Legal Opinion and Billing for Rescue Services

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					   MEDICAL SOCIETY OF THE STATE OF NEW YORK                                                                                                                                                                            HIT
                                                                                                                                                                                                               and Your
   NEWS OF NEW YORK                                                                                                                                                                                             Office
                                                                                                                                                                                                                     Page 3
Volume 61 • Number 11 • www.mssny.org                                                                   Providing Information to Assist Physicians in the State of New York                                                   December 2006

                                                                                                                     Lame Duck Session Fails to Address Medicare Cut;
 Personal Healthcare Spending                                                                                                 One More Shot in December
      NEW YORK STATE                                                                                          The first post-election “lame duck” session of Congress           ventive care, but be reduced for non-E&M services.
                                                                                                           came and went without Congress taking action to prevent the          Accounting for all these factors, the American Medical
                                                              Nonprescription Drugs                        looming Medicare payment cuts to physicians, which will              Association has indicated that 43% of physicians in New
                Vision, Other Durables                             1.5%                                    decrease payments by an average of 5% in 2007, unless                York State will face payment cuts from 6% to 15% if
                            1.3%
                                                                     Dental Services                       Congress intervenes to prevent the cut. Congress will be             Congress does not act, and 86% of New York physicians will
                                                                           Home Care                       back in session starting Monday, December 4 to pass anoth-           face at least a 1% cut. On a specialty-by-specialty basis, radi-
                                                                  4.3%                                     er federal budget extender bill. The cuts are the result of the      ologists face cuts of between 12-14%, anesthesiologists
                                                                                     Other Personal
                                                                     4.7%                 Care             flawed SGR formula, but also the result of other factors,            12%; vascular surgeons 11%; neurosurgeons 8%; ophthal-
                                                                                                           including the five-year review of the relative value scale and       mologists 8%; cardiologists 7%; and general surgeons 6%.
                                                                            5.7%
                                                                                                           implementation of the imaging cuts contained within the                MSSNY has done multiple urgent alerts to its members
 Hospital                   36.2%                                                           Nursing
                                                                                                           Deficit Reduction Act of 2005. Payments will increase for            asking that they make repeated calls to their Congressional
  Care
                                                                             10.4%
                                                                                             Home          most "evaluation and management" services, such as pre-                                                   (Continued on page 14)


                                                                                                                      Aetna Will Stop Recovering Alleged Overpayments
                                                                          12.3%                                 MSSNY has received a written             representatives to resolve the issue.        the complaining health plan was not
                                                                                                             communication from Aetna confirm-           MSSNY President Richard Peer, MD,            disclosed to MSSNY), on March 21,
                                                  23.7%
                                                                                     Prescription            ing that Aetna will stop its efforts to     congratulated Aetna for its decision         2006 the General Counsel of the New
                                                                                        Drugs
                                                                                                             recover the alleged overpayments            not to pursue the monetary recovery          York State Department of Health
                                                                                                             stemming from payments for facility         demands.                                     (DOH) issued GC Opinion 06-01
                                      Physicians/Other                                                       charges for office-based surgeries.                   BACKGROUND                         “Billing for Services Performed in
                                    Professional Services                                                    MSSNY has worked with numerous                                                           Physicians’ Offices.” The legal opin-
            Total does not equal 100% because of rounding                                                    attorneys who represented the physi-        The Department of Health                     ion stated that certain billing practices
                                                                                                             cians that were the subject of Aetna’s      General Counsel Opinion                      of physicians in charging facility fees
      UNITED STATES                                                                                          monetary recovery demand, and                 Based upon complaints from a               for office-based surgeries were legally
                                                              Nonprescription Drugs                          MSSNY facilitated meetings between          health plan to the New York State            questionable and possibly raised issues
             Vision, Other Durables
                                                                    2.1%                                     the physicians’ attorneys and Aetna         Department of Health (the identity of                       (Continued on page 6)
                          1.5%
                                                                     Dental Services
                                                                            Home Care
                                                                   5.2%            Other Personal
                                                                                        Care
                                                                                                               9/11 Workers/Volunteers                                                    Front Door Reminder
                                                                          2.8%
                                                                             3.4%                              Must Register within Year                                              At Bethlehem Family Practice!
                                                                                          Nursing
                                                                                           Home                Thanks to a new law, most people who performed res-
 Hospital                                                                         7.4%
  Care
                                                                                                             cue, recovery or cleanup work after the collapse of the
                          36.6%
                                                                                                             World Trade Center are now eligible to register with the                                               The Bethlehem Family
                                                                                                             New York State Workers’ Compensation Board. If some-                                                   Practice in Slingerlands,
                                                                                                             one who is registered develops a 9/11-related illness at                                               sure knows how to get the
                                                                             12.1%                                                                                                                                  word out about how cuts in
                                                                                                             any time in the future, he or she will be eligible to file a
                                                                                                                                                                                                                    the Medicare sustainable
                                                                                         Prescription        workers’ compensation claim. Failure to register by                                                    growth rate will hurt health-
                                                                                            Drugs            August 14, 2007 will make it impossible to file a claim,                                               care for seniors and every-
                                                            29%                                              even if the worker develops a 9/11-related illness.                                                    body else!
                                                                                                               The importance of the new law was underlined in
                                                                                                                                             (Continued on page 15)
                                        Physicians/Other
                                      Professional Services
            Total does not equal 100% because of rounding                                                           Aetna’s Payment Policy for Modifier-57 for E&M Visits
 Between 1994 and 2004, spending by New Yorkers                                                                 Aetna has reached an agreement           Aetna decided to change its policy and       Online Information Available
 rose 84%, compared with a 92% rise nationally.                                                              with state medical societies, including     began paying these claims effective          December 2006
                                                                                                             the Medical Society of the State of         February 12, 2006.                              We will post key information,
 In that period, the share that New Yorkers spent                                                            New York (MSSNY), to pay resubmit-                                                       including detailed instructions and
 on hospital care fell 6.1%, while the share for                                                             ted claims for E&M visits billed with a     When May Claims be                           forms that are required to ensure
 prescription drugs rose 6.3%.                                                                               Modifier-57 (indicating that the deci-      Resubmitted?                                 timely and accurate processing of the
                                                                                                             sion for surgery was made during the           The resubmission period will begin        resubmitted    claims,     on     the
 The full report was released by the NYS Conference                                                          visit), for dates of service from January   on January 1, 2007 and will extend           MSSNY website at www.mssny.org.
 of Blue Cross and Blue Shield Plans from data                                                               1, 2005 through February 11, 2006.          through April 30, 2007. Please do not        Information and forms will also be
                                                                                                             After seeking input from medical soci-      resubmit these claims prior to January       posted on www.aetna.com in
 compiled by CMS.                                                                                            eties, including MSSNY and the inde-        1, 2007. They will be rejected as            December.
                                                                            Source: Crain’s New York         pendent Physician Advisory Board,           duplicate claims.



                                                                                                              INSIDE NEWS
                                                                                                              November 2 Council President Dick Peer N.J. doctors file suit What does Medicare Q and A answers
                                                                                                              meeting passes reso- on preparing for dis- v. Aetna re fee                     consider a consulta- Excellus' compliance
                                                                                                              lutions.............page 2 aster................page 4 schedule.........page 4 tion?................page 5 issues...........page 13
                                                       MSSNY Council Approved Resolutions and
                                                    Considered Topical Health Issues at Nov 2 Meeting
                                                    At its November 2 meeting, MSSNY’s Council heard numerous presentations on pertinent
                                                   healthcare issues and took the following actions:
                                                    • Approved MSSNY’s 2007 Legislative Program.
                                                    • Approved resolutions to have MSSNY monitor the implementation of retail clinics to assure
                                                      compliance with all appropriate laws and regulations.
                                                    • Approved a resolution to have MSSNY ask the State Insurance Department (SID) and the
                                                      DOH commissioner to investigate whether there are adverse health consequences for patients
                                                      as a result of MCOs’ removing the ability of physicians to refer a patient to the imaging
                                                      center of their choice.
                                                    • Agreed that the New York Society of Addiction Medicine should be granted voting member-
                                                      ship on MSSNY’s Interspecialty Committee. The criteria for membership will not be
                                                      considered until further review by the committee.
                                                    • Approved a new fee schedule for services rendered to education providers by MSSNY’s
                                                      Committee on Continuing Medical Education.
                                                    • Granted MSSNY’s Executive Vice President, Rick Abrams, and a subcommitee to evaluate a
                                                      Free Membership Pilot Project; develop a business plan, and consider the possible benefit or
                                                      consequence to MSSNY. The staff was charged to solicit the cooperation of three counties—
                                                      one downstate and two upstate.
                                                      As part of his President’s Report, Dr. Richard Peer showed an October 27, WNBC news clip
                                                   that showed how MSSNY physicians are persuading their patients to join MSSNY’s lobbying
                                                   campaign for medical liability reform. He also reported on MSSNY’s recent victories in nego-
                                                   tiations with Aetna, Excellus and Empire, as well as MSSNY’s success in lobbying for a voice
                                                   in helping to set policy for the GHI/HIP merger. He pointed out that MSSNY is working with
                                                   HANYS and GNYHA on many joint agendas.



                                                       Medical Directory: 2007 – 2008 Print Edition
                                                          As you are aware, the MSSNY Medical Directory is available online and can be accessed
                                                       by all physician members on the MSSNY website at www.mssny.org. MSSNY is in the
                                                       process of publishing a limited number of print copies. If you wish to receive the 2007-
                                                       2008 issue of the Medical Directory in hard copy, please submit a written request to the
                                                       Information Services Department. You can do this by mail, fax or email. (Mail: MSSNY,
                                                       Att IS Dept, 420 Lakeville Road, Lake Success, NY, 11042; Fax: 516-326-9708; Email:
                                                       directory@mssny.org). Please note: if you requested a hard copy of the last edition, you
                                                       will need to submit another written request for the new book. If you have any questions,
                                                       please contact Annette Dobson at 516-488-6100 X369. All written requests must be in no
                                                       later than January 15, 2007.




Page 2 — MSSNY’s News Of New York— December 2006
                                  Grant Enables MSSNY to Help Drs. to Convert to HIT
                                                                       and Director, Rick Abrams; and MSSNY staff Gerald Conway,                CME Dinner Programs and Grand Rounds
                                                                       Esq. and Liz Dears-Kent, Esq. Faculty for MSSNY’s subse-                    MSSNY sponsored its first two-hour, dinner seminar, titled

A    s previously announced, the Medical Society of the State
     of New York (MSSNY) has received a grant from the New
York State Department of Health (NYSDOH), totaling $6 mil-
                                                                       quent dinner seminars and grand rounds also gave presentations.
                                                                       They included Zebulon Taintor, MD; Alan Silver, MD; Salvatore
                                                                       Volpe, MD, and Alice Loveys, MD.
                                                                                                                                                “EHR Adoption – Solo and Small Physician Practice,” hosted by
                                                                                                                                                the Westchester County Medical Society, in Pleasantville on
                                                                                                                                                October 26. MSSNY intends to hold at least 28 additional dinner
lion, to promote the adoption of health information technology           Additional HIT vendor fairs in other parts of the state are            seminars for physicians and practice managers around the state
(HIT) by physicians who treat patients in solo or small group-         being planned. The next one will be in the Long Island region.           throughout the end of this year and into spring of 2007.
practices.                                                             MSSNY will inform the physician community as soon as exact               Physicians who attend this seminar can earn up to 2 hours of
   The ultimate goal is to transform New York State’s paper-           dates, places and details are finalized.                                 Category 1 CME credit. Much more importantly, they are intro-
based system of record keeping, prescribing and transferring                                                                                    duced to essential information that helps answer the following
patient information to an interoperative, interconnected system                            THIS                          THIS                   questions:
                                                                                                          OR
that generates cost efficiencies while reducing medical errors                         PAPER OFFICE                    EHR OFFICE                  • What challenges presented by our current healthcare system
and enhancing medical outcomes. The NYSDOH has asked                                                                                                 have become driving forces for HIT?
MSSNY to participate in this process by helping physicians in                                                                                      • What is the architecture for change?
small and solo practices learn more about HIT and by helping                                                                                       • Why bring HIT to healthcare? What are the risks and
them obtain seed money to set up HIT systems. The process for                                                                                        benefits of HIT in a physician’s office?
obtaining funding for group collaboration from the $4.58 million                                                                                   • What is the path to EHR?
portion of the grant was explained in MSSNY’s September 2006                                                                                       • What are the implications for the future EHR Implementation
News of New York. This issue briefly describes some of the edu-                                                                                      Thoughts and Considerations?
cation options being offered to NYS physicians – all free of                                                                                       The program has been favorably received by physicians thus
charge, also because of grant funding; most also offer CME                                                                                      far, and has been referred to as “HIT 101” because it provides
credit. Because of the complicated and detailed nature of HIT,                                                                                  participants with a background on why HIT was created,
physicians are encouraged to take advantage of more than one            Obviously, an office with electronic health records (EHR) is more       describes the various entities involved in developing standard-
education opportunity.                                                  efficient and cost-effective – and results in fewer errors and better   ization, explains regional concepts and entities, and provides
                                                                        outcomes.                                                               valuable suggestions for planning, implementing and deciding
Why HIT Instead of Paper?                                                                                                                       on the right solution for a physician’s particular practice.
   Many physicians may already feel overwhelmed by too many                                                                                        Physician faculty, who are experts in HIT, introduce the pro-
regulations and scientific advances, and may not want to expend                                  THE “EHR ADOPTION GAP”                         gram material – primarily via a Power Point presentation – and
the time to learn any more. Unfortunately, however, all these                   Sweden                                                          lead the discussion. These faculty members represent several
other advances are one of the many reasons that physicians need             Netherlands                                                         different specialties including pediatrics, family medicine,
to become electronically connected to the rest of the medical                  Denmark                                                          internal medicine, neurology and psychiatry. They serve on the
                                                                        United Kingdom
world. Some of the driving forces behind the state and federal                                                                                  MSSNY Task Force for Health Information Technology, and,
                                                                                 Finland
government’s (NYSDOH’s and Department of Health and                              Austria                                                        in addition to being very knowledgeable about HIT, they share
Human Services/HHS’s) push for physician HIT adoption are:                     Germany                                                          a dedication to educating their peers about the intricacies and
the increasing number of medical errors (leading to more med-                   Belgium                                                         need for HIT, EHR and e-prescribing.
                                                                                    Italy
ical liability lawsuits and all-too-familiar rising liability insur-       Luxembourg
                                                                                                                                                   Program participants are given a packet of valuable hand-
ance costs), increased and more complex medical knowledge,                       Ireland                                                        outs that include a CD of the Power Point presentation, a list of
less time per patient, less staff support and increased patient                  Greece                                                         current CCHIT-certified products, plus information explaining
demands to be more involved in the care process. Once the                 United States                                                         the EHR implementation process, the vendor product evalua-
                                                                                   Spain
appropriate system has been chosen and installed, HIT can                        France                                                         tion process, and the contract process. The NYSDOH grant
reduce the pressures from all of the above – and usually prove                  Portugal                                                        funding enables MSSNY to offer the entire seminar, including
cost effective to the physician within 2 1/2 years.                                         0%   20%     40%     60%        80%       100%      materials and dinner, to NYS physicians free of charge.
   The US, once the leader in healthcare delivery, now ranks sev-                                                                                  MSSNY has also produced a shorter, one-hour HIT program,
enth compared to eight European countries in the adoption of                                                                                    likewise led by expert faculty, that covers the same topics with a
electronic health records (EHR); 90% of Sweden’s physicians                                                                                     Power Point presentation but in less depth. It is being offered to
have them, 17% of ours do. (See graph.) Not surprisingly, anoth-                                                 THIS HAND SCRIPT               physicians as a grand rounds program. Ten grand rounds are cur-
er recent study by the Commonwealth Fund, just published in                                                                                     rently planned. Participants can earn up to 1 hour of Category 1
the November 2006 Health Affairs, found the US lagging behind                                                                                   CME credit and are given the information packet and a shorter
six other countries in the delivery of quality healthcare; lack of                                                                              CD, again at no charge because of NYSDOH funding.
HIT was cited as the primary reason (see chart).                                                                          OR
                                                                                                                                                                         RFA UPDATE
       MSSNY PROVIDES WAYS TO LEARN ABOUT                                                                                                         Physicians can still add their names to the list of those who
                  HIT/EHR/E-PRESCRIBING                                                                                                         want to receive a Request for Application (RFA) for MSSNY’s
  To help New York physicians get back to the top of those                                                                                      HIT grants (see September 2006 News of New York). MSSNY
rankings, MSSNY has already sponsored HIT symposiums and                                                                                        will notify the medical community when the RFAs are ready for
vendor fairs, produced an HIT educational CD, titled “EHR                                                                                       mailing. Physicians should watch for future announcements
Adoption - Solo and Small Physician Practice,” and, perhaps                                                                                     regarding the RFA and obtaining grant funding in other MSSNY
most importantly, started to conduct dinner seminars and grand                                                                                  publications – including e-news and News of New York.
rounds programs on the same topic at convenient locations
around the state. MSSNY will be sponsoring additional fairs and                                                                                            MSSNY HIT TASK FORCE AND STAFF
programs throughout the end of this year and also next year. An                      THIS                                                          MSSNY gratefully acknowledges the dedicated work of its
                                                                                E-PRESCRIPTION
online CME course will soon also be available on MSSNY’s                                                                                        HIT Education Subcommittee whose members have helped
website at www.mssny.org.                                                                                                                       develop the education programs, and some of whom also serve
                                                                                                                                                as program faculty. Subcommittee members are: Zebulon
HIT Vendor Fairs                                                                                                                                Taintor, MD, who also serves as chair of the HIT Task Force;
   MSSNY successfully kicked off its HIT education program in           Electronic prescriptions result in fewer errors in dosage, drug         Philip Gioia, MD; Les Goldstein, MD; Patricia Hale, MD; Alice
                                                                        interactions, allergic reactions and wrong drug name.
October by co-hosting with the Capital District Physicians’                                                                                     Loveys, MD; John Maese, MD; James Maisel, MD; Robert
Health Plan HMO, an all-day conference, titled “eForum 2006:                                                                                    Mormando, MD; Jacob Reider, MD; Alan Silver, MD; David
Transforming Tech Valley Health Care.” Attendance by over 250                                                                                   Shulan, MD; and Salvatore Volpe, MD.
physicians attests to the need and success of the event, which was        All the vendors at the eForum produce electronic health                  The HIT Project Administrator is Ron Pucherelli, who can be
held in Albany’s Empire State Plaza. CCHIT-certified vendors           record (EHR) products that have been certified by the                    reached at 518-465-8085 or by email at rpucherelli@mssny.org.
(explanation to follow) displayed their products and enabled           Certification Commission for Healthcare Information                      Additional information about MSSNY’s HIT grant project
physicians to participate in hands-on interactive demonstrations.      Technology (CCHIT). This means that their products have been             including deadlines, programs, and downloadable forms – is
Physicians who could not make it to Albany were able to interact       tested and reviewed for software interoperability. CCHIT is a            also available on MSSNY’s website at www.mssny.org.
electronically in the afternoon session from satellite links at five   voluntary, private sector initiative that establishes standards and
community colleges around the state. Those who participated            certifies HIT products. CCHIT was formed when the American                     SCHEDULE OF MSSNY’S HIT CME PROGRAMS
were able to earn up to 5 hours of AMA PRA Category 1 credits.         Health Information Management Association (AHIMA), the                      Physicians who participate in the dinner seminars can earn up
   Speakers who spoke on various aspects of why and how to             Healthcare Information and Management Systems Society                    to 2 CME credit hours; those who participate in the grand rounds
transform healthcare included: former Speaker of the House,            (HIMSS) and the National Alliance for Health Information                 can earn up to 1 CME credit hour. For details and updates, on
Newt Gingrich; Bruce Bagley, MD, Medical Director for                  Technology (Alliance) joined forces in July 2004 for this project.       where the nearest seminar or grand rounds is, contact Janice
Quality Improvement for the American Academy of Family                    MSSNY only recommends CCHIT-certified products and                    Morano (488-6100 x302, jmorano@mssny.org) or Nancy
Physicians; and Francois de Brantes, National Coordinator for          strongly advises all groups that intend to apply for a grant to only     Boursiquot (488-6100 412, nboursiquot@mssny.org) at MSSNY.
the Bridges to Excellence (BtE) program. The podium was also           plan on using such products. Vendors who have been CCHIT-
shared by representatives from MSSNY, including: MSSNY                 certified are listed online at www.cchit.org.
President, Richard Peer, MD; MSSNY Executive Vice President

