Skip to main content

Home  About Us  For Physicians  For Patients  For Students  Medical Society  Accountable Care Org.  Contact Us  Internship  Spectrum for Living  Sovereign Medical Group  Comprehensive PrimaryCare  Medicare SGR Fix  Chronic Care Management   
Joining a Medical Society
2009 BergenCounty Society
2009 Prescription savings
NJ Medical Society Letter
2007 Contract for Flu Vac
2012 Inaugural
Urgent Matters
2013 Inaugural



Medical Society of New Jersey e-Newsletter



May 10, 2013 




In This Issue

-Healthcare Reform Event


2013 Annual Meeting



-Consolidation Trend in Healthcare Delivery

-EEOC Explores Employer Wellness Programs

-Hurricane Sandy Relief




-MPMS Community

-ICD-10 Workshop









Healthcare Reform Event 


"Navigating the New World of Healthcare Reform: Understanding how Medicaid and Medicare ACO, Bundled Payments and Hospital/Physician Alignments Affect your Practice"

May 29, 2013

6:00 P.M. to 8:00 P.M.  Giordano, Halleran & Ciesla, P.C. Headquarters: 125 Half Mile Road, Suite 300, Red Bank, NJ.


Giordano, Halleran & Ciesla, P.C. along with MSNJ and the Monmouth and Ocean County Medical Societies will host this educational seminar.  


Topics include: Reimbursement, Medicaid and Medicare ACOs, Bundled Payments, Restrictive Covenants, Employment Contracts, and much more!


Register by May 24 with Lisa Zingler at 732-741-3900 or Seating is limited.



Golden Merit Awards Ceremony 


Golden Merit Award Ceremony 
June 2, 2013 at the Hamilton Manor in Hamilton, NJ

MSNJ will honor members who graduated with Medical Degrees from the Classes of 1962 & 1963 onJune 2, 2013. Recipients receive two complimentary tickets. Additional tickets may be purchased onlinefor $65. More information


Back to top



Save the Date: 5th Annual NJ ASC Review


May 21-22, 2013

Revel, Atlantic City, NJ 

The 5th Annual NJ ASC Review will have leaders from the ASC, hospital and insurance industries discussing the latest issues impacting the ASC industry and the healthcare economy in general. 

MSNJ members receive a discounted rate. MSNJ members click here for more information. Non-members click here.



ICD-10 Workshop 


"ICD-10 and Coding for Difficult Diagnosis" 
June 21, 2013 from
9am-12pm at
MSNJ Headquarters in Lawrenceville, NJ


Learn about: ICD-10-CM and guidelines, key coding conventions for the ICD-10-CM, differences between ICD-9 and ICD-10, and diagnosis coding in ICD-10 by body part.

Target Audience: Small Practices  

Register online


Back to top




Last Chance for Tickets! 

2013 Annual Meeting Events:

May 17-18, 2013


Register today! 

Last chance for tickets: May 10 (invitation)    

Hilton Woodcliff Lake 

Woodcliff Lake, NJ  


May 17, 2013
Friday Evening Social (invitation) (sponsorships)

May 18, 2013 
Annual Meeting Expo (exhibitors)


May 18, 2013  

Saturday Night Inaugural Gala honoring

Ruth J. Schulze, MD - MSNJ's 221st President(invitation) (sponsorships)  



Contact eventsbyrachel@gmail.com609.314.4556.


More information






Consolidation Trend in Healthcare Delivery

  • Aetna Acquires Coventry Health Care

This week Aetna announced that it completed its acquisition of Coventry Health Care Inc. Aetna stated that the acquisition allows it to increase its presence with the expanding government sector business and expand its relationships with local providers. Notably, Coventry's portfolio includes workers compensation solutions and rental network services.


