ON CALL magazine
The Official Publication of the Palm Beach County Medical Society
2013 PRESIDENT K. ANDREW LARSON
Quarter One 2013
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ON CALL MAGAZINE QUARTER ONE 2013 / PRESIDENT’S REPORT
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President’s
REPORT Andrew Larson MD
Quarter One 2013
President, Palm Beach County Medical Society
INSTALLATION ADDRESS
I want to thank the rapid transitions from private practice and small group Dr. Zeltzer practice to large group practice and hospital-based personally for his outstanding service to the Palm employment and, in some cases, back to private practice Beach County Medical Society this past year. 2012 has we physicians are having to deal with locally. We as a been an extremely successful year on many fronts and medical society now offer the benefit of a management we continue to thrive as a medical society despite the services organization, or MSO, which gives individual ongoing financial pressures we face. Membership has physicians and small group practices access to practice grown to over 1400 members, the highest on record due management support, electronic medical records to a highly successful member recruitment drive earlier support, human resources support, and the power of this year and due to our years long efforts to reach out to group purchasing of everything from office supplies, the increasing numbers of medical students and resident to malpractice insurance, to accounting and payroll physicians training here in Palm Beach County. We had services. Group contracting with insurance payors is also an extremely well-attended young physicians’ social possible through this management services organization event this summer and have had model. The management active participation from local services organization, or MSO, One of my ongoing students and residents in our is intended to allow those goals as president of academic poster competition physicians who wish to maintain this fall which was held during the Palm Beach County an autonomous individual our annual Future of Medicine or small group practice the Medical Society will be conference in the Palm Beach opportunity to remain financially County Convention Center. On viable in an increasingly to fight for the ability a personal level I can say that complicated and competitive of those doctors who it has been extremely exciting market. One of my ongoing goals and gratifying as a physician as president of the Palm Beach choose to remain to have had the opportunity County Medical Society will be independent, who are over the last four years to teach to fight for the ability of those and spend time with students doctors who choose to remain currently providing and residents from the Miller independent, who are currently excellent quality and School of Medicine at the providing excellent quality and service..." University of Miami and students service to their patients in part from the Charles Schmidt because they maintain control College of Medicine at Florida Atlantic University. over the way their practice is run to continue practicing I encourage all young doctors and doctors-to-be to independently. We as a medical society will also reach stay active with the Palm Beach County Medical Society out more aggressively to employed and hospital-based and stay active in shaping the Future of Medicine. physicians to join our membership as rules and regulations that affect private practice physicians eventually affect all Thank you also Dr. Zeltzer for working hard to physicians. Our society is inclusive and represents all bring to fruition a new member benefit this year that I physicians, young and old, independent and employed, (CONT. ON PG. 8) believe will be of great value to all of us physicians given active and retired,
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Celebrating 28 Years of Innovation and Leadership in 2012
ON CALL MAGAZINE QUARTER ONE 2013 / THIS ISSUE
54
FEATURES
This Issue 2
11 2012 ANNUAL GALA PHOTOS: JOY! A HOLIDAY CABARET
13 DEPOSITION BOOTCAMP
10
16 REVENUE CYCLE MANAGEMENT
23
ARTICLES 2 PRESIDENT’S REPORT 10 P BCMS MEMBER SPOTLIGHT:
11
MARK J. HIRSCH, MD, FACP
18 MED SOCIETY NEWS: NEW MEMBERS
21 MED MEMO
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ON CALL MAGAZINE QUARTER ONE 2013 / DIRECTOR’S DESK
DIRECTOR’S
DESK
Tenna Wiles, CEO
Palm Beach County Medical Society
2013: Moving Forward With Purpose
The PBCMS Board of Directors have set forth a focused agenda for the coming year .The priorities outlined include: enhancing our communication and programs to inform ,educate, and engage our members on the latest developments affecting the practice of medicine , continuing strong advocacy and legislative efforts and providing support to the graduate medical education programs in our community. The By-Laws Committee has presented recommend changes to the by-laws to streamline and enhance the efficiency of the Society. The proposed By-Laws changes are posted on line at www.pbcms.org and will be discussed at the Board of Directors Meeting to be held on Monday, March 4 at the Palm Beach County Health Care District. Members are encouraged to attend. A summary of the proposed by-law amendments and ballot will be mailed to members and a vote will take place at the General Membership Meeting on April 25, 2013. The proposed changes include the establishment of five Councils to guide the work of the organization. Council on Member Services , Council on Advocacy and Legislation, Council on Administration and Finance, , Council on Communications and Technology and the Council on Medical Education. I hope that you will join a Council. This is an excellent way to become engaged, meet your colleagues, and truly make a difference in your profession. The Council on Advocacy and Legislation is off to a strong start reviewing legislative issues, establishing legislative key contacts and planning PBCMS Doctor’s Day trip to Tallahassee in March and participation at the AMA Advocacy Conference in Washington DC. The newly launched Palm Beach County Medical Society Management Services will host an information session on February 28, 6pm at the Society offices. Join us to learn from our practice management professionals how to improve your bottom line, enhance practice efficiencies and maintain your practice autonomy. Space is limited and reservations required. Medical Society Services will host their annual meeting on March 14th at the Atlantis Country Club. The evening will recognize the accomplishments of over 1,750 volunteers engaged in Project Access, HERC, Medical Reserve Corp, Future of Medicine, Community Call to Action and Triple Aim Initiative , our funders and community partners. Douglas Dedo MD will be installed as President, Michael Dennis MD, Vice-President, Ivy Faske MD Secretary and Don Chester ,Treasurer. Be sure to mark your calendar for the 10th Annual Heroes in Medicine Celebration on May 9 at the Kravis Center Cohen Pavillion . Chaired by Sally Chester and Greg Quatelbaum, this year’s event promises to be a great success. Our ambitious agenda for 2013 will only be possible with the support of our members. I hope that you will join us.