                                                                                                                                                    December 2006 — MSSNY’s News Of New York— Page 3
 MEDICAL SOCIETY OF THE STATE OF NEW YORK                                                                                                           PRESIDENT’S COLUMN
 NEWS OF NEW YORK                                                                                    Preparing for the Worst Requires Massive Planning
                                                                                                                             Is your hospital prepared for a pandemic                   primary care in the emergency rooms. Ambulance diversion
                      MEDICAL SOCIETY                                                                                        flu outbreak or a terrorist attack?                        may result in delay in treatment. As noted in the Buffalo
                 OF THE STATE OF NEW YORK                                                                                    Several weeks ago, Buffalo had its own                     example, there is little surge capacity in the face of a disaster.
    Richard M. Peer, MD        President
    Louis Giordano, MD         Chairman of the Board                                                                         “October Surprise ”when a record-                             Another problem is the availability of specialty care in the
    William Abrams, Esq.       Executive Director                                                                            breaking snow storm occurred. The                          ER. Liability is a factor in this problem.
    Phil Schuh, CPA            Chief Operating/Financial Officer                                                             problem was the “lake effect” – snow                          At the recent Interim AMA meeting, the following recommen-
                                                                                                                             with high moisture content fell upon the                   dations to improve the emergency care system were adopted:
              COMMITTEE ON PUBLICATIONS AND
                         COMMUNICATIONS                                                                                      deciduous trees whose leaves had not                          • Advocating for funding of additional residency training
                        Edward Tanner, MD, Chair                                                                             yet fallen. This resulted in tree limbs                         positions for emergency care,
    Robert Bruce Bergmann, MD         Sanjay Jain, MD
    Joseph J. Tartaglia, MD           Albert M. Ellman, MD                                           Richard M. Peer, MD falling literally everywhere, including                           • Ensuring payment to physicians for providing emergency care,
    Judy Francomano, AMSSNY           Paul A. Hamlin, MD                                                                     on the power lines. More than 400,000                         • Securing bonus payments for physicians providing emer-
    Veronica C. Santilli, MD          Richard Nickerson, MD                                          households were without power ranging from 2 days to up to                              gency services in physician shortage areas.
    Andrew Y. Kleinman, MD            Jordan Pritzker, MD                                            10 days. Hospitalized patients in some of the region’s hospi-                         MSSNY has been actively working on a statewide
                                                                                                     tals could not be discharged to cold homes without electricity                     Emergency Preparedness Program since 2001. The
                     NEWS OF NEW YORK
      Published by Medical Society of the State of New York                                          (JACHO rule). As a result, many emergency rooms were                               Biological/Chemical/Nuclear and Mental Health modules have
       Director of Communications and Member Relations                                               backed up with patients being held in the holding areas await-                     been completed. We recently wrapped up the Pandemic Flu
                  Thomas M. Donoghue, Director                                                       ing a bed. Emergency rooms were diverting patients to outly-                       modules. The ultimate goal of the workgroup was to develop a
                      tdonoghue@mssny.org                                                            ing facilities not so badly affected and, in some cases, to other                  system that would integrate existing medical volunteer pro-
                                                                                                     cities such as Rochester. Staffing was a problem with many                         grams into a comprehensive Statewide Volunteer Management
                     News of New York Staff
                 Christina Cronin Southard, Editor
                                                                                                     nurses and physicians blocked into their neighborhood by                           Program that includes the Medical Reserve Corps, local coun-
                       csouthard@mssny.org                                                           downed limbs blocking the streets or by downed power lines.                        ty and health departments volunteer recruitment efforts.
          Kelly Kleine Zenker, Assistant Managing Editor                                             Many were bailing their sump pump wells to keep from flood-                           The AMA, MSSNY and your county medical society are
                        kkzenker@mssny.org                                                           ing. The system was indeed close to being overwhelmed.                             working on solutions but we need your help.
                    Jill Yate, Production Editor                                                        The 2006 Institute of Medicine report on “Hospital Based
                          jyate@mssny.org                                                            Emergency Care” describes the system as “at the breaking                                                              Richard M. Peer, MD
       Lynda Lees Adams, Media/Public Relations Coordinator                                          point.” The ER visits increased in the US by 18% between                                                              MSSNY President
                         ladams@mssny.org
                                                                                                     1995 and 2003. There is increased demand because of the ris-
                                                                                                     ing numbers of uninsured and the increasing number seeking
                       NEWS OF NEW YORK
                  ADVERTISING REPRESENTATIVES
                                                                                                     Help is Here for Uninsured Americans NJ Docs File Compliance
                  Business Showcase • Physician Opportunities
                           and Classified Advertising                                                    It is important to inform your                  card in the mail.                                              Dispute v. Aetna
                 MAINLY MARKETING ENTERPRISES, INC.
                                                                                                      patients about a free prescription sav-               A quick start savings card is also                  A medical group in New Jersey has filed a
                        516-621-6210 • Fax: 516-621-6209
                                                                                                      ings program called Together Rx                    available which gives cardholders                   compliance dispute in connection with the
                       For general advertising information contact
                                                                                                      Access. Your patients may be eligible              speedy access to savings on the med-                Aetna settlement. During the week of July 1,
                             Christina Cronin Southard
                           Phone 516-488-6100 ext 355                                                 for the Together Rx Access™ Card if                ications they need. The quick start                 Aetna sent to participating medical providers in
                                                                                                      they do not qualify for Medicare, do               savings card is active within two                   the Metro New York market and the Northern
  The News of New York is published monthly as the official publication of the Medical
                                                                                                      not have public or private prescription            hours if the eligible enrollee calls                New Jersey market a postcard advising them
  Society of the State of New York. Information on the publication is available from the
  Communications Division, Medical Society of the State of New York, 420 Lakeville Road,
                                                                                                      drug coverage, have a household                    within call center hours and within                 about an upcoming fee schedule change that
  Lake Success, NY 11042.
  The acceptance of a product, service or company as an advertiser or as a membership benefit         income of up to $30,000 for a single               two business days following calls at                may affect their reimbursement effective
  of the Medical Society of the State of New York does not imply endorsement and/or approval
                                                                                                      person or $60,000 for a family of four             all other times.                                    November 1. The postcard announced that for
  of this product, service or company by the Medical Society of the State of New York. The
  Member Benefits Committee urges all our physician members to exercise good judgment when            (income eligibility is adjusted for                                                                    more information regarding the new fee sched-
  purchasing any product or service.
                                                                                                      family size) and are a legal resident of           Spreading the Word                                  ule, the participating physician should go to
       Although MSSNY makes efforts to avoid clerical or printing mistakes, errors may occur.         the United States or Puerto Rico.                     MSSNY is committed to building                   Aetna’s provider website. The group claims
  In no event shall any liability of MSSNY for clerical or printing mistakes exceed the charges
  paid by the advertiser for the advertisement, or for that portion of the advertisement in error        Most cardholders save 25 to 40%                 awareness for Together Rx Access                    that when the physicians attempted to obtain
  if the primary or essential message of the advertisement has not been totally altered or sub-
                                                                                                      on brand-name prescription drugs                   throughout the state, and among its                 the actual fee schedule, they were advised that
  stantially rendered meaningless as a result of the error. Liability of MSSNY to the adver-
  tiser for the failure to publish or omission of all or any portion of any advertisement shall in    and products. Over 300 brand-name                  membership. “We’re proud to be                      it would not be available until one day prior to
  no event exceed the charges paid by the advertiser for the advertisement, or for that portion
                                                                                                      prescription products are included in              doing our part to spread the word,”                 implementation, which the physicians claim is
  of the advertisement omitted if the primary or essential message of the advertisement has not
  been totally altered or substantially rendered meaningless as a result of the omission.             the program. The card is accepted at               says Richard M. Peer, MD, president                 a violation of the Aetna settlement.
  MSSNY shall not be liable for any special, indirect or consequential damages, including lost
                                                                                                      the majority of pharmacies nation-                 of the Medical Society of the State of                 Section 1.51 of the Aetna settlement defines
  profits, whether or not foreseeable, that may occur because of an error in any advertisement,
  or any omission of a part or the whole of any advertisement.                                        wide and in Puerto Rico.                           New York. “In New York, more than                   “Material Adverse Change” to mean “any
                                                                                                      Cardholders simply bring the card to               2.5 million people or 13% of our pop-               change in Polices that could reasonably be
                                                                                                      their pharmacist along with their pre-             ulation are uninsured. It is our goal to            expected to have a material adverse impact on
                                                                                                      scription, and the savings are calcu-              educate our members throughout the                  (i) the aggregate level of payment by compa-
   MEDICAL SOCIETY OF THE STATE OF NEW YORK
                                                                                                      lated right at the pharmacy counter.               state about the availability of this pro-           ny to Participating Physicians for Covered
   AT YOUR SERVICE                                                                                    There are no enrollment costs,                     gram, so they can help their uninsured              Services or (ii) Participating Physicians’
                                                                                                                                                                                                             administration of their practices.” Section 7.6
                                                                                                      monthly dues or hidden fees.                       patients get the medicines they need.”
                                                                                                         Together Rx Access was founded                     To qualify for the Together Rx                   of the Aetna settlement states that Aetna must
             MSSNY’S LAKE SUCCESS OFFICE                                                                                                                                                                     provide participating physicians with 90 days
   Main Phone Number .....................................516-488-6100                                by 10 pharmaceutical companies—                    Access Card, applicants must:
                                                                                                      Abbott, AstraZeneca, Bristol-Myers                    • Not be eligible for Medicare                   advance notice of all planned material adverse
   Toll Free Number ..........................................800-523-4405
   Main Fax Number .........................................516-488-1267                              Squibb, GlaxoSmithKline, members                      • Have no prescription drug cover-               changes to Aetna’s policies and procedures
   MSSNY Website ........................................www.mssny.org                                of the Johnson & Johnson Family of                      age (public or private)                        affecting performance under contracts with
                                                                                                      Companies, Novartis, Pfizer, Sanofi-                  • Have household income equal to                 participating physicians.
          EXTENSIONS FOR SPECIFIC SERVICES:                                                           Aventis US LLC, Takeda, and TAP                         or less than                                      The physicians assert that Aetna’s new fee
   Alliance ........................................................................396               Pharmaceutical Products Inc.—to                         $30,000 for a single person                    schedule significantly reduced fees for some
   Communications ............................................................351                                                                                                                            of their procedures, which constitutes a mate-
   Computer Information Systems.....................................361                               help uninsured individuals and fami-                    $40,000 for a family of two
                                                                                                      lies gain access to meaningful sav-                     $50,000 for a family of three                  rial adverse change. Moreover, the medical
   Legal Counsel ................................................................352                                                                                                                         group asserts that Aetna did not comply with
   Library/Medical Information .........................................388                           ings on prescription products.                          $60,000 for a family of four
   Member Benefits/Marketing..........................................424                                If your patients are interested in                   $70,000 for a family of five                   the 90 days advance-notice requirement
   Membership Information ...............................................336                          learning more and/or enrolling                        • Be a legal resident of the US or               because, despite the fact that the postcard was
   Medical, Educational & Scientific Foundation .............306                                      immediately for the Together Rx                         Puerto Rico.                                   mailed the week of July 1, 2006, the fee
   Office of the Executive Vice President .........................308                                Access Card free of charge, they can                  If patients meet all of the eligibili-           schedule itself was not available until one day
   Ombudsman Claims Assistance.....................................318
                                                                                                      call 1-800-250-2839 or visit                       ty requirements listed above, they                  prior to implementation.
   Physician Records/Credentials ......................................367                                                                                                                                      Are you aware of any physicians who
   Policies and Bylaws .......................................................304                     w w w. To g e t h e r R x A c c e s s . c o m .    simply need to call 1-800-250-2839
                                                                                                      Applicants simply need to provide                  to activate the card and start saving               received the postcard regarding the November
   Socio-Medical Economics .............................................332                                                                                                                                  1, 2006 fee schedule, and were physicians
                                                                                                      their name, gender, address and date               on their prescriptions. To receive a
                                 ALBANY OFFICE:                                                       of birth. Enrollment forms and infor-              supply of quick start savings cards                 able to access them? Questions or comments
   Continuing Medical Education ..........518-465-8085 ext.17                                         mation are also available through                  for distribution to your patients,                  should be directed to Donald R. Moy, Esq. or
   Public Health Committees ................518-465-8085 ext. 11                                      participating pharmacies. It usually               please contact Amy Niles at                         Matthew T. Talty, Esq. at MSSNY 516-488-
   Governmental Affairs....................................518-465-8085                               takes about one week to receive the                amyniles@aol.com.                                   6100, ext. 352 or 322.
   Fax .................................................................518-465-0976

                     OTHER NUMBERS:                                                                   The NEWS of NEW YORK ISSN 0028-9264, Periodical POSTAGE PAID at New Hyde Park and other additional mailing offices. The NEWS of NEW YORK is pub-
   Committee for Physicians’ Health................800-338-1833                                       lished monthly by the Communications Division, Medical Society of the State of New York, 420 Lakeville Road, Box 5404, Lake Success, NY 11042. Please address all
   Dispute Resolution Agency...........................516-437-8134                                   correspondence to the Editor. POSTMASTER: Please forward all change of address forms to the Editor, NEWS of NEW YORK, Medical Society of the State of New York,
                                                                                                      420 Lakeville Road, Box 5404, Lake Success, NY 11042. Subscription, $36.00 non-members, $18.00 members.


