Important Events & Dates for Medical Practices in 2014Manage My Practice
This year will have many challenges and one of them is keeping up with important dates to be met. Here is an overview of the most pertinent dates and a way to download a handy calendar of these dates to keep nearby.
The Medicare and Medicaid EHR Incentive Programs offer financial incentives for the
“meaningful use” of certified EHR technology to improve patient care. Read More.. www.curemd.com
ICD-10 Transition Presentation: What Health Lawyers Need to KnowPYA, P.C.
PYA Consulting Principal Denise Hall, along with co-presenter Julie Chicoine, recently updated health lawyers about ICD-10 transition readiness at the American Health Lawyers Association Institute on Medicare and Medicaid Payment Issues, held March 26-27, 2014.
Important Events & Dates for Medical Practices in 2014Manage My Practice
This year will have many challenges and one of them is keeping up with important dates to be met. Here is an overview of the most pertinent dates and a way to download a handy calendar of these dates to keep nearby.
The Medicare and Medicaid EHR Incentive Programs offer financial incentives for the
“meaningful use” of certified EHR technology to improve patient care. Read More.. www.curemd.com
ICD-10 Transition Presentation: What Health Lawyers Need to KnowPYA, P.C.
PYA Consulting Principal Denise Hall, along with co-presenter Julie Chicoine, recently updated health lawyers about ICD-10 transition readiness at the American Health Lawyers Association Institute on Medicare and Medicaid Payment Issues, held March 26-27, 2014.
The alphabet soup of clinical quality measures reporting and reimbursement 2...Bill Presley
CMS is transitioning to what the they call "a new and more responsive regulatory framework" for quality reporting and reimbursement. CMS goals are "…electronic health records helping physicians, clinicians, and hospitals to deliver better care, smarter spending, and healthier people". Over the next couple years, we will see a transformation of fee for service into value-based care models driven by the VBP, Quality Payment Program, MACRA, Merit-based Incentive Payment System (MIPS) and Alternative Payment Models (APM). Healthcare organizations will no longer be motivated by implementing and meeting Meaningful Use, but instead will be driven by value-based care and risk-based payment models that focus on quality outcomes for reimbursements.
In this Education Session we will review:
• How CMS is aligning clinical quality measures (CQMs) to reduce the reporting burden for healthcare organizations and providers. We will cover the vision and goals for achieving quality alignment for CMS.
• We will dive into the following CMS reporting programs and how they interact with each other: Value-Based Purchasing (VBP), Medicare Access and CHIP Reauthorization Act (MACRA), Merit-based Incentive Payments (MIPS), Hospital Inpatient Quality Reporting (IQR), The Joint Commission (ORYX), Outpatient Quality Reporting (OQR), and Alternative Payment Models (APM).
• How the Eligible Hospital and Eligible Professional reimbursement models will change in 2017 and going forward.
• Compare and contrast the requirements for quality measure reporting and identify strategies to ensure compliance.
• The potential impact to hospital reimbursement of current and proposed programs that will affect quality reporting for hospitals and providers.
• How to improve efficiency and quality by aligning measures across initiatives.
• Where to find current information (and breaking news) on each of these Quality Initiatives.
In the past, organizations participating in quality reporting initiatives involved abstractors sifting through a small sample set of unstructured data in paper charts to then manually convert their findings to discrete reportable data. This approach is time consuming and requires extensive amount of resources from both IT and Quality staff. Aligning quality initiatives can improve efficiencies and processes, and contribute to population health management efforts, both locally and nationally.
At the conclusion of this presentation, attendees will be able to apply what they’ve learned about aligning Clinical Quality Measures across initiatives specific to their organization to improve reimbursements, reduce their reporting burden, increase efficiencies, and realize the benefits of Population Health Management.
If you are responsible for hospital quality, IT, clinical quality measure initiatives or have a vested interest in making sure your organization is aligning quality measures reporting, this informational session is a must.
Wondering about the meaning of Meaningful use? Pulse offers a brief overview of the forthcoming Meaningful Use requirements and what you need to do as a physician to be eligible to receive ARRA Stimulus money when it becomes available.
PYA Consulting Manager Linda ClenDening helped connect the dots between the data at the 2013 AHIMA Convention and Exhibit in Atlanta. She spoke during the Innovation educational track on the topic: “Beyond Meaningful Use: Connecting Quality Data Requirements to Business Operational Improvements.”