  • Cooper University Healthcare Acquires 20% Interest in AmeriHealth

Last month, in a novel arrangement, Cooper University Healthcare announced that it intended to acquire a 20% ownership interest in the health insurer, AmeriHealth. The partnership is based on an accountable care organization model. AmeriHealth's President and CEO hopes to offer co-branded insurance plans in 2013 and then to introduce them into the health insurance marketplace in 2015. The acquisition must be approved by the New Jersey Department of Banking & Insurance. Read more.


  • MSNJ President Mary Campagnolo, MD, Speaks on NJ Healthcare State at State Public Affairs Conference

This week, MSNJ President Mary F. Campagnolo, MD, MBA, participated in a panel discussion with other NJ healthcare leaders at the RWJ Hamilton Center for Health & Wellness. President Campagnolo addressed the consolidation seen already in the state, such as the changing relationships between physician groups, pharmacies and accountable care organizations. She noted that healthcare costs should decline with this kind of nontraditional model, and efficiency in treating patients should increase, throughout which, quality care is paramount to its success. Read more.


EEOC Explores Whether Employer Wellness Programs are Discriminatory

This week, the Equal Employment Opportunity Commission listened to concerns expressed by a panel of experts on whether employer wellness programs violate federal discrimination laws.  


Expressed issues include: seeking information on disabilities and genetic testing; whether the programs are voluntary; use of penalties or financial incentives; discrimination based on age and gender. A former EEOC commissioner urged the Commission to develop guidance on the application of federal laws against discrimination, HIPPA, and the Affordable Care Act's provisions on incentives and penalties to wellness programs to facilitate employer compliance. Read more.  


Applications Still Accepted for Hurricane Sandy Relief Grant  
The Physicians Foundation announced a grant in the amount of $350,000 each to the Medical Society of New Jersey and the Medical Society of the State of New York. Grantees do not have to be MSNJ Members. Download the application today.





Legislative Update  


Medicaid Expansion

The Senate Health Committee passed S. 2644, sponsored by Senators Joseph Vitale, Nia Gill and Loretta Weinberg, which would expand Medicaid eligibility pursuant to the federal Affordable Care Act.  The bill essentially is the legislative version of the Governor's decision to expand Medicaid eligibility under the ACA.  MSNJ's position on expansion can be found here .


Value Based Benefit Design for Chronic Health Conditions

The Assembly Appropriations committee passed A. 1214, which establishes a pilot program to utilize value-based benefit design in the State Health Benefits Plan to increase health benefits coverage for certain employees concerning chronic health conditions.   


The coverage design will utilize explicit financial incentives to increase the employee's interaction with appropriate health care providers, and encourage use of those health benefits that specifically relate to the employee's chronic health condition.  MSNJ is monitoring this bill, which mirrors the goals of ACOs and other new payment models that focus on outcomes.


Read this week's full legislative update





Practice Management


MSNJ Practice Management Community

A community has been created on MSNJ's website for all Medical Practice Manager Section (MPMS) members. Here you will find blogs, forums, events, polls and links to important information regarding practice management. All MPMS members are automatically subscribed to the community and forum as part of membership. An email will be sent when a forum is created. You may unsubscribe at any time, using the unsubscribe link at the bottom of the email or through the community website.


Registration Now Open: ICD-10 Workshop:

"ICD-10 and Coding for Difficult Diagnosis."  


Friday, June 21 from 9:00 A.M. to 12:00 P.M. at MSNJ Headquarters, Lawrenceville, NJ.


Join MSNJ for an ICD-10 workshop on "ICD-10 and Coding for Difficult Diagnosis."

Presented by: Tina Cressman, MALS, CPC, CPC-H, CPC-P, CEMC, CPMA, CPEDC, CPC-I, CCS-P, MCS-P, MCS-I, CPAT, CCAT, CCT, CMC, Assistant Director, Health Information Management, Cooper University Hospital.


Learn about: ICD-10-CM and guidelines, key coding conventions for the ICD-10-CM, differences between ICD-9 and ICD-10, and diagnosis coding in ICD-10 by body part.