Page 4 — MSSNY’s News Of New York— December 2006
                    Medicare Consultations                                                                        The Political Corner
   A recent review of Medicare claims for         99205 or “Established Patient” 99212-                         By Anthony P. Santomauro, MD, MSSNYPAC Chair
consultation services has indicated that          99215). It would be incorrect to bill a con-
there is some confusion about the definition      sultation service or to state, in the medical
of a consultation and how to sufficiently         records or report, that the patient had been
document the service for Medicare reim-           seen “in consultation.” Under the circum-
bursement.                                        stances described, writing a report and                                                                  won by Republican incumbents, Congressman
                                                                                                    The Results Are In
   A consultation is an Evaluation &              sending it to another physician participating                                                            Reynolds in Western NY and Congressman
                                                                                                       Voters tuned into the campaign issues, the
Management (E&M) service that is                  in the patient’s care does not qualify the ser-   debates and the intense coverage of the political      Kuhl in the Southern Tier. At press time,
requested by a provider seeking opinion or        vice as a consultation. It is good medical        party platform issues. Then they went to the           Congressman Walsh representing the Syracuse
advice about the diagnosis or treatment of a      practice, and a courtesy, to coordinate care      polls and voted. By early evening on election          area was the apparent winner, with absentee
beneficiary. Although the purpose of the          with other physicians also treating the           night, most results were known. Democrats              ballots still to be counted. If the predicted win-
service is to provide opinion or advice,          patient. A consultation requires that the         swept all four statewide offices and the US            ners prevail, the changes result in our 29 seat
treatment may be initiated or additional          other physician must have requested the           Senate seat with significant leads over                Congressional delegation having 23 Democrats
tests ordered at the time of the service by       consultation for advice about specific            Republican competitors. The State Senate               and 6 Republicans.
the consulting provider. The consulting           issues of the patient’s care.                     majority was retained by the Republicans and
physician may subsequently participate in                                                           the State Assembly majority was retained by            New Faces to Meet
the care and management of the patient, if        Appropriate Documentation                         the Democrats. Only the office of chief execu-            In addition to four new members of Congress
appropriate, based upon the findings of the          Empire Medicare Services has reviewed          tive, following Governor Pataki’s announced            from our state, there are 21 newly elected state
consultation. Such subsequent services            the documentation needed to support the           retirement, changed party control. There were          legislators. These were the result of incumbent
should not be billed as consultations.            use of a consultation code with CMS:              some individual changes in both houses of the          retirements and, in a handful of cases, incum-
Alternatively, if the referring physician         • The referral from the requesting provider       state legislature and our delegation to the US         bent losses on primary day. Clearly, our work
manages a specified condition, he/she may           may be in writing (e.g., formal note/letter,    House of Representatives.                              is cut out for us as we work to educate new leg-
request that the consultant reevaluate the          requested on a prescription or other form,                                                             islators about the issues that impact our prac-
patient’s condition periodically, especially        fax), or may be verbal. If verbal, it should    Results Worth Noting                                   tices and our patients. Never assume that a leg-
if there has been a change in the patient’s         be noted in the medical record of the              Several incumbent legislators faced serious         islator has already made up his or her mind on
status or the patient has not responded as          requesting and performing providers. (We        challenges, with the 35th Senate District in           an issue. Our elected officials need accurate
expected. Such repeat encounters should be          suggest a brief sentence to the effect,         Westchester represented for nearly two decades         and complete information. I think our legisla-
billed as consultations.                            “Patient referred by Dr. Smith for consul-      by Senator Nick Spano still undecided as I write       tors will listen, but we must get all New
                                                    tation to evaluate [specify condition or        this column. Nine-term Senator Serphin                 Yorkers to realize the merits of our case to the
When Not to Bill                                    symptoms]” be included with the chief           Maltese (R-Queens) won with less than a 1,000-         urgency of the situation. If you live in one of
   A consultation should not be billed when         complaint or History of Present Illness         vote lead. Although the country’s longest              the districts with a new legislator, I encourage
the patient is referred to a provider for man-      (HPI).                                          tenured legislator, Staten Island’s Senator John       you to drop them a congratulatory note, intro-
agement of a condition, or specific part of       • It is insufficient documentation of a con-      Marchi retires this year, the Republicans main-        duce yourself as a resource on health policy
that condition, even if the referring provider      sultation service to only record the name       tained this seat. Long-term Assembly Majority          issues and plan a visit with the start of the new
continues to participate in the patient’s care.     of the referring provider in the patient        Leader Paul Tokasz (D-Erie) also announced his         session. A list of the state legislative and con-
                                                                                                    retirement. His seat was retained on the               gressional delegation for 2007 can be found on
Consider the case of the patient with an            billing record or on a patient intake sheet.
                                                                                                    Democratic side of the aisle, but the real story is    the MSSNYPAC “Election News” section of
arrhythmia (e.g., documented ventricular          • A dated report of the consultation must be
                                                                                                    the speculation on who will be named to be the         the MSSNY web page at www.mssny.org.
tachycardia) referred to an electrophysiolo-        sent to the requesting provider. It should
                                                                                                    next majority leader. The Assembly Democrats
gist for treatment (a referral for manage-          include the names of the patient and the                                                               Time for Transition to The Issues
                                                                                                    won three seats where there was no incumbent
ment – use a visit code), as compared to            requesting provider, and be signed by the                                                                 In the days following the election, Governor-
                                                                                                    in the race in districts that previously have elect-
being referred for diagnosis and advice on          consultant.                                     ed Republicans.                                        elect Spitzer began assembling his transition
how to manage the patient, to be sent back        • An entry in shared medical records (e.g.,                                                              team and stressing reforms that his administra-
to the referring provider (a request for            group practice with common medical              Power Changes in DC                                    tion will bring to bear. MSSNY will share the
advice – use a consultation code). In either        records, hospital or other facility, etc.)         Media outlets have extensively covered the          newly drawn 2007 Legislative Program with
case, the referring provider may continue to        may suffice in lieu of a separate report.       changes in Washington, with the majority               his health advisors and work towards reforms
manage all other aspects of the patient’s         • The name and appropriate identifier             changing to Democrats in both the House of             that benefit our patients. You may have noticed
cardiac care (e.g., angina, hypertension,           (UPIN or NPI, as required) of the request-      Representatives and the US Senate. These               the AMA’s new television advertising cam-
etc.).                                              ing provider must be included on the sub-       results have also catapulted New York County           paign providing a voice for our patients.
   E&M services, when a patient presents            mitted Medicare claim.                          Democratic Congressman Charles Rangel to               Together, physicians and patients are stressing
to a provider on his/her own initiative and       • Medicare contractors may request records        the chairmanship of the powerful House Ways            the need to avert the Medicare physician pay-
there has been no request for advice or             from the provider requesting the consulta-      and Means Committee. Results in New York               ment reductions that will go into effect in
opinion from a provider treating that               tion.                                           State’s Congressional delegation reflected             January unless Congress takes action.
patient, should be billed using visit codes as    Claims for consultation services not meet-        changes throughout the country. Three
appropriate (e.g., “New Patient” 99201-           ing these standards may be denied.                Congressional seats formerly held by                      MSSNYPAC is a bi-partisan political action
                                                                                                    Republicans will be represented by Democrats           committee run by physicians, with student and
                                                                                                    in the new year. Upper Hudson Valley incum-            Alliance representation. Our goal, in conjunc-
                                                                                                    bent Congressman Sweeney lost his re-election          tion with the American Medical Association’s
      Get Your NPI Number Now—Do Not Wait                                                           bid, and his seat on the important                     AMPAC, is to support and elect pro-medicine
   Only five months remain until the              share your NPI with payers and other trad-        Appropriations Committee will need to be               candidates to state and federal office.
                                                                                                                                                           Participation is open to contributors who are
National Provider Identifier (NPI) compli-        ing partners, update your referral lists, as      filled. A challenge to Lower Hudson Valley
                                                                                                                                                           physician members of the MSSNY, their spouses
ance date of May 23, 2007. Over 1,300,000         well as modify and test computer systems.         Congresswoman Kelley appears to be success-
                                                                                                                                                           and medical students. When you contribute at
NPIs have been issued so far – do you have           If you have not filed for your National        ful, with absentee ballots still waiting to be         the committee level, part of your MSSNYPAC
your NPI yet?                                     Provider Identifier number, do it now. The        counted. In Central New York, Republican               dues supports the AMPAC. PAC dues are not tax
   Do not procrastinate—getting your NPI          direct link is: www.mssny.org/mssny               Congressman Boehlert retired and will be               deductible. You can contact us at MSSNY’s
is only the first step in preparing for the       ip.cfm?c=i&nm=National_Provider_Identifi          replaced by Democrat Michael Arcuri.                   Division of Governmental Affairs: 518-465-
compliance date. You should allow time to         er#update.                                        Notably, several hotly contested seats were            8085 ext. 16.




                                                                                                                                               December 2006 — MSSNY’s News Of New York— Page 5
              A Female Physician’s Late Start and Rapid Downfall into Alcoholism
    The following is the story of Dr. Janet King      began. Over the next fifteen years she went           after this length of time she might be able to       in the middle of the night. Finally, one day she
 (an alias), a successful physician who was           from drinking some alcohol every night, to            drink controllably. Instead she spiraled down        did not show up for work. Her supervisor
 amazed to find how easy it was to rapidly            drinking a lot every night. The depression she        again for another ten years of hard drinking         came to her home and found her drinking. He
 plummet from only occasional use of alcohol          had been experiencing most of her life contin-        until it became impossible for her to stop.          helped her admit herself for another hospital-
 into a deep, downward spiral of addiction.           ued unchanged.                                                                                             ization for her depression and drinking. Her
 Her illnesses now in remission, she has thank-                                                             Drinking And Depression                              psychiatrist recommended she enter an inpa-
 fully returned to successful practice.               The Spiral Down Continued                             Impacts Her Career                                   tient program for alcohol rehabilitation. She
                                                         Janet’s drinking began taking a toll. Her             In Janet’s early years, she had been              took a medical leave and remained in rehab
 Where Did It Come From?                              marriage deteriorated, fueled by both her and         well-respected with a successful and growing         over two months. The program suggested she
    There was no alcoholism in her family.            her husband’s alcohol use. Her daughter,              private practice. But as her drinking escalated,     call CPH again for help and guidance.
 Perhaps the genes were there but the problem         today an adult, suffered                                                    her colleagues began to
 never developed, as there was little social use      a lot from Janet’s                                                          realize she had an alcohol     The Road To Recovery
 of or exposure to alcohol at home. Dr. Janet         neglect. She had tried to                                                   problem and hesitated to          The period after her second alcoholism
 King’s mother was very critical. Their home          “fix” her mother’s drink-                                                   refer patients to her.         rehab was an unstable time for Janet. She was
 was filled with tension and arguing. There was       ing problem, but could                                                      Drinking, depression, and      very concerned about the status of her medical
 also a strong history of depression on both her      not. As a result, their                                                     their effects had taken up     license. She was advised to take a month off
 mother’s and father’s side. She grew up feel-        relationship remained                                                       valuable time that she         before returning to work in order to solidify
 ing lonely as a child, with few friends or social    strained for many years.                                                    might otherwise have           outpatient treatment and a sober support net-
 skills, and was not athletic. But she was very       Even now, the wedge                                                         spent in research or writ-     work. Still, she worried a lot about what would
 intelligent and did very well in school, finding     that alcohol dependence                                                     ing. At the time she left      happen when she returned to work this time.
 her way into an ivy league college and ivy           created between Janet                                                       her first rehab, she knew         The road back into practice as a person with
 league medical school.                               and her daughter has                                                        it was going to be diffi-      two chronic illnesses has been slow but steady.
    Janet’s depression started when she was a         been one of Janet’s most painful regrets.             cult to get referrals to her withered private        Her superiors have been supportive. She con-
 child. She began treatment for this and other           Alcohol dependence and the problems it             practice and began working on staff in hospi-        tinues in psychiatric treatment for depression
 problems with psychoanalysis as a medical            creates continued until Janet’s early 40s, when       tals, instead, to compensate. Her career             and alcohol dependence. She finds taking an
 student, lasting six years. A year later she did     she was first hospitalized for depression. At         remained stifled. When she drank in the mid-         antidepressant medication to prevent reoccur-
 3-4 more years of psychoanalysis as part of her      that time, she began treatment with a new psy-        dle of the night, she came to work with less-        rence of her depression has been helpful. Her
 psychoanalytic training.                             chiatrist who recognized the untreated illness        than-usual clarity. Her concentration was poor.      sobriety is monitored through random toxicol-
    During her school years and residency, Janet      of alcohol dependence and sent her to                 Her drive and motivation were decreased. As          ogy testing. She regularly attends AA meet-
 dated little and drank very little alcohol. In her   Alcoholics Anonymous. She tried to stop but           with most alcoholics, her preoccupation with         ings. Her sobriety and recovery have become
 late 20s her dating and social life picked up,       was unsuccessful. Eventually he sent her to an        drinking eroded her ability to practice medi-        cornerstones of her life.
 causing a concurrent increase in anxiety. In a       inpatient alcoholism treatment program. Her           cine at an optimal level.                               Janet will tell you her life has changed sig-
 rapid succession of events, she met a man, had       husband did not support this process and con-                                                              nificantly. She feels happier. She successfully
 a brief courtship and married. Little did she        tinued drinking heavily himself. By the time          Powerless Over Alcohol?                              practices medicine. She spends more time with
 know, her life was about to change drastically       she left rehab, he had left their home.                  Looking back on that time now, Janet real-        friends and colleagues. Her friends support her
 and quickly spiral downhill.                            She returned to work, and with the help of         izes that, in fact,, she never accepted the notion   recovery. Her relationship with her daughter
    It was not until after her marriage that Janet    her psychiatrist, AA and the Committee for            that she was powerless over alcohol, that she        has steadily improved. In fact, her daughter is
 realized her husband drank alcohol every day.        Physician Health (CPH), she stayed sober for          could not control her drinking. The second           glad Janet is in CPH, because “I know CPH is
 Perhaps due to her anxiety and now being             several years. She completed her two-year             period of drinking began with her thinking           watching my mother and I don’t have to do it.”
 around so much alcohol, her habits turned to         agreement with CPH. But after three years of          once again that she could control it. This time,
                                                                                                                                                                  If you know a physician, physician’s assistant or
 joining her husband in his daily drinking. In        working with her psychiatrist, he died. Janet         it almost cost her her career.                        medical student who may have a substance use
 fact, it became a pleasurable way to relieve         depended heavily on him and was terribly dis-            Predictably, her use escalated. By the time        disorder or other psychiatric problem, please
 anxiety and stress. But then the spiral downhill     traught. She began drinking again, hoping that        she again joined CPH, she had started drinking        call CPH at 1-800-338-1833. All calls are
                                                                                                                                                                  strictly confidential.


