The Maine Osteopathic Association's Weekly E-Newsbriefs:

Important Updates & News Sent Weekly to your inbox.

Contact Amanda Richards, arichards@mainedo.org to sign up now!

 

This Week's E-Newsbrief: 

Welcome to your MOA E-newsletter for July 9th, 2020:

  • MOA News: CALL TO MEETING: MOA President Dr. Scaccia Invites MOA Members to Convene for a special meeting TONIGHT, July 9th at 7PM, MOA Task Force to meet July 22nd 7PM
  • News to Use: MOA Member Corner-- Recognizing Dr. Bailey, MOA Sent Comments to Gov Mills' Office this week Echoing Need for $20M in relief for Maine Private Practice Physicians, UNE COM Needs YOU!
  • Public Health: US Officially Withdraws from WHO
  • Practice Management: Physicians Are Scrambling for PPE -- Do YOU have what you need? Let us know. MaineCare providers have until July 20, 2020 to apply to the CARES Act Provider Relief Fund’s Medicaid Distribution
  • New in Upcoming Events: Virtual Opioid Summit July 23rd, UNE COM Speed Networking will be held virtually August 8th -- Sign up here.

MOA News

Next THA Meeting | Townsend MA

CALL TO MEETING:

MOA President David Scaccia, D.O., MPH will convene a Special Virtual Meeting of the MOA General Assembly in order to vote on Resolutions for Consideration by the 2020 AOA House of Delegates. 

Please join us July 9th at 7PM. 

Agenda and Resolution Drafts are attached to this email.
Or click this Dropbox link to access.

Please Register for the Meeting Using the Link Below

You are invited to a Zoom webinar. 
When: Jul 9, 2020 07:00 PM Eastern Time (US and Canada) 
Topic: MOA Special General Assembly Meeting 

Register in advance for this webinar:
https://us02web.zoom.us/webinar/register/WN_QT-Vn8RST3yvpuAFOg2ZQg 
After registering, you will receive a confirmation email containing information about joining the webinar.

In Accordance with MOA Bylaws, this notice of a special meeting is was provided at least 10 days in advance (first notice June 29, 2020)


MOA Task Force on Equity/Systemic Racism will hold its first meeting July 22, 7PM


06/05/2020

The Maine Osteopathic Association has convened a task force that will examine the role of systemic racism in the state of Maine and within our healthcare system, providing education that speaks to these issues. We invite member participation in this effort and will be continually updating membership of this work.

As of June 25th, 2020, MOA President David Scaccia, D.O. has appointed Lisa Gouldsbrough, D.O. MOA Past President and Board Member, to chair this Task Force.

The first Task Force Meeting will be held July 22nd at 7PM. This first meeting will establish goals and action items. To ensure that our members' voices are heard throughout this process, we need YOU!

Share Your Input or Sign Up to Join the Task Force Here.



2020 MOA Virtual Convention: June 5-7th, 2020

Can we say WOW! A special thank you to ALL that participated once again in our first ever Virtual Convention! We had over 200 viewers and participants at our event, from over 11 different states! We offered 23.5 AOA 1A CMEs with options to obtain AMA Cat. 1 and AAFP Prescribed credits as well.

We celebrated 109 years of hosting the Annual Convention this year, and are so appreciative of everyone who went on the journey into the virtual world with us. We hope to celebrate our 110th year with you ALL at the beautiful Samoset Resort next year, so mark your calendars now! June 11-13, 2021. But first, join us February 12-14th, 2021 in Portland, Maine for our Midwinter Symposium. 

For Attendees: CME Attestations, Evaluations and Outcomes Surveys are due July 15th!

Learn More about the virtual Convention HERE. 


News to Use

Image may contain: 3 people, text that says 'LAWRENCE BAILEY, D.O.'Recognizing Lawrence Bailey, D.O.

