Washington State Orthopaedic Association
Newsletter
In This Issue
Letter from the Board
AAOS News
2010 Annual Meeting
WSOA Leadership
John Adkison MD
President  &
AAOS Councilor

Lyle Sorensen MD
First Vice President

Patrick J. Halpin MD
Second Vice President, AAOS Councilor

Brian Wicks MD
Secretary/Treasurer

Walter F. Krengel MD
Immediate Past President

Robert Yancey MD
Director

Chris Kontogianis MD
Director

Tom Degan MD
 Director

Michael Thorpe, MD
Director

Doug Musgrave, MD
Director

Ash Patel, MD
Director

Robert Winquist, MD
Director

Alan Greenwald, MD
Director

Pat Lynch, MD
Director
WSOA Board Meeting
Residents
Did you know your WSOA membership is complimentary? 
You'll receive complimentary registration to all WSOA CME/Annual meetings. 
 Call our office for more information 206-956-3642


WSOA Offices
2033 6th Ave
Suite 1100
Seattle, WA 98121
(206) 956-3642
Fax: (206) 441-5863

Association Executive,
Darla White
Email:
ddw@wsma.org
 
 July 2010
Letter from the Board

Balance Billing

Are you aware that your ability to charge your usual and customary fee for services provided in the emergency room is in jeopardy?
 
As laws are currently written, a physician providing medical care in a hospital emergency room who is not a provider for the patient's insurance network may bill the patient his usual and customary fees for provided services. If the patient's insurance company does not pay the full amount, the physician may bill the patient for the remainder of the bill.
 
In the last State Legislative Session, Representative Ilene Cody sponsored HB2779-2009-10. The bill died in committee, but at the spring meeting of the WSMA Interdisciplinary Council, Representative Cody stated her intent to reintroduce the bill in the up-coming Legislative Session.  The bill states that a non-participating provider must accept 140% of Medicare or the listed contracted provider rate for emergency room services as
 
Payment-in-full. This means the provider cannot balance bill. It also extends the State law to include hospital departments other than the emergency room; i.e., the operating room, etc. Testifying in committee in support of the bill were representatives of Premera Blue Cross and Regence Blue Shield. Testifying in opposition were representatives of emergency room physicians, and Proliance Surgeons.
 
It doesn't require much imagination to consider the negative consequences to physician providers if this legislation is allowed to pass as written. This bill will clearly give insurance companies the upper hand when negotiating with physicians. Payments of 140% of Medicare or other similar rates will continue to drive providers away from hospital call, exacerbate the already serious problem of patient access to competent providers, and diminish the ability for orthopaedic surgeons in private practice to negotiate with insurance companies for a fair fee. It will allow insurance companies to reduce their panel of providers, squeeze those providers for a lower rate with promises of higher volume, and have emergency room services done at the same low rate by non-contracted providers. Insurance companies will be able to drop all trauma rates to 140% of Medicare, raise rates for elective surgery to contracted providers to make up the difference, and then leave non-contracted providers at the 140% Medicare rate.
 
As you can see this legislation takes an already unlevel playing field and tilts it even further in favor of the insurance companies. The real solution is for the legislature to force insurance companies to pay the usual and customary fee to non-contracted providers. This is the only way to incentivize the insurance company to contract with providers which then allows the patient to choose among all willing providers. This would allow physicians to continue to subsidize the anemic fees paid by the State for basic health care.
 
I strongly encourage each of you to contact your legislators to express your concern about HB2779-2009-10. 
 
Patrick Halpin, MD
WSOA 2nd Vice President
AAOS News
Call for volunteers: Medical Liability Committee, Evidence-Based Practice Committee.

July 28 is the deadline for submitting your application for a member position on the Medical Liability Committee. This committee monitors trends regarding professional liability and tort reform, and serves as a support and policy-making resource for the AAOS Office of Government Relations and the Council on Advocacy. Applicants for this position should have an interest in legal issues involved in orthopaedic practice, such as tort reform advocacy, expert witness testimony, medical liability insurance, and risk management.

July 29 is the last day to submit your application for a member position on the Evidence-Based Practice Committee. This committee serves as the Academy's expert panel on matters pertaining to evidence-based practice and evidence-based guidelines and performance measurement. Applicants for this position should have knowledge of evidence-based practice principles and methodologies in either private practice or academic setting. All committee members must complete CME course training in evidence-based practice before participating in any committee projects.

Openings also exist on a number of other committees, subcommittees, councils, and cabinets. Visit the Committee Appointment Program Web site regularly to view new openings and find one that interests you.
Learn more and submit your application...(member login required)

Electronic Dues Renewal
WSOA 2011 dues renewal will be all electronic for 2011.  If you require special billing needs, please contact our office at 206-956-3642.  You can renew your 2011 dues on line at www.wsoa.org
SAVE THE DATE
Please join the WSOA this year at our 2010 Annual Meeting!
November 19-20
The Hyatt Regency Bellevue
All members, Residents, and Practice Managers/Administrators attend at no cost!
Physician Assistants just $50!
Military Orthopaedics just $75 (includes WSOA membership for 2011!)

Friday, Nov. 19, 4-8pm
Grand Rounds, Resident Paper Presentation followed by a hosted reception!
 
Download the Full Schedule

Sunday, Nov. 21 8a-11a
Open Board Meeting
RSVP please!
 
Register on line at www.wsoa.org
Or click here to download a registration form.
For more information contact Darla White at ddw@wsma.org or 206-956-3642.

Reserve your room at the Hyatt Regency today! Special meeting rate of just $109!

Close to shopping and many restaurants!
Call 1-888-421-1442 to reserve your room today! 
(Discount rate ends 11/1/2010)

CONTRIBUTE TO THE WSOA NEWSLETTER
If you'd like to contribute to the WSOA Newsletter, please contact Darla White at 206-956-3642 or email your submission to ddw@wsma.org.
Supplier Sponsorships Available
As an ongoing effort to offer our members value added benefits, the WSOA is in the process of creating an on-line directory of medical suppliers.  We will also be offering sponsorship opportunities in our monthly newsletter.  Each monthly sponsor will receive article space to draw attention to their goods or services.   Please feel free to pass this information on to suppliers you think might have an interest in this opportunity.  For information contact Darla White at 206-956-3642 or email at ddw@wsma.org
Contact Information
The WSOA feels it is critical to be able to keep its members up to date on important issues affecting your practice and patient care. Please be sure your contact information is current with our office. You may email contact information updates to Darla White, WSOA Association Executive at ddw@WSMA.org.
In Memoriam
Please forward information regarding the passing of any WSOA members to Darla White at ddw@wsma.org so that we may share the information with your fellow colleagues.
 
Physicians Assistants Join WSOA today!
The WSOA Board of Directors has approved the membership of physician assistants in the WSOA.  Please encourage your PA staff members to join.  Go to www.wsoa.org and download the application.  Fax completed applications to 206-441-5863 or mail to WSOA, 2033 6th Ave. Suite 1100, Seattle, WA 98121