                                               Aetna Will Stop Recovering Alleged Overpayments
 (Continued from page 1)                              health plan. MSSNY contended that where               ney did not correctly interpret GC Opinion 06-       must be licensed as an ambulatory surgical cen-
indicating the operation of unlicensed clinics,       there is disclosure by the physician regarding        01. Far from condemning the charging of facil-       ter or whatever comparable title is used by a
the illegal corporate practice of medicine, illegal   the nature of the office-based surgery practice,      ity fees altogether, MSSNY stated that GC            state’s licensing law to describe a freestanding
fee-splitting or perhaps fraud. While the GC          and the health plan thereupon agrees to pay           Opinion 06-01 only focused on a narrow fac-          facility, other than a physician’s office, where
opinion acknowledged that the wide variety of         facility fees to the healthcare professional, there   tual pattern where the health plan is falsely        surgical and diagnostic services are provided
fact patterns must be analyzed on a case by case      has been a “meeting of the minds” and the             induced into paying facility fees.                   on an ambulatory basis.
basis before any conclusion could be reached          arrangement is appropriate. MSSNY disputed               At a meeting with the Department of Health           In the absence of state licensure require-
about criminal or civil consequences, the opin-       the allegations of the health plan and                on June 5, MSSNY and the representatives of          ments, evidence of Medicare eligibility or cer-
ion focused upon narrow factual circumstances         contended that the overwhelmingly vast                the other groups asserted that there is no statu-    tification as an ambulatory surgical center
where the physician resorted to deceptive means       majority of physicians are honest and do not          tory requirement that a medical facility must be     under 42 CFR 416 must be provided.
to induce the health plan to pay facility fees for    resort to false inducements to obtain facility fee    an approved Article 28 facility in order to bill     Accreditation alone by accrediting agencies
office-based surgery. The GC opinion gave the         reimbursement.                                        and be eligible to receive facility fee payment.     such as JCAHO, AAAASF (American
example where the physician’s office is not a                                                               Representatives of the Department of Health          Association for Accreditation of Ambulatory
licensed Article 28 facility. The physician bills     Aetna’s Recovery Demands                              did not disagree. Furthermore, the Department        Surgical Facilities) or AAAHC (Accreditation
the health plan for professional services, doing         Not long after DOH GC Opinion 06-01 was            of Health did not disagree with the statement        Association for Ambulatory Health Care) is not
so in the name of the physician or professional       issued, MSSNY received reports from physicians        that a health plan may adopt a policy of making      sufficient for separate payment of facility fees
corporation. Subsequently, the physician uses a       that they had received a payment letter from an       facility fee payments to a physician office-         or surgical care charges.
business corporation that is owned and con-           attorney retained by Aetna. The letter demanded       based surgery practice that is not an approved          In particular, accreditation as an office-based
trolled by the physician (but which has not been      that the physician re-pay to Aetna the facility fee   Article 28 facility.                                 surgical facility is not sufficient for separate pay-
disclosed to the health plan), and which is not       reimbursement that Aetna had paid to the physi-          Representatives of MSSNY and the other            ment of facility fees or related surgical charges.
licensed under Article 28, to bill for the office-    cian in the previous years. The monetary              groups met with representatives of Aetna on             According to Aetna, the purpose of the policy
based costs. Under such a factual pattern, the        amounts that were demanded were generally             June 15, 2006 at Aetna’s headquarters in             statement was to clarify its policy on a going-
GC opinion stated that the health plan could be       substantial. The payment demand letter cited GC       Hartford, Connecticut. MSSNY and the other           forward basis. MSSNY expressed concerns that
induced into believing that the business corpo-       Opinion 06-01 as substantiating the contention        representatives cited documentation that             Aetna’s newly articulated policy does not appre-
ration was a licensed Article 28 facility, and        that the payment of facility fees to an office-       demonstrated that the physicians in question         ciate the benefits of office-based surgery,
would pay facility charges under such mistaken        based practice, which was not an approved             did not misrepresent their practices to be           including improving patients’ access to care.
belief. The health plan complained to DOH that        Article 28 facility, was inappropriate. Many          Article 28 facilities, and that they had disclosed      MSSNY President Richard Peer, MD,
physicians were increasingly resorting to these       healthcare attorneys stated that numerous health      the relevant facts concerning their office based     expressed his appreciation to Aetna for its
false inducements.                                    plans were aware of Aetna’s payment demands,          surgery practices.                                   agreement to stop its efforts to recover the facil-
                                                      and expressed serious concerns that if Aetna pre-                                                          ity fees that it paid to physicians in the past.
MSSNY’s Letters to DOH                                vailed in these demands, other health plans           Aetna’s July 1, 2006 Policy Statement                Appreciation was also expressed to Robert
   MSSNY’s General Counsel wrote to the               would soon make similar demand to recover                Following the June 15 meeting with Aetna, on      Goldberg, MD, Andrew Kleinman, MD, Alan
DOH General Counsel on January 17, 2006               facility fees previously paid to physicians.          July 1, 2006, Aetna issued a policy statement on     Gold, MD, Scott Tenner, MD, Scott Einiger,
and again on April 25, 2006. MSSNY’s letters                                                                office-based surgery that reads as follows:          Esq., Michael Schoppmann, Esq., Ralph
stated that there is no statutory requirement that    MSSNY Takes Action                                       “For any surgical procedure, in order to be       Erbaio, Esq., Mark Furman, Esq., Peter
a medical facility be an approved Article 28            MSSNY met with the healthcare attorneys             reimbursed for facility fees or any related sur-     Millock, Esq., Jack Anderson (Validare), Rock
facility in order to bill and receive facility fee    who were known to represent physicians in             gical care charges (e.g., pharmaceuticals, surgi-    Rockett (Validare) and Jeff Pearcy (AAAASF)
payment. MSSNY contended that the matter is           this matter, Scott Einiger, Esq., Michael             cal supplies, operating room charges), the enti-     who assisted MSSNY in its advocacy efforts.
contractual in nature and determined by the           Schoppmann, Esq. and Mark Furman, Esq.                ty must be properly licensed by the state where
agreement of the healthcare professional and          MSSNY issued statements that Aetna’s attor-           the facility operates. Specifically, the facility
Page 6 — MSSNY’s News Of New York— December 2006
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  December 2006 — MSSNY’s News Of New York— Page 7
                                                New and Better
                  To Improve Disease Reduction: Physicians Need
    A
             s emphasized in last                                                                                                                                           Tetanus, Diphtheria
             month’s News of                          IMMUNIZATION UPDATE 2006-2007 CME PROGRAM SCHEDULE                                                                    and Pertussis
             New York, immu-                                                                                                                                                   Two versions of tetanus,
    nizations are amongst the The following lists MSSNY’s Immunization Update 2006-2007 programs, scheduled to date, where physicians can earn 1 CME credit hour. diptheria and pertussis
    easiest and most effective For details and updates, contact Janice Morano (516-488-6100 x302, jmorano@mssny.org) or Nancy Boursiquot (516-488-6100 x412, (Tdap), the first vaccine to
    ways to prevent numerous            nboursiquot@mssny.org) at MSSNY.                                                                                                    protect adolescents and
    diseases that can be devas-                                                                                                                                             adults from pertussis, were
                                        DATE      TIME       TYPE COUNTY       CITY             PLACE                            PHONE            CONTACT
    tating and even deadly, in                                                                                                                                              approved for use by the
    addition to being expensive. 12/8/06 12:00 PM GR St. Lawrence Ogdensburg Claxton Hepburn M.C.                                315-393-8506 Mark Darou                    FDA in 2005. The ACIP
    Physicians share the respon- 12/14/06 8:00 AM GR Steuben                   Hornell          St. James Mercy Health           607-324-8700 Kelly Grillo                  then recommended their use
    sibility of making sure all 1/5/07 8:00 AM GR Erie                         Buffalo          Women and Children's Hospital 716-888-1377 Richard Erbe                     on February 23, 2006. Tdap
    patients and healthcare                                                                                                                                                 is available as Boostrix
                                        1/5/07    8:00 AM GR Westchester New Rochelle Sound Shore Medical Center                 914-637-1680 Dr. Jeffery Brensilver
    workers get the vaccinations                                                                                                                                            from GlaxoSmithKline for
    recommended for their par- 1/12/07 8:00 AM GR Nassau                       Long Beach Long Beach Medical Center              516-897-1408 Dr. Cheyrl Carrao             children 10 to 18 years old;
    ticular age and circum- 2/15/07 9:30 AM GR Broome                          Johnson City Wilson Hospital                      607-763-6674 Cathleen McPerhson            Adacel from Sanofi Pasteur
    stances. The responsibility of                                                                                                                                          is for people ages 11 to
                                        3/1/07    8:00 AM GR Suffolk           Southampton Southampton Hospital                  631-537-6700 Dr. Shawn Cannon
    making sure everyone gets                                                                                                                                               64 years.
    vaccinated — with the best GR = Grand Rounds                                                                                                                               Before the introduction of
    vaccine, at the proper                                                                                                                                                  Tdap, pertussis immuniza-
    dosage, at the proper time —                                                                                                                                            tion was only given to
    however, is a major responsibility of physicians. For this           The HPV vaccine is recommended for 11-12 year-old girls, infants and children in the form of diptheria, tetanus and per-
    reason, the New York State Department of Health (NYSDOH) but can be administered to girls as young as 9. It is also rec- tussis (DTaP), which replaced whole cell diptheria, tetanus
    has awarded MSSNY a grant to educate the state’s physicians ommended for 13-26 year-old females who have not yet and pertussis (DTP) vaccine given in the 1990s. This new
    on all the essential facts about these new vaccines.              received or completed the vaccine series. To assure the full pertussis vaccine was developed because pertussis cases have
        To increase its necessary outreach, MSSNY is satisfying benefit of the vaccine, the vaccine should ideally be adminis- risen dramatically within the last few years, and immunity
    different learning preferences by offering educational courses tered before the onset of sexual activity, before any chance of against the disease wanes five to ten years after childhood
    worth 1 hour of CME credit in several different modalities: HPV infection. Females who have already been infected with immunization. The purpose of this new vaccine is, therefore,
    dinner seminars, grand rounds and lectures (See schedule) and one or more HPV types would still get protection from the vac- to offer more protection to adolescents and adults from the
    an online course that will be available at www.mssny.org. cine types they have not acquired, however.                                disease. The vaccine can reduce the overall incidence of the
    Much of this material is also being presented in News of New         The vaccine should be delivered through a series of three disease so as to reduce the incidence in infants, the popula-
    York, here in this issue and last month’s November issue. To intra-muscular injections over a six-month period. The second tion most likely to suffer complications from pertussis.
    make sure you master the information, MSSNY recommends and third doses should be given 2 and 6 months after the first                   Tdap is now recommended as a replacement for the ado-
    taking advantage of more than one education source. All cours- dose. The vaccine can be administered at the same visit as lescent Td booster, which only contains tetanus and diphthe-
    es and materials are free to NYS physicians.                      other age-appropriate vaccines, such as Tdap, Td, MCV4 and ria. Ideally, Tdap should be administered to preadolescents –
       The process of developing a vaccine, and then getting it hepatitis B vaccines.                                                    who have already received their first five inoculations against
    approved for use in the US is difficult and complicated and          Although further studies are needed, the vaccine can tetanus, diphtheria and pertussis by age 6 – between the ages
    involves many checks and balances to assure that the vaccine currently be given to: lactating women, immunocompro- of 11 and 12. It should also be given to adolescents age 13 to
    is safe and effective. After a lengthy review process, the Food mised females, and people with minor acute illnesses (e.g., 18 who missed their booster at age 11 to 12 and to adoles-
    and Drug Administration (FDA) approves a new vaccine appli- diarrhea or mild upper respiratory tract infections, with or cents between 11 and 18 who received a Td booster but not a
    cation by licensing the vaccine for use. The Centers for Disease without fever). The HPV vaccine can also be given to Tdap booster yet. A Tdap booster should then be given one
    Control and Prevention (CDC) Advisory Committee on females who have an equivocal or abnormal Pap test, a pos- more time, at least five years later, to adults between the ages
    Immunization Practices (ACIP) then reviews all related data to itive Hybrid Capture II high-risk test, or genital warts. The of 19 and 64.
    determine whether to recommend the vaccine and what guide- vaccine will probably not have any therapeutic effect on                     Infants and children age 6 and under should still get DTaP
    lines are necessary for its use.                                  existing conditions.                                               or a combination vaccine that includes DTaP, but pertussis-
       Vaccine development and approval used to take years, but          The vaccine is currently contraindicated for women who are component vaccines should not be given to children 7-9 years
    several of the vaccines described below were reviewed under       pregnant, have a history of immediate hypersensitivity to yeast of age. Combinations available to pediatricians for infant
    the FDA’s new accelerated approval process. This process or to any vaccine component, or have a moderate or severe immunization are Pediarix from GlaxoSmithKline, which
    allows the agency to approve products for serious life-threat- acute illness. If a pregnant female is vaccinated, it should be combines DTaP with hepatitis B, and inactivated polio vac-
    ening diseases based on early evidence of a product’s effec- reported to the vaccine registry at 800-986-8999.                       cine, and should only be used for a child’s first three doses.
    tiveness. This accelerated approval process includes the manu-       Studies indicate that the vaccine produces fewer antibodies TriHIBit from Aventis Pasteur, which combines DTaP and Hib
    facturer’s agreement to conduct further studies to verify the in older females. The vaccine contains no thimerosol or mer- conjugate, is aproved for infants’ third and fourth doses.
    vaccine’s safety and effectiveness.                               cury and produces no side effects beyond mild pain at site of         Td is still the vaccine to administer to children between the
                                                                      injection. The manufacturer is still conducting studies to deter- ages of 7 and 9 who need a tetanus-diphtheria booster because
                                                                      mine the long-term safety and efficacy of the vaccine beyond pertussis-containing vaccines are not approved for this age
         NEW VACCINE PRODUCTS FOR OLD DISEASES                        five years generally, as well as the vaccine’s effect on pregnant group. Additional pertussis immunization is not yet approved
       Listed and described below are new vaccines that can immu- women and males.                                                       for subsequent boosters but may be in the future.
    nize New Yorkers against several serious diseases.                   General use of HPV vaccine should greatly reduce the inci-         For the complete timetable of when DTaP, Tdap and Td
    Human Papillomavirus (HPV) Vaccine                                dence of HPV infections, which are the most common STI in should be administered, see the CDC’s Recommended
       On June 8, 2006, after a six-month priority review process, the US, infecting over half of sexually active men and women Childhood and Adolescent Immunization Schedule for 2006 at
    the FDA licensed the first vaccine developed to prevent cervi- in their lifetime and causing 6.2 million new cases annually. http://www.cdc.gov/nip/recs/child-schedule-bw-print.pdf. For
    cal cancer in females caused by certain types of genital human More importantly, the vaccine should reduce the incidence of complete information about the pertussis, tetanus and diphthe-
    papillomavirus (HPV). The quadrivalent vaccine, Gardasil, cervical cancer, which was once the leading cause of cancer ria vaccines, see the CDC’s 2/23/2006 MMWR comprehen-
    protects against four HPV types: 16 and 18 (which are respon- death in US women and still kills 3,700 annually. The vaccine sive report at http://www.cdc.gov/nip/vaccine/tdap/-
    sible for 70% of cervical cancer) and types 6 and 11 (which are should also reduce the incidence of less common HPV-related tdap_child_summary.htm. This includes essential information
    responsible for 90% of genital warts). On June 29, 2006, the cancers of the vulva, vagina and penis, as well as genital warts. on contraindications and guidance on how to immunize
    ACIP quickly followed by issuing interim recommendations Women should, nevertheless, continue to get routine and reg- patients who have not followed the recommended schedule
    for use of this vaccine in females, ages 9-26 years.              ular cervical cancer screenings, including pap smears, and and/or do not have documented proof of immunization. As
       Gardasil is manufactured by Merck & Co. and is a recom- practice “safe sex.” The vaccine does not protect against all previously noted,VISs are available and must be given to
    binant vaccine made from non-infectious HPV-like particles. HPV viruses that can lead to cervical cancer.                            patients when vaccination is administered.
    It offers a promising new approach to the prevention of HPV          The CDC’s HPV website has access to more information
                                                                                                                                         Rotavirus
    infection and associated conditions; however, Gardasil will about HPV, the vaccine and related links at                                 On February 6, 2006 the FDA approved a live, oral, human-
    not replace other prevention strategies because it does not       http://www.cdc.gov/nip/vaccine/hpv/default.htm. The ACIP’s
    offer immunity against all genital HPV types. A second, biva-     6/29/2006 provisional recommendations for HPV vaccine are bovine reassortant vaccine to protect infants from rotavirus
                                                                                                                                         infections. On August 11, 2006, the CDC published the
    lent vaccine, Cervarix by GlaxoSmithKline, is in the last available at http://www.cdc.gov/nip/recs/provisional_recs/hpv.pdf. ACIP’s recommendation that the new vaccine be routinely
    stages of testing but has not yet been approved. It would pro- HPV Interim Vaccine Information Statements (VIS) are also given to all infants in the US.
    tect against HPV types 16 and 18 but would not protect available and should be given to parents and patients. See                       Currently, RotaTeq, which is produced by Merck, is the
    against genital warts.                                            “Information Resources” below.