The CMS Innovation Center hosted a webinar on Tuesday, March 4, 2014 to discuss the Winter Open Period. This webinar included available information about the models, as well as the process and requirements for submitting requests for participation.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The CMS Innovation Center hosted a repeat of the Thursday, November 6 ACO Investment Model webinar on Tuesday, November 18, 2014, from 2:30pm-3:30pm EST. The webinar provided guidance on the ACO Investment Model (AIM) application to prospective ACO applicants. The webinar included a review of the model eligibility requirements and an explanation of each application question including the spend plan narrative and spreadsheet.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Next Generation ACO Model team hosted an open door forum on Tuesday, March 28, 2017. The Next Generation Model features three payment rule waivers, referred to as benefit enhancements. This open door forum provided an overview of the Model’s three benefit enhancements.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Center for Medicare & Medicaid Services hosted a webinar on Thursday, April 14, 2016. During this webinar staff provided an overview of the model. A repeat of the webinar was held on Tuesday, April 19.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
This presentation discusses the key elements of a Corporate Compliance program allowing an organization to self-monitor operations on an ongoing basis to ensure compliance with supportive documentation to adhere to applicable laws and the organization’s own policies and procedures.
Appropriate for CEOs, CFOs, Administrators, Nursing Management, Direct Care Nurses in a SNF, MDS Coordinators and Business Office Managers.
The Center for Medicare & Medicaid Innovation (CMS Innovation Center) hosted an open door forum covering benefit enhancements for the 2017 Next Generation Accountable Care Organization Model. The open door forum was held on Tuesday, April 19 from 4:00pm – 5:30pm EDT.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
This New York Medicaid Nursing Facility Case Mix Seminar discusses the necessary documentation needed to support the assigned Medicaid RUG to ensure accurate reimbursement for care provided. New York OMIG Auditors are focused on auditing "high risk" Medicaid Case Mix MDSs for Nursing Facilities with a change in CMI by more than five percent for 2012.
1. Learn to identify the specific components of NY RUG-III 53 categories.
2. Learn to identify high risk NY RUG-III 53 categories.
3. Learn to identify documentation requirements to support the RUG components.
4. Learn to identify strategies for organization of the Medical Record in preparation for OMIG Audits.
Visa master card contactless payment in china_v1Kelvin Tai
This presentation is to give the overview of VISA/MasterCard contactless payment technology in China and suggest the way how VISA/MasterCard to improve the contactless payment POS in China as strategy move against the barriers posed by Unionpay
The alphabet soup of clinical quality measures reporting and reimbursement 2...Bill Presley
CMS is transitioning to what the they call "a new and more responsive regulatory framework" for quality reporting and reimbursement. CMS goals are "…electronic health records helping physicians, clinicians, and hospitals to deliver better care, smarter spending, and healthier people". Over the next couple years, we will see a transformation of fee for service into value-based care models driven by the VBP, Quality Payment Program, MACRA, Merit-based Incentive Payment System (MIPS) and Alternative Payment Models (APM). Healthcare organizations will no longer be motivated by implementing and meeting Meaningful Use, but instead will be driven by value-based care and risk-based payment models that focus on quality outcomes for reimbursements.
In this Education Session we will review:
• How CMS is aligning clinical quality measures (CQMs) to reduce the reporting burden for healthcare organizations and providers. We will cover the vision and goals for achieving quality alignment for CMS.
• We will dive into the following CMS reporting programs and how they interact with each other: Value-Based Purchasing (VBP), Medicare Access and CHIP Reauthorization Act (MACRA), Merit-based Incentive Payments (MIPS), Hospital Inpatient Quality Reporting (IQR), The Joint Commission (ORYX), Outpatient Quality Reporting (OQR), and Alternative Payment Models (APM).
• How the Eligible Hospital and Eligible Professional reimbursement models will change in 2017 and going forward.
• Compare and contrast the requirements for quality measure reporting and identify strategies to ensure compliance.
• The potential impact to hospital reimbursement of current and proposed programs that will affect quality reporting for hospitals and providers.
• How to improve efficiency and quality by aligning measures across initiatives.
• Where to find current information (and breaking news) on each of these Quality Initiatives.
In the past, organizations participating in quality reporting initiatives involved abstractors sifting through a small sample set of unstructured data in paper charts to then manually convert their findings to discrete reportable data. This approach is time consuming and requires extensive amount of resources from both IT and Quality staff. Aligning quality initiatives can improve efficiencies and processes, and contribute to population health management efforts, both locally and nationally.
At the conclusion of this presentation, attendees will be able to apply what they’ve learned about aligning Clinical Quality Measures across initiatives specific to their organization to improve reimbursements, reduce their reporting burden, increase efficiencies, and realize the benefits of Population Health Management.
