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Driving the Bus or Under the Bus? Creating a Physician-Led Approach to Value-Based Care—presented by Harold D. Miller. This webinar, specifically designed for physicians, will describe the three different choices about "value-based payment" that physicians will face over the next two years, and will explain what physicians need to do now to choose the path that will be most favorable to them and their patients. This activity has been approved for AMA PRA Category 1 Credit.
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For WSMA members and patients wishing to order “Who Will Decide If You Can’t?,” which contains both health care directive and durable power of attorney for health care forms, the WSMA will be updating the brochure to ensure it is in compliance with Senate Bill 5635, which takes effect on Jan. 1, 2017 and establishes new requirements for the durable power of attorney for health care. All powers of attorney, including those for health care, executed before Jan. 1 will remain... Details

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A brochure outlining a statewide campaign to give patients the tools they need to make informed choices about their care -- whether that's a CT scan for a headache, understanding choices other than the emergency room when unexpected care is needed, or making informed end of life choices.

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The Washington State Hospital Association (WSHA), and the Washington State Medical Association have developed a brochure that outlines where to go for health care. It describes the differences between the care offered at your doctor's office, urgent care clinics and hospital emergency rooms—and when you should consider visiting each.

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This poster highlighting the dangers of domestic abuse can hang discreetly in the women's restroom in your clinic or office.

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Make an Informed Decision. Know the Facts About Childhood Immunizations.

Starting July 22, 2011, parents who "exempt" their child from required immunizations must get a signed exemption certificate from a licensed health care provider stating the parent has been educated on the benefits and risks of immunizations.

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A brochure with a tear-out medication checklist. Take the checklist plus your medications to each doctor you visit to update your medication record when a new prescription is prescribed.

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This tri-fold brochure is designed for your waiting room and/or to be distributed directly to patients, and contain an overview of and frequently asked questions about the POLST form.

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The Physician Orders for Life-Sustaining Treatment (POLST) form represents a way of summarizing wishes of an individual regarding life-sustaining treatment. The form is intended for any individual with an advanced life-limiting illness.

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This guide is a summary of many of the laws commonly encountered in a medical practice. The guide, updated regularly, covers such issues as providing care to minors, HIV/AIDS testing and counseling, confidentiality, medical records, closing a practice, living wills and much more. This edition is available completely online. A link to the legal guide will be emailed to you shortly after your order is completed.

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The WSMA directory includes useful statewide information. The directory lists WSMA members alphabetically with name, specialty, address, phone and fax. It also includes a list separated by specialty and county. Other resources include clinics, hospitals and professional products and services for the health care community. Directories are $55 each plus tax. Shipping is included in the base price.

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Best Practices in Documentation, Medical Records Compliance and Audit Defense Systems

The health care community, including physician practices, face a situation where the federal government is categorizing billions and billions of dollars worth of claims for services as inappropriate and possibly fraudulent.

One of the greatest challenges is how to prepare for audits, endure accurate documentation, and maintain compliance with multiple rules and requirements.... Details

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By early 2014, an estimated 280,000 Washingtonians will become insured through Healthplanfinder, Washington's health benefit exchange, dramatically reshaping the health care market. Physicians and practice staff will need to consider many critically important questions as health insurers offer new products, assessing which networks to join and the impact of those choices on the financial viability of their practice. Physician practices will play a dual role, not only as providers... Details

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Physician practices face a situation whereby the federal government is categorizing billions of dollars' worth of claims for services as "inappropriate" and possibly "fraudulent." As a result, physician practices could be required to repay substantial amounts!

A key challenge for practices is how to ensure the use of accurate and complete documentation, and maintain compliance with multiple rules and requirements. Physicians attesting to "Meaningful Use" likely will be... Details

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Chart Auditing and Documentation Improvement: CPT, ICD-9 and ICD-10

Practices that maintain an effective documentation improvement program have medical records that achieve needed attributes of accuracy, legibility, completeness, clarity, consistency, precision, and reliability.

Government programs and commercial health insurers alike are mounting increasingly intrusive and potentially damaging initiatives to review your claims. Physicians and practice... Details

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Understanding the assignment and sequencing of codes is essential to ensure proper coding and reimbursement for your services. To do so, practice staff need a clear understanding of National Correct Coding Initiative (NCCI) edits and how insurers use these and other rules to adjudicate claims for payment.

Most insurers use NCCI edits to establish their coding and policy guidelines. So it’s critically important for effectively managing your practice’s revenue cycle to... Details

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To help Washington State physicians navigate the world of value-based payment and alternative payment models, WSMA has organized a half-day workshop on Saturday, June 25 that is specifically designed for physicians. Harold Miller, CEO of the Center for Healthcare Quality and Payment Reform and a national expert on healthcare payment reform, will give physicians the information they need to evaluate payment changes proposed by Medicare, the state, and health insurance companies and... Details
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On Aug. 1, the Washington Office of the Insurance Commissioner approved four insurance companies, and rejected five others, for participation in the state's Health Exchange. The approved companies will offer various "plans" • insurance products at the new bronze, silver and gold levels, with different premiums and deductibles; only one insurer will offer a "catastrophic plan."

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Physicians and practice staff will be impacted by changes to the Exchange in 2015. Additional health insurers have declared their intent to offer products, and the SHOP (Small Business Health Options Program) Exchange is expected to have new products available for employers to purchase for their workers, further disrupting the traditional marketplace of employer sponsored insurance products.