-Tenna
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Palm Beach County Medical Society
2013 BOARD OF DIRECTORS K. Andrew Larson, MD Ronald Zelnick, MD Steven Babic, MD James Howell, MD James Goldenberg, MD Shawn Baca, M.D. Jack Zeltzer, MD Sandra Blair Lisa Oliver Tulisa La Rocco, MD
President President Elect First Vice President Second Vice President Secretary Treasurer Immediate Past President Alliance Representative Medical Student Resident
Beth-Ann Lesnikoski, M.D. Roger Duncan, M.D. Marc Hirsh, MD Richard Greenwald, M.D. Hatem Abou-Sayed, MD Aviv Katz, DO Klshore K. Dass, MD Brandon Luskin, M.D. Jeffrey Davis, D.O. Andrew Shapiro, MD Michael Dennis, M.D. Kenneth Woliner, M.D.
Palm Beach County Medical Society
2013 BOARD OF TRUSTEES Brent Schillinger, MD Jack Zeltzer, MD Lawrence Gorfine, MD James J. Byrnes, MD Alan Pillersdorf, MD Jose F. Arrascue, MD
Malcolm Dorman, MD K. Andrew Larson, MD Ronald Zelnick, MD Steven Babic, MD James Howell, MD James Goldenberg, MD
ON CALL magazine
STAFF Tenna Wiles, CEO Tennaw@pbcms.org Deanna Lessard, Director of Member Services & Education Deannal@pbcms.org John James, Director of Public Health & Disaster Services Johnj@pbcms.org Helena Edie, Finance finance@pbcms.org Nicola Chung, Project Access Program Director Nicolac@ pbcms.org Melissa Nicoleau, Project Access System Coordinator Melissan@pbcms.org Mindi Tingler, Administrative Assistant Mindit@pbcms.org Natalie Gonzalez, Communications Coordinator, PBCMS Services Natalieg@pbcms.org Brent Schillinger, Chair Subscriptions to On Call are available for an annual rate of $50. For more information contact PBCMS at 561-433-3940 The opinions expressed in On Call are those of the individual authors and do not necessarily reflect official policies of Palm Beach County Medical Society or its committees. On Call is owned and published four (4) times per year by Palm Beach County Medical Society, Inc., 3540 Forest Hill Blvd., #101, West Palm Beach, FL 33406. (561) 433-3940 & (561) 276-3636. Fax 561-4332385 ©Copyright 2013 Palm Beach County Medical Society, Inc. www.pbcms.org
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ON CALL MAGAZINE QUARTER ONE 2013 / PRESIDENT’S REPORT
generalist and specialist, conservative and progressive.I also want to thank everyone who supports attendance, the charitable arm of our organization, the Palm Beach County Medical Society Services. Your generosity supports Project Access a truly successful program that has allowed Palm Beach County doctors, labs, imaging centers, and hospitals to provide over $9 million in free care to uninsured patients in Palm Beach County. The funds donated to Medical Society Services to help support Project Access probably save at least four times as much money, over $32 million, in the long run by cutting down on repeated un-reimbursed ER visits and nighttime specialist consults. Money is also saved because medical conditions are controlled before they become so acute that emergency care and hospitalization, again un-reimbursed, is necessary. Your involvement matters and I thank all of our sponsors and our volunteering individuals and institutions. Another valuable community project made possible by your support of Palm Beach County Medical Society Services is the Healthcare Emergency Response Coalition, or HERC. This organization works to assure that Palm Beach County is ready when disasters such as hurricanes or other events that challenge the county’s healthcare delivery resources strike. HERC interacts and communicates with local, regional, and national agencies to provide emergency health care services where they are needed and provides ongoing training to personnel responsible for handling local emergencies. HERC works together with the volunteer physicians, allied health providers, and other interested professionals such as interpreters, office staff, hospital administrators, and chaplains who make up the Medical Reserve Corps of Palm Beach County to position staff and resources in the right places at the right times to assure we are ready when unanticipated emergency medical needs arise. Moving forward my mission, and the mission of PBCMS is to make sure that doctors and their patients have a voice locally in Palm Beach County, work regionally with Dade and Broward County Medical Associations, and on the state level and nationally though our alliances with the Florida Medical Association and the American Medical Association in the years ahead, years which promise to bring significant change in the way health care is delivered and provided. With the election season behind us it is now more certain that much of the Affordable Care Act will ( P R E S I D E N T S R E P O R T- C O N T. )
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be implemented over the next decade and we need to be prepared to make sure it is implemented in a way that protects the physician and his or her patients from harm. Providing more of the United States’ population with health insurance is a noble goal but if the proper implementation is not there, if there are not enough doctors to serve the community, or if poorly thought out rules and regulations are made by bureaucrats who don’t know what things are like on the front lines of health care then we will all suffer. I insist we physicians will be part of the political conversation and I insist that we physicians will continue to protect and care for all of our patients as we would our own family members. I care deeply about the total health of all Americans. I also believe in Palm Beach County Medical Society initiatives which we should all support such as the new obesity coalition and the new diabetes initiative modeled after the Institute for Healthcare Improvements’ Triple Aim program …..health care in the future should work toward achieving 3 goals…..a better patient perception of the care experience, lower per capita health care costs, and better actual population health results. We as doctors must take the lead in making this goal a reality, and indeed because we are the first medical society in the country to spearhead a Triple Aim program with the help of our community partners. I have a vision for this reality. The best way to achieve this is to help our patients and the community at large take control of their own health outcomes. In my own experience I know there are safe, inexpensive ways to achieve the same goals that are currently most often achieved through expensive, aggressive interventions. When I perform weight loss surgery I wonder if perhaps children were sent to school with more healthful lunches; if schools and parents encouraged the consumption of cheap but healthy foods like fruits, beans, canned fish like salmon, whole grains, popcorn, all-natural nut butters, and healthfully prepared vegetables and insisted their (CONT. ON PG. 18)
