Welcome to IPS As a District Branch of the American Psychiatric Association (APA), the Illinois Psychiatric Society has served as the voice of psychiatry in Illinois for more than 60 years, representing approximately 1100 physician members trained in the treatment of mental illness.
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Prescribing Law Tightly Restricts Psychologists' Scope of Practice Click here for article.
Medicare Reimbursement Penalties Coming In the proposed rule for the 2015 Medicare Physician Fee Schedule, the Centers for Medicare and Medicaid Services (CMS) advanced several initiatives that, in combination with already existing programs, can affect the reimbursement that physicians will receive from Medicare for their services. APA's Office of Healthcare Systems and Financing has posted detailed information on APA's website, including a chart with 2014 measures that are relevant to psychiatry.
Handbook for Providers of Pharmacy Services Four Prescription Policy Exception- Antipsychotics
Sliver of Medicare Doctors Get Big Share of PayoutsA link is included in this article which shows how many Medicare patients a particular physician sees, what they are reimburses, etc. Click here for article.
Medicare Opt-Out Rules Clarified The Centers for Medicare and Medicaid Services (CMS) has assured APA that physicians who have opted out of Medicare can still have referrals and prescriptions for privately contracted Medicare patients covered. The matter was a subject of confusion and concern on the part of APA members after a July 9 report in the Wall Street Journal seemed to indicate that CMS had changed its policy with regard to physicians who opt out of Medicare. But the confusion apparently stemmed from what appears to be a typographical error in a portion of the OIG report quoted by the Journal. Ellen Jaffe, director of the APA Practice Management HelpLine, contacted CMS and was assured that physicians who have opted out are indeed permitted to order and refer. A CMS official told Jaffe that what the OIG report was intended to convey is that claim denials will be issued to physicians who have not submitted a valid opt-out affidavit.
Let Congress Know Medical Research Funding Matters to You!Click here for article.
Health Advocacy Organizations Urge Legislators to Streamline Patient Access to Life-Saving MedicationsHundreds of forms cause delays, pain and suffering to patients waiting for reliefSPRINGFIELD, IL -- February 3, 2014 – Cancer patients waiting in pain for relief … quality of life being compromised … these are just a few of the concerns legislators will hear Wednesday, February 5th when the Illinois House Human Services Committee takes up a bill designed to standardize the hundreds of different forms used by insurance companies to authorize medical treatment. Click here for full article.
Government Again Suspends Access to Open Payments System The Centers for Medicare and Medicaid Services (CMS) has for the second time in recent weeks suspended access to its new database that keeps track of payments physicians receive from the pharmaceutical and medical-device industries. The database, called Open Payments, allows physicians who have registered with CMS to verify the accuracy of the information that these industries have reported. The reporting system was established through the Physician Payments Sunshine Act as required by the Affordable Care Act.
CMS had suspended access early this month after ProPublica published an account of a data mix up in which information from a Florida physician ended up in the account of an Kentucky physician with the same name. At the time, CMS said it was taking the system offline to correct the data problem and would "work with the industry to eliminate incorrect payment records."
Early this month, the AMA sent a detailed letter to CMS Administrator Marilyn Tavenner, co-signed by APA and dozens of other medical organizations, urging the agency to implement a delay in having the system go public until March 31, 2015, citing several concerns including technical problems, the cumbersome registration process, and the appeals process. Psychiatric News will alert APA members when access to the database has been restored.
Read about the terms and requirements of the Physician Payment Sunshine Act in Psychiatric News.
Read "Peace of Mind," an article about IPS.
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