Lawrence Bailey, D.O. has been a member of the Maine Osteopathic Association since 1945, when the annual dues were $5 a year! At 100 years old, he is the oldest living Past-President of the MOA, and has received our prestigious Distinguished Service award twice (pictured receiving one of those times in 1977). He graduated from the Philadelphia College of Osteopathic Medicine in 1944 and he was proudly one of the first Osteopathic Physicians to serve as staff at an all M.D. hospital in Maine. He practiced in the Brunswick area for many years.

We recently reconnected with Dr. Bailey when he participated in his first ever ZOOM conference call for our June 2020 Past President’s Council meeting. In his own words:

"Thank you for inviting me to tonight’s MOA Past President’s Council Meeting. Over my 50 years of practicing Osteopathic Medicine I attended many MOA meetings in homes, hospitals, board rooms, convention rooms and resorts. When I retired 30 years ago computers were in their infancy…..so it probably won’t surprise you that tonight was my first ZOOM meeting...I appreciate the heartfelt efforts of tonight’s physicians supporting Osteopathic Medicine."

We commend Dr. Bailey for a long and selfless career. Please share our post on Facebook!

Another Member Shoutout: 

Kiran Mangalam, DO, MOA Board Member, appeared on PBS NewsHour where he talks about his spirital practice in the wake of COVID-19. Click here to view his comments.


MOA Sends Letter to Gov Mills' Office Supporting $20 Million in Additional COVID-19 Relief Funding for Maine's Private Practice Physicians

As we shared via our newsletter a few weeks ago, the Maine Hospital Association and Maine Medical Association submitted a request to the Governor's Office on June 24, 2020 asking state leaders for a portion of the $1.2 billion for related expenditures, and massive revenue losses, from directly responding to the pandemic.

This week MOA Leadership drafted and submitted comments echoing the need for this funding, especially for Maine's private practice physicians. Here is an excerpt of those comments, full letter is linked below:

"We echo many of the sentiments shared by our colleagues at the Maine Hospital Association and the Maine Medical Association in their June 24, 2020 letter. All of our physician members have risen to the challenges presented by COVID-19. They have navigated regularly changing guidelines, maintained their commitment to the wellness of their patients, all while facing uncertainty themselves. As has been referenced, it is well known that infection rates of COVID-19 for healthcare workers are much higher than those of the general public. What is less known are the financial stresses that physicians have had to bear in light of this pandemic and we thank our colleagues at the Maine Medical Association and the Maine Hospital Association for pointing out these disparities.

Our physicians have remained steadfast in delivering health care on the front lines. About one third of our MOA members are in Private Practices. Many of these practices involve only one physician, which means that they are business owners trying to keep the lights on as well as to provide excellent care to their patients. While we have all faced uncertainty in 2020, private practice physicians have adapted to new care delivery systems, shifting guidelines, finding new PPE suppliers amidst shortages, navigating Paycheck Protection Programs, Small Business Loans, etc. Some have even had to purchase new equipment or software just to keep up with the new and shifting demands. These costs can be devastating to small practices with thin margins.

....

Our private practice physician members continue to report revenue losses anywhere from 25-75%. It’s uncertain how soon these volumes will return, even as costs continue to continue providing quality patient care and keeping patients and providers safe. Closures of physician practices threaten access to routine care, such as vaccinations and wellness checkups, as well as the ability to seek care for more urgent medical needs, especially since the majority of the aforementioned private practices are providing primary care to our Maine communities.

Therefore, we agree with our colleagues that is it vitally important that you work with the Legislature to provide Maine’s physicians with $20M in relief. Maine’s osteopathic private practice physicians are clearly committed to providing quality care to Mainers and continue to risk their lives to serve their patients. We are committed to ensuring that they are able to do so and funding is the first step. We look forward to working with you to tackle this impending threat."

We thank our members who connected with us via various channels and provided us information about their practices and experiences. Please do not hesitate to reach out to MOA Executive Director Amanda Richards at arichards@mainedo.org if you have any further input on this issue.