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ON CALL MAGAZINE QUARTER ONE 2012 / MEMBER SPOTLIGHT 10
MEMBER SPOTLIGHT: Mark J. Hirsh MD, FACP
PBCMS would like to introduce member Mark J. Hirsh MD, FACP; a nationally active, board-certified rheumatologist. A native Floridian, Dr. Hirsh graduated Phi Beta Kappa with his Bachelor of Science degree and medical degree from the University of Florida. After an internship at Northwestern University in Chicago, he completed residency in internal medicine at Jackson Memorial Hospital, University of Miami. He served on the faculty for one year as Chief Resident before completing his sub-specialty training in rheumatology at the University of Miami. Dr. Hirsh is the founding physician of Advanced Rheumatology Center, a three-physician, single-specialty medical practice located in Delray Beach, FL. As a board and panel member of numerous medical organizations, Dr. Hirsh remains active on a local and national level. Dr. Hirsh is dedicated to the integrity of ultrasound in medicine. He is a nationally recognized musculoskeletal ultrasound instructor involved in the education of other physicians in various specialties including orthopedics, pain management, physiatry and rheumatology. Dr. Hirsh is individually credentialed in musculoskeletal ultrasound and Advanced Rheumatology Center is the first and only Florida practice accredited in musculoskeletal ultrasound. With the use of ultrasound for diagnostic and advanced techniques like ultrasound-guided cortisone injections and ultrasound-guided PRP injections, Dr. Hirsh has helped provide relief for many people.
Note: If any members would like to be featured in future issues of On Call, please call 561-433-3940.
11
FEATURE - 2012 ANNUAL GALA / ON CALL MAGAZINE QUARTER ONE 2013
Palm Beach County Medical Society Board Members
TOP – LEFT TO RIGHT • James Byrnes, MD • William Adkins, MD • K. Andrew Larson, MD • Sumathi Raja, MD • Jack Zeltzer, MD • Ron Davis • Michael Dennis, MD • Matt Gracey • Andrew Shapiro, MD • Bottom - Right to Left BOTTOM - RIGHT TO LEFT • Ekaterina Kostioukhina • Stuart Himmelstein, MD • Judy Goodman, PA • Stephen Babic, MD • Bradley Feuer, DO, JD • Brenda Atkins
Daniel Higgins, M.D.; Mary Jo Higgins; Judy Goodman; John Goodman M.D. K. Andrew Larson, M.D. and Ivy Larson
12 ON CALL MAGAZINE QUARTER FOUR STRATEGIES 2 ON CALL MAGAZINE QUARTER ONE2012 2013/ /FEATURE FEATURE- -DIVIDEND 2012 ANNUAL GALA 12
TOP – LEFT TO RIGHT • Matt Gracey • Heather Sigel-Miller • Ekaterina Kostioukhina • Kishore Dass, MD BOTTOM – RIGHT TO LEFT • Michael Dennis, MD • Maureen Whelihan, MD • Stuart Himmelstein, MD • James Goldenberg, MD • Alan Pillersdorf, MD • Kenneth Wolner, MD
Palm Beach County Medical Society Services Board
Maureen Whelihan, MD & Alan Pillersdorf, MD
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FEATURE - DEPOSITION BOOT CAMP / ON CALL MAGAZINE QUARTER ONE 2013
DEPOSITION Frank Kucera, M.D. Introduction by: Matt Gracey By:
Doctors in Florida get sued on average about once every nine years. Some surgical specialists get sued more often, roughly once every five years. These malpractice lawsuits can last up to ten years, with the average being about two and a half years from the time a doctor receives notice of a lawsuit to the time of final resolution. Of course if a case goes through a jury trial the timeframe is much longer. That means that a doctor practicing for twenty five years in Florida will on average spend ten years fighting extremely personal and stressful lawsuits, with higher risk specialists spending even more years defending themselves. In other words up to 40% of some Florida doctors’ practice lives are spent defending themselves! This is a true affront to America’s doctors and has been called a national disgrace! Doctors train long and hard to be completely prepared to practice excellent medicine so that they can take the very best care of their patients but unfortunately they spend very little time preparing to defend their own reputations in a court of law and especially in the critical deposition stage. Usually with only a few days left before their first round of depositions and the mental and emotional stress of the drawn-out lawsuit process starting to crescendo, doctors are given some tips by their defense lawyers and then basically turned loose to suffer the scornful and often tricky verbal warfare of trained and experienced plaintiff attorneys.These sessions can be the unfolding of doctors’ worst nightmares, to say the least, particularly because doctors are not accustomed to facing such challenges so unprepared. Dr. Frank Kucera spent 38 years practicing general surgery in Delray Beach and way too much time fighting malpractice insurance claims. He not only helped his own defense team defend his reputation but assisted countless other doctors defend theirs. His wealth of knowledge on this subject is broad and his peers will gain much by taking note of his many great pearls of wisdom.
Q. How should a doctor who is being sued prepare for a deposition? A. First read every word of the hospital chart very carefully so you will know exactly what is in and what is not in the
record. Do the same for your office records. In preparation for your deposition, the average defense attorney will say "just tell the truth and answer the questions."