If you are responsible for hospital quality, IT, clinical quality measure initiatives or have a vested interest in making sure your organization is aligning quality measures reporting, this informational session is a must.
Wondering about the meaning of Meaningful use? Pulse offers a brief overview of the forthcoming Meaningful Use requirements and what you need to do as a physician to be eligible to receive ARRA Stimulus money when it becomes available.
PYA Consulting Manager Linda ClenDening helped connect the dots between the data at the 2013 AHIMA Convention and Exhibit in Atlanta. She spoke during the Innovation educational track on the topic: “Beyond Meaningful Use: Connecting Quality Data Requirements to Business Operational Improvements.”
The CMS Innovation Center hosted a webinar on Tuesday, March 4, 2014 to discuss the Winter Open Period. This webinar included available information about the models, as well as the process and requirements for submitting requests for participation.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The CMS Innovation Center hosted a repeat of the Thursday, November 6 ACO Investment Model webinar on Tuesday, November 18, 2014, from 2:30pm-3:30pm EST. The webinar provided guidance on the ACO Investment Model (AIM) application to prospective ACO applicants. The webinar included a review of the model eligibility requirements and an explanation of each application question including the spend plan narrative and spreadsheet.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Next Generation ACO Model team hosted an open door forum on Tuesday, March 28, 2017. The Next Generation Model features three payment rule waivers, referred to as benefit enhancements. This open door forum provided an overview of the Model’s three benefit enhancements.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Center for Medicare & Medicaid Services hosted a webinar on Thursday, April 14, 2016. During this webinar staff provided an overview of the model. A repeat of the webinar was held on Tuesday, April 19.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
This presentation discusses the key elements of a Corporate Compliance program allowing an organization to self-monitor operations on an ongoing basis to ensure compliance with supportive documentation to adhere to applicable laws and the organization’s own policies and procedures.
Appropriate for CEOs, CFOs, Administrators, Nursing Management, Direct Care Nurses in a SNF, MDS Coordinators and Business Office Managers.
The Center for Medicare & Medicaid Innovation (CMS Innovation Center) hosted an open door forum covering benefit enhancements for the 2017 Next Generation Accountable Care Organization Model. The open door forum was held on Tuesday, April 19 from 4:00pm – 5:30pm EDT.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
This New York Medicaid Nursing Facility Case Mix Seminar discusses the necessary documentation needed to support the assigned Medicaid RUG to ensure accurate reimbursement for care provided. New York OMIG Auditors are focused on auditing "high risk" Medicaid Case Mix MDSs for Nursing Facilities with a change in CMI by more than five percent for 2012.
1. Learn to identify the specific components of NY RUG-III 53 categories.
2. Learn to identify high risk NY RUG-III 53 categories.
3. Learn to identify documentation requirements to support the RUG components.
4. Learn to identify strategies for organization of the Medical Record in preparation for OMIG Audits.
Visa master card contactless payment in china_v1Kelvin Tai
This presentation is to give the overview of VISA/MasterCard contactless payment technology in China and suggest the way how VISA/MasterCard to improve the contactless payment POS in China as strategy move against the barriers posed by Unionpay
The payments and currency systems are on the verge of disruption. Payments are getting digitized and going mobile, wearable and biometric, while the rise of cryptocurrencies is prompting new ideas about what currency can be. Millennials, not wedded to the status quo when it comes to money, will drive this shift. This report takes a look at the myriad new ways to pay and how the concept of currency is evolving to encompass everything from bitcoin to social media shares. We also spotlight how disruption is opening the way for new players to act as middlemen between consumers and their money, along with results of a survey exploring U.S. and U.K. consumer attitudes toward payments and currency.
Note: This is an abridged version of the 62-page report. Go to JWTIntelligence.com/trendletters to download the full report at no cost.
Презентация с конференции "Город IT"
Томск, 19 ноября 2016 года.
Андрей Аксёнов, ведущий разработчик Unigine.
Доклад: «С одним плюсом».
— К чему надо стремиться, разрабатывая на C++ (и не только)?
— Как писать элегантно на C++’03 и что делать с новыми стандартами?
— Как на C++ делать не надо?
— Об идеальном коде и Идеальной Архитектуре.
Understanding the Physician Quality Reporting System (PQRS) Requirements in 2014Practice Fusion
This webinar, Understanding the Physician Quality Reporting System (PQRS) Requirements in 2014, goes over which reporting options are available, what the incentives and penalties are for participating, reporting requirements, and how to choose quality measure for reporting.
