Georgia Obstetrical and OBGyn News Gynecological Society, Inc. PROMOTING EXCELLENCE IN WOMEN’S HEALTHCARE in GEORGIA OCTOBER 2017 • VOLUME 11, NUMBER 5 Improving Retention Georgia Obstetrical and and Access to OB/GYNs Gynecological in Rural Georgia Society, Inc. By Hugh D. Smith, MD Society President

ur 66th Annual Meeting at Amelia recruitment is tough. The State of Georgia designated person in your practice or Island was a tremendous success! graduates 23-25 OB/GYN Residents per hospital to improve communications. I OMore than 160 and 90 year, and about 12 remain in Georgia. Of do not recommend using a professional vendors attended. A huge thank you is the 159 counties in Georgia, 79 have no OB recruiting service, due to the costs. Please extended to Dr. Cyril Spann and the GOGS coverage. On average, Labor and Delivery remember that it is important to also recruit staff for yet another high-quality meeting. units are closing at a rate of two per year. medical school candidates’ significant During the meeting, many GOGS The expense of running a rural OB/GYN others. Without this person’s involvement, members met to discuss their particular rural practice that is dependent on Medicaid is your candidate will not stay in your hospital problems: myself (Upson County), very high. Most of these practices must get community for long. Also, start recruiting Thomas Hatchett (Habersham County), Joy financial support from their local hospital someone from your area, especially if they Baker (Upson County), James Bauerband to stay afloat, and many rural hospitals in have family in your area. The likelihood of (Franklin County), Benjamin Harris (Fannin Georgia are financially stressed. retention is much higher. County), Jeffrey Harris (Wayne County), If your practice accepts Medicaid, you know Finances for medical students and Jesse Kane (Coffee County), and Adrienne how time consuming and expensive Medicaid residents is of utmost importance. Some Zertuche (Atlanta). Our discussion covered precertification can be. GOGS meets with all hospitals have foundations or trusts set several subjects including medical billing, four of the Medicaid CMOs quarterly, which up to help support interested students locum availability, and recruitment is an opportunity to raise these issues and or residents. This support can be tied to and retention. I would like to share with you hopefully improve practice administration. a candidate’s agreement to stay in your some of our observations and thoughts. Locum Tenens is a good, but expensive way community for several years. The State We have a rural medical manpower to give solo practitioners some needed time of Georgia also has financial incentive shortage in Georgia, which is not off. A large part of the costs of Locums goes programs that are available to students uncommon in many other parts of the to the staffing company. One way to defer and residents. The financial office at your nation. Competition for newly trained this cost is to use your Med Mal insurance candidate’s training institute can be of much OB/GYN physicians is fierce, and the coverage through your personal Med Mal help. Remember that Morehouse and Mercer contract. Each company has a designated have a specific mission for supporting amount of coverage for this. A great way MDs for rural health care. The Ga. Board in this issue to decrease for Physician Improving Retention cost is to use Workforce has and Access to OB/GYNs an independent funds for support in Rural Georgia...... 1 practitioner to of rural health fill in for you and care. The Georgia Pediatric and Adolescent not use a staffing House and Senate Gynecology Comes to GA...... 3 company. Your have recently Journal Watch...... 4 hospital can liberalized the credential and population Dr. Shelley-Dunson Allen contract them, requirements Named Chief of Staff...... 5 as well as room of not just your Editor’s Column ...... 6 and board them, county, but if available. My all adjacent A Firm Foundation...... 7 hospital at Upson counties, as well. News from Around the State...... 9-10 Regional Medical Remember that Center has done medical students Georgia Medicaid Fall Fair...... 11 all of this, which generally do not has cut the cost of know where they Administrative Office Locums by at least want to practice, 2925 Premiere Parkway, Suite 100 half. GOGS will attempt to set up a web- and residents have made up their minds by Duluth, GA 30097 based Information Board for any member the 3rd or 4th year of training. Telephone: 770 904-0719 to try to locate a Locums. Using a Georgia- These are some of the things we have Fax: 770 904-5251 licensed OB/GYN will avoid extra paper work. discussed. We hope this is helpful to you. It www.gaobgyn.org Physician recruitment and retention is is the goal of GOGS to help members recruit difficult at best. This process requires a and keep OB/GYN positions. OBGyn NEWS, October 2017 OBGyn NEWS, October 2017 Pediatric and Adolescent CONGENITAL SYPHILIS PREVENTION Gynecology Comes to Georgia 3rd Trimester Testing for Pregnant Women

