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  • THE BULLETIN

    A PUBLICATION OF THE MUSCOGEE COUNTY MEDICAL SOCIETY

    ERUDIRE ET DELECTARE

    V O L U M E 5 8 • N U M B E R 3

    MARCH 2013

  • PAID ADVERTISEMENT

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    THE BULLETIN Society Office: 2300 Manchester Expressway, Suite F-7 • Columbus, GA 31904

    706-322-1254 • FAX 706-327-7480 • www.muscogeemedical.org

    C o n t e n t s President’s Message . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

    Editor’s Message . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

    Hospital News. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11, 15

    Editor: David H. Levine, M.D. • Associate Editor: Casey Geringer, D.O. Managing Editor: Lisa Venable

    Officers 2013:

    President . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Glenn E. Fussell, M.D.

    President-Elect . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    Past President . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ashish K. Jain, M.D.

    Secretary-Treasurer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . William Frank Willett, III, M.D.

    Director to MAG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fred Flandry, M.D.

    Alternate Director to MAG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . James D. Majors, M.D.

    Executive Committee: Glenn E. Fussell, Ashish K. Jain, David H. Levine, Raj Alappan, Frederick Flandry, Larry E. Brightwell, Edmund M. Molnar, Jr., William Frank Willett, III, James D. Majors, Joseph R. Zanga, Ryan Geringer, Kurt Jacobson

    Delegates: Benjamin Cheek, MD, Frederick Flandry, MD, Glenn E. Fussell, MD, Ryan Geringer, DO, A.J. Jain, MD, James Majors, MD, Edmund M. Molnar, Jr., MD, William Frank Willett, III, MD, Kenneth Smith, M.D. and Joseph R. Zanga, M.D.

    Alternate Delegates: Larry E. Brightwell, MD, Marvyn Cohen, MD, Thomas Ellison, MD, James Johnson, MD and John D. Watson, Jr., MD

    Ad position is at the sole discretion of the Editorial Board.

    Members are urged to submit articles for publication in The Bulletin. Deadline for copy is the 11th of the month preceding date of issue. The Bulletin of the Muscogee County Medical Society is the official monthly publication of the Muscogee County Medical Society, 2300 Manchester Expressway, Suite F-7, Columbus, GA 31904. All material for publication should be sent to the Managing Editor not later than the 11th of the month. Advertising requirements and rates upon request. Opinions expressed in The Bulletin, including editorials, are those of the individual authors and do not necessarily reflect policies of the Society unless stated. Advertisements in this magazine do not necessarily represent endorsement or support by the Muscogee County Medical Society.

  • Patient Protection and Affordable Care Act

    The Patient Protection and Affordable Care Act is 2407 pages long. If it is printed on 20 pound paper, it weighs just over 48 pounds. While the Ten Commandments may have outweighed it, PPACA is still one of the heaviest pieces of legislation in recent history. While the physical weight is substantial, the perceived economic weight is immeasurable. Last month I wrote about the provisions of the Patient Protection and

    Affordable Care Act that have already become enacted. It seems like every day we learn something new about this legislation. Whether it is something new in taxation or something new in reimbursement, constant change is upon us. This month I will comment on how the government intends to pay for PPACA.

    PPACA's provisions are funded by a variety of taxes and offsets. Major sources of new revenue include a much-broadened Medicare tax on incomes over $200,000 and $250,000. This is for individual and joint filers respectively. There is a new annual fee on insurance providers. Now a 40% excise tax is on Cadillac insurance plan" "Cadillac" insurance policies. There are also taxes on pharmaceuticals, high- cost diagnostic equipment, and a 10% federal sales tax on indoor tanning services. Offsets are from intended cost savings such as changes in the Medicare Advantage program relative to traditional Medicare. Home Health is in store for another massive cut of $4 billion annually.

    Summary of tax increases: (ten-year projection) • Increase Medicare tax rate by 0.9% and impose an added tax of 3.8% on unearned income for high-income taxpayers: $210.2 billion • Charge an annual fee on health insurance providers: $60 billion • Impose a 40% excise tax on health insurance annual premiums in excess of $10,200 for an individual or $27,500 for a family: $32 billion • Impose an annual fee on manufacturers and importers of branded drugs: $27 billion • Impose a 2.3% excise tax on manufacturers and importers of certain medical devices: $20 billion • Raise the 7.5% Adjusted Gross Income floor on medical expenses deduction to 10%: $15.2 billion • Limit annual contributions to flexible spending arrangements in cafeteria plans to $2,500: $13 billion

    All other revenue sources: $14.9 billion

    Summary of spending offsets: (ten year projection)

    P R E S I D E N T ’ S M E S S A G E Glenn E. Fussell, M.D.