Did you know that ALL of your Medicare reimbursements will be docked if you don't participate in the PQRS reporting program? This applies to mental / behavioral heath and substance abuse providers - get the full scoop in our guide.
Basic explanation of the physician quality reporting system. Some of the due dates and actions that could be taken before Dec 31st to prevent losing money in the future.
This slide deck provides a detailed overview of the PQRS program, including helpful information on how to report for PQRS using the claims-based reporting method. Learn how to report Quality Data Codes for PQRS on Medicare claims and avoid penalties!
Updated With a Second Option!
For practices not currently participating in the Medicare Physician Quality Reporting System, and who don’t want to use a qualified registry or electronic health record PQRS reporting mechanism, another Medicare penalty is looming. Take action now to sign up for a temporary mechanism to prevent it.
Want text, not a slide show? Go to http://www.texmed.org/Template.aspx?id=27780
The Guidebook to Medicare Access and CHIP Reauthorization Act of 2015 dispels MACRA myths and puts you in the know with easy-to-follow guidance. Interpret MACRA changes with step-by-step advice to understand and master MACRA’s final rule.
2016 MIPS Final Rule: What you need to know NOWBen Quirk
Find out why you need to pay attention to this Final Rule and what adjustments you need to make to ensure you end up on the winning side of MIPS. It's a complicated program, and results from the Final Rule don't make it any easier.
The Latest Regulations, Simplified: MU, PQRS & MIPSathenahealth
Changing governmental regulations for the advancement of healthcare is more than difficult and we have simplified these changes to keep you up to date.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...GL Anaacs
Contact us if you are interested:
Email / Skype : kefaya1771@gmail.com
Threema: PXHY5PDH
New BATCH Ku !!! MUCH IN DEMAND FAST SALE EVERY BATCH HAPPY GOOD EFFECT BIG BATCH !
Contact me on Threema or skype to start big business!!
Hot-sale products:
NEW HOT EUTYLONE WHITE CRYSTAL!!
5cl-adba precursor (semi finished )
5cl-adba raw materials
ADBB precursor (semi finished )
ADBB raw materials
APVP powder
5fadb/4f-adb
Jwh018 / Jwh210
Eutylone crystal
Protonitazene (hydrochloride) CAS: 119276-01-6
Flubrotizolam CAS: 57801-95-3
Metonitazene CAS: 14680-51-4
Payment terms: Western Union,MoneyGram,Bitcoin or USDT.
Deliver Time: Usually 7-15days
Shipping method: FedEx, TNT, DHL,UPS etc.Our deliveries are 100% safe, fast, reliable and discreet.
Samples will be sent for your evaluation!If you are interested in, please contact me, let's talk details.
We specializes in exporting high quality Research chemical, medical intermediate, Pharmaceutical chemicals and so on. Products are exported to USA, Canada, France, Korea, Japan,Russia, Southeast Asia and other countries.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
2. Introduction
• Focus on three programs specifically: Physician Quality Reporting System
(PQRS), e-prescribing (eRx), and the Electronic Health Records (EHR)
meaningful use incentive program
• Today’s aim: show how decision to participate in one or more programs could
affect incentive payments or payment adjustments to Medicare reimbursement
– Aligns with new CMS e-Health initiative at http://www.cms.gov/ehealth/
• 2013 is a critical year for Medicare eligible professionals for these three programs
– CMS adopted the concept of a “two-year look back period” for payment adjustments
• Topics covered: eligibility, important 2013 deadlines, and decision trees for each
program
2
3. Eligibility
PQRS eRx EHR Incentive Program
Eligible for
Incentive
Subject to
Payment
Adjustment
Eligible for
Incentive
(1)
Subject to
Payment
Adjustment
(2)
Eligible for
Medicare
Incentive(3)
Eligible for
Medicaid
Incentive
(4,5)
Subject to Medicare
Payment
Adjustment (7,8)
Medicare Physicians
Doctor of Medicine X X X X X X X
Doctor of Osteopathy X X X X X X X
Doctor of Podiatric Medicine X X X X X X
Doctor of Optometry X X X X X
Doctor of Oral Surgery X X X X X X
Doctor of Dental Medicine X X X X X X
Doctor of Chiropractic X X X X X
Practitioners
Physician Assistant X X X X X (6)
Nurse Practitioner X X X X X
Clinical Nurse Specialist (9) X X X
Certified Registered Nurse
Anesthetist (10) X X X
Certified Nurse Midwife X X X X
Clinical Social Worker X X X
Clinical Psychologist X X X
Registered Dietician X X X
Nutrition Professional X X X
Audiologists X X X
Therapists
Physical Therapist X X X
Occupational Therapist X X X
Qualified Speech-Language
Therapist X X X
Who is Eligible for Which Programs?