Don’t forget to test all pregnant females for syphilis and HIV at the initial prenatal appointment and beginning of the 3rd trimester Nancy Sokkary, MD (28-32 weeks)

Report all cases (suspected Children’s Health Center or confirmed) within 24 hours Navicent Health 744 First Street It’s the Law! (Georgia HB 436) Congenital Syphilis Priority Macon, GA 31201 (478) 633-7600 or (478) 633-7439 Improve early identification of syphilis Contact us during syphilis if you have Improve screening practices for mandated 1st and 3rd (28-32 weeks) trimester questions syphilis/HIV testing ediatric and Adolescent Gynecology comprehensive care for complex patients. about (PAG) is a specialty that focuses on Pediatric and adolescent gynecologists Improve syphilis treatment for pregnant Pmedical and surgical gynecologic are well versed in evaluating and issues in pediatric, adolescent, and treating vaginitis, the most common syphilis at females at least 30 days prior to delivery young adult patients. By most gynecologic complaint among pediatric measures, the field of PAG is in its patients and irregular menses, the most Educate providers and pregnant females infancy; the 1st Edition of Pediatric and common presenting symptom of an 404-657-6038 Adolescent Gynecology was published adolescent to the gynecologist. They also on congenital syphilis in 1977. Since that time, the field provide routine care for issues such as has grown and expanded rapidly. symptomatic labial adhesions or urethral Krista Childress, MD The primary society, North American prolapse, abnormal puberty, difficult Society of Pediatric and Adolescent periods, and ovarian masses. They get Gynecology, was founded in 1986. exposure to complex contraception and There are now 13 fellowship programs have extensive experience with use of Improve screening practices for mandated between the United States and long-acting reversible contraceptives Childrens Healthcare of Atlanta Canada, multiple textbooks, and PAG in the adolescent and young adult Children’s Surgery LLC specific curriculums for obstetrics and population. PAG serves as a bridge 1975 Century Blvd NE, Suite 6 gynecology residency programs. between the fields of and Atlanta, GA 30345 Pediatric and adolescent gynecology obstetrics and gynecology. It deals with 1st and 3rd (28-32 weeks) trimester (404) 785-8787 is a subspecialty within obstetrics and issues that pediatricians may not feel gynecology that focuses on females from well-trained in among a population that birth to young adulthood. Patients in obstetrician- gynecologists are often not the fall of 2016 and has now developed this age range often have gynecologic comfortable with. a PAG clinic at Navicent Health syphilis/HIV testing needs that are distinct from adult Pediatric and adolescent Children’s Health Center. Children’s females. This subspecialty includes gynecologists complete a residency in Healthcare of Atlanta welcomed Dr. consultation for rare and unique clinical obstetrics and gynecology, followed by Krista Childress in September of 2017. issues including abnormal anatomy, a two-year fellowship in PAG. Georgia Dr. Childress also attended Baylor differences in sexual development, and currently has two fellowship-trained College of Medicine for PAG fellowship, Find out more about syphilis prevention transgender adolescent care. They have pediatric and adolescent gynecologists. which she completed in the spring of expertise in caring for teenagers and Dr. Nancy Sokkary established a PAG 2017. Dr. Sokkary and Dr. Childress at dph.georgia.gov/information-about-stds young adults with bleeding disorders and practice at the University of New Mexico are excited to collaborate and provide PCOS. PAG providers often collaborate following fellowship at Baylor College of quality care for young women and with other specialists to provide Medicine. She moved to Macon, GA, in children in Georgia. 2 3 OBGyn NEWS, October 2017 OBGyn NEWS, October 2017 Dr. Shelley-Dunson Allen named first woman, African American Chief of Staff at Wellstar N. Fulton Hospital by Mitchell Northam, The Atlanta Journal-Constitution