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  • Mike See Fully Licensed GA/AL Realtor

    706-315-5289 (CELL) • mikesee@coldwellbanker.com. 5670 Whitesville Road • Columbus, GA 31904

    www.kpdk.com

    PAID ADVERTISEMENT

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    Reduce funding for Medicare Advantage policies: $132 billion

    Reduce Medicare home health care payments: $40 billion

    Reduce certain Medicare hospital payments: $22 billion

    The Readmissions Reduction Program began on October 1, 2012. The maximum penalty for this is 1% off of the base Medicare reimbursements. This penalty is deducted for those penalized hospitals each time that hospital submits a claim. This penalty will increase to 2% in October 2013. This penalty is estimated to save the government $280 million in Medicare funds for those twelve months.

    The take home message is that times are changing. Prepare to adapt. Stay abreast of the new rules and regulations as they come in. Simple items can get costly if you become unaware. Getting involved will help maintain your awareness. Something as simple as knowing that a HCPCS code G8443 has been deleted and changed to G8553 will save several thousand dollars. If you are continuing to report G8443, then you will not receive the bonus monies for electronic prescribing. Above all, keep your knowledge current.

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    MCMS Wine-Tasting and Tapas at Epic on January 28th

    Over 100 physicians and guests attended made this one of the best-attended and successful social events the Society has hosted. Conversation flowed as freely as the wine and delicious food offerings. In addition to talking about patients, families, pastimes and travels, many were heard to say it was a unique and wonderful opportunity to network with colleagues and to meet some they had only known by name or reputation. Hopefully we can plan future events like this to further foster the cohesiveness of the Society. Many thanks to Epic Restaurant

    and Jamie Keating for the outstanding food and to Daniel Thomas of Quality Wine and Spirits for the excellent wine parings.

    E D I T O R ’ S M E S S A G E By David H. Levine, M.D.

    Sung and Aimee Chang and Alpna and Raj Arora sample the wine and tapas

    Tim Villegas, Page Chen, Jerry Chen, Kaizad Shroff

    Kathryn and Ben Cheek

    Frank Willett, Joann Fussell and Glenn Fussell enjoy the evening

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    Christine Senn and Jeff Kinglsey at Epic

    Woodrow and Venus McWilliams & Karen Stuart and Harold Mayweather

    Frank Willett and Joann Fussell Chef Jamie Keating and Becky Yarbrough talk about wine and food

    Dr. Lopez tried the Wine in the Epic Kitchen Susan and Greg Sfakianos enjoy the Epic Kitchen tapas

    Tom and Sandy Steinberg and Suzanne and David Levine sample the offerings

    in the Epic Kitchen

    Joy and Frank Willett, Mort Berenson and Clint and Linda McElroy

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    W E L C O M E N E W M E M B E R S

    Bill Berryman, M.D., earned his MD from Strich School of Medicine Loyola University, Chicago. He completed an internship and residency at Illinois Masonic Medical Center and completed his fellowship in chronic pain and cardiac anesthesia at the University of Illinois Hospital, Chicago. He is certified by the American Board of Anesthesiology. Dr. Berryman practices interventional pain management at his office, 1810 Stadium Drive, Phenix City at 334-664-1969. We welcome Dr. Berryman!

    Erik A. Heiss, M.D., graduated from Emory University School of Medicine, Atlanta with a Master’s in Public Health and a Medical Doctorate. He completed his residency in pediatrics at Emory University. He is a Board Certified Diplomat of the American Board of Pediatrics. Dr. Heiss practices at Rivertown Pediatrics, PC at 706-327-1281. We welcome Dr. Heiss!

    Demetrice L. Hill, M.D., received her MD from Louisiana State University School of Medicine, Baton Rouge. She completed OB/GYN residency in Honolulu, HI and she completed training in Maternal Fetal Medicine in Tacoma, WA. She received honors from the United States Army including the Bronze Star M