3
4. Eligibility Footnotes
1. (eRx) Eligibility defined by Section 1848 (k) (3) of the Social Security Act;
professionals must also have prescribing authority
2. (eRx) Automatically exempt from eRx payment adjustment if provider did
not have at least 100 cases with encounter code in measure’s
denominator or did not have at least 10% of Medicare Part B allowed
charges for encounter codes in measure’s denominator
• Also could have submitted G8642 (rural area); G8643 (insufficient
pharmacies); or G8644 (no prescribing privileges)
4
5. 3. (EHR) Eligible Professionals (EPs) are considered hospital-based (and therefore
ineligible to participate as an individual) if 90% or more of services took place in POS
21 (inpatient) or POS 23 (emergency department)
4. (EHR) Medicare EPs may not receive EHR incentive payments under both Medicare and
Medicaid
5. (EHR) To be eligible for the Medicaid incentive program EP must have a minimum 30%
Medicaid patient volume (minimum 20% if a pediatrician), or practice predominantly in a
federally qualified health center (FQHC) or rural health center (RHC) with a minimum 30%
patient volume attributable to needy individuals
6. (EHR) Physician assistants (PA) are eligible for the Medicaid EHR incentive program if
they furnish services in an FQHC or RHC that is led by a PA
7. (EHR) If a provider is eligible for the Medicaid EHR incentive program but has Medicare
reimbursement, could be subject to Medicare payment adjustment if criteria are not met
8. (EHR) Per Stage 2 Final rule, doctors with the designation of radiology, pathology, or
anesthesiology are automatically exempt from the EHR payment adjustment
9. Includes Advanced Practice Registered Nurse (APRN)
10. Also applies to Anesthesiologist Assistant
Eligibility Footnotes, cont.
5
6. Eligible But Not Able to
Participate (PQRS/eRx)
• Professionals paid under or based upon the physician fee
schedule (PFS) Medicare Carriers/Medicare Administrative
Contractors (MACs) who do not bill directly
• Professionals paid under the PFS billing Medicare fiscal
intermediaries (FIs) or MACs (Part A)
• The FI/MAC claims processing systems currently cannot
accommodate billing at the individual physician or
practitioner level
6
7. Eligible But Not Able to
Participate (PQRS/eRx), cont.
• Critical access hospital (CAH) method II payment, where the
physician or practitioner has reassigned his or her benefits to the
CAH
– CAH bills FI/MAC for professional services
• All institutional providers that bill for outpatient therapy provided by
physical and occupational therapists and speech language
pathologists
• Services payable under fee schedules or methodologies other than
PFS are not included
7
8. 2013 Milestone Dates
Date Program Milestone
March 29,
2013
PQRS • Maintenance of Certification (MOC) vendors 2012 data
submission deadline
• http://www.cms.gov/Medicare/Quality-Initiatives-Patient-
Assessment-Instruments/PQRS/Downloads/Fully-
Qualified-2012-MOC-Posting-Document-Rev-
11282012.pdf
March 31,
2013
PQRS • Deadline for 2012 PQRS Data Submission:
- Registry Vendors
• Group practice reporting option (GPRO) submission of 2012
Web-interface data (by end of first quarter of 2013)
eRx • eRx Incentive Program Submission:
- Registry Vendors
8
9. 2013 Milestone Dates
Date Program Milestone
June 30,
2013
eRx • End of 6-month reporting period that coincides with the 2013
eRx incentive reporting period to avoid the 2014 eRx payment
adjustment
(see slide 10)
eRx • Last day to apply for 2014 eRx Hardship Exemption
(see slides 11 & 12)
July 26,
2013
eRx • Deadline for claims to be processed into the National Claims
History (NCH)
Fall 2013
(TBD)
eRx • Deadline for EPs to submit an email request for an informal
review of 2012 eRx incentive payment due no later than 90
days from receipt of eRx feedback report
9
10. eRx Payment Adjustments
for 2014 (-2.0% of MFPS)
Reporting
Period
Individual EPs 2-24 EPs
(new in
2013)
25-99 EPs 100+ EPs
6 month
(Claims
ONLY)
Report the eRx
measure’s
numerator code at
least 10 times
between January 1,
2013 and June 30,
2013
Report the
eRx
measure’s
numerator
code at least
75 times
between
January 1,
2013 and
June 30,
2013
Report the eRx
measure’s
numerator code at
least 625 times
between January
1, 2013 and June
30, 2013
Report the eRx
