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IMS president, Mark M. Hamilton, MD President's Message

Headlines & Alerts

Welcome New Members

Aversa, John G., MD
Resident – IU School of Medicine
General Surgery
 
Countryman, Nicholas B., MD
Dawes Fretzin Dermatology Group, LLC
Dermatology / Dermatologic Surgery
 
Del Castillo, Marco R., MD
Community Anesthesia Associates
Anesthesiology / Adult Cardiothoracic / Anesthesiology (AN)
 
Gray, Brian W., MD
Fellowship – Riley Hospital at IU Health
Pediatric Surgery / Surgery / Pediatric Surgery (S)
 
Johnson, Nathan D., MD
Fellowship – Meridian Plastic Surgeons
Otolaryngology / Facial Plastic Surgery
 
Shrift, Kathryn R., MD
Dawes Fretzin Dermatology Group, LLC
Dermatology / Dermatologic Surgery
 
Weaver, Lindsay M., MD
Emergency Medicine / Hospice & Palliative Medicine (EM)
 
As president of IMS, I welcome you to membership into an organization representing you as physicians, your patients, and quality medical services since 1848. I encourage your participation in our IMS activities including meetings and written contributions to the Bulletin.

IMS can only be as energized as the members who comprise it, so reach out to your IMS colleagues and get to know them, as well as, our focus of collegiality and quality medical care.

Stephen W. Perkins, MD, IMS President

If you want more information about our newest IMS members, visit them on our physician finder here. A simple search is all that is required.

Important Reminder about Billing Requirements for Certain Dual-Eligibles

As part of the AMA’s ongoing work with the Centers for Medicare & Medicaid Services on issues affecting Medicare providers and beneficiaries, the AMA would like to remind physicians that balance billing is prohibited for Medicare beneficiaries enrolled in the Qualified Medicare Beneficiary (QMB) program. CMS has conveyed their concern that some physicians are still billing QMB beneficiaries, despite the existing prohibition. The QMB program is a Medicaid program that helps very low-income dual eligible beneficiaries—e.g., individuals who are enrolled in both Medicare and Medicaid—with Medicare cost-sharing. Beneficiaries in the QMB program have annual incomes of less than $12,000. Federal law protects QMBs from any cost-sharing liability and prohibits all original Medicare and Medicare Advantage providers—even those who do not accept Medicaid—from billing QMB individuals for Medicare deductibles, coinsurance, or copayments. All Medicare and Medicaid payments that physicians receive for furnishing services to a QMB individual are considered payment in full. It is important to note that these billing restrictions apply regardless of whether the state Medicaid agency is liable to pay the full Medicare cost-sharing amounts (federal law allows state Medicaid programs to reduce or negate Medicare cost-sharing reimbursements for QMBs in certain circumstances). Physicians may be subject to sanctions for failing to follow these billing requirements, and CMS has indicated that they may start conducting more frequent audits to address this practice.

For further information, see MLN Matters, Prohibition on Balance Billing Dually Eligible Individuals Enrolled in the Qualified Medicare Beneficiary (QMB) Program.

Work RVU Calculator Developed

Most employed physicians have contracts that require them to bill a minimum number of work RVUs in a year. Physicians don’t have any way to know how many RVUs they produce or how to maximize their RVUs.

The calculator was developed by Harris County Medical Society and is available to all IMS Members. The physician selects their specialty and a monthly, quarterly or yearly time period. A spreadsheet of the most common CPT codes in their specialty is shown.

Enter the number of times you perform each CPT code and the spreadsheet calculates your total work RVUs.

To view the link, please click here.

https://www.hcms.org/work-rvu-calculator/.

HHS Announces $100 Million to Support Small Practices

The Medicare Access and Chip Reauthorization Act of 2015 (MACRA) contained a provision to fund on-the-ground training and education for Medicare clinicians in solo or small group practices of 15 clinicians or fewer. The U.S. Department of Health and Human Services (HHS) is required to award $20 million each year over the next five years for a total of $100 million to support small practices transitioning to the quality payment program.

The funds will help provide technical assistance to small practices—especially those in rural and medically underserved areas, as well as those in areas with health professional shortages. The AMA has been pressing HHS to release these funds.

Organizations can apply to receive funding for our efforts to support physicians in this process. To be eligible, organizations must be able to tailor training to clinicians and provide this education to them free of charge.

Learn more about the recent announcement and how to apply.

More News & Features


About IMS

The Indianapolis Medical Society was established in 1848. We are a professional membership organization for all licensed Doctors of Medicine and Doctors of Osteopathy in the Indianapolis area. Our offices are located at 631 E. New York St., Indianapolis, IN 46202-3706; our office hours are 8:00 to 4:30, Monday through Thursday. Phones are answered 24/7 by the Medical Society Exchange.

If you are a physician and want additional information on becoming a member of our organization, please call (317) 639-3406 or E-Mail us: ims@imsonline.org. Please visit our membership page ... we want you to join us! For an application and other membership needs, use our easy online forms or download the information utilizing this link.

If you are a member of the general public and want to know if your physician is a member of Indianapolis Medical Society, or if you would like education information on your personal physician, please call (317) 639-3406 or E-Mail us: ims@imsonline.org or use our handy Physician Finder.

We also provide referrals to physicians using our staff and website physician finder. If you are new to our area or simply seeking a change of physicians, we are ready to help! Ask your physician if they are a member and if not, why not.

Additionally, our Commission on Professional Affairs reviews concerns from patients who might have questions about whether or not their treatment was ethical or appropriate.