his hospital in Roswell has never had a woman or African- American leading its team of medical professionals, until T2017. WellStar Health System recently named Dr. Shelley Dunson-Allen as chief of staff at WellStar North Fulton Hospital. In her new role, Dunson-Allen will develop and implement plans alongside the medical staff, participate in reviews of the hospital, serve as a member of the hospital’s board and chair the Medical Executive Committee. Before being named chief of staff, Dunson-Allen worked with midwives to offer a holistic approach to pregnancy and birth, including water births and cesarean sections when necessary. She also performed minimally-invasive, robotic-assisted laparoscopic surgery at the hospital. Dunson-Allen attended Harvard Medical School and completed her internship and residency at Emory University in Your Journey 1993. She has served as an associate professor of obstetrics and gynecology at the Morehouse School of Medicine and as a clinical instructor in Emory University’s gynecology and obstetrics department. to better health begins here “This community is home to me after caring for patients and delivering babies here for 17 years,” Dunson-Allen said in a release. “It is an honor and privilege to continue serving patients in this new capacity, working closely with fellow physicians and clinical team members to find new ways to deliver world-class healthcare together.” Dr. Shelley-Dunson Allen actively serves on the Georgia Dr. Shelley Dunson-Allen is the first woman and first African-American OBGyn Society executive board. to be named chief of staff at WellStar North Fulton Hospital.

Untitled-1 1 10/13/2017 10:03:30 AM

Journal Watch ®

®

Maternal-Fetal Surgery for 30 days more commonly perceived no Update on Immunization and

Myelomeningocele risk, a recent study found. Pregnancy ® Obstet Gynecol; 2017 Sep; ACOG Comm Obstet Gynecol; 2017 Sep; ACOG Comm LILETTA on Obstet Pract HPV Vaccination & Maternal and on Obstet Pract Women with complicated Infant Outcomes The American College of Obstetricians is available through by fetal myelomeningocele who meet Obstet Gynecol; 2017 Sep; Lipkind, et al and Gynecologists (ACOG) has issued Physicians’ Alliance established criteria for in utero repair When inadvertently administered a committee opinion that offers of America should be counseled in a nondirective in pregnancy or during the an update on immunization and PAA fashion regarding all management periconceptional periods, quadrivalent pregnancy for tetanus, diphtheria, and Physicians’ Alliance options, and interested candidates human papillomavirus vaccine (4vHPV) pertussis vaccination. of America referred for further assessment was not associated with Physicians’ Alliance Physicians’ Alliance and consultation, according to a adverse pregnancy or of America of America SavingsPhysicians’ for Physicians’ Alliance new committee opinion from the birth outcomes, a recent Allianceof ofAmerica America (PAA) Members American College of Obstetricians and study found. Physicians’ Alliance of America is a nonprofi t national Gynecologists (ACOG) and the Society healthcare Group Purchasing Organization (GPO) that uses the purchasing power of physicians in all 50 states (and D.C.) for Maternal-Fetal Medicine (SMFM). Multifetal Pregnancy to negotiate discounts and preferred terms for the goods and Reduction Guidelines services private practices use every day. Physicians’ Alliance Marijuana Use & Reproductive, Obstet Gynecol; 2017 Sep; of America Perinatal Health ACOG Comm on Ethics For morePhysicians’ information: Alliance Am J Obstet Gynecol; ePub 2017 Aug Obstetrician-gynecologists PAA of AmericaLILETTA 1.866.348.9780 1.855.LILETTA (1.855.545.3882) 24; Jarlenski, et al play a key role in Physall.com LILETTAHCP.com The perception that regular marijuana counseling and guiding National Medical Fellowships Pioneer Award use has no reproductive or perinatal patients as they make Shelley Dunson Allen, MD health risk has increased among US decisions regarding NMF Alumna ® © 2017 Allergan. All rights reserved. ® Allergan® and its design are trademarks of Allergan, Inc. reproductive-age women from 2005 to continuing or reducing their Chief of Staff, Wellstar Medicines360® and its design are registered trademarks of Medicines360. LILETTA® and its design are registered trademarks of Odyssea Pharma SPRL, an Allergan affi liate. Physicians’ Alliance All other trademarks are the property of their respective owners. 2015, and pregnant and non-pregnant multifetal pregnancies. North Fulton Hospital LLT106310 03/17 of America women who used marijuana in the prior ACOG offers guidance. Providence Women’s Healthcare