Read the comments we submitted here.


AOA Changes to CME Policy Due to COVID-19

Recognizing the significant burden placed on physician practices by the COVID-19 pandemic, the Executive Committee of the AOA Board of Trustees has approved policy changes for the 2019-2021 CME cycle, including allowing up to 15 AOA category 1-B credits to be converted to AOA category 1-A credits. The credit adjustment will not appear on CME reports until the end of the current cycle. Visit osteopathic.org to learn which diplomates and CME sponsors are impacted, and for more information on CME requirements and policies.


University of New England College of Osteopathic Medicine features ...UNE COM Needs YOUR Help

Greetings MOA members. On behalf of UNE COM, we thank all of you that have previously hosted medical students, especially those of you who continue to do so during these trying times of the pandemic.  At this time we are facing a significant travel restriction that will limit medical student travel during their fourth-year. Would you be able to host a student during the next 6-9 months? We realize many of you may be working with reduced patient contacts and exploring telehealth options. This is exactly the environment where a medical student may be an asset to your practice. They learn about the challenges facing all of us in medicine, and you have an opportunity to work with your future peers.

Please contact me directly at gdefeo@une.edu or by cell, 207.467.5932.  I hope to hear from you soon.

Best to you all,

Guy DeFeo, DO


Get Out and VOTE! Physicians Running for Office in Maine

Maine’s State Primary Election is July 14th (for offices other than President) and Special Referendum Election. The original date of June 9 was postponed by Executive Order from Governor Mills. 
 
If you have not yet registered to vote, or moved to another town you can find a fillable PDF voter registration form here and instructions here. A guide to absentee voting is available as well as an online absentee voting request application. Mainers who are registered to vote may use this free service to request an absentee ballot for the July 14, 2020 State Primary Election. Ballots must be received no later than 8:00 pm on Election Day. 
 

There are 6 active or retired physicians either running for reelection, or election to the Maine Legislature.

  • Senator Ned Claxton (D), Senate District 20, Androscoggin County *incumbent

  • Representative Patty Hymanson (D), House District 4, Ogunquit and parts of York, Wells, and Sanford *incumbent

  • Representative Heidi Brooks (D), House District 61, part of Lewiston

  • Richard Evans, M.D., House District 120, Dover-Foxcroft area

  • Charles Pattavina, M.D., Senate District 11, Waldo County

  • Sam Zager, M.D., House District 41, part of Portland

More information on each of your colleagues running for office can be found here.


Public Health Updates

US Formally Withdraws From WHO

The Wall Street Journal (7/7, Subscription Publication) reports the US formally withdrew from the WHO with a notice sent to the UN Secretary-General.

        The Washington Post (7/7) reports the Trump Administration said in its letter that it was withdrawing from the international body due to its response to the coronavirus pandemic. The Washington Post adds that it’s unclear “whether the president can pull the United States out of the organization and withdraw funding without Congress.”



 

Practice Management

Maine's Physicians Scramble for PPE

The MOA is aware that sourcing PPE for small practices has been extremely burdensome in the post-COVID-19 landscape. We continue to advocate for greater access to PPE resources.

As our colleagues at the Maine Medical Association have noted, Maine’s independent physician practices have not received a single piece of PPE from state government since the first documented case of COVID-19 in Maine on March 12th. However, as of Wednesday, July 8, Maine CDC reports they have delivered 1.8 million pieces of PPE thus far during the pandemic. 

The Portland Press Herald published a national Associated Press story this week outlining ground level PPE issue. Included in the article was the following quote, “A doctors association warns that physicians’ offices are closed because they cannot get masks and other supplies.” The situation is dire for physician practices across the country and we cannot let the same happen in Maine as we prepare for flu season and the ongoing pandemic. 

Please contact the MOA if you continue to have difficulty in sourcing PPE or are finding sourcing to be costly and burdensome for your practice. We want to help and need your input to help US help YOU!
Call 207-623-1101 or email Amanda Richards at arichards@mainedo.org.