Page 8 — MSSNY’s News Of New York— December 2006
Vaccines Introduced...
to Learn What They Are and Immunize Patients
 only licensed vaccine for rotavirus in the US. A previous             The CDC has a “Shingles (herpes zoster)” webpage at             that survive, 11-19% are left with a neurological disability,
 vaccine for rotavirus, RotaShield, was taken off the market        http://www.cdc.gov/nip/vaccine/zoster/default.htm. The             limb loss, hearing loss or other disability.
 because it increased the risk of intussusception. RotaTeq          CDC’s 10/26/2006 press release, which summarizes the
 does not appear to increase this risk, nor does it produce         ACIP’s recommendations can be viewed at
 other dangerous side effects, although mild side effects,          http://www.cdc.gov/od/oc/media/pressrel/r061026.htm. VISs          Influenza
 such as mild diarrhea sometimes occur. Rotarix, by                 are available.                                                        Using its accelerated approval process, the FDA licensed
 GlaxoSmithKline, is licensed in 30 countries, but has not                                                                             FluLaval by GlaxoSmithKline on October 5, 2006 for
 yet been approved for use in this country.                                                                                            immunization of adults, 18 years old and older against
    The ACIP recommends routine vaccination with three              Meningococcal Disease                                              influenza. GlaxoSmithKline’s Fluarix was granted similar
 doses of the vaccine administered orally at ages 2, 4 and 6           In January 2005 the FDA licensed Menactra, a new                quick approval in 2005.
 months. The first dose should be administered between the          tetravalent meningococcal polysaccharide-protein conju-               Influenza immunization is recommended annually,
 ages of 6-12 weeks, and subsequent doses should be at four         gate vaccine (MCV4), produced by Sanofi Pasteur, for per-          preferably before or at the beginning of the flu season.
 to ten-week intervals. As a precaution before further stud-        sons age 11 to 55 years.                                           Immunization is particularly recommended for healthcare
 ies test alternative schedules, the first dose should be given        The CDC followed on May 25, 2005 with recommenda-               workers, those at high-risk for influenza complications and
 before age 12 weeks, and all three doses should be admin-          tions to immunize several populations, but then in a May           those who live with or care for those at high risk.
 istered by age 32 weeks. The doses can be administered             26, 2006 MMWR the CDC recommended deferral of vac-                    With the introduction of this new influenza vaccine, there
 concurrently with other vaccines and when the infant is still      cinations for preadolescents age 11-12 due to a vaccine sup-       are now a total of five influenza vaccines available in the
 being breastfed.                                                   ply shortage. Now the CDC has announced, in its                    US for the 2006-2007 season. (See chart below.) This
    The vaccine is contraindicated for infants with serious         November 3, 2006 MMWR, that the supply problems have               brings the total of available doses – according to manufac-
 allergic reactions to any vaccine component. Physicians            been resolved. Deferred patients should, therefore, now be         turers and the CDC – to 115 million doses, up from the 100
 should consider the potential risks and benefits of adminis-       called back, and routine vaccinations of all recommended           million predicted earlier this year and 34 million more than
 tering the vaccine to infants with altered immunocompe-            populations can resume.                                            last year’s influenza season.
 tence, acute gastroenteritis or moderate to severe illness.           MCV4 is recommended for all preadolescents age 11-12               The CDC and NYSDOH stress that it is not too late to
 Because the effect of RotaTeq on premature infants is              and for all students entering high school and college if they      immunize against influenza this season. It is important to
 still being studied, physicians should only vaccinate them         have not already received the vaccine. The vaccine is also         continue vaccination through the months of November,
 with caution.                                                      recommended for those at high risk for contracting                 December and even beyond. Flu activity does not typically
    Widespread use of rotavirus vaccine should reduce the           meningococcal disease – including military recruits, travel-       peak until February or later. The goal is to take advantage of
 most common cause of gastroenteritis in infants and young          ers to areas where forms of the disease are prevalent, micro-      the increased supply, even if delivery is made in December,
 children. Rotavirus is highly contagious and the most com-         biologists exposed to Neisseria meningitides, persons with         to reduce the incidence of influenza by immunizing as many
 mon cause of infant diarrhea — and often subsequent serious        anatomic or functional asplenia and persons with terminal          people as possible. To increase public awareness of the need
 dehydration — in the US, causing 3 million cases of diarrhea,      complement deficiency.                                             for those not yet immunized to still seek influenza vaccina-
 410,000 physician office visits, 55,000-70,000 hospitaliza-           MCV4 is effective against four types of meningococcal           tion, the CDC designated the week after Thanksgiving as
 tions and 20-60 deaths annually. Few children reach age five       disease, including two of the three most common types. This        National Influenza Vaccination Week.
 without experiencing rotavirus.                                    vaccine is expected to give better, longer lasting protection
    The ACIP 8/11/2006 MMWR recommendations are                     than the tetravalent meningococcal polysaccharide vaccine
                                                                    (MPSV4) Menomune-A,C,Y,W-135, which is also manu-                                    Information Resources
 available at http://www.cdc.gov/mmwr/preview/mmw                                                                                      NYSDOH
 rhtml/rr5512a1.htm?s_cid=rr5512a1_e, and VISs are avail-           factured by Sanofi. MPSV4 is still an acceptable alternative
                                                                    to MCV4.                                                           http://www.health.state.ny.us/prevention/immunization/index.htm
 able for parents.                                                                                                                     518-473-4437
                                                                       The vaccine is contraindicated for anyone with a severe
 Herpes Zoster (Shingles)                                           acute illness and anyone known to have a severe allergy to
    On May 25, 2006 the FDA approved Merck’s application            any of the vaccine components or to dry natural latex. MCV4        CDC Vaccines and Immunizations
 to distribute its live attenuated vaccine, Zostavax, the first     can be given to pregnant women if indicated. The vaccine’s         http://www.cdc.gov/node.do/id/0900f3ec8000e2f3
 vaccine licensed in the US to reduce the risk of shingles in       effect on this population has not yet been studied.                800-CDC-INFO (800-232-4636) English and Español
 older adults. The ACIP followed suit on October 25 by rec-            Recent reports of Guillain Barre Syndrome (GBS) after
 ommending that the vaccine be administered to all adults           vaccination with MCV4 has prompted CDC to recommend                AAPCISP
 age 60 and older, even those who have had a previous               that those with a history of GBS not receive this vaccine.         The American Academy of Pediatrics’ Childhood
 episode of shingles.                                               Those with a history of Guillain Barre Syndrome, who are at        Immunization Support Program has a website with
    Zostavax is administered as a single injection under the        high risk for the disease (for example, microbiologists rou-       “Important Information for Clinicians,” including links to all
 skin, preferably in the upper arm. It is contraindicated for       tinely exposed to the meningococcal bacteris), might consid-       recent updates on vaccine information and regulations.
 people with active untreated tuberculosis or who are allergic      er vaccination. There remains an ongoing risk for meningo-         http://www.cispimmunize.org/
 to neomycin or any component of the vaccine. Because it is         coccal disease and the data indicating a small risk for GBS is
 a live vaccine, it should not be given to pregnant women and       limited; therefore, CDC is not changing the current recom-         Vaccine Information Statements (VIS)
 those with a weakened immune system due either to a dis-           mendations for MCV4.                                               Federal law requires that VISs be handed out to parents
 ease or immunosuppressive therapy. Zostavax should not be             Adverse side affects are experienced by only a small per-       and patients when certain vaccinations are given and rec-
 used in place of Varivax to prevent chickenpox.                    centage of people, but they include low fever and mild pain at     ommends distribution for other vaccines.
    Zostavax did not prevent shingles for all patients studied,     the site of injection.                                             To learn more and download the most up-to-date versions,
 but it did prevent occurrence for 50% of those vaccinated.            CDC recommendations on MCV4 can be found at                     visit http://www.cdc.gov/nip/publications/VIS/vis-hpv.pdf,
 The vaccine reduced the duration and severity of post herpet-      http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5407a1.htm.             or they can be ordered from MSSNY by calling 516-488-
 ic neuralgia (PHN) by 67%. Zostavax was most effective for            Between 1,400 and 2,800 cases of meningococcal disease          6100, extension 302 or 412.
 those between the ages of 60 and 69, providing 67% protec-         are reported annually, with a 10-14% mortality rate. Of those
 tion, but its effectiveness waned with the increasing age of the
 patients. Side effects were few and/or mild and included red-
 ness, pain, tenderness and swelling at the injection site and/or                            VACCINES FOR 2006-2007 INFLUENZA SEASON
 sometimes itching and headache.
    Zostavax gives physicians an important tool to prevent and       MANUFACTURER                      NAME                          INDICATIONS             FORMULATIONS AVAILABLE
 reduce the incidence of shingles, caused by the reactivation of     Sanofi Pasteur                    Fluzone                       6 mos and up            0.25 syringe (p-free)
 the varicella zoster virus (VZV) that causes chickenpox.                                                                                                    0.5 syringe
 Shingles is characterized by clusters of blisters, which devel-                                                                                             0.5 syringe (p-free)
 op on one side of the body and can cause severe pain that may                                                                                               Multi-dose vial
 last for weeks, months or even years.                               Chiron-Novartis                   Fluviron                      4 and up                0.5 syringe
    About 25% of the population develops zoster during their                                                                                                 Multi-dose vial
 lifetime, and about 1 million cases of shingles surface annu-
 ally. A person with shingles can spread the zoster virus to         GSK                               Fluarix                       18 and up               0.5 syringe
 others, thereby giving chickenpox to a person who has not                                                                                                   Multi-dose vial
 had chickenpox before. The risk of developing shingles is           IDB/GSK                           Flulaval                      18 and up               Multi-dose vials
 highest in the elderly and increases with age, starting at          MedImmune                         FluMist                       5-50                    0.5 cc sprayer, 0.25 cc per nostril
 around age 50.