4 5 OBGyn NEWS, October 2017 OBGyn NEWS, October 2017 who bleeds abnormally, regardless informative and extremely useful—I of Public Health, Dr. Fitzgerald will no of imaging. Also, have a healthy would love to have her return to doubt bring the energy and vision she Editor’s Column respect for the increasingly younger continue the conversation, as I would all utilized in making her tenure at the DPH patient population affected with of these brilliant clinicians. one of the most productive in the history endometrial cancer, given the changing Finally, I would love to again of our state. We were privileged to host Welcome Cary Perry demographics and health status of that congratulate our own Dr. Brenda J. Patrick O’Neal, M.D., who answered younger population. Governor Deal’s call to reetings! My name is Cary Perry, We are not long removed from one I learned from Dr. fill the vacancy left by and I will be taking over the of the best annual meetings I have Kimberly Workowski Dr. Fitzgerald. In giving Gresponsibility of editor of this been fortunate enough to attend. that expedited partner the recap of health newsletter from the capable hands of Many thanks to Dr. Cyril Spann, Pat therapy for treatment outcomes for women Al Sermons, who has quietly helmed Cota, and the entire staff at the GOGS of STIs is permitted in in Georgia over the the duties for the past few years. A office for the planning and the hours the state of Georgia, past year, he continued huge THANK YOU to Al for his time and spent bringing us a superior docket of and nucleic acid to assure women’s devotion to this job. For those of you speakers and subjects at the Ritz at amplification tests are caregivers that he I haven’t had the pleasure of meeting, Amelia Island. the only tests clinicians would work diligently I have practiced in Athens for the past As I sit at the keyboard on some of should be using to to maintain and 21 years with the same busy practice. the final days of September, which is Cary Perry, MD diagnose Chlamydia continue to grow those I am married to an OB/GYN and the also Suicide Prevention Month, one of Editor and Gonorrhea. Oh, successful programs mother of two wonderful sons. the facts presented by current ACOG Atlanta, GA and LGV is SUPER initiated under Dr. I have been privileged to serve as a president Dr. Haywood Brown continues difficult to confirm, so Fitzgerald’s tenure. We Board member of the GOGS for more to resonate: almost twenty percent of we should be treating thank him both for his presumptively. many years of service than a decade, during which time I deaths in reproductive-age women are continuing to screen our gynecology Dr. Wendy Book, and for being with us at have seen the results of untold hours attributable to suicide. Think about this patients consistently and providing care Director of the Emory our meeting. of labor and lobbying—all with the for a moment. We are furiously working and referrals when needed. Adult Congenital Heart I am looking forward united goal of assuring that the women to correct and eliminate cardiovascular Another frightening statistic that I Center, would like to see every one Fitzgerald, who was appointed in July to serving the Society and our members of our state (and their babies) receive disease, hypertensive disorders, and came across this week: there will be of our patients with either congenital by the President as the new Director in providing timely and interesting the best care available. It is my honor acute hemorrhage as causes of death in more than 400 physicians who take heart disease or serious pre-existing of the Centers for Disease Control and content every few months in what to serve in this capacity for a time, our maternal cohort through thoughtful, their own life this year. Please don’t cardiovascular disease, prior to their Prevention. A Past President of GOGS, a has become an excellent source of to aid in keeping our members and concerted plans involving standardization forget to include self-care in your daily becoming pregnant. (Really.) Every practicing OB/GYN, and most recently, the information and communication. Many practitioners in Georgia informed and of care, recognition of high-risk patients, schedule and seek counseling and help word of her two presentations was Commissioner of the Georgia Department thanks for the opportunity! updated about ways to help achieve and identification of at-risk populations if you find yourself struggling. The this goal. through collection/examination of data. National Suicide Prevention Hotline But what are each is always open at 1-800-273-TALK of us doing for our (8255), and many communities have Did you attend the Society’s patients to identify local resources also available. It pays and help those to have an “office champion” (shout- A Firm Foundation Annual Meeting this year? patients at risk out to Donna in my office!) who keeps for self-harm? Dr. track of local resources, hotlines, and he Georgia OBGyn Foundation Treasurer, and Pat Cota joining ranks as Brown pointed out counselors. This way, they are always at Have you applied to receive grew out of a desire by leaders in the Director, has lofty goals: during his lecture hand to provide to your patients. the Georgia OBGyn community • Providing assistance to the Georgia on rethinking On a different note, this is typically T CME credit? Do so today!! to focus additional attention and maternal mortality project to our delivery of the time of year where we review resources on improving healthcare implement reduction strategies postpartum care the amazing presentations and topics services for women in Georgia. With • Supporting Georgia OBGyn medical that we could and presented at our recent meeting. Dr. almost half of Georgia counties education and residency training should certainly Fidel Valea of Virginia Tech Carilion lacking an OBGyn, hospital obstetric • Supporting innovative concepts such be doing more: SOM had a fantastic presentation on units closing at record rates, a as perinatal telemedicine for rural As you consider your end-of-year The American College of seeing patients ERAS, an area much more familiar to Obstetricians and Gynecologists Georgia ranking of 50th in maternal areas with no coverage donations and estate planning, please WOMEN’S HEALTH CARE PHYSICIANS sooner and more our colo-rectal and general surgery mortality, STIs on the rise and a • Advancing pilots, such as that of consider giving a tax-deductible gift to DIVISION OF EDUCATION often, aggressively colleagues, placing it in the context of ranking of 4th nationally in repeat Augusta Medical College, to return the Georgia OBGyn Foundation. And screening for minimally-invasive GYN surgery. His teen pregnancy (to name just a few OBGyns to the workforce with mention the foundation to your patients postpartum second presentation on DVT prevention of the problems) health outcomes for refresher courses who have a desire to help improve depression and and management was equally timely women need to improve. • Developing a Statewide Council outcomes for women in Georgia! mood disorders, and useful. I would encourage The Georgia OBGyn Foundation, to preserve and guide OB care To access the conference evaluation, offering appropriate everyone to review these presentations under the leadership of Dr. Ruth Cline, throughout the state please use the following link: and timely referrals and consider encouraging your Please visit http: President, Dr. Cathy Bonk, Secretary- • Serving as a leader for women’s health https://www.surveymonkey.com/r/GASECT17 for resources and departments to consider adoption of issues by //gaobgyn.org/foundation/ providers who the ERAS practices, in particular. Again, Thank you to the following members who have providing a unified After completing the evaluation, follow the instructions to might offer in-depth standardization of care continues to how-to-help/ voice transcending claim, print, and/or save your CME certificate of attendance. psychiatric services bear out as best care in many different donated to the foundation since August: socioeconomic, to donate online or You may only claim credit for the hours in which you and care. I would areas of our practice, in this case the Edwin Bello Stephanie Grogan Chad Ray ethnic, and write a check made out to the participated in the activity. If you did not participate in the challenge each of peri-operative period. Cathy Bonk Magdi Hanafi Anthony Royek geographic entire activity, please adjust your credit accordingly. us to attempt to Similarly, Dr. Carol Brown of Janet Bonk Theresa Luhrs Mardi Schaufler Georgia OBGyn Foundation barriers do an even better Memorial Sloan Kettering Cancer William Butler Roland Matthews Al Scott Please complete your evaluation even if you do not • Bringing more and send to job at meeting Center (and President Elect of the Ben Cheek David McIntosh Al Sermons need a CME certificate of attendance. resources to our patients’ SGO) had a particularly thought- Ruth Cline Dorothy Mitchell-Leef Gary Smith 2925 Premiere Pkwy. bear in rural psychological needs provoking presentation on the modern Skin Edge John Moore Cyril Spann Suite 100 For questions on the evaluation or certificates, contact Georgia where during this crucial management of endometrial cancer. The Robin Fogle Cary Perry Andy Toledo Christina Brooks, ACOG’s Cognate Administrator at access is worst Duluth, GA 30097 202-863-2555 or [email protected]. time, as well as take-home message: biopsy everyone 6 7 OBGyn NEWS, October 2017 OBGyn NEWS, October 2017 ICD-10-CM Codes 2018