Actually, there is much more that you need to know. The goal of the plaintiff attorney is to get you talking too much so that you will give him information harmful to your case, and to intimidate you into settling the case. If a case goes to trial only one attorney wins but if the case is settled, both attorneys win. Your goal is to not give the plaintiff attorney anything he does not already have. What does he already have? He has a copy of the hospital record and the opinions of his expert witness. Ideally, you will add as little as you can to what he already knows. Before a plaintiff attorney decides to sue you, he obtains a copy of the hospital record and has it reviewed by his expert. Hopefully, if an attorney requests the hospital records on one of your patients, the hospital medical records clerk will so inform you. At the deposition, you will be asked your name, office address, names of partners, professional training and experience, structure of your corporation or partnership, your insurance company, your policy limits, marital status and if you have
ON CALL MAGAZINE QUARTER ONE 2013 / FEATURE - DEPOSITION BOOT CAMP
14
you protected any of your assets. If there is no way the plaintiff attorney can get at any of your assets, he will either lose interest or offer you immunity if you agree to testify against the other parties in the lawsuit. Any notes, records or papers you bring can be examined by the plaintiff attorney, copied by him, and used against you. If you bring your copy of the hospital record, be sure you have not written any notes or comments on it. Above all do not alter the hospital record in any way or make any additions. Remember, the plaintiff attorney received a copy of the hospital records before you knew you were being sued, and if your copy shows any subsequent alterations by you, you have just lost the case. Altering the hospital record is indefensible. The same advice goes for your office records. If you have made any notes on your hospital record, both attorneys will have a copy and you can use one of theirs. You will be asked if such and such textbook or medical article or person is authorative in your opinion. The correct answer is always no. If you say yes, and he can then find a statement in that text or article that disagrees with your testimony or treatment, then you have lost that point and will look bad in front of the jury. "Doctor, your partner Dr. Jones is also being sued in this case so I presume you have discussed this case with him". The correct answer is “no, I only discussed this case with my attorney". The plaintiff attorney can do nothing with this answer and cannot pursue this line of questioning further. “Doctor, what did you read and research in preparation for this deposition?" The correct answer is "nothing, I am relying on my training and my experience." That will end this line of questioning. Any texts or articles you mention can and will be used against you.
Probably the biggest mistake doctors make in a deposition is to attempt to try the case, wherein they talk much too much and give the attorney information that he will use against you. Just answer the questions; you will try the case later. Too many doctors lose their case by just talking too much at their deposition. Time does not show on a deposition. You can walk to the window, look out and think about the question. You can privately consult with your attorney and take time out for a potty break. "Doctor, I want you to comment on a hypothetical case." This is a trick question wherein a hypothetical case similar to your case will be presented and then your answers will be taken out of context. The correct answer is: “Mr. Attorney, I am here to testify on my case and do not wish to testify on any hypothetical case.” He may threaten you but you are not obligated to testify about any hypothetical case.
Keep your answers short and try not to give the attorney anything he does not already have. Dr. Frank Kucera is a Past President of the Palm Beach County Medical Society, Past President of the 5 county Independent Physician’s Association and a past chairman of the Committee on Legislation for the Florida Medical Association. Dr. Kucera has given seminars on how to do a deposition for the FMA, has served as an expert medical witness in dozens of medical malpractice cases and has reviewed dozens of alleged medical malpractice cases for FPIC and other professional liability insurance companies. Matt Gracey is President and CEO of Danna-Gracey, a boutique insurance agency specializing in professional liability insurance for doctors, with in Delray Beach, Miami, Jacksonville and Orlando. Mr. Gracey is on the board of the Palm Beach County Medical Society Services Board and is a member of the Circle of Friends of the Palm Beach County Medical Society. mailto:matt@dannagracey. com" matt@dannagracey.com or 561-276-3553
Save the Date - Thursday, May 9, 2013 Awards Ceremony 10th Annual
Heroes in Medicine Awards Luncheon Thursday, May 9, 2013 The Kravis Center, Cohen Pavilion, West Palm Beach tickets on sale now Call 561-433-3940. Honorary Hosts Dr. and Mrs. Alan Pillersdorf Grand Benefactor Rendina Companies 11:00 a.m. Reception
innovation. innovation. collaboration. collaboration. Hearts. Hope. Healing. Heroes. Salute the Heroes Among Us! innovation. partnership. partnership. For more information about Jupiter Medical Center or for a Physician Referral, call 561-263-5737 1210 S. Old Dixie Hwy., Jupiter, FL 33458 • jupitermed.com
Accreditations • National Accreditation Program for Breast Centers – First in Palm Beach and Martin counties • NICHE Hospital – Nurses Improving Care for Healthsystem Elders • American Academy of Sleep Medicine – Only Accredited Hospital-Based Facility in Palm Beach and Martin counties • Commission on Cancer – Among 25% of National Hospitals Accredited with Commendation as a Comprehensive Community Cancer Program • The American Society for Metabolic and Bariatric Surgery • CT Imaging “Image Gently” Distinction by the American College of Radiology • STAR™ Oncology Rehabilitation Program – First Program in Florida • Breast Imaging Center of Excellence by the American College of Radiology
12:00 Noon Luncheon
6/15/11 12:49 PM
Heroes are people who put others before themselves. They embrace the opportunity to help others and are willing to work far beyond expectations to make a difference in the world without seeking the spotlight. Now it’s time to shine on them!
jupiter Medical Center is proud of our accomplishments and designations. Thank you to our physicians, team members, and volunteers who come together every day to bring you world-class healthcare, close to home.