                                                                                                                                                 December 2006 — MSSNY’s News Of New York— Page 9
                                                                                                                                  WELCOME NEW MEMBERS
                                  RESIDENTS                                                     Dana L. Wymer, DO ..............................................................Pediatrics
                                                                                                Huma Yousaf, MD ......................................................Family Medicine
                                                                                                                                                                                                Kathleen M. Rossy, MD....................................................Dermatology
                                                                                                                                                                                                Gary Schwartz, MD ....................................................General Surgery
                                                                                                                                                                                                                                                                                                                           WESTCHESTER
                                                                                                                                                                                                                                                                                               Rebecca Mammo, MD..................................................Ophthalmology
                                      ALBANY                                                    Anna Zaletayeva, MD ................................................Family Medicine             Beth Seltzer, MD ................Public Health & General Preventive Med                        Anitha L Mullangi, MD ..............................................Family Medicine
Rima Faraj Abraham, MD ............................................Otolaryngology                                                       KINGS                                                   Alok D. Sharan, MD ..............................................Orthopedic Surgery
Dennis John Basila, MD ......................................................Pediatrics         Michael E. Anigbogu, MD ........................................Internal Medicine               Seena Skaria, MD ................................................................Neurology                                NON-RESIDENTS
Sami A. Beg, MD ......................................................Internal Medicine         Samina Azam, MD....................................................Internal Medicine            Dana Liliana Tarcatu, MD..............................................Pain Medicine
Madiha Jamil, MD ................................................................Pediatrics     Geetha Priyadarshini Bhumreddy, MD ....................Internal Medicine                        Muthukumar Thangamani, MD................................Internal Medicine                                                         BRONX
Muhammad Asad Amir Khan, MD ................Cardiovascular Disease                              Jillene M. Brathwaite, DO ........................................Internal Medicine             Artur Michaelovic Treyster, MD ........................Emergency Medicine                      Darren Esposito, MD ............................................Internal Medicine
Abid Malik, MD ....................................................................Psychiatry   Rolando Daniel Breier, MD ......................................Internal Medicine               Eric J. Wolf, MD............................................................Ophthalmology      Pragnesh H Gadhvi, MD............................Interventional Cardiology
Louis Philip Rotkowitz, MD........................................Family Medicine               Dimitar Cvetkoski, MD..............................................Internal Medicine                                                                                                           Mark A. Menegus, MD..............................Interventional Cardiology
Mohsin M. Syed, MD................................................Internal Medicine             Hilary E. Fairbrother, MD....................................Emergency Medicine                                                         ONEIDA                                                 David Mun, MD......................Physical Medicine and Rehabilitation
                                                                                                Charles A. Fotuchang, MD ......................................Internal Medicine                Gul Iram Anwar, MD ..................................................Family Medicine           Robert Sidlow, MD................................................Internal Medicine
                                       BRONX                                                    Orlando Stephen Fuschetto, MD..............................Internal Medicine                    Christina G. Aranda, MD ............................................Family Medicine            M Alexander Wright, MD ......................................Internal Medicine
Carlos Arturo Almonte, MD........................................Family Medicine                Vikti A. Gosalia, MD ..................................................Internal Medicine        Rozeena Ayaz, MD ....................................................Family Medicine
Jonathan Saul Austrian, MD ....................................Internal Medicine                Aharon Gutterman, MD ................................................Anesthesiology             Marnel M. Bondoc, DO ..............................................Family Medicine                                                 BROOME
Jennifer Weiming Chuy, MD ....................................Internal Medicine                 Hegham Hazin, MD ..................................................Internal Medicine            Sara Giorgi, DO............................Osteopathic Manipulative Medicine                   Xiau Fang, MD ......................Physical Medicine and Rehabilitation
Daniel Seth Gingold, MD ............................................General Surgery             Trevor A. Jolly, MD ..................................................Internal Medicine         Andrew B. Maigur, MD ..............................................Family Medicine             Erik D. Hiester, DO ....................................................Pain Medicine
Silvana Gracia Gonzalez Reiley, MD........................Internal Medicine                     Deepak Kilari, MD ....................................................Internal Medicine         Tatyana N. Misyulya, MD ..........................................Family Medicine              Karen Linnae Hiester, DO ......................................Family Medicine
Tod Mathew Haller, MD ..............................................Ophthalmology               Jayanth Koneru, MD ................................................Internal Medicine            Ravi Mohan, MD ........................................................Family Medicine         Andrew L. Isenberg, MD ........................................General Surgery
Konstantinos P. Koulogiannis, MD ..........................Internal Medicine                    Leela K. Lella, MD ....................................................Internal Medicine        Uzoma Nwanagu Obuekwe, MD ..............................Family Medicine                        Tariq Muzzafar, MD ............................Anatomic/Clinical Pathology
Madhav Lavu, MD ....................................................Internal Medicine           Adriana Catalina Linares, MD....................................Family Medicine                 Meghana R. Shah, MD ..............................................Family Medicine              Harry E. Pinkus, MD ......................Neurology/Diagnostic Radiology
Khawaja Sajid Ahmad Mir, MD................................Internal Medicine                    Christopher S. Luthi, MD..........................................Internal Medicine             Luv Vachhani, MD ......................................................Family Medicine         Peter G. Prendergast, MD ....................................Internal Medicine
Nicholas J. Nissirios, MD ........................................Internal Medicine             Brian Kennedy Marks, MD ......................................................Urology           Shwe Y. Win, MD ......................................................Family Medicine          Richard Allen Ryder, MD ............................Cardiovascular Disease
Shaila Nazrul Nupur, MD..........................................Internal Medicine              Hossein Molazadeh-Yazdi, MD ................................Internal Medicine
Shraddha Pandey, MD ............................................Internal Medicine               Navin S. Nagaraj, MD ..............................................Internal Medicine                                                   ONONDAGA                                                                                  CAYUGA
Anthony Peter Posca, Jr., MD....................................Family Medicine                 Emily Michelle Nichols, MD ..............................Emergency Medicine                     Imad Absah, MD....................................................................Pediatrics   Laurie B. Hickey, MD ........................................................Pediatrics
Ashok Kumar Sharma, MD ......................................Internal Medicine                  Pushpaben M. Parikh, MD ......................................Internal Medicine                 Puneet Bains, MD ....................................................Internal Medicine
Xunhai Xu, MD..........................................................Internal Medicine        Adam Jason Polinger, MD....................................................Pediatrics           Robert David Ball, DO ..................................................Anesthesiology                                    CHEMUNG
Celeste Gregorio Yap, MD ........................................Internal Medicine              Lakshmi Ramasanayam, MD ..................................Internal Medicine                     Marlene J. Baumann, MD..................................................None Given             Kimberly P. Kaffenbarger, MD ....Geriatric Medicine (Internal Med)
                                                                                                Samitha M. Reddy, MD ............................................Internal Medicine              Shazia Ashraf Beg, MD ............................................Internal Medicine
                                      BROOME                                                    Jeremiah S. Rutherford, MD ....................................Internal Medicine                Nabi Chowdhury, MD ..............................................Internal Medicine                                            COLUMBIA
Karen Grace Victoria V. De Aquino, MD ..................Internal Medicine                       Mitra Sahebazamani, MD ........................................Internal Medicine                Maria Michael Ciciarelli, MD ....................Obstetrics and Gynecology                     Christopher T. Gorczynski, MD..........................Orthopedic Surgery
Jodie Marie Fiacco, MD ....................................................None Given           Diana Sherman, MD ................................................Internal Medicine             Amy Yael Di Fabio, MD ........................................................Pediatrics       Marcel Eldon Hinds, MD ........................Obstetrics and Gynecology
Richard L. Garwood, DO ..........................................Internal Medicine              Anita J. Singh, MD..............................................Emergency Medicine              Preeti N. Dube, MD ..................................................Internal Medicine         Stephen L. Krizar, MD ............................................Family Medicine
Demetri J. Gasparis, MD............................................Family Medicine              Vishnu S. Singh, MD ................................................Internal Medicine           Steven Martin Duffy, MD..........................................Internal Medicine             Princewill O. Ogbuji, MD ............................Cardiovascular Disease
G. David Hoeft, MD ............................................................None Given       Omer W. Sultan, MD ................................................Internal Medicine            Kim Nancy S. Duque, MD................Transitional Year Acredited Grad
Rikesh J. Makanjl, MD ....................Transitional Year Acredited Grad                      Anna Szafran-Swietlik, MD......................................Internal Medicine                Timothy Fortuna, DO ..........................................Emergency Medicine                                                   KINGS
Vanessa L. Mallo, DO ................................................Family Medicine            Khalid Ahmad Zaalook, MD......................................Internal Medicine                 Dalton A Foster, MD..................................................................Urology   Iffath Abbasi Hoskins, MD..................Maternal and Fetal Medicine
Joon Park, MD............................................................Family Medicine        Larisa Zgonjanin, MD ..............................................Internal Medicine            Srivalli Gopaluni, MD ................................................Internal Medicine        Yves Richard Jean-Gilles, MD ..............Obstetrics and Gynecology
Debra L. Paxton, DO ..................................................Family Medicine                                                                                                           Derek P. Gorski, DO ..............................................................Pediatrics   Dmitry Konsky, DO................................................Internal Medicine
Rowena M. Reyes, MD....................Transitional Year Acredited Grad                                                              MONROE                                                     Suzanne C. Griffith, MD ............................Obstetrics and Gynecology                  Ron Maimon, MD ..............................................................Radiology
Iryna Yeuchyk, MD ....................................................Family Medicine           Bethany A. Auble, MD ..........................................................Pediatrics       Erin K. Hill, MD ..........................................Obstetrics and Gynecology           Manesh Augustine Mathew, MD ......................................Radiology
                                                                                                Peter Kurt Benson, MD ................................................Anesthesiology            Kirti M. Kandalkar, MD ........................................................Pediatrics      Bernadette L. Sheridan, MD ..................................Family Medicine
                                         ERIE                                                   Adam S. Budzikowski, MD............Clinical Cardiac Electrophysiology                           Hazar Kobayaa, MD ..............................................................Pediatrics
Michael S. Adragna, MD......................................................Psychiatry          Angelo J. Cambio, MD..............................................................Urology       Sarah L. Lappin, DO..................................................Internal Medicine                                             MONROE
Mohammed Ilyas Ahmed Khan, MD........................Internal Medicine                          Kathryn Clark, MD ................................................................Pediatrics    Joseph R. Lauro, MD..........................................Emergency Medicine                Karen Ann Bradley, MD ........................Obstetrics and Gynecology
Alia Ahmed Alawneh, MD ........................................Internal Medicine                Caren Gellin, MD ..................................................................Pediatrics   Yan M. Li, MD ....................................................Neurological Surgery         Richard Dobson, MD ............Physical Medicine and Rehabilitation
Ziad Alfarah, MD ......................................................Internal Medicine        Bryce Tinker Gillespie, MD ..................................Orthopedic Surgery                 Riffat Meraj, MD ......................................................Internal Medicine       Vladimir Gaspar, MD ..............................................Family Medicine
Razan Hani Alkhouri, MD......................................................Pediatrics         LeWanza Marchell Harris, MD ..................................Family Medicine                   Celines Morales-Ribeiro, MD ....................................General Surgery                Albert S. Hartel, MD ..................................Allergy and Immunology
Cecilia Arana Yi, MD ................................................Internal Medicine          Peter Emil Hoffman, MD ............................................Family Medicine              Sonia Narendra, MD................................Anatomic/Clinical Pathology                  John Patrick Kelly, MD ........................................Internal Medicine
Tarandeep S. Arora, MD ..........................................Internal Medicine              Vikas Jindal, MD ............................................Cardiovascular Disease             Kevin J. Nebab, MD......................................................Anesthesiology         Shireen Mumtaz Khaled, MD............................................Pediatrics
Cynthia Arthur, MD ..................................................Internal Medicine          Steven A. Kahn, MD ..................................................General Surgery            Elizabeth K. Nelsen, MD ......................................................Pediatrics       Hwaok Kim, MD ....................................................Internal Medicine
Pandit Ashwini, MD ..................................Obstetrics and Gynecology                  Ariadne G. Lie, MD................................Internal Medicine (Pediatrics)                Brian T. Pavlovitz, MD ............................Anatomic/Clinical Pathology                 Robert H. Oliver, MD ................................................Otolaryngology
Kristin Sarah Baltazar, MD ........................................General Surgery              Timothy Jason Malins, MD ............................Cardiovascular Disease                     Joel Evan Portnoy, MD ................................................Otolaryngology           Johann Marie Piquion, MD ....................Obstetrics and Gynecology
Wamiq Yamya Banday, MD ....................................Internal Medicine                    Rohaan F. Mehta, MD..........................Physical Med & Rehabilitation                      Peter A. Prieto, MD ....................................................General Surgery        Hani Husayn Rashid, MD ......................................................Urology
Yuliya Baryla, MD ......................................................Family Medicine         Maryanne Meirs Morgan, MD ..............Pulmonary Critical Care Med                             Ayesha Rashid, MD..............................................................Psychiatry      Brian P. Watkins, MD..............................................General Surgery
Mary Catherine Berowski, MD ............Physical Med & Rehabilitation                           Aasim Ilyas Padela, MD ....................................Emergency Medicine                   Shreyas K. Roy, MD....................................................General Surgery          Guan Wu, MD ........................................................................Urology
William W. Blymire, Jr., MD ..............................................None Given            Keely Rene Parisian, MD..........................................Internal Medicine              Benjamin David Sadowitz, MD ..................................General Surgery
Danielle Lynn Bonnevie, MD ................................................Pediatrics           Cary M. Qualia, MD ..................................Pediatric Gastroenterology                 Jonathan A. Schiller, MD ..................................Emergency Medicine                                                     NASSAU
Elizabeth A. Bowdish, MD..........................................General Surgery               Fernando H. Serna, Jr., MD..................................Orthopedic Surgery                  Adurthy Ananth Shankar, MD ..................................Internal Medicine                 John J. Biordi, MD ................................Obstetrics and Gynecology
Linda Burns, DO........................................................Internal Medicine        Neelam Sharma, MD ................................Obstetrics and Gynecology                     Roopa K. Shankar, MD ........................................................Pediatrics        Martin Mahon Dolan, MD............................................Hand Surgery
Kerry Parker Cassel, MD....................................Emergency Medicine                   Kristina Ann Siddall, MD ....................................Diagnostic Radiology               Bashar S. Shihabuddin, MD ................................................Pediatrics           Abraham I. Green, MD ......................................................Pediatrics
Ramandeep S. Chahal, MD..................................................Psychiatry             Joanne Wu, MD........................Physical Medicine and Rehabilitation                       Amit Singh, DO ............................................................Anesthesiology      Gita Monica Khilnani, MD..................................................Radiology
Jayakrishna Chintanaboina, MD..............................Internal Medicine                                                                                                                    Rajdeep Singh, MD ..............................................................Neurology      Shibu Geevarghese Oommen, MD ........................Gastroenterology
Christopher N. Co, MD..............................................Internal Medicine                                                 NASSAU                                                     Lubbna Valliani, MD..............................................................Pediatrics    Alla Sabzanova, DO ..............................................Internal Medicine
Rupali A. Deopurkar, MD..........................................Internal Medicine              Jennifer Ann Block, MD ..........................................Internal Medicine              Kris Vanwagner, DO ........................Transitional Year Acredited Grad
Nicole M. Gawron, DO..................................................Anesthesiology            Yelena Globina, MD ..............................................................Neurology                                                                                                                                        NEW YORK
Vessela Ivaneva Giger-Mateeva, MD ..................................Neurology                   Joel I. Harnick, MD ..............................................Pediatric Cardiology                                         OTSEGO                                                          Daniel J. Adler, MD................................................Gastroenterology
Avantica Gondi, MD............................................................None Given        Daniel Donald Hayes, MD ........................................Internal Medicine               William Joseph Fredette, Jr., MD ........................................Pediatrics            Douglas Ian Allen, DO............Physical Medicine and Rehabilitation
Dmitry David Gorelik, MD ..............................Cardiovascular Disease                   Lisa M. Hayes, MD....................................................Internal Medicine                                                                                                         Elliot Jay Arons, MD..............................................Internal Medicine
Antoine J. Harb, MD ................................................Internal Medicine           Narmin Farah Hussain, MD......................................Internal Medicine                                                          QUEENS                                                Norman Bakshandeh, MD ........................................Plastic Surgery
Sergio Hernandez, MD ........................................................Psychiatry         Victoria Kogan, MD ..................................................Internal Medicine          Sumera Ahmed, MD ................................................Internal Medicine             Ann M. Barber, MD ..............................................Internal Medicine
Roland Antoine Honeine, MD ..................................Internal Medicine                  Daniela Kroshinsky, MD ..................................................Dermatology            Kenneth Michael Banner, MD..................................Internal Medicine                  Michael Lee Batten, MD ..........................................Ophthalmology
Rod S. Johnson, MD ..................................................Family Medicine            Michael Glenn Lewis, MD ....................................................Pediatrics          Germania S. Baux, MD ......................................Emergency Medicine                  Kathy G. Berkman, MD ............................................Psychoanalysis
Semira K. Khawar, MD ............................................Internal Medicine              Jay Steven Lipshitz, MD ..........................................Internal Medicine             Evelyn Christina Chang, MD ....................................Internal Medicine               Betsy J. Bittman, MD ......................................................Psychiatry
Jennifer M. Kick, DO ..................Osteopathic Manipulative Medicine                        Mohamed Mansour, MD ..........................................Internal Medicine                 Graciela B. De Jesus, MD ........................................Internal Medicine             Douglas F. Buxton, MD ............................................Ophthalmology
Lynne Anne Learned-Orozio, MD ..............................Family Medicine                     Youssef Mohammed Nejjar, MD..........................................Neurology                  Andreia P. De Lima, MD ..........................................Internal Medicine             Louis J. Capponi, MD............................................Internal Medicine
Rizwana Lilani, MD ....................................................Family Medicine          David H. Oustecky, MD ............................................Internal Medicine             Anita Kaur Gill, MD ..............................................................Neurology    Hyounjoo Cho, MD ....................................................Anesthesiology
Debra Lynn Luczkiewicz, MD ....................................Family Medicine                  Michal Packman, MD ........................................................Nephrology           Jade Yun Hon, MD................................................................Neurology      Chris Creatura, MD ................................Obstetrics and Gynecology
Ryan Mangel, MD ......................................................Family Medicine           Sanjeev K. Ponnappan, MD......................................Internal Medicine                 Sourabh P. Kharait, MD............................................Internal Medicine            Linda Daghestani Dahl, MD ......................................Otolaryngology
Michael T. Mann, MD ........................................Emergency Medicine                  Gregory Puglisi, MD ......................................Allergy and Immunology                Sang Taek Kim, MD..................................................Internal Medicine           Paul William De Bell, MD ................................................Psychiatry
Renee M. Mapes, DO ........................................................None Given           Seema Dinker Rai, MD ............................................Internal Medicine              Christin A. Knowlton, MD ........................................Internal Medicine             Albert M. DeFabritus, MD ..............................................Nephrology
Munis Azim Mattu, MD ............................................Internal Medicine              Mityanand Ramnarine, MD ................................Emergency Medicine                      Stephen C. Ko, MD..............Public Health & General Preventive Med                          Joseph Francis Fetto, MD ................................Orthopedic Surgery
Jodi S. Michaels, MD ................................................General Surgery            Roby Razan, MD ......................................................Internal Medicine          Aneesa Krishnamurthy, DO......................................Internal Medicine                Mark P. Finger, MD ..........................................................Psychiatry
Yasser N. Mir, MD ................................................................Radiology     Martine Sanon, MD ..................................................Internal Medicine           Hun J. Lee, MD ........................................................Internal Medicine       Michael S. Frank, MD ............................................Gastroenterology
Muniza M. Mogri, MD ..........................................................Pediatrics        Bilal Karim Siddiqui, MD ..........................................Internal Medicine            Mirela Meca, MD ......................................................Internal Medicine        Cathryn Ann Galanter, MD................................................Psychiatry
Azeema Moosa, MD..................................Obstetrics and Gynecology                     Julie Weiser-Shlefstein, MD ............Public Health & Preventive Med                          Simona Meca, MD....................................................Internal Medicine           Robert A. Guida, MD ......................................Facial Plastic Surgery
Margaret Mulihill, MD ..............................Obstetrics and Gynecology                   James Frank Wyss, II, MD ..................Physical Med & Rehabilitation                        Tuan Thanh Nguyen, MD ........................................Internal Medicine                Len H. Horovitz, MD. ........................................Pulmonary Diseases
Neha Nainani, MD ....................................................Internal Medicine                                                                                                          Chioma Adaora Oyeamalu, MD................................Internal Medicine                    Eric Yuchueh Huang, MD..............................................Dermatology
Varuna Nargunan, MD..............................................Internal Medicine                                                    NEW YORK                                                  Tchaiko Parris, MD ..................................................Internal Medicine         Barton Inkeles, MD ..............................................Internal Medicine
Mayor A. Okoloise, MD ............Physical Medicine and Rehabilitation                          Sumita Linda Adhya, MD..........................................Internal Medicine               Purvesh R. Patel, MD................................................Internal Medicine          Ira M. Jacobson, MD ............................................Gastroenterology
Maria Oliveira, MD ..............................................................Psychiatry     Benedict Eromosele Aimua, MD..............................Internal Medicine                     Vichin C. Puri, MD ......................................................General Surgery       Sumayah Jamal, MD ....................................................Dermatology
Melanie C. Ongchin, MD ............................................General Surgery              Jonathan Pelayo Alvior, MD ....................................Internal Medicine                Naziya Farzeen Rahman, MD ..................................Internal Medicine                  Tatiana Kubacki, MD ................................................Anesthesiology
Youmna Samir Othman, MD..............................................None Given                 Dimitrios Vasileios Avgerinos, MD ............................General Surgery                   Rifka Chaya Schulman, MD ....................................Internal Medicine                 Blair S. Lewis, MD ................................................Gastroenterology
Sasha Pavlov-Shapiro, MD ......................................................Urology          David J. Axelrod, MD ............................................................Radiology      Parminder S. Sidhu, MD ..........................................Internal Medicine             James Lin, MD ........................................................General Surgery
Misha Peter, MD ......................................................Internal Medicine         Shyamal Raj Bastola, MD ........................................Internal Medicine               Ranjeet Singh, MD....................................................Internal Medicine         Maeve M. Mahon, MD ......................................................Psychiatry
Tara M. Petroski, MD............................................................Pediatrics      Kenneth B. Chapman, MD ..........................................Anesthesiology                 Janice Yungtai Wang, MD........................................Internal Medicine               Eric R. Mandel, MD ..................................................Ophthalmology
Venkata Puppala, MD ................................................Family Medicine             Constance Marian Chen, MD ......................................Plastic Surgery                 Maureen Zi Wang, MD ............................................Internal Medicine              Melanie Marin, MD ................................Obstetrics and Gynecology
Brian David Rambarran, MD ......................................General Surgery                 Li-Fen Chen, MD ......................................................Internal Medicine         Bin Xie, MD ..............................................................Internal Medicine    Gary N. Mellen, MD ..................................................Anesthesiology
Ashish V. Regulagadda, MD ....................................Internal Medicine                 Joshua Scott Dines, MD ............................................General Surgery              Ryan Young, MD ......................................................Internal Medicine         R. Christine Melton, MD............................................Ophthalmology
Glen H. Rudolph, MD ............................................Orthopedic Surgery              Dan Valentin Dinescu, MD ..................................Pulmonary Diseases                   Edward Hao Sheng Yu, MD..................................................Neurology             Hamid Moussavian, MD................Child and Adolescent Psychiatry
Afshan Samad, MD ..................................Obstetrics and Gynecology                    Taliba Malika Foster, MD ....................................................Psychiatry                                                                                                        Bernard J. Park, MD..............................................Thoracic Surgery
John R. Santillo, DO ....................Osteopathic Manipulative Medicine                      Michele C. Gatto, MD ..................................................Ophthalmology                                               RICHMOND                                                    Rochelle L. Peck, MD................................................Ophthalmology
Matheni Sathananthan, MD ....................................Internal Medicine                  Alexander K. Han, MD ..............................................Internal Medicine            Joseph Mani Korah, MD ..........................................Internal Medicine              Karen Michele Rosewater, MD............Adolescent Med (Pediatrics)
Naveen B. Seth, MD ................................................Internal Medicine            Carolyn Marie Hettrich, MD........................................General Surgery               Otilia Neacsu, MD ................................Internal Medicine (Pediatrics)               Ram Roth, MD ..........................................................Anesthesiology
Parth Shah, MD..........................................................Family Medicine         Hemant Hora, MD ....................................................Internal Medicine           Saif Usman, MD..........................................................General Surgery        Ira Louis Salom, MD ....................Geriatric Medicine (Internal Med)
Sumera Shah, MD ....................................................Internal Medicine           Yili Huang, DO ................................................Cardiovascular Disease                                                                                                          Julia Beth Samton, MD ....................................................Psychiatry
Shweta Sharan, MD ................................................Internal Medicine             Chanh Trung Huynh, MD..........................................Internal Medicine                                          SCHENECTADY                                                          David Robert Schwam, MD..............................................Psychiatry
Gurmeet Singh Sidhu, MD ........................................Family Medicine                 Diljit Bahuleyan Karayil, MD ....................................Internal Medicine              Jeremy David Joslin, MD ..........................................Family Medicine              Ann Parker Sellew, MD ....................................................Psychiatry
Susan E. Smith, MD ....................................................Ophthalmology            Fernando Kawai, MD................................................Internal Medicine                                                                                                            Julia Anne Smith, MD ..........................................Medical Oncology
Julie A. Sparlin, MD....................................................General Surgery         Amit V. Khaneja, MD ............................................................Neurology                                             SUFFOLK                                                  Monica Tadros, MD ..................................................Otolaryngology
Olanrewaju Talabi, MD ............................................Internal Medicine             Yoojin Kwun, MD........................................................Family Medicine          Maria F Benetos, DO ..................................................General Surgery          Frank M. Weiser, MD ..................................Cardiovascular Disease
Brian Teng, MD ..........................................................General Surgery        Keagan Hyun-Chul Lee, MD ..................Anatomic/Clinical Pathology                          Siddharth J. Bhatt, MD ............................................Internal Medicine           S. Steven Yang, MD ..........................................Orthopedic Surgery
Nita Thapa, MD ........................................Obstetrics and Gynecology                Adrian Mohinder Majid, MD ....................................Internal Medicine                 Zoltan J. Egri, MD ........................................Interventional Cardiology
Mathew K. Thomas, MD ..........................................Internal Medicine                Andreas Christopher Mauer, MD ............................Internal Medicine                     Najeeb Syed Hussaini, MD ........................................Family Medicine                                        ONEIDA
Michelle A. Velasquez, MD ........................................Family Medicine               Richard Myint, DO ....................................................Internal Medicine         Mathew J. Most, MD ............................................Orthopedic Surgery              Kwaku Adututu Amankwah, MD ..........Obstetrics and Gynecology
Vasundhara Voleti, MD ......................................................None Given          Vikash Singh Panghaal, MD ................................................Radiology             Pavan Pyreddy, MD ................Geriatric Medicine (Internal Medicine)
Sachin Wadhawan, MD............................................Internal Medicine                Joni Elizabeth Rabiner, MD ..................................................Pediatrics         Sonia Sadarangani, MD ..........................................Internal Medicine
                                                                                                Amparo M. Ramirez, MD..........................................Internal Medicine                                                                                                                                                       (Continued on page 14)

Page 10 — MSSNY’s News Of New York— December 2006
December 2006 — MSSNY’s News Of New York— Page 11
                                                                 Special Discount for December
                                                                 Washington Health Conference
                                                         MSSNY has arranged for a 50% dis-                marketing healthcare services to the
                                                       count for members to attend the 2006               “Boomer Generation,” and the future tech-
                                                       Consumer and Patient Enabling                      nological interface between patients and
                                                       Technologies Conference slated for                 physicians.
                                                       Dec.12-14 in Washington, DC.                          A complete listing of conference topics
                                                         Focused on informational, clinical and           can be found at www.consumerhealth-
                                                       consumer technologies that are starting to         world.com. The site also provides an
                                                       impact the interchange between patients            online registration form. Registering
                                                       and providers, the conference provides six         MSSNY members should use the code
                                                       program tracks with a multi-focus series of        NYSP50F06. For assistance and further
                                                       presentations exploring business aspects of        information, MSSNY members should call
                                                       healthcare management, strategies for              804-266-7422 ext. 7408.