Gynecologic Code Changes • N63, Unspecified lump in breast, expanded to distinguish right and left breast. Code N63 Working continuously to balance the invalid after October 1, 2018. • Change to description for Z31.5, Encounter for genetic counseling. • Z40.02, Encounter for prophylactic removal of ovary(s), now without distinction of right or left, SCALES OF JUSTICE. and Z40.03 added for removal of fallopian tube(s). • Inclusion term “endometriosis of the thorax” added to N80.8. We’re taking the mal out of malpractice insurance. • Inclusion term “premenstrual dysphoric disorder” deleted from N94.3, Premenstrual tension As a relentless champion for the practice of good medicine, syndrome. If patient is diagnosed with condition, report F32.81. we continually track, review, and influence federal and state bills • “Excludes 1” under Z87.41, Personal history of dysplasia of female genital tract, revised. on your behalf. All for one reason: when you can tip the scales in favor of the practice of good medicine, you get malpractice Obstetric Code Changes insurance without the mal. Find out more at thedoctors.com • Ectopic pregnancy codes revised to reference right or left structure, changing codes from 5 digits to 6. • Codes added to report fetal heart rate or rhythm abnormality during antepartum period. • Corrected “excludes” note error for O99.1. • Z36 expanded to match codes in ICD-9-CM for antenatal screening. • Code range for Z3A, weeks of gestation, changed from O00-O9A to O09-O9A. Learn about the rest of the ICD-10 changes at our CPT Coding Workshop Dec. 8, 8-2, at the Atlanta Buckhead Marriott. Register by 11/29 at www.gaobgyn.org.

