Advice for consumers being charged for preventive care

Under the new health law, compliant plans are to cover certain preventive care procedures. For example, many immunizations, cancer screenings, depression screenings, and so forth are supposed to be free to covered consumers. For a list of covered preventive care services and associated requirements, click here.

However, some consumers are being charged fees for these services, often due to billing errors. In the past, some services– take, for instance, colonoscopies– would be charged for the procedure itself, plus a facility fee for use of space and equipment at a medical center. Now, charges for these covered preventive services should be “bundled” under a single billing code which signals to insurers that the entire service should be covered with no cost-sharing on the part of the patient.

Since the law is new, and billing processes are often quite old, some patients are (perhaps mistakenly) being asked to pay for part of the cost of preventive procedures. If this happens to you, it would be wise to:

1) Ensure that your health plan is compliant with the new health law’s essential health benefits– if you purchased the plan on a Marketplace, it’s compliant;

2) Review the list of fully covered preventive services; and

3) Call your provider and/or insurer to ask about how the procedure was billed. Were the charges for the procedure and the facility billed under separate codes? Or, were they bundled? If they were billed separately, why? Since some processes for coding these preventive procedures are new, perhaps the provider’s billing agent made a mistake which can be easily corrected.

Click here to read a Kaiser Health News article on this topic, published on Jan. 21, 2014.

Have questions?  Post them at www.mihealthanswers.com, or email them to advisor@mihealthanswers.com.

This post was contributed by Shannon Saksewski (Health Education Program Manager, Detroit Regional Chamber).  Shannon can be contacted at ssaksewski@detroitchamber.com.

Brad Williams on The Paul W. Smith Show in Lansing

Detroit Regional Chamber vice president of government relations Brad Williams was on with WJR 760’s Paul W. Smith, broadcasted from the MLive hub in Lansing. Williams discusses Chamber’s advocacy efforts on transportation funding as well as Governor Rick Snyder’s plans on immigration reform and protecting pensions and the DIA throughout bankruptcy. Original air date: January 28, 2014.

Business and commercial litigation attorney joins Butzel Long

DETROIT, Mich. – Aghogho O. Edevbie has joined Butzel Long law firm as an associate attorney based in the firm’s Detroit office. Edevbie concentrates his practice in the areas of business and commercial litigation.

While in law school, Edevbie sat on the executive board of the school’s Student Funded Fellowships and worked as a student attorney with the University of Michigan Clinical Law Program. He has interned with the Michigan Supreme Court and with Judge Arthur Tarnow of the U.S. District Court for the Eastern District of Michigan. After law school, he traveled to Tanzania, where he taught civics at St. Peter Claver High School in Dodoma.

Edevbie is a graduate of the University of Michigan Law School (J.D. 2012) and the University of Michigan (B.A. 2008).

About Butzel Long

Established in 1854, Butzel Long is a full-service law firm with offices in Detroit, Bloomfield Hills, Lansing and Ann Arbor, Mich.; New York, NY; and, Washington, D.C., as well as alliance offices in Beijing, Shanghai, Mexico City and Monterrey. The firm is an active member of Lex Mundi, a global association of 160 independent law firms. Visit the Butzel Long website at www.butzel.com.

Gov. Snyder recognized for commitment to arts

ArtServe Michigan – the state’s leading statewide arts and cultural advocacy organization – was proud to nominate Gov. Rick Snyder for a prestigious award for his leadership in ensuring that strong foundations of art and culture are key drivers of Michigan’s economic comeback.

Snyder was presented with the 2014 Public Leadership in the Arts Award for State Arts Leadership today in Washington, D.C. The recognition was bestowed on behalf of Americans for the Arts and the United States Conference of Mayors, during the 82nd winter meeting of the United States Conference of Mayors.

Snyder was nominated for the recognition by Jennifer Goulet, president and CEO of ArtServe Michigan.

“Gov. Synder has demonstrated his strong commitment to the strategic role that the arts, culture and creativity play in Michigan’s reinvention – cultivating vibrant communities that attract talent and business investment, contributing jobs and economic activity, and making our cities and towns great places to live and explore,” said Goulet, who presented Snyder with the award during the ceremony.
According to Americans for the Arts and the United States Conference of Mayors, Snyder was selected due to his understanding of the “critical importance of arts, culture and creativity in creating vibrant communities and places, helping to attract talent, business and making Michigan cities and towns great places to live and explore.”

The organizations added that under Snyder’s leadership, state funding for the arts and culture increased from 2.56 million in fiscal year 2012 to $8.15 million in the current fiscal year.

“Art and culture are vital to Michigan’s reinvention,” Snyder said. “They nourish us as individuals, unite us as communities and strengthen us by attracting new talent to our state. Michigan’s economic success goes hand in hand with the creative energy that thrives in every corner of the state. Whether it’s encouraging neighborhood revitalization, providing communities with identities that are unique and exciting, or attracting investments from entrepreneurs, the creative sector will continue to help lead the way in shaping Michigan’s unparalleled quality of life.”