measure’s
numerator code at
least 2500 times
between January 1,
2013 and June 30,
2013
10
11. Significant Hardship Exemption Category Method of
Submission
Deadline
for 2014
Exemption
The eligible professional or group practice practices in a rural
area with limited high speed internet access
Web-based
Communication
Support Page
June 30,
2013
The eligible professional or group practice practices in an
area with limited available pharmacies for electronic
prescribing
Web-based
Communication
Support Page
June 30,
2013
The eligible professional or group practice is unable to
electronically prescribe due to local, state, or Federal law or
regulation
Web-based
Communication
Support Page
June 30,
2013
eRx Hardship Exemptions
11
12. Significant Hardship Exemption Category Method of
Submission
Deadline
for 2014
Exemption
The eligible professional or group practice has limited
prescribing activity, as defined by an eligible professional
generating fewer than 100 prescriptions during a 6-month
reporting period
Web-based
Communication
Support Page
June 30,
2013
2014 Adjustment: Eligible professionals or group practices
who achieve meaningful use during the 2014 12- and 6-
month eRx payment adjustment reporting periods (that is,
January 1, 2012 – June 30, 2013)
EHR Incentive
Program’s
Registration/
Attestation Page
June 30,
2013
Eligible professionals or group practices who
demonstrate intent to participate in the EHR Incentive
Program and adoption of Certified EHR Technology
EHR Incentive
Program’s
Registration/
Attestation Page
June 30,
2013
eRx Hardship Exemptions
12
13. 2013 Milestone Dates
Date Program Milestone
October 3,
2013
Medicare EHR
Incentive Program
• Last day for EPs to begin 90-day reporting period for 2013
(first year of participation)
October 15,
2013
PQRS • Last day to elect Administrative Claims option to avoid the
2015 payment adjustment
• A reporting mechanism under which an EP or group
practice elects to have CMS analyze claims data to
determine which measures an EP or group practice
reports
• Deadline for group practices to submit a self-nomination
statement via a CMS-developed website
• Group practices consisting of 100+ EPs, beginning in
2015, will be subject to the Value Based Modifier based
on PQRS reporting in 2013
• Deadline for groups consisting of 100+ EPs to elect quality-
tiering approach to VBM
December
31, 2013
Medicare EHR
Incentive Program,
PQRS, eRx
• Participation year ends for all programs
• End of period to avoid 2015 PQRS payment adjustment
13
14. Did you report the eRx measure’s numerator
code at least 25 times in 2012?
Yes No
2013 eRx Decision Tree
Group 25-99: 625 times
Group 100+: 2500 times
14
15. You will avoid the 2014
eRx payment adjustment
Did you successfully attest to meaningful use of
certified EHR technology in 2012 (Medicare)?
You may be eligible to
earn a 1.0% 2012 eRx
incentive payment
(paid in 2013)
Yes
You cannot earn an
eRx incentive in the
same year in which
you earn a Medicare
meaningful use
incentive
Q: Did you report the eRx measure’s numerator code at least 25
times in 2012?
A: Yes
No
2013 eRx Tree, cont.
15
16. Do you expect to report the eRx measure’s numerator
code at least 10 times by 6/30/13?*
You will avoid the 2014 eRx
payment adjustment
You will be subject to
a 2.0% eRx payment
adjustment to
Medicare Part B
reimbursement in
2014
Do you plan to demonstrate meaningful
use of certified EHR technology in 2013
(Medicare)?
Do you qualify for a hardship exemption for
the 2014 eRx payment adjustment
(see slides 11 & 12)?
You cannot earn an eRx
incentive in the same
year in which you earn a
Medicare meaningful
use incentive
Do you expect to report
the eRx measure’s
numerator code at least
25 times by 12/31/13?*
You may earn 0.5% eRx incentive
payment for 2013 (paid in 2014)
You will not earn an eRx incentive
You will avoid the 2014
eRx payment adjustment
if you apply for an
exemption by 6/30/13
Yes No
Q: Did you report the eRx measure’s numerator code at least 25
times in 2012?
A: No
NoYes
Yes No
NoYes
2013 eRx Tree, cont.
Group 2-24: at least 75 times
Group 25-99: at least 625 times
Group 100+: at least 2500 times
16
17. 2013 Medicare HITECH
Meaningful Use Decision Tree
Have you attested to meaningful use of
certified EHR technology prior to 2013?