                                                     Strategies to Reduce Patient Wait Times Examined
                                                       According to the Nov. 12 AP/Chronicle,             patients often get sicker and show up later in
                                                    physicians and healthcare providers for years         worse shape.”
                                                    have faced “overcrowding, overbooking and
                                                    patients’ complaints” about long wait times for       Hospitals & Practices Attempt to
                                                    care and laboratory test results. In response, sev-   Expedite Non-Emergency Care
                                                    eral hospitals have established “fast-track” pro-       Some hospitals have begun to distribute
                                                    grams to expedite care for patients who visit         pagers to ED patients to allow them to leave
                                                    emergency departments for non-emergencies.            the waiting area. Other hospitals have added
                                                       The article cited Montefiore Medical Center        nurses or have begun to include preliminary
                                                    in New York City as an example, stating that          examinations of ED patients in the triage
                                                    Montefiore, over the past five years, has hired       process to allow physicians to order X-rays
                                                    50 additional ED physicians, established a sep-       and other tests earlier.
                                                    arate area for fast-track care and implemented          Physicians also have sought to reduce wait
                                                    an electronic patient registration system. The        times in their practices. The American
                                                    changes have allowed Montefiore to reduce             College of Physicians earlier this year recom-
                                                    average arrival-to-discharge time for patients        mended that health insurers begin to reim-
                                                    who visit EDs for non-emergencies from about          burse physicians for telephone and e-mail
                                                    six hours to two hours. In addition, the changes      consultations. ACP also supports “open-
                                                    have allowed Montefiore to reduce the walkout         access” scheduling, in which physicians
                                                    rate – the percentage of ED patients who leave        reserve as much as 70% of their daily sched-
                                                    because they cannot wait any longer – from            ules for patients who call early for same-day
                                                    about 5% to 1.5%, according to Peter                  appointments. In addition, some physician
                                                    Semczuk, vice president of clinical services at       offices and hospitals have begun to use pri-
                                                    the hospital. The reduction in the walkout rate       vate online accounts that allow patients to
                                                    at Montefiore is “significant because walkout         receive lab test results earlier.




Page 12 — MSSNY’s News Of New York— December 2006
                                    MSSNY – Excellus Settlement Compliance
   On January 12, 2006 the Settlement              ed to opt-out of the settlement agreement and     • If the Compliance Dispute Facilitator               Expert (whoever decided the dispute) for
Agreement between the Medical Society of the       who satisfies the requirement of (a) above.         judges a compliance dispute to be frivo-            a rehearing. The Compliance Dispute
State of New York and Excellus Health Plan                                                             lous, the Compliance Dispute Facilitator            Review Officer or the External Subject
went into effect. The agreement provides for          Q. What is the deadline to submit a              may reject and not hear the compliance dis-         Matter Expert may deny the petition for a
the appointment of a Compliance Dispute            Compliance Dispute?                                 pute.                                               rehearing or issue a new written opinion
Facilitator to hear and resolve disputes regard-      A. A compliance dispute is timely if the       • If the Compliance Dispute Facilitator               after considering such petition.
ing Excellus Health Plan’s compliance with the     petitioner has submitted a properly completed       determines that the compliance dispute has        • If the Compliance Dispute Review Officer
settlement. If you wish to submit a compliance     Compliance Dispute Form within 90 days              merit and is not frivolous, the first step is       determines that Excellus Health Plan has
dispute regarding Excellus Health Plan’s com-      after the compliance dispute arose.                 that the Compliance Dispute Facilitator             engaged in a systemic violation of its oblig-
pliance with the settlement, please contact the                                                        will notify Excellus Health Plan’s Internal         ations under section 7 of the settlement
Compliance Dispute Facilitator via phone, e-          Tolling Provision for Compliance                 Compliance Officer of the compliance dis-           agreement, the Compliance Dispute Review
mail or regular mail:                              Dispute that arose prior to November 1,             pute. The Compliance Dispute Facilitator            Officer may order appropriate remedies to
               Peter Millock, Esq.                 2006:                                               and the Excellus Health Plan Internal               address such systemic violations.
          pmillock@nixonpeabody.com                   The Compliance Dispute Facilitator and the       Compliance Officer must work to resolve           • Upon issuance of the Compliance Dispute
                   Kevin Dayer                     Compliance Dispute Review Officer were not          the dispute. Section 11.6 of the settlement         Review Officer’s or External Subject
           kdayer@nixonpeabody.com                 appointed until the week before November 1,         agreement provides a time period that the           Matter Expert’s decision after a rehearing,
                                                   2006. Because the Compliance Dispute                Compliance Dispute Facilitator and the              if any, the decision is final unless appealed
              Nixon Peabody LLP                    Facilitator and the Compliance Dispute              Internal Compliance Officer must attempt            to the court. Generally, grounds for appeal
         Omni Plaza, 30 South Pearl Street         Review Officer were not appointed until             to resolve the dispute.                             are limited, and the court will only consider
           Albany, New York 12207                  recently, MSSNY and Excellus agreed that the      • If the Compliance Dispute Facilitator and           whether the Compliance Dispute Review
                  518-427-2650
                                                   90-day period to file a claim would be “tolled”     the Internal Compliance Officer are                 Officer’s or External Subject Matter
                                                   (which means the 90-day time period would           unable to resolve the complaint, they may           Expert’s final decision was arbitrary, capri-
   The MSSNY Compliance Dispute Form can           not begin to run) until the Compliance Dispute      jointly agree that a subject matter expert is       cious, or an abuse of discretion.
be found at the Excellus website at: www.excel-    Facilitator and the Compliance Dispute              necessary to resolve the matter.
lusbcbs.com/providers and can be found on the      Review Officer were appointed. With the           • If the Compliance Dispute Facilitator and          Q. Does the Class Member pay the
MSSNY website at: http://www.mssny.org/mss-        recent appointment of Peter Millock, Esq. as        the Internal Compliance Officer agree on        Compliance Dispute Facilitator’s or
nyip.cfm?c=i&nm=Excellus.                          the Compliance Dispute Facilitator and              a subject matter expert to be used, the         Compliance Dispute Review Officer’s fees?
                                                   Deborah L. Kelly, Esq. as the Compliance            external subject matter expert would act           A. No. The class member pays no fee. If the
   Q. Who May Petition the Compliance              Dispute Review Officer, the toll was lifted         as a binding third-party arbitrator.            Compliance Dispute Facilitator agrees that the
Dispute Facilitator?                               effective November 1, 2006.                       • If no External Subject Matter Expert            compliance dispute has merit and is not frivo-
   A. (a) Any class member who has not                This means that if a compliance dispute          exists, or the Compliance Dispute               lous, the compliance dispute Facilitator advo-
validly and timely requested to opt-out of the     arose between the effective date of the settle-     Facilitator and the Internal Compliance         cates on behalf of the class member. However,
settlement agreement and that, based on the        ment agreement and November 1, 2006, the            Officer cannot agree on the subject matter      the settlement agreement requires Excellus
particular facts, contends that Excellus Health    submission of a compliance dispute will be          expert, then the dispute would be referred      Health Plan to pay the fees and costs of the
Plan has materially failed to perform specific     deemed timely if the petitioner has submitted a     to the Compliance Dispute Review                Compliance Dispute Facilitator and
obligations under section 7 of the settlement      properly completed Compliance Dispute Form          Officer for binding third-party arbitration.    Compliance Review Officer.
agreement, and that such class member is           no later than 90 days after November 1, 2006.     • After the Compliance Dispute Review                For more detailed information regarding the
adversely affected by Excellus Health Plan’s                                                           Officer or External Subject Matter              compliance dispute process, see section 11 of the
failure to comply with such specific obligations     Q. What are the procedures in a                   Expert has issued a written opinion, the        settlement agreement. The settlement agreement
under section 7.                                   Compliance Dispute?                                 petitioner or Excellus, or both, may peti-      can be found on the MSSNY website at:
   (b) MSSNY, so long as MSSNY identifies            A. Generally, the procedures involve the          tion the Compliance Dispute Review              http://www.mssny.org/mssnyip.cfm?c=i&
in its petition to the Compliance Dispute          following steps:                                    Officer or External Subject Matter              nm=Excellus.
Facilitator a class member who has not request-




                                                                                                                                        December 2006 — MSSNY’s News Of New York— Page 13
                                 WELCOME NEW MEMBERS                                                                                                                                                                             OBIT
 (Continued from page 10)                                                                     Kristen Anne O'Brien, MD ......................................Family Medicine

                                 ORANGE
 Inocencia Carrano, MD..........Physical Medicine and Rehabilitation
                                                                                              Thomas Russel O'Donnell, MD ................................Otolaryngology
                                                                                              Arnold David Panzer, MD ............................................Dermatology
                                                                                              Rakesh D. Patel, MD..........................................Orthopedic Surgery
                                                                                                                                                                                                                 Andrew Patterson, MD
 Visanee Isaraphanich Darin, MD..............................Anesthesiology
 Mohammad M. Islam, MD ....................................Internal Medicine
                                                                                              Joshua M. Paticoff, MD ............................................Anesthesiology
                                                                                              Christine Marie Ruggiero, MD..................................Anesthesiology
                                                                                                                                                                                                                 MLMIC President, Dies
                                OSWEGO                                                        Mobin Aslam Sadiq, MD ......................................Internal Medicine
 Mahesh Reddy Kuthuru, MD ............Physical Med & Rehabilitation                           Lawrence Salob, DO ..............................................Family Medicine
                                                                                                                                                                                          MSSNY regrets the passing of Andrew H. Patterson, MD, president and one of the found-
                                                                                              Elena Sanders, MD ..............................................Internal Medicine        ing members of Medical Liability Mutual Insurance Company (MLMIC). A Bronxville resi-
                                   QUEENS                                                     Craig William Scannevin, MD ..................................Anesthesiology             dent and graduate of Columbia College of Surgeons and Physicians, Dr. Patterson maintained
 Stephen H. Klein, MD............................................Internal Medicine            Anthony Shallash, MD ....................................Emergency Medicine
                                                                                              Yogendra Nath Upadhyay, MD ........Child & Adolescent Psychiatry                         an active and distinguished practice as an orthopaedic surgeon at St. Luke’s-Roosevelt
                                 RICHMOND                                                     Keith Magnus Witt, DO ............................................Anesthesiology         Hospital from 1963 to 2000. He was director of orthopaedic surgery, member of the board of
 Ahmed A. Fadil, MD ..............Critical Care Medicine (Internal Med)                       David Ian Zaret, MD ..........................................Orthopedic Surgery         trustees and president of the medical board. Dr. Patterson also served as the team physician
                                                                                              Andrew N. Zeniou, MD............................................General Surgery
                                   STEUBEN                                                                                                                                             for the New York Knicks from 1970 to 1975. In 1975, when there was a statewide crisis of
 Charles H. Collier, MD........................................Radiation Oncology                                           TOMPKINS                                                   availability of medical malpractice insurance, Dr. Patterson was instrumental in creating the
                                                                                              David George Evelyn, MD ......................................Family Medicine
                                      SUFFOLK                                                 William Edward Field, II, MD ..............Anatomic/Clinical Pathology
                                                                                                                                                                                       Medical Liability Mutual Insurance Company, and he served on its first board of directors.
 Arjang Abbasi, DO ............................Physical Med & Rehabilitation                  Brent Davis Lemberg, MD ....................................Internal Medicine            He served as president from 1989 until his death.
 Hasan Isuf Berisha, MD............................................Anesthesiology             Daniel Sudilovsky, MD ..............................................Cytopathology           Dr. Patterson is survived by his wife, Pat, and three sons.
 Mohammad Ahmad Bilal, MD ........................Diagnostic Radiology
 Jean Marie Cacciabaudo, MD ....................Cardiovascular Disease                                                                ULSTER
 Bo Chao, MD ........................................................Internal Medicine        Pal Lekaj, MD..........................................................Family Medicine
 Cornell Michael Cohen, MD ........................Cardiovascular Disease
 Deborah Galloway, MD ....................................................Neurology
 Glenn George Gray, MD ..................................Diagnostic Radiology
                                                                                              Rodney T. Riedel, MD ............................................Family Medicine
                                                                                              William T. Smith, MD......................................................Nephrology                                        ALLIANCE
 Rakesh Vardhan Gupta, MD........................Cardiovascular Disease                                                    WESTCHESTER
 Jason Brett Hitner, MD ....................................................Pediatrics        Seth Alan Biser, MD..................................................Ophthalmology           At the Membership Development                      of tobacco use or is necessary to repre-
 Shalini Kapoor, MD ....................................Cardiovascular Disease                George Steven Hagopian, MD ..............Obstetrics and Gynecology                        Conference in October, the AMA Alliance               sent smoking of a real historical figure.
 Howard A. Lasner, MD ............................................Anesthesiology              James R. McWilliam, MD ..................Orthopedics- Foot and Ankle
 Leslie Lehmann, DO ..............................................Family Medicine
                                                                                                                                                                                        partnered with the American Medical                2. Require producers to certify on screen
                                                                                              Shaheda A. Quraishi, MD ................Physical Med & Rehabilitation
 Amy R. Leonard, MD ........................................................Pediatrics        Debra Sue Reich, MD................................................Otolaryngology         Association, American Heart Association,              that no one in the production received
 James Joseph Nicholson, MD ..........................Orthopedic Surgery                      Michael Solomon Wein, MD ................................Internal Medicine                the American Legacy Foundation and the                anything of value in consideration for
                                                                                                                                                                                        New York State Department of Health to                using or displaying tobacco.
                                                                                                                                                                                        launch “Screen Out!,” a national effort aimed      3. Require that strong anti-smoking pub-
       Lame Duck Session Fails to Address                                                                                                                                               at eliminating smoking in movies marketed             lic service announcements or advertise-
     Medicare Cut; One More Shot in December                                                                                                                                            toward children”. Each year, approximately
                                                                                                                                                                                        390,000 children start smoking, influenced
                                                                                                                                                                                                                                              ments appear ahead of any movie pre-
                                                                                                                                                                                                                                              sentation – and on or within packaging
(Continued from page 1)                                                                                                                                                                 by the smoking they see in movies.                    of any movie – that depicts tobacco
representatives demanding that this issue be                                                  Physicians should also urge their patients to                                             Approximately 90% of R-rated movies, 75%              use, regardless of rating.
addressed before the end of the year.                                                         help in the fight by availing themselves of the                                           of PG-13 and 40% of PG and G movies fea-           4. Require producers to stop identifying
Senators Clinton and Schumer, and a majori-                                                   AMA’s Patient Action Network at 1-888-                                                    ture smoking. “Screen Out!” advocates for             tobacco brands in their movies.
ty of New York’s Congressional delegation,                                                    434-6200. A patient flyer for physicians to                                               the following changes to protect youth from        In New York, the Alliance is encouraging
have signed letters to Congressional leader-                                                  post in their office is available from the                                                tobacco:                                        its county organizations and members-at-large
ship urging that this problem be fixed. You                                                   AMA       website      at    http://www.ama-                                                 1. Rate new smoking movies “R,” with the     to use the Screen Out! Guide to support a let-
need to remind them of their commitment.                                                      assn.org/ama1/pub/upload/mm/399/nac_pati                                                        sole exceptions being when tobacco pre-   ter-writing campaign and petition drive. For
  Physicians can call their representatives by                                                entflyer.pdf.                                                                                   sentation clearly and unambiguously       more information on Screen Out! or to down-
using the AMA hotline at 1-800-833-6354.                                                      Your action is essential!                                                                       reflects the dangers and consequences     load the guide, go to www.amaalliance.org.