Target Audience: Small Practices  

Register online


HIPAA Resources

  • Templates- Available Online: MSNJ and Weber Gallagher Simpson Stapleton Fires & Newby LLP's HIPAA Business Associate Agreement and Notification of Privacy Practice templates are now available on MSNJ's website.  

  • The Office of Civil Rights (OCR) recently launched three modules on HIPAA compliance:

-Patient Privacy: A Guide for Providers 

-HIPAA and You: Building a Culture of Compliance  

-Examining Compliance with the HIPAA Privacy Rule

  • Videos on the HIPAA Security Rule are also available on the OCR's YouTube Channel. These videos are designed for small practices and offer an overview of how to establish basic safeguards to protect patient information and comply with the Security Rule's requirements.


View May's Coding Tip of the Month on NCCI and Modifiers. If you would like your coding question addressed in an upcoming edition of e-News or you have a coding question specific to your practice, please email your questions. We will work with a certified professional coder to help answer them.




Corporate Partners



Princeton Insurance, MSNJ Gold Level Partner

Contact: Lois Hogya, CPCU, Vice President of Underwriting and Marketing/Communications 
Phone: 800.334.0588


Princeton Insurance exists to protect the New Jersey healthcare community and partner with them in their efforts to provide outstanding patient care. Measured either by numbers of policyholders or total premiums, Princeton is the leading healthcare malpractice insurer in New Jersey, with the longest continuous market presence of any company offering coverage in the Garden State.


Rated A+ (Superior) by independent rating agency A.M. Best, Princeton Insurance is part of the Medical Protective/Berkshire Hathaway corporate family. Medical Protective has been protecting healthcare providers since 1899 and is the nation's highest-rated healthcare malpractice carrier, according to both S&P and A.M. Best. MedPro provides unmatched strength, winning defense, and innovative solutions to physicians, dentists and other healthcare providers in all fifty states.


Princeton's local knowledge and expertise, joined together with MedPro's nationwide presence and Berkshire's unmatched financial strength, result in an even stronger partnership with our policyholders to meet the challenges they face and provide the protection they deserve.


To find out more about Princeton Insurance or to obtain a no-obligation premium indication, contact your independent insurance agent or visit our website.



It is important to note that MSNJ does not endorse any vendor, service, or product. However, we encourage members to please consider our Corporate Partners first as the financial support received from these organizations is vital to our association. It is our hope that their investment in MSNJ will help keep your membership dues and programming affordable. For information regarding our corporate partners visit MSNJ's website






Seminar: Depression, Alcohol & 
Substance Use

St. Francis Medical Center and The Nicholson Foundation will host a free grand rounds seminar on "Depression, Alcohol, and Substance Use" on Monday, May 13, 2013 from 8:00 A.M. to 9:30 A.M. at RWJ Hamilton Center for Health & Wellness. This activity has been approved for AMA PRA Category 1 Credit™. If you cannot attend the in-person seminar, you may register to view it as awebinar. Register for the in-person seminar online. View more details about this series.


The American Medical Association (AMA) will host a free webinar to help physicians better understand the importance of risk-benefit assessments when prescribing opioids to patients with chronic pain. This webinar is part of a series of AMA webinars on topics related to responsible opioid prescribing. It will be held on May 15 at 1:00 P.M. EDT and will be archived online for on-demand viewing after May 15.Register


Hospital Medicine 2013 
May 16-19, 2013 
Gaylord National Resort & Convention Center 
National Harbor, MD 


5th Annual NJ ASC Review Conference, Atlantic City  May 21-22, 2013

The 5th Annual NJ ASC Review will have New Jersey and national leaders from the ASC, hospital and insurance industries discussing the latest issues impacting the ASC industry and the healthcare economy in general. The focus of the program will not only be on current trends, but where the ASC industry is heading in light of hospital integration strategies, the implementation of ObamaCare, ACOs, alternative reimbursement models and dramatic changes in insurance product design (i.e., the evaporation of out-of-network benefits). MSNJ members receive a discounted rate. For further information and the registration form, MSNJ members click here. Non-members click here.