Reminder: Provider Relief Fund – July 20 Application Deadline  

 

MaineCare providers have until July 20, 2020 to apply to the CARES Act Provider Relief Fund’s Medicaid Distributionwhich is intended to support Medicaid providers who have experienced revenue losses and/or increased costs during the COVID-19 pandemic.  

 

CMS has indicated that it has received a lower than expected volume of applications thus farWe highly encourage providers to apply for this fundinginterested providers should begin their application process now in order to meet the deadline.  

 

Who Can Apply 

 

To qualify to receive payment through the provider relief fund, the following criteria must be met: 

 

  • Provider has NOT received payment from the original $50B General Distribution (note: providers who received FEMAPaycheck Protection Program, or Targeted Distribution funds can qualify). 

  • Provider has billed Medicaid/CHIP for services between January 1, 2018 and December 31, 2019. 

  • Provider has filed a federal income tax return for FY 2017, 2018, or 2019, or is exempt from filing a report. 

  • Provider has provided patient care after January 31, 2020. 

  • Provider has not stopped delivering patient care directly or indirectly. 

  • Provider has gross receipts or sales from providing care reported on Form 1040.  

How to Apply 

There are four steps in the application process.  

 

  1. Create an Optum ID to log in to the CARES Provider Relief Fund Portal 

  1. Receive validation of Tax Identification Number (TIN) 

  1. Receive confirmation of revenue and tax information 

  1. Receive and attest to payment  

 

Please note that the application currently requires a license number (this is separate from your Medicaid/CHIP ID), but HHS is working to fix this issue, so non-licensed providers should not let this requirement stop them from beginning the process. 

 

If you would like to learn more about the application process, you can register for a webinar on July 8, 2020, watch a previously recorded webinar, or review the FAQs.  Also, please see our previous e-messages about the Provider Relief Fund.  


 

Updates from National Government Services-- Medicare

On Tuesday, June 30th, the National Government Services held a regional call with Contractor Advisory Committee members, including the MOA. 

The emphasis for this update was on Telehealth services.

Telehealth Waivers

  • Temporary – for duration of emergency
  • declaration
  • Allows flexibility to address pandemic
  • Telehealth coverage guidelines changed significantly
  • Congress is reviewing the progress made in the past three months, Watching for new legislation

Equipment Requirements

  • Traditionally interactive audio and video telecommunication system required
    • Permits real-time communication between doctor/patient
  •  For telehealth services, waiver allows:
    • Facetime, Skype, etc.
    • Telephone (CPT codes 98966-98968; 99441-99443)
      • Used for a service when video is not available​

General Billing Requirements

  • Traditionally, telehealth services are billed with POS 02 – pays at facility rate
  •  Waiver changed this to bill POS as if the provider saw patient in person, along with 95 modifier
    • During PHE, if billing POS 02, add the 95 modifier

Link to Slide Presentation for full details, including list of expanded services, codes, documentation requirements, etc.

New Prior Authorization July 1, 2020

  • Ensure Medicare beneficiaries receive medically necessary care
    • Protect the Medicare Trust Fund from improper payment
  • Goal: Control unnecessary increases in the volume of certain hospital OPD services covered under Part B of the Medicare Fee-for-Service (FFS) program Hospital outpatient services covered under Part B are billed on the 1450 claim form

Effective for DOS on/after 7/1/2020 providers must

  • request prior authorization (PA) for the following 5 categories/groups of HOPD services and related services before the service rendered:
  • Blepharoplasty
  • Botulinum toxin injections
  • Panniculectomy
  • Rhinoplasty
  • Vein ablation

Please review slides for further information: Link to Slide Presentation


Need CME Right Now?

Please find MOA on-demand CME programs at our CE21 site:
docme.org

Now 35 MOA Programs Available!