ArtServe Michigan is a statewide nonprofit advocacy organization dedicated to cultivating the creative potential of Michigan’s arts and cultural sector and creative industries to enhance the public health and well-being of Michigan, its people and communities. ArtServe advocates for arts, culture, arts education and the power of the creative economy in Michigan; provides leadership and professional development for artists, creative practitioners, and arts and cultural organizations; and connects arts and cultural leaders and supporters through strategic communications. Contact ArtServe Michigan at 248-912-0760 or visit ArtServeMichigan.org.

Nemeth Law attorneys discuss timely employment issues

Detroit, Mich. – Jan. 23, 2014 –Attorneys with Detroit-based management side labor and employment law firm Nemeth Law, P.C., have been active recently in leading discussions on a variety of employment law topics in Michigan, Ohio and Connecticut.

  • At the Nemeth Law Raising the Bar series on Jan. 22, Terry Bonnette, a partner in the firm, and senior attorney Cliff Hammond presented the 2014 labor and employment law update, helping employers remain in compliance as the new year gets underway
  • Patricia Nemeth, founder of Nemeth Law, P.C., Bonnette and attorney Erin Behler presented Sex and Gender in the Workplace to industry trade groups in Connecticut on Nov. 6, 2013 and Jan. 14, 2014. The discussion centered on trends and developments in equal employment opportunity law and the Equal Employment Opportunity Commission’s 2013-2016 Strategic Enforcement Plan.
  • Bonnette presented Workplace Violence for clients of the Hylant Group in Troy, Mich. on Nov. 15; in Novi, Mich. on Nov. 14; and in Ypsilanti, Mich. on Nov. 11, 2013
  • Bonnette presented Social Media at the Michigan Chapter of National Association Directors of Nursing Administration (MI-NADONA) at the MotorCity Casino in Detroit on Nov. 8, 2013

About Nemeth Law, P.C.
Nemeth Law specializes in employment litigation, traditional labor law and management consultation for private and public sector employers. It is the largest woman-owned law firm in Michigan to exclusively represent management in the prevention, resolution and litigation of labor and employment disputes.

IPS Technology Services Hires Director of Business Development as Company Expands

Troy– January 22, 2014 – IPS Technology Services recently hired Laura Malmstrom as Director of Business Development, as the company seeks to continue to expand its reach to new clients this year.

Malmstrom brings to IPS Technology Services an extensive portfolio of experience in healthcare IT, IT systems and applications, new business development, managed services, Microsoft SharePoint, new market and product launches and channel partnering, along with other valuable experience.

“We are pleased to have Laura on our team as we start 2014,” says Pradip Sengupta, President and CEO, “IPS Technology Services will greatly benefit from her expertise in business development as our company continues to grow.”

IPS Technology Services was recently named to Crain’s Book of Lists as the fastest growing Asian-owned company in southeast Michigan when comparing 2012 revenue to 2011 revenue. For the latest news about team additions and company accomplishments, visit http://www.ipstechnologyservices.com/?cat=4.

About IPS Technology Services

IPS Technology Services provides end-to-end IT services to the Small and Medium Businesses (SMB) marketplace. IPS develops custom applications using state of the art tools such as .Net, C#, VB, SaaS, SOA, Oracle, SQL Server, and/or by using third party software. IPS provides IT services in the following six areas:
1. IT Staffing (SharePoint, Oracle, Java, Dot Net, SQL Server, SAP, PM)
2. Technology Consulting
3. Web based and Mobile Application Development and Integration
4. Healthcare IT with EHR and Practice Management implementation
5. Engineering IT services
6. Website development, Digital Marketing, and Social Media

For more information on IPS Technology Services, please call 248-835-9895 or, click www.ipstechnologyservices.com.

Butzel Long attorney featured during January 23 ICLE webinar; Reginald A. Pacis will discuss, “Protecting Your Family Law Client from Immigration Issues”

DETROIT, Mich. – Butzel Long attorney and shareholder Reginald A. Pacis will be a featured presenter during an Institute of Continuing Legal Education (ICLE) webinar on January 23, 2014. He will participate in a webinar titled, “Protecting Your Family Law Client from Immigration Issues.”

Based in Butzel Long’s Detroit office, Pacis concentrates his practice in immigration law and has handled a variety of immigration matters including H-1B specialty occupation cases, L-1 Intracompany transfers, Labor Certification matters, Immigrant Visa Petitions/Adjustment of Status applications and interviews, TN Free trade cases, H-1B Department of Labor Investigations, I-9 employer verification compliance, and U.S. Port of Entry airport and land port interviews.