Yes No
17
18. Do you plan to demonstrate meaningful use of certified
EHR technology in 2013?
You will avoid the 2015
meaningful use payment
adjustment
In what year did you first
demonstrate meaningful use?
1st Year
of MU
2013 Incentive Amount
2011 $8,000
2012 $12,000
Do you expect to be subject to 2014
eRx payment adjustment?
You will be subject to
a meaningful use
payment adjustment
of 2.0% in 2015
You will be subject to
a meaningful use
payment adjustment
of 1.0% in 2015
Q: Have you attested to meaningful use of certified EHR technology
prior to 2013?
A: Yes
Yes No
Yes No
2013 Medicare HITECH Tree,
cont.
18
19. Do you plan to demonstrate meaningful use of certified
EHR technology in 2013?
You may earn a MU incentive of
$15,000 and avoid 2015 MU
payment adjustment (90-day
reporting period)
Do you plan to demonstrate
meaningful use of certified EHR
technology by 10/1/14?
You may earn $12,000 incentive in 2014
and avoid the 2015 & 2016 MU payment
adjustment if you start by 7/1/14
Do you qualify for a hardship
exemption for the 2015 payment
adjustment for MU? (see next slide)?
You will avoid the 2015 MU
payment adjustment if you apply
for an exemption by 6/30/14
Do you expect to be subject to
2014 eRx payment
adjustment?
NO: You will be subject
to a meaningful use
payment adjustment of
1.0% in 2015
Q: Have you attested to meaningful use of certified EHR
technology prior to 2013?
A: No
Yes
YES: You will be subject to a
meaningful use payment
adjustment of 2.0% in 2015
No
Yes No
Yes No
2013 Medicare HITECH Tree, cont.
19
20. Hardship Exemptions for
Medicare EPs to Avoid Payment
Adjustment for MU
(1) Infrastructure — EPs must demonstrate that they are in an area without sufficient
internet access or face insurmountable barriers to obtaining infrastructure (e.g., lack of
broadband).
(2) New EPs — Newly practicing EPs who would not have had time to become meaningful
users can apply for a 2-year limited exception to payment adjustments. Thus EPs who
begin practice in calendar year 2015 would receive an exception to the penalties in 2015
and 2016, but would have to begin demonstrating meaningful use in calendar year 2016
to avoid payment adjustments in 2017.
(3) Unforeseen Circumstances — Examples may include a natural disaster or other
unforeseeable barrier.
(4) Patient Interaction:
a) Lack of face-to-face or telemedicine interaction with patients
b) Lack of follow-up need with patients
(5) Practice at Multiple Locations: Lack of control over availability of CEHRT for
more than 50% of patient encounters
20
20
22. No
You may earn
$21,250
incentive in 2013
Q: Do you also have Medicare
reimbursement?
NO: You will not be subject
to MU payment
adjustments; you may earn
a maximum of $63,750
through 2021
YES: Have you adopted/implemented/or
upgraded (A/I/U) certified EHR technology
prior to 2013?
You may earn an
$8,500 MU
incentive and
avoid 2015
Medicare MU
payment
adjustment
Do you plan to demonstrate
meaningful use of certified
EHR technology in 2013?
See next
slide
Do you intend to A/I/U certified
EHR technology in 2013?
See next
slide
Do you plan to
demonstrate
meaningful use of
certified EHR
technology in
2013?*
YES: You may earn
$21,250 MU
incentive in 2013
and avoid 2015
Medicare MU
payment adjustment
NO: See
next
slide
* Possible to do
MU without
having done
A/I/U previously
YesNo
Yes
YesNo
2013 Medicaid HITECH
Meaningful Use Decision Tree
22
23. If you have not attested to meaningful use before 2014, do you
plan to demonstrate MU by 10/1/14?
Do you qualify for a hardship
exemption for the 2015 payment
adjustment for MU? (see slide
20)?
You will avoid the
2015 Medicare MU
payment
adjustment if you
apply for an
exemption by
6/30/14
Do you expect to
be subject to 2014
eRx payment
adjustment?