Attend the 2013 NAMI National Convention, "Together We Can Make A Difference" in San Antonio, Texas, June 27 through June 30, 2013.Register online.

National Ovarian Cancer Coalition (NOCC) 15th Anniversary Run/Walk

2013 will be a very special event as we celebrate our 15th Anniversary Run/Walk. Please join the thousands of ovarian cancer survivors, their families and friends, medical and health professionals, and the local community in support of the NOCCRead more.


More Upcoming Events:

  • Cancer Survivorship E-Learning Series for Primary Care Providers.  Read more.

  • Cooper University Healthcare seminar onJune 6, 2013 from 5:00 P.M. to 8:10 P.M. on "Improving Practice Outcomes in the Community for Cancer, Tobacco, and Chronic Diseases."  Read more. 

  • Institute for Healthcare Improvement's May Author in the Room® Teleconference, Wednesday, May 15, 2013 from 2:00 P.M. to 3:00 P.M. Read more.




Medical Society of New Jersey

2 Princess Road, Lawrenceville, NJ 08648

(o) 609-896-1766 e-mail:



About the Medical Society of New Jersey:

Founded in 1766, the Medical Society of New Jersey (MSNJ) is the oldest professional society in the United States. MSNJ promotes the betterment of the public health and the science and the art of medicine, to enlighten public opinion in regard to the problems of medicine, and to safeguard the rights of the practitioners of medicine.  The organization and its members are dedicated to a healthy New Jersey, working to ensure the sanctity of the physician-patient relationship. In representing all medical disciplines, MSNJ advocates for the rights of patients and physicians alike, for the delivery of the highest quality medical care.  For more information visit our website or send us an e-mail

"Your Partner in Practice... Your Voice in Trenton"  


2013 © Medical Society of New Jersey. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise without the written permission of the Medical Society of New Jersey.


Deadline for Business Associated Agreements under HIPAA

Published By
Fox Rothschild LLP
William H. Maruca


Verify Your Business Associate and Subcontractor Agreements by This Friday 1/25/13 to Qualify for Extension



The September 23, 2013 deadline for updating Business Associate Agreements is extended for one year under the Omnibus Rule for covered entities who have compliant Business Associate Agreements in place by Friday, January 25, 2013. This also applies to agreements between Business Associates and their subcontractors.

Covered Entities and Business Associates (as well as Business Associates and their subcontractors) may continue to rely on those agreements for up to one year beyond the compliance date of the modifications, regardless of whether the contract meets the applicable contract requirements in the Omnibus Rule. This includes existing written agreements between business associates and subcontractors under which such subcontractors agree to the same restrictions and conditions that apply to the business associate. Such contracts are deemed to be compliant with the modifications to the Rules until either the covered entity or business associate has renewed or modified the contract following the compliance date of the modifications, or until September 23, 2014 (one year after the compliance date), whichever is sooner. "Evergreen" contracts which automatically renew also qualify for the extension.


Covered Entities (providers, health plans/insurers, and clearinghouses) should verify that they have current signed business associate agreements in place no later than this Friday in order to be grandfathered for an extra year.


Business Associates who have delegated functions to subcontractors involving PHI need to make sure they have signed written agreements in place that meet the standards of the existing rule under which the subcontractors agree to follow HIPAA.   This is where there may be more gaps, since many Business Associates may have been unaware of their obligations to assure compliance by their subcontractors.


Even grandfathered Business Associate Agreements and subcontractor agreements should be reviewed to see if the contracted party (business associate or subcontractor) is acting as an agent of the Covered Entity or Business Associate.  If it is, the date on which a breach is discovered (or should have been discovered) is imputed up contractual chain and could mean that the Covered Entity is responsible for reporting breaches it knows nothing about. 

If you need help determining whether you qualify for grandfathering, please contact your Fox Rothschild attorney immediately