The U.S. Supreme Court to Hear Oral Arguments in King v. Burwell

The U.S. Supreme Court to Hear Oral Arguments in King v. Burwell The ACA allows individuals to purchase competitively-priced health insurance on exchanges that may be run by either the States of by the federal government. Iowa is a “partnership” state; it regulates health plans and handles consumer outreach while relying on the federally-run healthcare.gov...

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ATTN Trauma Medical Directors & Coordinators: Register for ACS Iowa Trauma System Consult Visit

ATTN Trauma Medical Directors & Coordinators: Register for ACS Iowa Trauma System Consult Visit The American College of Surgeons (ACS) will conduct a trauma system consultation visit for Iowa the week of February 2rd at the Holiday Inn-Des Moines Airport/Conference Center, 6111 Fleur Drive. The consultation visit will be set up in a town hall forum allowing interaction between the consultation...

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IME Delays Provider Enrollment Fee

IME Delays Provider Enrollment Fee The Iowa Medicaid Enterprise (IME) has announced that it is delaying implementation of its annual Provider Enrollment Application Fee until further notice. The federally-mandated fee is set by the Centers for Medicare and Medicaid Services (CMS), and requires organizational providers to include...

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AMA Seeks Nominees for “Excellence in Medicine” Awards

AMA Seeks Nominees for “Excellence in Medicine” Awards Do you know a fellow physician who has led an exemplary career of service, working tirelessly to improve public health, provide the highest quality care and serve the community? The application deadline for the AMA Foundation Excellence in Medicine Awards is January 20, 2015. The AMA Foundation...

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Insurance Division re CoOportunity Health: “Providers will be paid”

Insurance Division re CoOportunity Health: “Providers will be paid” The Iowa Insurance Division (IID) released the following guidance to providers concerning the status of payment for services provided to CoOportunity Health members: Providers will be paid for services delivered to CoOportunity Health enrollees. Claims are being processed as usual, but payments...

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AMA Releases its 2014 Update on Commercial Health Insurance Marketplaces

AMA Releases its 2014 Update on Commercial Health Insurance Marketplaces In its 2014 Update to “Competition in Health Insurance: A Comprehensive Study of U.S. Markets," the American Medical Association (AMA) has released its most current data on commercial health plan dominance in the nation's service markets. The report, now in its 13th edition, is a tool designed...

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Iowa’s SIM Testing Grant Approved

Iowa’s SIM Testing Grant Approved Iowa’s application for a State Innovation Model (SIM) testing grant was approved by the Centers for Medicare and Medicaid Services (CMS) last month. The grant represents Phase Two of a CMS Innovation Center effort to test new state-led, multi-payer health care payment and service delivery models...

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IMS Inducted Into Des Moines University's Founders Society

IMS Inducted Into Des Moines University's Founders Society The Iowa Medical Society was recently honored with induction into the Des Moines University Founders Society, which recognizes individuals and organizations who have contributed cumulative gifts in excess of $100,000 to the University since the Annual Fund was established in 1995. Clare Kelly, IMS...

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Update on Iowa’s Electronic Death Records System

Update on Iowa’s Electronic Death Records System As we have previously reported the Iowa Department of Public Health (IDPH), Bureau of Health Statistics, launched their Electronic Death Records System (EDRS) on April 21, 2014. Since that time, paper death certificates have not been accepted by the department. Registration by certifiers for the...

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Fluoroscopy Audit to Begin January 12

Fluoroscopy Audit to Begin January 12 On January 12, the Iowa Board of Nursing (IBN) will begin auditing ARNPs who practice fluoroscopy. As part of the renewal process, all ARNPs renewing their license will be asked a series of questions regarding what courses they have taken. The IBN will then review the courses and the course objectives....

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IMS Board Approves 2015 Legislative Agenda

IMS Board Approves 2015 Legislative Agenda The IMS Board of Directors approved the recommended 2015 Legislative Agenda put forth by the IMS Committee on Legislation. The result of several months of discussion amongst numerous groups of IMS member physicians, students, and clinic administrators, the 2015 Legislative Agenda represents innovative...

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Medicare ICD-10 End-to-End Testing in April 2015 – Volunteer Forms Due January 9

Medicare ICD-10 End-to-End Testing in April 2015 – Volunteer Forms Due January 9 To help prepare for the transition to the ICD-10 code sets, the Centers for Medicare & Medicaid Services (CMS) has instructed the Medicare Administrative Contractors (MACs) to conduct end-to-end testing with a limited number of providers and clearinghouses to ensure claims with ICD-10 codes...

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New Year’s Resolution: Medicare’s 2013 QRURs

 New Year’s Resolution: Medicare’s 2013 QRURs Section 3007 of the Patient Protection and Affordable Care Act (ACA) mandates that, by 2015, the Centers for Medicare & Medicaid Services (CMS) must begin applying a value-based payment modifier (VBM) under the Medicare Physician Fee Schedule (MPFS). CMS created a Physician Feedback Program...

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Planting the Seeds: Today’s Students Become Tomorrow’s Physician Leaders

Planting the Seeds: Today’s Students Become Tomorrow’s Physician Leaders By Debra A. Schwinn, MD At the University of Iowa Roy J. & Lucille A. Carver College of Medicine, we proudly embrace a philosophy of engaged physician leadership by taking steps to instill this mindset in our students during their early training through shared wisdom, best practices, and real-life...

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Reminder: Physicians Must Review 2013 Sunshine Act Data by December 31

Reminder: Physicians Must Review 2013 Sunshine Act Data by December 31 It is not too late for physicians to initiate disputes of their 2013 data under the Physician Payments Sunshine Act (also known as the "Open Payments" program). Even though the Centers for Medicare & Medicaid Services (CMS) publicly released most of the 2013 data September 30, 2014, corrections...

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New Medicare Pay Cuts Coming in 2015; Participation Selections Due December 31

New Medicare Pay Cuts Coming in 2015; Participation Selections Due December 31 Physicians have until December 31 to decide whether or not they will be participating or nonparticipating physicians in the Medicare program next year. In addition to the annual threat of a steep payment cut – 21.2% on April 1, 2015, without congressional action – as a result of the sustainable...

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Representative Linda Upmeyer

Representative Linda Upmeyer


House Majority Leader
Clear Lake
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