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Health System Reform Key Issues

2009 Ola Pono Ike Sponsor




	Medicaid Provider Survey Attention Hawaii Physicians: Please take a few moments to complete this short survey to help HMA assess Medicaid plan performance in Hawaii. We will share our findings with the appropriate state agencies this August (reports will be kept anonymous). Be sure to click “done” at the bottom of the survey when completed. Contact HMA for a print version of the survey. Mahalo for your time and assistance! Health Care Advocacy: HMA is leading the way on many important issues that will have a profound impact on the practice of medicine in Hawaii. In these trying times, physicians need to actively defend their patients and their practices. Your membership dues are critical to our advocacy efforts and will be put to good use. If you have not yet joined or renewed your 2009 membership, you can pay HMA, AMA, and HAMPAC dues online or call 536-7702, toll-free (888) 536-2792. Contact HMA for details. Thank you for your participation with organized medicine in Hawaii.




	Red Flags / RACs Red Flags Rule: The FTC has asserted that physicians who regularly bill patients are considered creditors and must implement written identity theft prevention and detection programs by August 1, 2009 (delayed from May 1). The AMA and HMA disagree with this interpretation, and the AMA continues their efforts to explain why the Rule does not apply to physicians. In the interim, for guidance on complying go to: www.ama-assn.org/ama/no-index/physician-resources/red-flags-rule.shtml. RACs: Medicare fee-for-service providers may be eligible for recovery audits. The Recovery Audit Contractor (RAC) for Hawaii is HealthDataInsights (HDI). For more information go to www.cms.hhs.gov/RAC or email CMS. To contact HDI go to www.racinfo.c om, email racinfo@emailhdi.com, or call: Part A/Hospice - (866) 590-5598 & Part B/DME - (866) 376-2319. Download presentations from HMA's recent RAC seminar for details: CMS HDI For more issues that affect your practice, visit HMA's Physician Resources page.




	Ola Pono Ike Medical Gala HMA's 2009 Ola Pono Ike medical gala & fundraiser, co-presented by Honolulu County Medical Society, is scheduled for Saturday, October 17, 5:30 pm at the Hyatt Regency Waikiki. Tickets are now available at our online store. Visit our event calendar for details. We look forward to seeing you there! Thank You & Congratulations Mahalo nui loa to all the guests, awardees, and participants at HMA's 2008 Ola Pono Ike medical gala. Your generosity helps support access to quality health care in Hawaii. For the list of 2008 awardees read the event press release. Mahalo to our 2009 Ola Pono Ike Sponsors: Physicians Exchange of Honolulu, Inc. Allscripts Hale Pāwa‘a: A Professional Services Building University Health Alliance (UHA)




	BCBS Settlement Term Update The Compliance Dispute Program of the Blue Cross Blue Shield Association Settlement Agreement is underway. Physicians (who did not opt out of the settlement) who believe that any of the settling Blues plans (including HMSA) have violated the Agreement may file Compliance Disputes. HMA will report systemic issues and settlement term violations to the Compliance Facilitator on behalf of its members. For more information, go to HMA's BCBS Settlement Info Page or visit hmosettlements.com for dispute forms. HMA Members may report violations to HMA: April Donahue, Executive Director, Phone: (808) 536-7702 Please Note: Disputes must be brought within 90 days after the issue first arose or could reasonably have been known (whichever is later). However, as the compliance process has been held until September 2008, some execptions may apply. For a complete list of the provision start dates, refer to hmosettlements.com.