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    FALL 2017

  • Move to Paperless Processes Will Affect Applications and Reminders

    calendar on the computerAs all-online application and renewal processes for state and federal licenses and registrations continue to increase every year, it’s important to encourage your medical team to keep their applications and renewals on track. Here are some changes to note: 

    DEA registration. All prescribers of controlled substances must secure a renewal from the U.S. Drug Enforcement Administration (DEA) every three years timed to the date of their initial DEA registration. (That’s in addition to securing their controlled substance licenses in Illinois or in other states where they practice.) What’s changing: As of this year, the DEA is no longer sending a second paper notification for their next three-year renewal. For more information, go to the DEA website.

    Illinois medical corporation licensing. Medical practices operate under a variety of business and legal structures, including medical corporations, limited liability companies and professional service corporations. What’s changing: As of September 1, all new applications for Illinois medical corporation licenses are now required to be submitted online to the Illinois Department of Financial and Professional Regulation’s (IDFPR) website to complete that process. For existing licenses that expire December 31, there will be an all-online renewal process later this year.

    One last thing. July 31 was the deadline for the three-year medical and controlled substance licensing period in Illinois. If a member of your physician team failed to renew on time, here’s what they need to know

    Questions? Contact us at licensure@ismie.com or 800-782-4767.

  • UnitedHealthcare Won’t Reimburse for Certain Consultation Codes after Oct. 1

    medical codes with a warning signTake note ­– UnitedHealthcare (UHC) will no longer allow payment for certain CPT services codes (99241-99245 and 99251-99255) with dates of service on or after October 1, 2017.

    Instead, UHC will reimburse the appropriate level of evaluation and management (E/M) procedure code to describe the office visit, hospital care, nursing facility care or home service care. In other words, services must be billed with the most appropriate non-consultation E/M code.

    UHC’s plan to discontinue reimbursement of consultation services codes follows a similar change that the Centers for Medicare and Medicaid Services implemented for the Medicare program back in 2010.

    UnitedHealthcare says that the eliminated reimbursement for consultation codes is offset through increased E/M procedure code payment, as well as increased compensation for specific codes built into the relative value units (RVU) formula.

    For more information, access the UHC Network Bulletins for June (Page 23) and July (Page 29). Questions? Email us

  • Early Bird Registration Deadline Approaching for the Nov. 17 Annual ISMIE Symposium - And Don’t Miss the Rest of ISMIE’s Fall Live Events, Open to Staff!

    medical symbolsOctober 1 is the last day of early bird registration for the ISMIE's 2nd Annual Risk Management Symposium. The Nov. 17 gathering, titled “Emerging Risks,” focuses on changing care models, genetic testing, opioid abuse, polypharmacy, cyber security and health IT. The event will be at the Hyatt Regency O’Hare in Rosemont from 8:30 a.m. – 3:45 p.m. 

    This event is free to all ISMIE-insured physicians and clinicians and a $99 early-bird rate ($199 after October 1) is available to employed staff of ISMIE policyholders. 

    Other upcoming ISMIE Live Events:

    • October 4, 2017 | 9 a.m. – 11:30 a.m. | Seminar Pediatric Care in 2017 and Beyond: New Risks and Opportunities Register here.
    • October 10, 2017 | 6:30 p.m. – 8 p.m. | Seminar Optimizing Communication Surrounding the Hospitalized Patient Register here
    • November 28, 2017 | 9 a.m. – 2 p.m. | Seminar Communications for Staff: The Keys to Building Trust and Improving the Patient Experience Register here

  • Is Your Practice Considering Locum Tenens Staffing? Let ISMIE Help

    doctor and calendar iconA recent STAT/Boston Globe report stated that since 2002, the number of U.S. contract doctors has nearly doubled to 48,000. It’s a number that could go much higher given an anticipated doctor shortage that could grow to more than 100,000 by 2030.

    The types of doctors considering locum work may surprise you too. Once the province of physicians transitioning into retirement, locum work is increasingly attracting newer physicians who want to test different locations and practice settings, not to mention the financial benefits locum work can provide.

    As a practice management professional, it’s good to know that ISMIE provides flexible locum coverage solutions for individual physicians as well as staffing agencies. 

    To find an experienced broker with whom to discuss your team’s coverage options, visit this page, or contact ISMIE’s underwriting team directly at 800-782-4767 or by emailing underwriting@ismie.com.

  • Give your Patients a Heads-Up: The Next National Prescription Drug Take-Back Day is Oct. 28

    proper drug disposalYou’ve seen it before – a patient walks up to the front desk asking you or a staff member to dispose of their leftover prescriptions. If you’re not a licensed collector, you can’t accept. 

    But here’s what you can do.

    Put October 28on your calendar – that’s the next National Prescription Drug Take-Back Day

    Since 2010, the U.S. Drug Enforcement Administration (DEA) has mobilized local police and government employees to establish legal and efficient disposal systems for expired or unneeded and prescription and non-prescription medications. After October 1, the DEA’s website will list local collection sites your patients can use.

    If you’ve never participated, you should know that take-back days provide much more than a convenience to patients. They help reduce the number of expired or unused prescription medications sitting in medicine cabinets that have fueled prescription drug abuse among teens and our country’s opioid epidemic

    Check these Illinois stats from the previous drug take-back event held last April: 

    • Collection sites: 146
    • Weight collected: a whopping 43,408 pounds 
    • Law enforcement departments participating: 153 

    You can also remind patients there are other year-round options available for disposal in their communities. Many law enforcement agencies and pharmacies offer disposal drop boxes.   Click here to view Illinois disposal locations.

    ISMIE and our partners at the Illinois State Medical Society offer free patient resources promoting medication disposal and the upcoming take-back day. If you’d like to know more, please email us at info@ismie.com.

  • Did You Know: Prescribers can Designate Staff Members to Use the Illinois Prescription Monitoring Program

    prescription icons on the computer screenPhysicians can delegate authority to access the Illinois Prescription Monitoring Program (PMP) under the following conditions: 

    • The designee must be employed by the same hospital or health care system, or employed by the same practice as the prescriber.
    • The prescriber must ensure that his or her designee is sufficiently competent in using the PMP, and that access is limited to authorized purposes and the data is kept confidential.
    • The prescriber is responsible for any breach of confidentiality.

    However, the ultimate decision whether or not to prescribe a controlled substance still remains with the prescriber.

    The PMP is a free database that can help you and your medical team learn whether a patient may already be getting prescriptions for narcotics, or has multiple prescriptions. 

    Questions about the PMP? Call 217-524-1311 or submit a question online

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