The fall “open enrollment” period will be upon us imminently. Now is the time to... Details

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There will be over 700 CPT code changes as of January 2014. While not all of the CPT changes will affect you, you'll be better prepared if you build your knowledge base by learning every new, revised, or deleted code. The key to accurate reimbursement lies in understanding the intricacies of coding.

This 90-minute webinar was recorded on December 5, 2013.

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The clock is ticking! ICD-10 implementation is still on track for October 1, 2015. Physician practices will need to begin using those codes at that time so that their claims can be submitted for payment. Are you ready?! While some practices are well on their way to implementation, others are quickly losing ground.

This webinar is designed for physicians and practice staff that either have not yet started their implementation plan or are falling behind. We’ll provide you ... Details

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Medical scribes are the best lever to improve physician efficiency and clinic performance, patient satisfaction, physician retention and recruitment, and clinic revenue. Scribes perform EMR documentation and other clerical tasks for the physician. Delegating these tasks to appropriately trained scribes frees doctors to perform higher-level tasks, making them more efficient and improving their job satisfaction. When clinics implement scribe programs, doctors see dramatic reduction... Details

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Presenter - Bob Perna
  • Business Intelligence: Managing Finances, Operations and Human Capital, Organizational Governance
  • Budgets and Financial Controls
  • Financial Performance: Hitting Revenue and Expense Targets
General Learning Objectives
  • Discuss the mutual challenges faced by practicing physicians and physician leaders
  • Demonstrate understanding of benchmarking.
  • Identify financial metrics that aid in physician... Details
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Presenter - Bob Perna
  • Billing Operations: Turning Services into Dollars
  • Establishing Charges for Services
  • Relative Value Units, Productivity and Compensation
General Learning Objectives
  • Define advantages and disadvantages of Relative Value Units (RVUs)
  • Define financial performance measures.
  • Assess practice budget and financial organizational obligations.
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Presenter - Bob Perna
  • Relationships with Insurers and Purchasers
  • Emerging Payment Models: Shifting from Volume to Value
  • Risk-based Contracting
  • Population Health
  • Contracting Strategies
General Learning Objectives
  • Assess different physician compensation models.
  • Integrate the use of quality metrics and contract specific expectations and requirements into the physician's clinical practice
  • Conduct a... Details
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Presenter - Michelle Lott
  • Basic CPT and ICD Coding
  • Chart documentation
  • Risk Adjustment Coding
General Learning Objectives
  • Explain the purpose of medical coding and accurately code diagnoses and procedures using industry-standard coding systems published by the World Health Organization (WHO) and the American Medical Association (AMA).
  • CPT coding: How to use modifiers, specific codes, and section guidelines, and how to... Details
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Presenter - Bob Perna
  • Satisfying legal requirements
  • Billing Compliance programs
  • HIPAA
General Learning Objectives
  • Understand the components of a compliance programs and how the Affordable Care Act will require implementation of seven core elements for an effective compliance program.
  • How compliance program can increase the potential of proper submission and payment of claims;
  • How implementation of an... Details
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Presenter - Denny Maher
  • Focuses on what you need to understand about employment contracts before signing on the bottom line.
  • Overview of the basics of contracts, and outlines how the physician should prepare before making a commitment.
  • Importance of understanding personal needs, wants, and priorities, performing due diligence, and identifying red flags.
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Presenter - Tierney Edwards
  • Covers applicable state and federal laws (such as HIPAA and the Washington State Uniform Health Care Information Act)
  • Guidance issued by the Medical Quality Assurance Commission
  • Look at some examples of social media use that •while completely legal - might do irreparable harm to a physician’s professional reputation.
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Physicians Business Skills is a new WSMA series of multi-format programs designed to provide physicians-particularly those early in their professional career-with a solid understanding of management and business operations. The new programs will help you sharpen your business skills in areas such as business intelligence, internal finances, compliance programs, coding and data capture, employee contracts and social media.
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This educational film (on DVD) demonstrates the latest information and techniques for discussing choices with patients and families. It covers, section-by-section, how to complete the POLST form.

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This educational film (on DVD) illustrates how POLST can be effective in honoring a person's wishes, while remaining sensitive to the role that family and culture often play in end-of-life decisions. This DVD pays particular attention to those whose first language is Spanish, yet we also believe that it is a wonderful resource for all who are interested in learning more about POLST.

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The First 100 Years of Medicine in Washington State

A book for the general reader as well as for physicians, Saddlebags to Scanners is a record of medicine's incredible growth set against the backdrop of Washington state's development from infancy to adulthood.

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WAMPAC is the WSMA's campaign arm, working to ensure that medicine-friendly candidates are elected to legislative, statewide and congressional offices.

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WAMPAC is the WSMA's campaign arm, working to ensure that medicine-friendly candidates are elected to legislative, statewide and congressional offices. As a WAMPAC Diamond Club member you'll receive recognition at WSMA events, special campaign updates and opportunities to connect with elected officials and candidates.

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WAMPAC is the WSMA's campaign arm, working to ensure that medicine-friendly candidates are elected to legislative, statewide and congressional offices. As a WAMPAC Diamond Club member you'll receive recognition at WSMA events, special campaign updates and opportunities to connect with elected officials and candidates.

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WAMPAC is the WSMA's campaign arm, working to ensure that medicine-friendly candidates are elected to legislative, statewide and congressional offices. As a WAMPAC Diamond Club member you'll receive recognition at WSMA events, special campaign updates and opportunities to connect with elected officials and candidates.

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Published 10 times a year, WSMA Reports is our 16-page publication featuring in-depth technical articles and information important to today's providers.