That’s what it takes to make a world-class Medical Center, and at Jupiter Medical Center, that’s exactly what we’ve got. We make it a top priority to innovate, collaborate and partner with our physicians to bring you the latest in clinical technology and services to exceed your expectations. Through mutual respect and understanding with our highly-educated and trained physicians, we offer world-class healthcare, close to home. And, we have the awards, quality outcomes and accreditations to prove it.
hat’s what it takes to make a world-class Medical Center, andand at Jupiter Medical Center, that’s exactly what we’ve hat’s what it takes to make a world-class Medical Center, at Jupiter Medical Center, that’s exactly what we’ve got.got. WeWe make it a top priority to innovate, collaborate and partner with our physicians to bring you the latest in make it a top priority to innovate, collaborate and partner with our physicians to bring you the latest in clinical technology andand services to exceed your expectations. Through mutual respect andand understanding with ourour clinical technology services to exceed your expectations. Through mutual respect understanding with highly-educated andand trained physicians, wewe offer world-class healthcare, close to home. And, wewe have thethe awards, highly-educated trained physicians, offer world-class healthcare, close to home. And, have awards, hat’s quality outcomes andand accreditations to prove it. it.what it takes to make a world-class Medical Center, and at Jupiter Medical Center, that’s exactly what we’ve quality outcomes accreditations to prove
Recognized for Cancer, Ear, Nose & Throat, Gynecology, Kidney Disorders, and Neurology & Neurosurgery
*59 of JMC’s physicians were listed as “Top Doctors” by Castle Connolly Medical Ltd.
Awards & Recognitions • Recognized as one of the Best Regional Hospitals (Top Quartile in South Florida) by U.S. News & World Report • Laureate Award for Workplace Enhancement – One of Four Hospitals Nationally Ranked As “Best Places To Work” by The Jackson Group • Many of America’s Top Doctors* practice at JMC
Neurology & Neurosurgery
Quality Outcomes • Among Top 10% in Palm Beach County in Likelihood to Recommend and Overall Patient Satisfaction by CMS • Top 10% of Hospitals Nationally Ranked in Likelihood to Recommend by Healthstream Research • Top Rated for Quality Outcomes: Top 10% for Overall Medical Care and Top 25% for Overall Hospital Care and Overall Surgical Care Among the Nation’s Hospitals by The Delta Group • Better Than National Average for Infection Rates, Reported by the CDC’s National Healthcare Safety Network
got. We make it a top priority to innovate, collaborate and partner with our physicians to bring you the latest in clinical technology and services to exceed your expectations. Through mutual respect and understanding with our Accreditations Accreditations highly-educated and trained physicians, we offer world-class healthcare, close to home. And, we have the awards, Accreditation Program qualitywhat outcomes That’s what it takes to make a world-class Medical Center, and at Jupiter Medical Center, that’s exactly we’ve and accreditations to prove it.• National • National Accreditation Program forfor Breast Centers – First in Palm got. We make it a top priority to innovate, collaborate and partner with our physicians to bring you the latest in Breast Centers – First in Palm Accreditations clinical technology and services to exceed your expectations. Through mutual respect and understanding with our Beach andand Martin counties Beach Martin counties • National Accreditation Program highly-educated and trained physicians, we offer world-class healthcare, close to home. And, we have the awards, • NICHE Hospital – Nurses • NICHE Hospital – Nurses for Breast Centers – First in Palm quality outcomes and accreditations to prove it. Improving Care for Healthsystem Beach and Martin counties Improving Care for Healthsystem Accreditations Elders • NICHE Hospital – Nurses Elders Awards && Quality Outcomes Improving Care for Healthsystem • American Academy of Sleep • National Accreditation Program Awards Quality Outcomes • American Academy of Sleep Recognitions – First in Palm Medicine – Only AccreditedElders • Among Top 10% in Palm Beach Quality Recognitions for Breast Centers Awards & Outcomes Medicine – Only Accredited • Among • American Academy of Sleep and Martin countiesTop 10% in Palm Beach Hospital-Based Facility in Palm • Recognized as one of the Best• Beach County in Likelihood to Recognitions • Among Top 10% in Palm Beach Hospital-Based Facility inMedicine Palm – Only Accredited NICHE Hospital – Nursesin Likelihood to • Recognized as one of the Best County Beach and Martin counties Regional Hospitals (Top Quartile Recommend Overall Hospital-Based Facility in Palm • Recognized asand oneand of the BestPatient inBeach Likelihood Improving Care for Healthsystem andtoMartin counties Regional Hospitals (Top Quartile Recommend Overall PatientCounty • Commission onPatient Cancer – Amongand Martin counties in South Florida) by U.S. News Satisfaction by CMS Regional Hospitals (Top Quartile Recommend and Overall Elders • Commission on Cancer –Beach Among in South Florida) by U.S. News Satisfaction bybyCMS Awards & Quality Outcomes in South Florida) U.S.Nationally News Satisfaction • American Academy of Sleep 25%by ofCMS National Hospitals • Commission on Cancer – Among & World Report • Top 10% of Hospitals 25% of National Hospitals25% of National Hospitals & World Report • Top 10% of Hospitals Nationally Recognitions & World Report • Top 10% of Hospitals Nationally Medicine – Only Accredited • Among Top 10% in Palm Beach Accredited with Commendation as • Laureate Award for Workplace Ranked in Likelihood to Accreditedaswith Commendation as Award for Workplace Ranked inAccredited Likelihood towith Commendation Ranked in Likelihood to Hospital-Based• Laureate Facility inAward Palm • Recognized as one of the Best County• Laureate in Likelihood to for Workplace a Comprehensive Community Enhancement – One of Four Recommend by Healthstream a Comprehensive Community Enhancement of Four Recommend by Healthstream Community Beach and Martin counties – One a Comprehensive Regional Hospitals (Top Quartile Recommend and Overall Patient Enhancement – One of Four Recommend by Healthstream Cancer Program Hospitals Nationally