CA 2

Chapter 2 is sad to announce the passing of Dr. Ellin Lieberman.  A renowned pediatric nephrologist, she was also a mentor to many young pediatricians. 
 
Donations in her memory may be sent to:
 
Ellin Lieberman Scholarship Fund 
 
Mail to: Pasadena Community Foundation
260 S. Los Robles Ave, Suite 119
 Pasadena, CA 91101 
  
Or 

National Kidney Foundation of Louisiana "for Childrens Hospital Renal Unit"
 
 
Mail to: NKF of Louisiana 
8200 Hampson St., Suite 425
New Orleans, LA 70118 
 

AAP - California Statewide Advocacy Update- January 2012

 

The State of California is undergoing proposed cuts to children's health services by Governor Brown. AAP-CA has been continually working aggressively to advocate on behalf of our children.

 

Click here to read this month's Advocacy Update by Kris Calvin

 

 

   

CALENDAR OF EVENTS

 

February 2nd-  Town Hall Meeting on Precocious Puberty (keynote speaker: Dr. David Geller) and the hottest topics of the quarter affecting practicing pediatricians

 

6:30PM at Bistro Garden- Studio City, CA

See flyer for details

  

SAVE THE DATE!

May 3rd-6th, 2012- 

 AAP-CA2's Advance in Pediatrics Las Vegas Seminar

 See flyer for details

 

UPCOMING RESIDENT RESEARCH AWARDS!
Each year the AAP-CA2 Committee on Service, Education and Mentoring awards two residents a $500 stipend for outstanding research. 

Click here to learn more and meet the deadline of January 23rd.

Job Opening   
Looking for a full-time BE/BC Pediatrician to work in a well established private practice in Sherman Oaks, California. Partnership track available. Please send CV to Ilona Kleiner, M.D. 4330 Fulton Ave. Sherman Oaks, CA  91423 or fax to 818-784-1653.
. 
Contact us!
Chapter2@aap-ca.org
888-838-1987
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Peds@CA2

American Academy of Pediatrics, California - Chapter 2           January 2012 E-Newsletter

Dear Dr.  

 

Happy New Year! Chapter 2 has much that is new and exciting happening in 2012. Please check out our new website design at www.aapca2.org . We are launching the public pages first.  Dr. Corinn Cross has written our opening blog post. Feel free to send us your feedback. If you want to submit a blog post, please send it to chapter2@aap-ca.org.

 

The website includes the ability to register for our annual Las Vegas CME meeting to be held May 3-6, 2012. We have great speakers lined up for you.  Make plans now to join your colleagues at an exciting new venue, Paris Hotel and Casino.  The program promises to be interesting, relevant, and fun!

 

Thanks to all who submitted public comments on the CMS decision to change the payment structure for the developmental screening code 96110. Because of the overwhelming response, CMS has reversed their decision. See the notice below.


2012 promises to again be a challenging budget year for the state of California. Chapter 2 continues to work with the other California chapters through AAP California District IX to keep children's issues on the front line. Kris Calvin, CEO of the District, keeps us up to date on the latest round of negotiations regarding the budget.

 

 

Sincerely, 
Laura Mabie, MD, FAAP
President
AAP - California, Chapter 2

 

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CMS Reinstates Payment for CPT Code 96110
 

The AAP has played a large role in ensuring that payments for CPT Code 96110 have been reinstated. 

  

Last month, the AAP encouraged all Key Contacts and other AAP members to submit public comments to an online docket in response to CMS' recent decision to stop covering services for CPT code 96110, a code used to bill for essential developmental, behavioral and psychosocial screenings and services. CMS responded to the concerns outlined in these comments by publishing RVUs and thus reinstating payment for 96110.

  

What CMS' Decision Means for Pediatric Practices

The American Medical Association's CPT editorial panel recently changed code 96110 in status from a developmental test to a screen. Since Medicare does not pay for screening or preventive services unless authorized under the Medicare statute, CMS had initially determined that the code was ineligible for payment in Medicare. This decision was made during an annual review of all codes published by CMS in December 2011.

However, as a result of effective advocacy from AAP members from across the country, CMS recognized the consequences of such an action and published values for the code by listing its RVUs. This decision allows both Medicaid and plans in the private insurance market to continue using code 96110 even though it is technically not recognized for payment by the Medicare program.

In a recent Informational Bulletin, CMS stated: "We want to be clear that Medicaid and other private payers will be able to continue to use code 96110 even though it is a statutorily non-covered service under Medicare. In addition, many State Medicaid programs rely upon Medicare-published relative value units, including those associated with code 96110. At the request of Medicaid and concerned stakeholders, in the next few weeks Medicare will provide the relative value units for this code..."

Revised payment files to reflect corrections and revisions to the physician update amount will be posted on the Physician Fee Schedule portion of the CMS website in the near future. In the meantime, the payment rate for code 96110 will be based on 0.28 total RVUs (0.27 practice expense and 0.01 malpractice).

What Comes Next and Where to Learn More

While CMS' decision is indeed a victory for children and pediatricians, there are still challenges to its potential effectiveness. For example, since CMS does not appear to have changed the status of the code itself, some private insurance plans may resist payment for this code, even though CMS has assured that plans in Medicaid and the private market can continue using 96110.

For additional information on this coding change and what it means for pediatric practices, please visit the AAP Department of Federal Affairs member center website, FederalAdvocacy.aap.org, and stay tuned for the February issue of AAP News, which will provide additional details on CMS' decision.  

 
Check out our new website on Wild Apricot!

AAP-CA2 wants YOU to help us test out our new and improved website with added features. It is still under construction, but please click through the site and give us your feedback!

AAP-CA2's New Website! 

A Members-Only section will be added in February, exclusively for Chapter Members.
 
Gastrointestinal Manifestations of Food Allergy in Infants and Children
 
AAP-CA4 is hosting a workshop featuring Jonathan Spergel, MD, PhD, Chief, Allergy Section
Co-Director, Center for Pediatric Eosinophilic Disorders
Children's Hospital of Philadelphia. 
The workshop is geared to explore various types and treatments of food allergies.
 
Saturday, February 4, 2012 from 8:00-11:00A.M. 
 
 Live and Interactive Video Conferences to be held at:
Fleming's Steakhouses in Newport Beach, La Jolla, and Los Angeles.

Members of CA Chapters 2, 3 and 4: $10; Non-members: $25

Visit www.aapca4.org/Flemings2011 or call (949) 752-2787 for more information

 
Fit to Play & Learn


AAP-CA2 is partnering with the Los Angeles Unified School District (LAUSD) School Nurses Act to Prevent Obesity (SNAPO) to champion a childhood obesity prevention program,
Fit to Play & Learn. The brand new program will teach low-income 4th and 5th graders and their parents ways to integrate healthy food, healthy drinks choices, and physical activities into their daily lives.
 
We are currently taking donations to fund this program. Thank you for your support! 

Make a Donation 
American Academy of Pediatrics | Box 527, 4067 Hardwick Street | Lakewood | CA | 90712