Visit docme.org for the full catalog of osteopathic programs. 400+ Osteopathic CME Programs are now available via this site.


Classified Ads & Job Postings

 

Augusta, ME Pain Practice Seeks New Provider
 
Seek a provider to take over a pain management solo practice in Augusta, ME by September 2020.  About 200 patients.  Office manager is highly skilled, no other staff.  Beautiful office space with 3 or 4 exam rooms.  OMT, injection procedures a plus but not required.  Contact Alan Ross, MD at 207-441-9376, or email rossphysiatry@gmail.com

Image result for McManus osteopathic treatment tablesIconic McManus Osteopathic Treatment Tables $100 Or Best Offer

 

 

Early 1900's classic McManis White Porcelain and Brass antique exam table. Available for pickup in Southern Maine. 

 

Contact Ira Stockwell, DO -- 207-232-8235 or 207-854-1143

 


Upcoming Events

Office of the Governor Logo

Registration is Open!

Governor Mills 2nd Annual Opioid Response Summit

Compassion, Community, Connection

Thursday, July 23, 2020

8:00 AM -  2:30 PM EST
Live, Virtual Event
Register Now


Governor Janet Mills will host her second Opioid Response Summit on Thursday, July 23. The annual summit is part of the state’s commitment to fighting the opioid epidemic, and convenes leaders from around Maine to share ideas, strategies, and best practices to help Maine people affected by this crisis.

This year’s event, originally scheduled for the Cross Insurance Center in Bangor, is being held virtually to allow for safe participation of attendees during the COVID19 Pandemic. The full-day program will feature live presentations with discussion, poster sessions, and prerecorded panel discussions, with the voices of persons in recovery featured prominently again this year.

The summit’s theme, “Compassion, Community, Connection,” reflects the personal and societal challenges of substance use disorder and the conditions needed to advance and support recovery.

Dr. Vivek Murthy, 19th Surgeon General of the United States and author of Together: The Healing Power of Human Connection in a Sometimes Lonely World, will deliver a fireside chat. Dr. Murthy issued the first Surgeon General's Report that called for expanded access to prevention and treatment and recognizing addiction as a chronic illness rather than a moral failing. The first 550 registrations will receive a free hardcover copy of Together. One book per unique registration.

The conversations will continue following the summit with registrants having access to online content and monthly events featuring Maine presenters focusing on prevention, treatment strategies, voices of recovery, and emerging issues.

Thursday, July 23, 2020
8:00 AM- 2:30 PM EST
Live Virtual Event
Agenda
Breakout Sessions

$25 Registration Fee includes summit attendance and continuing education credit

*Scholarships available- apply during registration

5 Continuing Education Credits - For more information on credits offered

For More Information and to Register

For questions, please contact  Rowland E. Robinson, Opioid Response Project Manager at Rowland.Robinson@maine.gov


 

University of New England College of Osteopathic Medicine features ...UNE COM Speed Networking Event: This summer, the UNE COM Office of Recruitment, Student & Alumni Services (RSAS) will host their first Virtual Speed Networking event on Saturday, August 8th to connect our first and second-year COM students with physicians practicing in various specialties across the US. RSAS would love for you to join them online, network with our physicians, and learn from their lived experience what working in different specialties is like. WANTED: Physicians in pediatrics or general surgery-- students want to connect with YOU!

 

a. The event takes place from 10:00 AM - 12:00 PM EST on Saturday, August 8th via Zoom.

 

b. If you are interested in participating in the Speed Networking event, please register by Friday, July 24th at this link: https://forms.office.com/Pages/ResponsePage.aspx?id=IcWYFJq0h02TDFCO83sfxmUbVSqMr95LmY8MncflpSlURU9ZM0VGVlpDVEVIMDJLMDZFVjNKSDJNQi4u

 

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Maine Osteopathic Association, PO Box 315, Manchester, ME 04351
www.mainedo.org | P. 207.623.1101 |  F. 207.623.4228