Ranked• Commission As Research Cancer Program Research onHospitals Cancer –Nationally Among Ranked As in South Florida) by U.S. News Satisfaction by CMS Cancer Program Hospitals Nationally Ranked As Research • The American Society for Metabolic • TheforAmerican Society for Metabolic “Best Placesfor ToQuality Work” byOutcomes: The • Top Rated Quality Outcomes: “Bestof Places ToNationally Work” by The 25% of National Hospitals • Top Rated & World Report • Top 10% Hospitals • The American Society for Metabolic “Best Places To Work” by The • Top Rated for Quality Outcomes: and Bariatric Surgery Jackson for Bariatric Overall Medical Care Accredited with Commendation as Medical Care Top 10%and • Laureate Award for Workplace Ranked in Likelihood Surgery Jackson Groupto Top 10% Group for Overall and Surgery • CT Imaging “Image Gently” Jackson Group Top 10% for Overall Medical Careand Top • Many of America’s Top Doctors* 25% forBariatric Overall Hospital a Comprehensive Community Enhancement – One of Four Recommend by Healthstream • CT Imaging “Image Gently” • Many of America’s Top Doctors* and Top 25% for Overall Hospital Distinction by the American at JMC •Overall CT Imaging “Image Gently” Surgical Care Cancer Programpractice • Many of America’s Top Doctors* and Top 25% for Overall HospitalCare and Hospitals Nationally Ranked As Research Distinction by the American practice at JMCOutcomes: Care Surgical College of Radiology theDistinction Nation’s Hospitals *59 ofand JMC’s physicians wereSurgical listed as Care • The American Society forOverall Metabolic “Best Places To Work” by The • Top Rated for Quality by thebyAmerican practice at JMC Care and Overall Care AmongCollege • STAR™ Oncology Rehabilitation thebyNation’s Hospitals by The Delta College “Top Doctors” Castle Connolly Medical Ltd. *59 offorJMC’s physicians were listed as and BariatricAmong Groupof Radiology Surgery Jackson Group Top 10% Overall Medical Care of Radiology Among the Nation’s Hospitals by *59 of JMC’s physicians were listed as Program – First Program in Florida • Better• Than National AverageRehabilitation for STAR™ Oncology • CT Imaging “Image Gently” “Top25% Doctors” by Castle Connolly Medical Ltd. • Many of America’s Top Doctors* and Top for Overall Hospital The Delta Group for Cancer, •Rates, STAR™ Oncology Doctors” by Castle Connolly Medical Ltd. by the The Delta Recognized Group Imaging Center of Excellence Reported the Rehabilitation Distinction practice at JMC Care and“Top Overall Surgical Care Ear, Nose & Throat, Program – FirstbyProgram in• Breast Florida • BetterAmerican Than National Average for Infection Program – First Programby inthe Florida American College of Recognizedbyfor Cancer, • Better Than National Average forCDC’s• Breast National Healthcare Gynecology, Kidney College of Radiology Among the Nation’s Hospitals *59 of JMC’s physicians were listed as Imaging Center of Excellence Recognized for Cancer, Infection Rates, Reported by the Disorders, and Nose & Throat,• STAR™ Oncology Rehabilitation “Top Doctors” by Castle Connolly Medical Ltd. • Breast Imaging Center of Radiology Excellence The Delta Group Ear,Ear, Infection Rates, Reported by the Safety Network NoseKidney & Throat, Neurology & Neurosurgery by the American College of CDC’s National Healthcare Program – First Program in Florida • Better Than NationalGynecology, Average for Kidney by the American College of CDC’s National Healthcare Gynecology, Recognized for Cancer, Disorders, Radiology Safety Network Center of Excellence Infection Rates, Reported by theandand • Breast Imaging Ear, Nose & Throat, Disorders, Radiology Safety Network Neurology & Neurosurgery jupiter Medical by the American College of Center is proud of our accomplishments and designations. Thank you to our physicians, team CDC’s National Healthcare Gynecology, Kidney Neurology & Neurosurgery Disorders, and members, and volunteers who come together every day to bring you world-class healthcare, close to home. Radiology Safety Network
jupiter Center is proud of our accomplishments and designations. Thank you to our physicians, team jupiterMedical Medical Center is proud of our accomplishments and designations. Thank you to our physicians, team
members, and anddesignations. volunteersThank who you come together every day to bring world-class about healthcare, close toCenter home. jupiter Medical Center is proud of our accomplishments to our physicians, team Foryou more Jupiter Medical or for a Physician Referral, call 561-263-5737 members, and volunteers who come together every day to bring youinformation world-class healthcare, close to home.
members, and volunteers who come together every day to bring you world-class healthcare, close to home.
1210 S. Old Dixie Hwy., Jupiter, FL 33458 • jupitermed.com
For more information about Jupiter Medical Center or for a Physician Referral, call 561-263-5737
For more information about Jupiter Medical Center orFor for amore Physician Referral, callabout 561-263-5737 information Jupiter Medical Center or for a Physician Referral, call 561-263-5737 1210 S. Old Dixie Hwy., Jupiter, FL 33458 • jupitermed.com 1210 S. Old Dixie Hwy., Jupiter, JMC6611-innovation-oncall.indd FL 33458 • jupitermed.com 1 1210 S. Old Dixie Hwy., Jupiter, FL 33458 • jupitermed.com
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6/15/11 12:49 PM
ON CALL MAGAZINE QUARTER ONE 2013 / REVENUE CYCLE MANAGEMENT
16
Revenue Cycle Management A Key Step In Running A Successful Medical Practice The Palm Beach County Medical Society (PBCMS) is proud to announce that they have launched a new initiative with Health Prime International (HPI) to offer a wide array of medical practice management services to help practices increase revenue, reduce expense and improve the quality of patient care they provide. The new initiative, Palm Beach County Medical Society Practice Management Services, is available to all physicians so that their practice runs smoothly for all patients, staff and physicians. A key factor towards running a successful practice is an efficient Revenue Cycle Management process that focuses on preventing issues that result in delayed revenue, or loss of revenue. Our comprehensive revenue cycle management solution enables practices to manage their workflow every step of the way - from the time an appointment is created all the way through receipt of payment.