News from Around the State

The state birth rate climbed to 11.2 percent last year, up from 10.8 percent in 2015, higher than the national preterm birth average of 9.8 percent in 2016, which rose from 9.6 percent the year before, Premature Birth Rate according to data from DPH. Health of the pregnant woman and prior HIV Raging Through Atlanta Rising in Georgia pre-term births are contributing The metro Atlanta area ranks fifth Georgia’s preterm birth rate rose factors. Race is a factor as well. In in the rate of new HIV diagnoses, in 2016 after years of decrease. 2015, the national rate of preterm according to the Centers for Disease births among African-American Control and Prevention. Georgia women (13%) was about 50 ranks second in the nation among percent higher than the rate states. Apart from the stigma and of preterm births among white discrimination, there are other barriers women (9%), the CDC says. in Atlanta and in the South, such as Preterm birth rates nationally higher rates of poverty and the number decreased from 2007 to 2014, of people who are uninsured. Read and CDC research shows that more: https://www.wabe.org/atlanta- this decline is due, in part, continues-grapple-hiv-epidemic/ to declines in the number of Patient programs: https://dph.georgia. births to teens and young gov/hiv-care mothers. Read more: http:// http://www.gacapus.com/r/ www.georgiahealthnews. Care training: http://www. com/2017/10/alarming-trend- msm.edu/Research/research_ premature-births-georgia/ centersandinstitutes/ga-aetc.php