                                                                                                                                        BUSINESS SHOWCASE
                              PROFESSIONAL                                                                                                                                                                                JASON M. BROCKS, J.D., M.P.H.
                           MEDICAL MANAGEMENT                                                                                                                                                                                               Attorney at Law
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                                                                                                                                                      providing representation in:                                           Legal Advice and Counsel for Physicians
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  knowledge to get you paid faster. We relieve the headaches associated with                                                                         • Professional Misconduct Proceedings
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                                                      A 25 Year Legacy                                                                                                                                                          Robert S. Asher, Esq.
                                                        Representing                                                                                                                                                                       Attorney at Law
            99 Park Avenue                         Physicians & Healthcare                                                                                                                                                 Robert S. Asher, J.D., M.P.A. Health
        New York, NY 10016-1601
 Tel: 212-286-8585 • Fax: 212-490-8966                  Professionals                                                                                                                                                       Former Director Professional Regulation
                                                                                                                                                                                                                            N.Y.S. Board of Regents
  • Medical Malpractice - Exclusively Defense                    • Managed Care Participation and                                                           Medi-Bill Associates, Inc.                                      (27 years health law experience)
  • Charges of Professional Misconduct                             Provider Hearings                                                            “Serving The Medical Community Since 1993”
    Brought by Department of Health                              • Allegations of Improper Insurance Coding
                                                                                                                                                                                                                          Representation in:
    (OPMC and BPMC)                                              • Medical Staff Privileges                                         If you are a physician that simply                                                      • Professional Misconduct & Criminal Proceedings
  • Licensure Issues                                             • Risk Management                                               does not want to incur the expense                                                         • License Restoration
    (Department of Education)                                                                                                                                                                                               • Impaired Professional Proceedings
  • Impaired Healthcare Professionals
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               Contact: Daniel S. Ratner, Esq., Managing Partner
                                                                                                                                 Customer Service Guaranteed.                                                               • Transfer of Professional Practice
                         Steven F. Seidman, M.D., J.D.                                                                                        Call or e-mail                                                                • Third Party Reimbursement
                                           212-286-8585                                                                             for a free in-office consultation                                                       • Litigation and Defense of Professional
                                                                                                                                                                                                                              Malpractice Actions
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      Tel: 203-327-1800                        Tel: 914-559-3100                           Tel: 516-294-7134                                                                                                                          New York, New York 10017
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                                                                                                                                           www.medi-bill.com                                                                            Also available in Westchester County
                                           www.hpmb.com

Page 14— MSSNY’s News Of New York — December 2006
DECEMBER                                                    transmitted infections (STIs) and provides the basic
                                                            facts about those most prevalent. Also, the 2005            10     CME Program: Psychological Impact of
                                                                                                                              Disaster & Terrorism* — See December 14 for                25      MSSNY Council – 9 am videoconference
                                                                                                                                                                                                 between MSSNY Lake Success, the Albany
                                                            Guidance for HIV Counseling, Testing and Laboratory         program description. The program, hosted by                      office and statewide locations
4   The New York Academy of Medicine Section on
    Ophthalmology presents Macular Degeneration:
Pathogenesis and Current Therapy from 7 to 8:30 pm
                                                            Reporting will be detailed and the use of post-exposure
                                                            prophylaxis discussed. This program, hosted by North
                                                                                                                        Westchester County Medical Society, begins at 6:45
                                                                                                                        pm at the Pleasantville Country Club. To register, call          CME Program: Health Information Technology* – See
                                                            General Hospital in Manhattan, begins at 8 am at the        Denise O’Neill at 914-967-9100.                                  December 5 for program description. This program,
(registration begins at 6 pm) at the Academy located at     hospital’s 5th floor conference room.                                                                                        hosted by Southampton Hospital, begins at 8 am in
1216 Fifth Avenue at 103rd Street in Manhattan. No fee
to attend; advance registration mandatory. Register
                                                            14     CME Program: Immunization* — See                     11      CME Program: Health Literacy* — This new
                                                                                                                                program provides attendees with an outline of
                                                                                                                                                                                         the hospital’s 3rd floor teaching center.

online at http://www.nyam.org/events/ or for additional
information, email Donald Morcone at
dmorcone@nyam.org.
                                                                   December 8 for program description. This one-
                                                            hour program, hosted by St. James Mercy Health,
                                                                                                                        the health literacy problem, and specific actions and
                                                                                                                        strategies that physicians can adopt to enhance their            29     MSSNY Forensic Medicine Committee – 9:30
                                                                                                                                                                                               am to 11 am teleconference between MSSNY
                                                                                                                                                                                         Lake Success and Albany
                                                            begins at 8 am in the Memorial Conference Room of           interaction with patients. This one-hour program, host-
                                                            the hospital in Hornell.                                    ed by Monroe County Medical Society, begins at 6 pm
CME Program: Effective Tobacco Dependence
Treatment: Counseling & Pharmacotherapy* — This
program teaches effective intervention by physicians in
                                                            CME Program: Psychological Impact of Disaster &
                                                                                                                        at Mario’s Via Abruzzi Restaurant in Rochester. To reg-
                                                                                                                        ister, call Ginny Ruderman at 585-473-7573.                      30     CME Program: Effective Tobacco Dependence
                                                                                                                                                                                                Treatment: Counseling & Pharmacotherapy*
                                                                                                                                                                                         — See December 4 for program description. This one-
                                                            Terrorism* — This two-hour program focuses on the
the treatment of tobacco dependence, specifically iden-     psychological impact of disaster and terrorism and                                                                           hour grand rounds program, hosted by Good
tifying the pharmacotherapy utilized. This one-hour
program, hosted by Albany County Medical Society,
                                                            provides physicians with guidance on conducting acute
                                                            assessments and interventions, and diagnosing and
                                                                                                                        12     CME Program: Health Information Technology*
                                                                                                                                – See December 5 for program description.
                                                                                                                        This one-hour program, hosted by Nathan Littauer
                                                                                                                                                                                         Samaritan Hospital in West Islip, begins at 8:30 am in
                                                                                                                                                                                         the Guild Conference Center.
begins at 6 pm at the Italian American Community            treating patients with trauma-related mental health         Hospital, begins at 12 noon in the board room of the
Center in Albany. Register by calling Renee Foley at        syndromes and disorders. The program, hosted by             hospital in Gloversville.
518-456-8571.                                               Queens County Medical Society, begins at 6:30 pm, at                                                                          *ACCREDITATION
                                                            the Family Restaurant, in Forest Hills. Register by call-   CME Program: Immunization* — See December 14 for
                                                                                                                                                                                          This activity has been planned and implemented in accordance
5   CME Program: Health Information Technology* –
    Designed to enhance the knowledge of physicians
concerning the importance of adopting interoperable
                                                            ing Queens County Medical Society at 718-268-7300,
                                                            or by email: qunsmed@aol.com.
                                                                                                                        program description. This one-hour grand rounds pro-
                                                                                                                        gram, hosted by Long Beach Medical Center in Long
                                                                                                                                                                                          with the Essentials Areas and Policies of the Accreditation
                                                                                                                                                                                          Council for Continuing Medical Education (ACCME) through the
                                                                                                                        Beach, begins at 8 am in the Goldstein Auditorium.                joint sponsorship of the Medical Society of the State of New
health information technology, this one-hour presenta-                                                                                                                                    York (MSSNY) and the New York State Department of Health.
tion provides guidance on the integration of electronic
medical record systems and electronic prescribing
                                                            15     MSSNY Medical Schools & Graduate Medical
                                                                   Education Committee –9:30 am to 12:30 pm
                                                            videoconference between the MSSNY headquarters in           17     CME Program: Health Information Technology*
                                                                                                                              – See December 5 for program description. This
                                                                                                                                                                                          MSSNY is accredited by the ACCME to provide continuing med-
                                                                                                                                                                                          ical education for physicians.
                                                                                                                                                                                          The Medical Society of the State of New York designates this
technologies into physician practices. Participants will    Lake Success, the Albany office and statewide locations     two-hour program, hosted by New York County                       educational activity for a maximum of 1.0 AMA PRA Category 1
also be briefed on funding sources for HIT programs                                                                     Medical Society, begins at 6 pm at the Peking Park                Credit™ (Health Literacy, HIV, Immunization, Tobacco
for their practices. This grand rounds program, hosted      CME Program: Effective Tobacco Dependence                   Restaurant in Manhattan. Register by calling Natalie              Cessation, HIT, Pain Management), or 2.0 AMA PRA Category 1
                                                            Treatment: Counseling & Pharmacotherapy* — See              Ruoff at 212-684-4670.                                            Credits™ (Bioterrorism/Mental Health, HIT). Physicians should
by Little Falls Hospital, begins at 12 noon in the board
                                                                                                                                                                                          only claim credit commensurate with the extent of their partici-
room of the hospital in Little Falls. The program will be   December 4 for program description. This one-hour                                                                             pation in the activity.
presented by Alice Loveys, MD, a member of MSSNY’s
HIT Task Force Education Committee.
                                                            program, hosted by Elmira Psychiatric Hospital, begins
                                                            at 12 noon at the hospital in Elmira.                       19     MSSNY Addiction and Psychiatric Medicine
                                                                                                                               Committee – 9:30 am to 12 noon videoconfer-
                                                                                                                        ence between MSSNY Lake

6  MSSNY Task Force on Quality Medical Care – 1 to
   3 pm videoconference between MSSNY Lake
Success and the Albany office
                                                            21    CME Program: A Common Sense Guide for
                                                                   Primary Care on STIs, HIV and HBV* - See
                                                            December 13 for program description. This grand
                                                                                                                        Success, the Albany office and
                                                                                                                        statewide locations
                                                                                                                                                              www.mssny.org M S S N Y ’ S C L A S S I F I E D H A S G O N E G L O B A L

CME Program: Health Information Technology* – See
                                                            rounds program, hosted by Jamaica Hospital Medical
                                                            Center, begins at 8 am.                                     23      CME Program: Effective
                                                                                                                               Tobacco Dependence
                                                                                                                                                                 Now Can Be Accessed on MSSNY’s Website at www.mssny.org. Click classifieds.

December 5 for program description. This two-hour
program, hosted by Jefferson County Medical Society,        THE MEDICAL SOCIETY OF THE STATE OF NEW
                                                                                                                         Treatment Counseling &
                                                                                                                        Pharmacotherapy* — See
                                                                                                                                                              CLASSIFIED ADVERTISING
                                                                                                                                                                FOR HELP, INFORMATION, OR TO PLACE YOUR AD, CALL 516-621-6210 • FAX 516-621-6209
begins at 6 pm at the Carriage House in Watertown.          YORK WISHES MEMBERS A HAPPY & HEALTHY                       December 4 for program descrip-
Register by December 1, by faxing your name and             HOLIDAY SEASON!                                             tion. This one-hour program,          JANUARY 2007 ISSUE CLOSES DECEMBER 18TH
                                                                                                                                                                 PHYSICIANS’ SEARCH SERVICES • ALLIED MEDICAL PLACEMENTS • LOCUM TENENS
phone number to: 315-788-1879 or by email:                                                                              hosted by Interfaith Medical            PRACTICE VALUATION PRACTICE BROKERAGE • PRACTICE CONSULTING • REAL ESTATE
syecies@verizon.net.
                                                            JANUARY                                                     Center, Department of Psychiatry,
                                                                                                                        begins at 10:30 am in the 1st                                                                          MANHATTAN
                                                                                                                                                                           PRACTICE                               FOR RENT: Internal Medicine, Park
8  CME Program: Effective Tobacco Dependence
   Treatment: Counseling & Pharmacotherapy* —
                                                            1HAPPY NEW YEAR!
                                                                                                                        floor main conference room.
                                                                                                                                                                           FOR SALE                               Avenue/60th Street. Luxury office, X-rays.
                                                                                                                                                                                                                  2000 sq ft. Call (917)667-7425.
See December 4 for program description. This one-
hour program, hosted by Bellevue Women’s Hospital,                                                                      24      MSSNY Board of
                                                                                                                               Trustees – 12 noon meet-                UPSTATE, NEW YORK
begins at 7:30 am at the hospital in Niskayuna.             5  CME Program: Immunization* — See December
                                                               14 for program description. This one-hour grand
                                                            rounds program, hosted by Women and Children’s
                                                                                                                        ing at the MSSNY headquarters
                                                                                                                        in Lake Success
                                                                                                                                                                GREAT OPPORTUNITY: Well estab-
                                                                                                                                                                lished Endocrine Practice for Sale.
                                                                                                                                                                                                                         PHYSICIAN
                                                                                                                                                                                                                        OPPORTUNITY
CME Program: Immunization* — Learn about specific                                                                                                               EMR in place, strong growth potential.
new vaccine products, as well as availability of vaccines   Hospital of Buffalo, begins at 8 am in the Alford           CME Program: Health                     Leased facility. For information contact
for this flu season. The importance of adult and adoles-    Auditorium.                                                 Information Technology* – See           Murcia @ (716) 479-3224.                                      SUFFERN, NY
cent immunization will be reinforced. This one-hour                                                                     December 5 for program                                                                    INTERNIST POSITION AVAILABLE.
                                                            CME Program: Immunization* — See December 14 for                                                                                                      Internal Medicine BC/BE. Established
Grand Rounds program, hosted by Claxton-Hepburn                                                                         description. This program, host-
                                                            program description. This one-hour grand rounds pro-                                                                                                  practice Rockland County, just north
Medical Center in Ogdensburg, begins at 12 noon.                                                                        ed by Nassau County Medical                 RENTALS/LEASES
                                                            gram, hosted by Sound Shore Medical Center in New                                                                                                     NYC. Competitive salary and benefits.
                                                                                                                        Society, begins at 6 pm at the                                                            Fax CV to 845-368-0303.
                                                            Rochelle, begins at 8 am in the 5th floor Department of
13    CME Program: A Common Sense Guide for
      Primary Care on STIs, HIV and HBV Update
2006* - This one-hour program focuses on sexually
                                                            Medicine.
                                                                                                                        Chateau Briand in Westbury.
                                                                                                                        Register by calling Mark Cappola                  MANHASSET, NY                                         PHYSICIAN
                                                                                                                        at 516-832-2300.                       OFFICE SPACE: Consult room and two                 FT/PT, BC/BE, FP/IM/OM. NYC loca-
                                                                                                                                                               exams rooms available for rent in mod-             tions, multi-specialty outpatient occ.
                                                                                                                                                               ern cardiology office. FT/PT available.            medicine facility. WCB #'s required, no
                                                                                                                                                               Call for details (516)365-5151.                    on-call, salary negotiable, 80% occ
                9/11 Workers/Volunteers Must Register within Year                                                                                                     EXCLUSIVE SUITES &
                                                                                                                                                                                                                  med/20% pc. Willing to train.
                                                                                                                                                                                                                  Accommodate flexible schedule. Fax
                                                                                                                                                                                                                  CV to 718-626-3044.
 (Continued from page 1)                                                       ers’ compensation system: NYC uniformed services, NYC                                 SHARED (FT,PT) SUITES
                                                                                                                                                               FOR RENT: Well-established professional
 early September, when doctors at New York’s Mt. Sinai                         teachers and federal employees. But even those workers are                      buildings in ideal locations. Excellent expo-      PRIMARY CARE PHYSICIAN WANTED
 School of Medicine published a study showing that more                        eligible if they also performed any off-duty rescue, recovery                   sure, amenities, management. Parking/Valet.        for vibrant Internal Medicine Practice.
 than 70% of 9,500 9/11 workers and volunteers who had                         or cleanup work, as many of them did.                                           Exclusive Suites. Also avail: F/T or P/T office    PT/FT, excellent salary and benefits.
 been examined had developed potentially serious respirato-                       Anyone who has already filed a claim for 9/11-related                        space; furnished, equipped, reception option-      Fax resume to (315) 471-8019.
                                                                                                                                                               al. Impressive tenants including state-of-the-
 ry illness.                                                                   workers’ compensation and been turned down because the                          art ambulatory surgery center, multi-modality
    Many workers and volunteers have been prevented from                       claim was filed after the 2-year filing deadline had passed,                    radiology facilities, clinical labs & many more.
 getting compensation because they only began to become                        can register and file a new claim under the new law.                            BRONX: Pelham Bay (Westchester Ave &
                                                                                                                                                               Bruckner Blvd. Directly adjacent to hub for #6       Although MSSNY believes the
 sick after the 2-year deadline for filing a claim. Others who                    “It is imperative that anyone who worked within the                          subway & 11 bus-lines. Immediate I-95                classified advertisements in
 were exposed to the toxic atmosphere in Lower Manhattan                       boundaries or at the sites detailed in the law register with the                access: blocks to Hutch, Cross Bronx).               these pages to be from rep-
 are healthy now, but may develop a 9/11-related disease in                    New York State Workers’ Compensation Board whether                              MANHATTAN: Upper West Side (corner 86th              utable sources, MSSNY does
 the future. Under the old rules, they would also have been                    they are sick or not,” said the statement. “By joining the reg-                 St at CPW. Also 79th St at Columbus).                not investigate the offers made
                                                                                                                                                               QUEENS: BayTerrace/Bayside (Bell Blvd,               and assumes no liability con-
 prevented from receiving benefits.                                            istry before the deadline next August, workers and volunteers                   across from upscale retail shopping center)          cerning them. MSSNY reserves
    The law applies to most people who did paid or unpaid res-                 will preserve their rights to benefits. Failure to register will                and Flushing (Kissena & Main St).                    the right to decline, withdraw or
 cue, recovery or cleanup work in Lower Manhattan south of                     prevent individuals who may develop cancer or other slow                          Please call Management: 718-229-8366               edit advertisements at its discre-
 Canal or Pike Streets between Sept. 11, 2001 and Sept. 12,                    starting diseases from receiving benefits.”                                                 MANHATTAN, NY
                                                                                                                                                                                                                    tion. Every care is taken to avoid
 2002. It also applies to those who worked at the Staten                          For information about registering and filing claims, con-                                                                         mistakes but responsibility can-
                                                                                                                                                                OFFICE SPACE: 1200 sq ft, newly renovat-
                                                                                                                                                                                                                    not be accepted by MSSNY for
 Island landfill, the barge operation between Manhattan and                    tact your union or, on the Internet, visit                                       ed with large operating suite, can be
                                                                                                                                                                                                                    clerical or printer’s errors.
                                                                               http://www.nycosh.org. Or call NYCOSH (toll-free) at 866-                        shared. 157E 72nd St, between Lex & 3rd.
 Staten Island or the New York City morgue. The only work-
                                                                                                                                                                Call (212)717-5560.
 ers who are not covered are those who are not in the work-                    WTC-2556.

                                                                                                                                                                   December 2006 — MSSNY’s News Of New York— Page 15

				
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