appropriate diagnosis and procedure codes before charges are entered, allowing us to submit accurate and error free claims. All charges and payments are posted within 24 hours of receipt. Unpaid claims are systematically followed up, denied claims are appealed when applicable, and underpaid claims are quickly addressed and resolved. We also manage your patient balances, including mailing out patient statements, setting up approved payment plans, and handling incoming billing questions. This allows your staff to focus on point of service care, rather than insurance company paperwork.
Our Revenue Cycle Management process gives you access to realtime reports that will empower your current decision makers and assist in appropriate strategic planning. Daily, monthly and annual management reports will help you monitor, manage and optimize the performance of your practice. Our set of Key Performance Indicator Appointment confirmation Reports will keep you informed on practice Correct patient demographic information management, billing Insurance verification and eligibility and collections, and staff communications. Accurate co-pay collection
We start from the beginning by working with a significant component of your practice: The Front Office. We train and support your front office staff in crucial areas which will result in fewer claim denials and shorter accounts receivable cycles:
• • • •
Our main priority is making sure that these steps are performed properly, as they will allow physicians and staff to dedicate more time to patient care. We leave no loose ends. Our experienced staff members verify
By holding regular status meetings with your staff, we will answer all of your questions, monitor your practice’s overall performance, and offer our perspective and insight into opportunities for improvement. Our workflow based system will present you with revenue optimization alternatives
and cost reduction strategies. Health Prime International (HPI), the backbone behind PBCMS Practice Management Services, is a physician owned and managed company that was founded by a group of professionals looking to help physicians focus on providing the highest quality patient care while maintaining an efficient practice. Their goal has always been to empower physicians to spend more time with each patient and less time attending to paperwork, administrative responsibilities and business operations. HPI’s proprietary set of tools and resources allow for process improvements that have proven to make each area of physician practices run effectively and efficiently. Through the Management Services Organization, HPI will build a long lasting relationship with each practice to make sure you succeed and achieve your goals. Your success is our success.
To learn more, please be sure to visit our website at http:// www.hpiinc.com Virginia Martini MBA Director – MSO Business Development Vipul Shah VP, Marketing Health Prime International, Inc.
EffEctivEly managing your rEvEnuE cyclE is thE kEy to opErating a hEalthy practicE. With Cash Flow Options from PNC and a dedicated Healthcare Business Banking team, we can help you take advantage of everyday untapped opportunities. Like helping ensure access to credit. So you can be prepared for cash shortfalls. Or accelerate receivables to effectively manage how you receive and direct incoming payments. For uncovering opportunities to help improve your revenue cycle and to learn more about PNC Advantage for Healthcare Professionals, visit pnc.com/cfo, stop by a branch or call 1-855-PNC-4HCP. SM
for the achiever in you
AccelerAte receivAbles improve pAyment prActices invest excess cAsh leverAge online technology ensure Access to credit
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All loans are subject to credit approval and may require automatic payment deduction from a PNC Bank Business Checking account. Origination and/or other fees may apply. PNC is a registered mark of The PNC Financial Services Group, Inc. (“PNC”). Cash Flow Options is a service mark of The PNC Financial Services Group, Inc. © 2012 The PNC Financial Services Group, Inc. All rights reserved. PNC Bank, National Association. member fDic
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ON CALL MAGAZINE QUARTER FOUR 2012 / PRESIDENT'S REPORT / NEWS
children developed a t a s t e for these foods; if governments and doctors stood up to powerful interests that place unhealthy foods in school cafeterias and allow soft drink companies to sponsor TV shows and sporting events when these foods and beverages are now causing more deaths than tobacco products; if physical education once again became an important part of the school-age curriculum and if; worst of all, our legislatures stopped subsidizing the production of processed corn and soybean based junk food as a handout to wealthy agricultural interests, artificially making more healthful foods relatively more expensive..…I wonder how much money could be saved down the road. More surgery is not the ultimate answer to our country’s health and obesity epidemic. I know firsthand patient directed, doctor guided lifestyle interventions can save money and save lives. My own wife, Ivy, the American College of Sports Medicine Certified Health Fitness Specialist was diagnosed with MS at the University of Miami 14 years ago. Our first best-selling book the Gold Coast Cure introduced an anti-inflammatory diet that has worked to keep her condition in remission ever since. I knew the diet would work because I took the time to research it…..if you have a supportive doctor and a motivated patient, one who is involved in their own health you can’t lose! Based on the costs that would have been associated with 14 years (PRESIDENT'S REPORT- CONT.)
18
of MS medication and annual MRI’s alone we have saved the medical system over $250 thousand dollars. My wife and I have lived Triple Aim…..better patient perception of their care, lower costs, and better health outcomes. Nutrition and lifestyle based interventions should become the cornerstone of all of our medical practices and we as members of the Palm Beach County Medical Society should educate ourselves better on this subject and support efforts politically to this end. I want to make Palm Beach County a better place for doctors to work and as president will fight hard to that end but in the long run there is a bigger goal….. the good health and the ultimate economic future of our nation. To this goal the medical society will continue to support grand initiatives like the Future of Medicine conference and the Triple Aim project. I look forward to continuing in this direction in 2013. We have an excellent group of professionals on the 2013 PBCMS Board of Directors. And new 2013 Board of Trustees will be challenged with the development of a leadership academy and building improvements.