8 9 6053_GA_OBGynSocNews_DA_Oct2017_f.indd 1 9/6/17 10:10 PM OBGyn NEWS, October 2017 OBGyn NEWS, October 2017 News from Around the State Georgia Medicaid Fall Fair care, including birth control. Wednesday, November 8, 2017 The Obama administration had The Classic Center created an exemption for churches and allowed other “religious 300 N. Thomas Street employers” to opt out by notifying Athens, GA 30601 the government. When they did so, the administration would arrange with 7:00 a.m...... Sign-in their insurance companies to provide 7:30 a.m...... Meet and Greet with the Provider Relations Team the coverage directly, without the employers’ involvement. Read more: 8:00 a.m...... Opening Remarks/Regulatory Updates http://www.npr.org/sections/health- 11:30 a.m. - 1:00 p.m.. . Bring your lunch shots/2017/10/06/555970210/trump- New Hospital for ends-requirement-that-employer- Register now. Admission is free. Piedmont health-plans-pay-for-birth-control Rockdale Medical Center, about The opening session will highlight news from the To register online and for details, including the facility 25 miles east of Atlanta, has Georgia Department of Community Health (DCH) layout, map to the facility, parking locations, and an officially become the eighth hospital including an overview of current initiatives and program agenda, visit http://www.cvent.com/d/55qvmw. Attendees in the Piedmont Healthcare system. and policy updates. The day will feature break-out must register to reserve a seat for each individual The hospital in Rockdale County was purchased from LifePoint sessions focused on relevant topics for our provider session selected. community along with time for questions and answers. Health, a for-profit company based A confirmation e-mail will be sent to the address you Some of the areas that will be covered are: in Tennessee. Piedmont officials Serving Georgia, provide during registration. Review the confirmation e-mail announced completion of the Serving the World • Alliant GMCF/ Submitting Prior Authorizations and Appeals for accuracy and note that it will include the facility location deal October 2nd. Read more: Dr. Lance Wiist of Maternal • Behavioral Health Services http://www.georgiahealthnews. and session for which you are registered. Please bring a Gynerations in Lawrenceville • Billing 101/Remittance Advice com/2017/10/rockdale-hospital- returned this month from a mission copy of the confirmation e-mail with you to the Medicaid Fair. officially-joins-piedmont-family/ • Crossover Common Denials trip to Nicaragua. Since 2004, Wiist In addition to break-out sessions, you will be able to has been traveling with Amigos for • Division of Family & Children’s Services (DFCS) and DCH interact with Georgia Medicaid exhibitors and DCH Medicaid Changes to Christ, which was founded in 1999. Member Eligibility staff who will have displays set up in the Athena Ballroom. Birth Control Rules His team of 17 people included 6 • Durable Medical Equipment (DME)/ Providers’ The Breast Cancer OBGyn physicians, nurses, scrub You will also have the opportunity for your claims questions The Trump administration Administered Drug List (PADL) You Need to Know About techs, students and fellow friends. to be researched and addressed by both DXC Technology is rolling back the Obama-era • Electronic Clinical Quality Measures (eCQM) requirement that employer- Inflammatory breast cancer (IBC) For 5 days, the team operated on and Care Management Organization (CMO) personnel, who provided health insurance policies is one of the most aggressive forms 41 patients performing multiple • Electronic Visit Verification (EVV) will be available throughout the day in the Athena Ballroom. cover birth control methods at no of breast cancer, and according to a surgeries, including procedures to • Georgia Medicaid Appeals Process recent study conducted by Georgia repair pelvic prolapse and bladder For location and directions, as well as dining and lodging cost to women. According to senior • Hospice Services State University, South Georgia has incontinence, hysterectomies, options in the area, please visit the Classic Center website officials with the Department of • Hospital Services Health and Human Services, the some of the highest numbers of IBC and removal of tumors and at: https://classiccenter.com/9/Visitors goal of the new rule is to allow cases in the nation. fibroids. Learn more at www. • Meaningful Use Modified Stages 2 & 3 any company or nonprofit group to IBC represents just 1 percent to 3 amigosforchrist.org. • Overview of Common Denials Questions? Contact DXC Technology at percent of all breast cancer cases in exclude coverage for contraception • Panel Discussions featuring all four Care Management [email protected]. if it has a religious or moral the nation, according to the National Cancer Institute. The complex Organizations (CMO’s) Disclaimer: If you are a public sector employee, it is critical that you verify the ethics objection. The Affordable Care code, laws, and/or regulations that govern your ability to accept items of value from Act requires employer-provided disease differs from other types • Physician and Mid-Level Forum companies with whom you conduct business. Employees of a U.S. K-12 public or health insurance policies to include of breast cancer, particularly in its • Provider Enrollment and Centralized Credentialing private educational institution, or any U.S. library should ensure compliance with the coverage for preventive health symptoms, rapid evolution, prognosis Verification Organization (CVO) Processes FCC’s E-rate gift rules (47 CFR Part 54) in addition to their local rules, regulations, and treatment. and policies. Please obtain the necessary approval from your organization before IBC is typically: • Waiver Programs accepting any item of value from DXC Technology. • diagnosed at younger ages, and compared with other types of Your Options breast cancer Atlanta Reproductive Medicine is • more common in African- hosting a seminar for patients to American women than in white learn about their fertility options. women Free seminar led by Dr. André L. • more prevalent in obese women Denis, one of ACRM’s Reproductive Read more: http://www. Endocrinologists, on November 14, georgiahealthnews. 2017 at 6:30 pm. com/2017/10/ibc-rare-form- Registration: http://ow.ly/xlHbD breast-cancer-physician/ or call 678-841-1089.

10 11 Presorted Standard U.S. POSTAGE PAID Permit # 6264 Atlanta, GA

Georgia Obstetrical and Gynecological Society, Inc. Administrative Office 2925 Premiere Parkway Suite 100 Duluth, Georgia 30097 Telephone: 770 904-0719 Fax: 770 904-5251 If you would like to send a letter to the editor, please send it to [email protected] or mail it to the Society’s office.

GEORGIA OBSTETRICAL AND GYNEDOLOGICAL SOCIETY CPT Coding Seminar for OBGyn Practices

Friday, December 8, 2017 8am -2pm

Atlanta Marriott Buckhead Hotel & Conference Center 3405 Lenox Road NE Atlanta, GA 30326 Featuring • Steve Adams, MCS, COC, CPC, CPC-I, PCS, FCS, COA, InHealth Professional Services • Sheila Pierce, Director, Prescription Drug Management Program — Georgia DPH • Amy Wasdin, RN, MBA, CPHRM, Patient Safety Manager, The Doctors Company 3 CEU Credits For Atlanta Marriott Buckhead Hotel Reservations, Call 1-888-855-7741 Ask for the CPT Coding for OBGyn -Room Block Rate at $149/Night Make Room Reservation No Later Than Thursday, Nov. 16, 2017 to Obtain Block Rate Sign up by 11/29 at www.gaobgyn.org