nhcma at a glance

Become A Member

For over 225 years, NHCMA has represented the voice of New Haven County physicians and their patients. We offer not just a wealth of benefits, like networking events, discounts, action alerts and workshops, we also give you and your patients a way to get involved in the fight for the future of health care.

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Action Alerts

Don't be left behind! Find out the latest news, whether it's a policy change, a contract change, billing and coding news and alerts or anything else that affects the way you practice medicine.

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Calendar of Events

NHCMA's Event Calendar includes a variety of valuable seminars and events. Our goal is to offer our physician members and their staffs the knowledge and resources necessary to manage a successful practice.

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Physician Locator

Looking for a doctor who supports quality patient care? Search our directory of NHCMA members for a physician in your community. You can search by speciality or geographic location.

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Membership MedNotes

 

Membership MedNotes issues are available for only the month they are published in.

 

December 23, 2016

December 20, 2016

December 2, 2016

  • Aetna-Humana Antitrust Trial to Have a Different Twist (CT Mirror)
  • A Lot at Stake for Connecticut as Trump, GOP Eye Medicaid Changes (CT Mirror)
  • Deadline for Informal Review of Potential Penalties Extended
  • Unsealed Transcripts of CEO Testimony Slow Deep Rift Between Cigna, Anthem (Bloomberg)
  • Two CT Radiology Groups Establish Joint Venture (Hartford Business Journal)
  • Cigna Launching 'One Guide' for High-Tech Personalized Service (Hartford Business Journal)
  • Aetna Moving Deliberately Toward Value-Based Care (Hartford Business Journal) 
  • Cigna CEO Had Doubts on Merger (Hartford Courant)
  • Obamacare Emerging as Pretrial Issue (Hartford Courant)
  • OP-ED | Healthcare Cabinet Making Big, Troubling Plans for Connecticut's Healthcare
    (CT News Junkie)

    AMA
    PQRS Adjustment information
     

    In 2017, the Centers for Medicare and Medicaid Services (CMS) will apply a downward payment adjustment to those who did not satisfactorily report PQRS in 2015 including:

    • Individual eligible professionals (EPs)
    • Comprehensive Primary Care (CPC) practice sites
    • PQRS group practices
    • Accountable Care Organization (ACO) participant TINs

    If you have any questions regarding the status of your 2015 PQRS reporting or are concerned about potentially receiving the PQRS downward payment adjustment in 2017, please do not hesitate to submit an informal review request. CMS will be in contact with every individual EP or PQRS group practice that submits a request for an informal review of their 2015 PQRS data.
    If you believe you have been incorrectly assessed the 2017 PQRS payment adjustment, submit an informal review between September 26, 2016 and November 30, 2016 requesting CMS investigate your payment adjustment determination. All informal review requestors will be notified via email of a final decision by CMS within 90 days of the original request for an informal review. All decisions will be final and there will be no further review

    Follow these steps to submit an informal review request:

    1. Go to the Quality Reporting Communication Support Page (CSP) 
    2. In the upper left-hand corner of the page, under "Related Links," select "Communication Support Page"
    3. Select "Informal Review Request"
    4. Select "PQRS Informal Review"
    5. A new page will open
    6. Enter Billing/Primary Taxpayer Identification Number (TIN), Individual Rendering National Provider Identifier (NPI), OR Practice Site ID # and select "submit"

    Complete the mandatory fields in the online form, including the appropriate justification for the request to be deemed valid. Failure to complete the form in full will result in the inability to have the informal review request analyzed. CMS or the QualityNet Help Desk may contact the requestor for additional information if necessary.

    Please see the PQRS informal review fact sheet  for more information.

    Note: Any EP or group that is awaiting a response or resolution of a QualityNet Help Desk ticket to access their PQRS Feedback Report or QRUR may still submit an informal review after November 30, 2016, by providing verification of a QualityNet Help Desk ticket numbers generated before the end of the informal review period (November 30, 2016 ) that involve EIDM access. Individuals or groups (as identified by their taxpayer Identification Number (TIN) may also use EIDM-related help desk tickets generated during the informal review period to enable late filing of a Value Modifier or PQRS informal review request. These late requests may be submitted through December 7, 2016.

    Additionally, 2015 PQRS feedback reports can be accessed on the  CMS Enterprise Portal using an Enterprise Identity Management (EIDM) account. For details on how to obtain your report, please see the "Quick Reference Guide for Accessing 2015 PQRS Feedback Reports". For information on understanding your report, please see the "2015 PQRS Feedback Report User Guide". Both guides are on the PQRS Analysis and Payment webpage.

    For additional questions regarding the informal review process, contact the QualityNet Help Desk at 1-866-288-8912 (TTY 1-877-715-6222) or Qnetsupport@hcqis.org Monday-Friday from 7:00 a.m. to 7:00 p.m. Central Time. To avoid security violations, do not include personal identifying information, such as Social Security Number or TIN, in e-mail inquiries to the QualityNet Help Desk