You will be subject
to a Medicare MU
payment
adjustment of
1.0% in 2015
You will be subject
to a Medicare MU
payment
adjustment of 2.0%
in 2015
You may earn a MU incentive* in
2014 and avoid the 2015 & 2016
Medicare MU payment adjustment
if you start by 7/1/14
*Earn $21,250 if no prior year of
A/I/U and 2014 is first year of MU;
earn $8,500 if there was a prior
year of A/I/U and 2014 is first year
of MU
No
Yes
No
No
Yes
Yes
2013 Medicaid HITECH Meaningful Use Decision Tree
23
24. 2013 PQRS Decision Tree:
Individuals and Groups <100
Do you plan to participate in PQRS in 2013?
Yes No
24
25. You will earn a 0.5%
PQRS incentive (paid
in 2014) and avoid the
2015 PQRS payment
adjustment
You will be subject to a PQRS payment adjustment
of 1.5% in 2015 (no Value Based Modifier
adjustment)
*You can avoid the 2015 payment adjustment by
applying for the Administrative Claims option OR
by submitting one valid measure or measures
group
Q: Do you plan to participate in PQRS in 2013?
Will you participate in a
qualified Maintenance of
Certification program in
2013?
You will earn a 1.0%
PQRS incentive (paid
in 2014) and avoid the
2015 PQRS payment
adjustment
NoYes
Yes No
2013 PQRS Decision Tree:
Individuals and Groups <100, cont.
25
26. 2013 PQRS Decision Tree:
Groups ≥ 100
Do you plan to participate in PQRS in
2013?
Yes No
26
27. You will be subject to a PQRS
payment adjustment of 1.5%
in 2015 AND a Value Based
Modifier downward
adjustment of 1.0% in 2015
*You can avoid the 2015 PQRS
payment adjustment by
applying for the
Administrative Claims option
OR by submitting one valid
measure or measures group
*Individual EPs in groups ≥
100 can avoid VBM
adjustment by applying for the
Administrative Claims option
OR by submitting one valid
measure or measures group
per NPI
Will you elect the quality-tiering calculation method
for application of Value Based Modifier?
How do you expect
CMS to rate your
QUALITY of care?
You may earn a 0.5% PQRS
incentive (paid in 2014 based
on 2013 Medicare payments;
1.0% if MOC); avoid 2015
PQRS payment adjustment;
no VBM adjustment
COST
Rating
VBM Adj.
Low +2.0x
Med +1.0x
High none
COST
Rating
VBM Adj.
Low +1.0x
Med None
High -0.5%
COST
Rating
VBM Adj.
Low None
Med -0.5%
High -1.0%
Do you plan to participate in PQRS in 2013?
You may earn a 0.5% PQRS
incentive (paid in 2014
based on 2013 Medicare
payments; 1.0% if MOC);
avoid 2015 PQRS payment
adjustment
No Yes
NoYes
LowHigh Medium
2013 PQRS Decision Tree:
Groups ≥ 100, cont.
27
28. Resources
NEW!!! CMS eHealth Webpage
http://www.cms.gov/ehealth/
• PQRS Website
– http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/PQRS/
• eRx Incentive Program Website
– http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-
Instruments/ERxIncentive/
• Medicare and Medicaid EHR Incentive Programs
– http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/
• Value Based Modifier (VBM)
– http://www.cms.gov/Medicare/Medicare-Fee-for-Service-
Payment/PhysicianFeedbackProgram/ValueBasedPaymentModifier.html
• Frequently Asked Questions (FAQs)
– https://questions.cms.gov/
28
29. Where to Call for Assistance
• QualityNet Help Desk:
– Portal password issues
– PQRS/eRx feedback report availability and access
– IACS registration questions
– IACS login issues
– Program and measure-specific questions
• 866-288-8912 (TTY 877-715-6222)
• 7:00 a.m.–7:00 p.m. CST M-F or qnetsupport@sdps.org
• You will be asked to provide basic information such as name, practice, address, phone,
and e-mail
• Provider Contact Center:
– Questions on status of 2012 PQRS/eRx Incentive Program incentive payment (during
distribution timeframe)
– See Contact Center Directory at:
– http://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/provider-
compliance-interactive-map/index.html
• EHR Incentive Program Information Center:
– 888-734-6433 (TTY 888-734-6563)
29
30. Contact Info
Patrick Hamilton
Health Insurance Specialist
Centers for Medicare & Medicaid
Services
Philadelphia Regional Office
Phone: (215) 861-4097
E-mail: patrick.hamilton@cms.hhs.gov
Barbara Connors, D.O., M.P.H.
Chief Medical Officer, Region III
Centers for Medicare & Medicaid
Services
Philadelphia Regional Office
Phone: (215) 861-4218
E-mail: barbara.connors@cms.hhs.gov
CMS is now on Twitter!!
Follow us at @CMSGOV
30