiency and enhanced the effectiveness of healthcare delivery in his/her practice and community through recent, noteworthy achievements.

If you wish to learn more about this award and/or nominate a colleague, follow this link to fill out a complete form or email our offices at info@ncmgm.org to nominate an administrator. The deadline for nominations is March 8, 2019.

NCMGMA-First Citizens Bank Practice of the Year Award

First-Citizens-HorizontalThe North Carolina Medical Group Management Association (NCMGMA) is proud to partner with First Citizens Bank to present the 7th Annual Practice of the Year Award. This award recognizes a medical group practice that has made a significant contribution to their community, patients and/or staff through volunteer work, indigent clinics, fundraisers, staff wellness programs, community clean ups, community screenings and education (internal & external), etc.

Follow this link to learn more about the award or to begin the nomination process. The deadline for submissions is March 8, 2019.

Questions

If you have any questions, please contact the NCMGMA offices at info@ncmgm.org or 800-753-MGMA (6462).

Medical Practice Issues to Watch in 2019

Originally published in the January 9, 2019 issue of MGMA’s Washington Connection
Reprinted with permission from MGMA

Medical Practice Issues to Watch in 2019

2019 promises to be another busy year in healthcare. The 2018 midterm elections shifted the balance of power in Washington as Democrats now hold the gavel in the U.S. House of Representatives, creating a divided Congress with the Republican-held Senate. MGMA has identified the following legislative and regulatory issues critical for medical practices in the coming year. We will keep members apprised of key developments in these areas and their impact on medical practices and will continue to advocate for policies that enable practices to thrive in their mission to furnish high-quality, cost-effective patient care.

1. HHS doubles down on risk

Despite an anemic pipeline of new voluntary Medicare alternative payment models (APMs) trickling out of the Department of Health and Human Services (HHS), Secretary Alex Azar is planning a new approach to accelerate participation in risk-based APMs. Forgoing incremental implementation, the Secretary is expected to unveil new mandatory models in 2019 and to emphasize performance-based risk as a necessary component of any new APM.

MGMA strongly supports voluntary participation in APMs when it makes financial sense for individual practices and disagrees with the Secretary that the way to expedite the move to value-based care is to mandate participation. We will continue to advocate for new opportunities for practices to participate in voluntary APMs and for development of more physician-led models.

2. Regulatory relief from government burdens

It is expected that Congress and the Administration will continue to work toward reducing the regulatory burden on medical practices participating in government healthcare programs. The Centers for Medicare & Medicaid Services’ (CMS’) “Patients Over Paperwork” initiative is one such example. However, this has translated into only modest relief for practices thus far, as 88% of MGMA members polled reported an increase in overall regulatory burden last year. MGMA will continue to make regulatory relief a top advocacy priority in 2019. Keep up with our efforts at mgma.com/regrelief.

3. Kicking back the Stark Law

As part of the effort to accelerate payment innovation, HHS leaders pledge to revisit antiquated fraud and abuse rules such as the Stark Law and Anti-Kickback Statute. In 2019, watch for proposed rules that expand exceptions and safe harbors to protect value-based arrangements and benefit providers willing to take on performance-based risk.
While a push to simplify Medicare compliance rules is welcomed, it is likely that congressional intervention will be necessary to achieve meaningful reform. It remains to be seen if Congress will also prioritize this issue in 2019.

4. Surprise! Here is a medical bill you didn’t expect

Medical practices can expect to see a push to curb surprise medical bills, including efforts to empower patients and consumers through improved access to healthcare cost information. The sticker shock of surprise hospital bills continues to make headlines and draw bipartisan attention in Congress, making this issue ripe for legislative action in 2019.

5. A spoonful of new regulations to help drug prices go down

With a new Congress and support from the Administration, reducing Medicare drug prices is on the action list for 2019. For physician-administered drugs, one proposal seeks to curb the price of drugs in Part B by tying prices to a new International Price Index, create new private-sector vendors to supply practices with drugs, and set drug administration cost as a flat fee. CMS is also looking to give Part D drug plans greater flexibility to negotiate drug prices in protected classes.

6. The stakes are higher in MIPS

Implementation of the Merit-based Incentive Payment System (MIPS) continues to ramp up. In 2019, MIPS performance will determine whether clinicians receive a positive or negative payment adjustment of up to 7% on 2021 Medicare reimbursement. Medicare is accelerating cost accountability for MIPS clinicians by increasing the cost component to 15% of the overall MIPS score and introducing episode-based measures. The performance threshold required to avoid a payment penalty also doubles from 15 to 30 points in 2019. With more on the line this year, it is critical that MGMA members prepare their practices for success. Visit mgma.com/macra for helpful resources.

7. Data interoperability a priority for feds

The Office of the National Coordinator for Health Information Technology (ONC) is expected to release regulations to meet requirements of the 21st Century Cures Act and facilitate improved data sharing between healthcare entities. ONC will define and seek to discourage “information blocking,” develop a framework to facilitate data movement between heath information exchange entities, and release specifications for the use of apps to foster data exchange between different providers and between providers and patients. The goal of using apps, a component of MIPS and Stage 3 Meaningful Use, is to permit practices to efficiently and securely move administrative and clinical data via their EHR.

8. Cybersecurity continues to be a top practice concern

Medical practices can be a prime target for phishing and other cybersecurity attacks because they possess valuable information assets (patient clinical and financial data) and often have inadequate cybersecurity protections. HHS’ HIPAA enforcement arm is expected to ramp up audits and fines in 2019. Medical practices should protect both their data and business continuity by completing a comprehensive risk assessment, identifying vulnerable areas of the organization, and taking the steps necessary to mitigate risk. Check out MGMA security resources to prepare your practice this year.

9. Site-of-service payment differentials remain a target

Policymakers will continue the trend toward site-neutral payments with the goal of equalizing Medicare payments for the same services across clinical sites. Medicare expanded this policy through 2018 rulemaking by phasing-in payment reductions for clinic visits at hospital outpatient departments (HOPDs), including HOPDs excepted from previous site-neutral payment rules. In addition to saving money for patients and the government, site-neutral payments are viewed as a policy lever for increasing market competition, eliminating the incentive for hospitals to purchase freestanding clinics and leveling the playing field.

10. “Repeal and replace” is out, “Medicare for all” is in

This shift in power within Congress will recast the role the federal government plays in healthcare in 2019. With “Medicare for all” a key platform for many progressives during the 2018 primaries, the politicized debate over a single-payer health system shows no signs of slowing down and will likely gain steam ahead of 2020 elections.
Passage of any major health reform bill is highly unlikely anytime soon. However, as presidential contenders begin campaigning for the 2020 primaries, universal healthcare will almost certainly become a point of debate.