I look forward to working with everyone in 2013 and I thank you for entrusting me with your leadership.
Med SocietyNews PALM BEACH COUNTY MEDICAL SOCIETY WELCOMES NEW MEMBERS: FEBRUARY 2013 Vincent Apicella,DO Wellington, FL. Specialty: Family Medicine Ira Braunschweig, MD Atlantis, FL Specialty: Radiology Samuel Falzone, MD Specialty: Ob/Gyn Yvonne Moreno, MD Atlantis, FL Specialty: Radiology Bruce Phillips, MD Specialty: Radiation Oncology
Sepalika Wasanthalal, MD Specialty: Nephrology William Whetsell, MD Specialty: Radiology Robert L. Mellman, MD Specialty: Gastroenterology Nicole Harvilla - FAU Medical Student
Building Stronger Communities Together Patricia C. Corbett and Morgan Stanley Smith Barney is proud to support the Palm Beach County Medical Society Patricia Corbett, CFPÂŽ Vice President Financial Advisor 595 S. Federal Highway, 4th Floor Boca Raton, FL 33432 561-393-1535 patricia.c.corbett@mssb.com www.fa.smithbarney.com/pattycorbett
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Central Palm Beach County’s Premier Medical Office Building • New local ownership and management • $2 million of renovations completed • 153,000 square feet with magnificent views • On-site pharmacy, imaging, and surgery center • Complimentary valet and covered parking NOW LEASING 1411 North Flagler Drive West Palm Beach 561.687.5800 awproperty.com
Gardens Medical Pavilion Located at the entrance to The Gardens Mall
Northern Palm Beach County’s Premier Medical Office Building • $1.1 million of renovations completed • 75,000 square feet with high visibility • On-site pharmacy and lab • Abundant covered and surface parking • 3 miles to Palm Beach Gardens Medical Center NOW LEASING 3401 PGA Boulevard Palm Beach Gardens 561.687.5800 awproperty.com
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ARTICLE - MED MEMO / ON CALL MAGAZINE QUARTER ONE 2013
Med memo SAVE THE DATE April 25,2013 PBCMS General membership Meeting: Payment Reform, AMA Private Sector Advocacy, Airport Hilton May 9, 2013 10th Annual Heroes in Medicine, Kravis Center Cohen Pavilion
Quarter One 2013
CALL FOR VOLUNTEERS PBCMS Board of Directors is seeking volunteers for the following Councils: • • • •
Advocacy and Legislation Members Services Administration and Finance Communications and Technology
•
Medical Education
Contact tennaw@pbcms.org for additional information EDUCATIONAL OPPORTUNITIES PBCMS and Palm Beach Medical Group Management Association are proud to announce we are collaborating to offer our members, practice administrators and staff an exciting line up of informative topics and knowledgeable speakers. With today’s ever changing health care environment it’s crucial that to stay informed and network with your colleagues. Programs are on the first Wednesday of each month at various locations throughout the county from 11:30am to 1pm with the exception of January. For more information visit www.pbcms.or
IN MEMORIAM pbcms mourns the passing of
Adil Sokmensuer, MD Hyman Roberts, MD and
Richard Van Eldick, MD
CONGRATULATIONS 2013 HEROES IN MEDICINE Bruce Rendina Professional Hero Kimberly LaRue Clare O’Keeffe Kelly Conroy Kerry Diaz
Community Outreach Hero Ronda Ayala Jay Feinberg Jupiter Volunteer Clinic Brian Fuller DeAnna Warren
Healthcare Innovation Hero Gaetano Scuderi, M.D. Daniel Cane and Michael Sherling, M.D. W. Anthony Lee, M.D.
Student Hero Jennifer Rose Jordan Camp Lisa Oliveri & Saima Siddiqui Paul Coulson Yasmeen Scuderi Alexander Kasmere
Healthcare Educator Hero Ari Robinson Diane Esposito Michael Dennis, M.D. Nickerson Geneve, D.O. Stephanie B. Stiepleman Healthcare Provider Hero Darci McNally Eugenia Millender Kathi Voege-Harvey Mary Ellen Koehler Mary Prokop Wilda Patterson-Julias
Physician (Local / National) Brent M. Schillinger, M.D. Phillip Colaizzo, M.D. Ronald L. Cohen, M.D. Kishore K. Dass, M.D. Howard Goldman, M.D. Lauren Rosecan, M.D. Physician (International) Argentina Brito, M.D. Frank Cirisano, M.D. Drior Paley, M.D.
Follow Us!
For the latest news & information on PBCMS ON CALL ADVERTISING RATES On Call is published quarterly, and advertising rates and deadlines can be found at: http://www.pbcms.org/advertise
ON CALL MAGAZINE QUARTER ONE 2013 / ARTICLE - MED MEMO 22
THE STATE OF MEDICINE 2013
Navigate Change: Moving Forward with Purpose
Tenna Wiles, U.S. Representative Lois Frankel and K. Andrew Larson, M.D. at AMA Advocacy Conference in Washington DC
Maxine Sonnenschein, Vincent Apicella DO and Nicola Chung , Project Access Program Director
Scott Good and Jose Arrascue, M.D. meet with Bellin Health staff at Institue of Health Care Improvement Triple Aim Conference in Chicago.
James T Howell MD, Daniel Higgins MD and Michael Dennis MD at January Membership Dinner Meeting
Vincent DeGennaro MD, President of Florida Medical Association and Andrew Larson President PBCMS at January Dinner Meeting
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