Pacis was named Immigration Lawyer of the Year 2013 in the field of Immigration Law by The Best Lawyers in America and has been listed in Best Lawyers for several years. He is a member of the American Bar Association, the American Immigration Lawyers Association (AILA), and the Samahang Pilipino Ng Oakland Filipino organization. He served two consecutive one-year terms from 2003 to 2005 as Chairperson of the Michigan Chapter of AILA and was a member of the AILA National Board of Governors for those terms. Pacis previously served as Secretary (2001 to 2003) and Membership Chairperson of the Michigan Chapter of AILA (1998 to 2003).

He has been a speaker on immigration topics at many business, Hispanic, and Filipino presentations. Pacis has served in a variety of committees in the Filipino community and is a member of the Philippine Chamber of Commerce of Michigan. He completed an appointment by former Governor Granholm for service on the Advisory Committee for Asian Pacific American Affairs (ACAPAA). He served on the Michigan AILA Advocacy Committee from 2007 to 2010.

Pacis previously served as Chairperson of the Michigan AILA Committee responsible for liaison with the Michigan Customs and Border Protection (CBP) Agency, a division of the U.S. Department of Homeland Security presiding over inspections and security of the U.S. border, from 2005 to 2007. His service expanded to the AILA National CBP liaison Committee as a member and Vice Chair and Chair. He presently serves as Vice Chair on the AILA United States Citizenship and Immigration Services (USCIS) Field Operations Liaison Committee.

About Butzel Long

Established in 1854, Butzel Long is a full-service law firm with offices in Detroit, Bloomfield Hills, Lansing and Ann Arbor, Mich.; New York, NY; and, Washington, D.C., as well as alliance offices in Beijing, Shanghai, Mexico City and Monterrey. The firm is an active member of Lex Mundi, a global association of 160 independent law firms. Visit the Butzel Long website at www.butzel.com.

Statement from Detroit Regional Chamber CEO on Announcement by Governor on Plan to Help Protect Detroit Pensioners and DIA

DETROIT, January 22, 2014: Today, Detroit Regional Chamber President and CEO Sandy K. Baruah issued the following statement on the announcement by Governor Rick Snyder of a proposed plan to help protect Detroit pensioners and the Detroit Institute of Arts collection throughout the ongoing bankruptcy proceedings.

From Day One, Governor Snyder has understood that Detroit is critical to Michigan’s re-invention. He has invested tremendous time, energy and political capital in working to put the city on the path to a brighter future. While full details are yet to be ironed out, the Detroit Regional Chamber is encouraged that the Governor and legislative leaders have worked in a bipartisan fashion and taken the first steps to better protect workers’ pensions and the region’s assets at the DIA throughout the difficult bankruptcy process.

About the Detroit Regional Chamber

Serving the business community for more than 100 years, the Detroit Regional Chamber is one of the oldest, largest and most respected chambers of commerce in the country. The Chamber’s mission of powering the economy for Southeast Michigan is carried out through economic development, education reform, regional collaboration and providing valuable benefits to members. For more information, please visit detroitchamber.com.

 

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PTI nurses receive NCQA certification

Troy, Mich. —Jan. 21, 2014— Practice Transformation Institute (PTI), providing the health care community with continuing medical education and customized learning programs that improve patient health outcomes and the individual care delivery experience, announces that Carla Irvin, RN, BSN, and Lisa Allen, RN, BSN, have successfully completed a study program and exam to become NCQA PCMH Certified Content Experts.

NCQA offers the most widely known Patient-Centered Medical Home (PCMH) program in the country, the NCQA PCMH Recognition program. NCQA developed the PCMH Content Expert Certification (CEC) program in an effort to help physician practices and other interested parties identify experts with a demonstrated understanding of the NCQA PCMH Recognition program and to provide professionals with a way to validate their knowledge base.

“Certified NCQA Patient-Centered Medical Home Content Experts receive thorough training and demonstrate in-depth knowledge to assist organizations applying for NCQA PCMH Recognition,” said NCQA President Margaret E. O’Kane.

Attainment of the credential requires completion of two NCQA educational seminars and successful completion of a comprehensive exam developed and administered by NCQA; a commitment to continuous learning and recertification to maintain the credential is also required.

Allen and Irvin will continue to work with primary care physician practices seeking NCQA recognition and other respected designations as patient-centered medical homes, offering group classes, one-on-one practice coaching, and readiness evaluations through PTI.

About Practice Transformation Institute (PTI) Practice Transformation Institute is Michigan’s leading provider of CME and IACET accredited experiential learning programs for the Patient-Centered Medical Home and other primary care transformation initiatives. PTI was the first organization in the country to be recognized by URAC as a Certified Auditor for URAC’s PCMH program. Practice Transformation Institute is a founding partner of the Mackinac Learning Collaborative, a learning community linking Michigan physicians with their peers to rapidly test and implement meaningful, sustainable change within their physician practices. PTI also runs the Physician’s Training Center in Madison Heights. To learn more about Practice Transformation Institute, please visit www.transformcoach.org.