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  • Part 4: How Does the Prior Authorization Reform Act Address the Duration of a Prior Authorization Approval?

    During the Spring Legislative Session in Springfield, the General Assembly unanimously approved the Prior Authorization Reform Act (House Bill 711), which is now on Governor Pritzker’s desk. This top ISMS initiative requires that substantive and important changes be made to insurer prior authorization (PA) practices. 

    Physician Advocate is taking a deep dive into the various components of this important legislation. This week’s focus is the duration of a prior authorization approval.


    Part 4: How Does the Prior Authorization Reform Act Address the Duration of a Prior Authorization Approval?

     

    The current problem: Prior authorization requests are required for certain services or medications, and depending on how long a patient’s medical condition lasts, the physician may need to submit multiple prior authorization requests for the same service or drug, even if there have been no changes in the patient’s medical status. The need to renew prior authorization approvals for patients who are stable on a prescribed treatment can cause significant disruptions in patient care that may result in shorter recovery times or worse patient outcomes overall.

    How House Bill 711 helps: It sets specific time frames for how long a prior authorization approval would be valid for acute and chronic conditions, including required time frames if a patient changes state-regulated health insurance plans in the middle of treatment.

      Read more …


  • 'My Mom Recently Passed Away and I Need Her Medical Records'

    A grieving relative has contacted your practice about a deceased patient’s medical records. You and your staff have most likely heard this type of request before.

    But do you know how to respond from a legal perspective when someone makes this request?

    Get your questions answered with ISMS' medical legal guideline, Access to Medical Records of Deceased Patients. This newly updated guideline covers who can access a deceased patient’s medical records, along with the fees involved. The resource also includes a sample “Authorized Relative Certification” form and spells out family members' rights regarding access to medical records of deceased patients under current Illinois law.

    Questions? ISMS members may contact the ISMS Legal Division by email



  • NEXT MONDAY July 19 at 2:30 CDT Telehealth Equity Virtual Forum Session 2

    The Illinois Telehealth Network is hosting a three-part series of virtual forums on telehealth equity, featuring interactive panel discussions on the current legal and regulatory environment for telehealth, reimbursement trends and opportunities, and telemedicine delivery and business models.

    The second forum, How Broadband Can Promote Telehealth Equity, will take place Monday, July 19 and will address broadband expansion to support telehealth services to underserved communities. The panel will also discuss the critical need to take specific actions to eliminate barriers associated with the equitable deployment and utilization of telehealth services. 

    ISMS is a supporting organization of this event.

    Telehealth Equity Virtual Forum: How Broadband Can Promote Telehealth Equity (Session 2)

    THIS MONDAY, July 19, 2021

    2:30 to 3:30 CDT

    There is no cost to attend; however, available spots are limited.

    Register now!



  • Is it Safe for Your Patient to Drive?

    Important reminders

    Safely driving a vehicle requires physical and cognitive capabilities. If it is your medical opinion that a patient may not be physically or mentally capable of driving safely, you can submit this opinion confidentially to the Secretary of State. 

    Start by printing out this Medical Report form. The form itself cannot be submitted online – it must be printed, filled out and then mailed to: 

    Secretary of State

    2701 S. Dirksen Parkway

    Springfield, Illinois 62723 

    Attn: LMR

    (Physicians may also submit their medical opinions about a patient on their practice’s letterhead, which must be mailed to the same address mentioned above.)

    The Office of the Illinois Secretary of State has informed the ISMS that it does not monitor hypertension if this health issue is the patient’s only diagnosis. If hypertension is the only diagnosis and there are no others, it is not necessary to report this health information to the Secretary of State. 

    However, if your medical opinion is that a patient’s hypertension may impair their ability to drive, this medical diagnosis can also be indicated on the Medical Report form under Bullet #2 next to “Other Medical Conditions.”

    If you have questions, please contact ISMS Senior Vice President of State Legislative Affairs Erin O'Brien by email



  • Workers’ Comp Law Requires Physicians to Use Latest AMA Guides to Determine Impairment

    Join our July 20 webinar to learn more!

    Effective July 1, 2021, Illinois physicians who perform permanent partial impairment (PPI) ratings in workers’ compensation cases are required by Illinois law to use the newly released AMA Guides to the Evaluation of Permanent Impairment, 6th Edition. 

    The Illinois Workers' Compensation Act requires physicians who author PPI reports to use the most current edition of the Guides to determine the level of impairment. 

    As the AMA’s guides are now only available online, physicians will need training on the new digital version. Join ISMS’ webinar to learn more!

    Implementation of the New AMA Digital Guide Used for Permanent Partial Impairment (PPI) Ratings

    Tuesday, July 20 | Noon (CDT)

    ISMS members and their employed staff may participate in this webinar at no cost; all others must pay $150 to attend.

    Register today!

    Questions? Please contact the ISMS Health Policy Research and Advocacy team by email



  • Need a Translator for Patients?

    ISMS offers this service to members at a discount!

    Language Link, one of your many ISMS Benefit Partners, offers interpretation and translation services at a discount for you. 

    These services can be delivered via conference call, remote video or by on-site personnel.

    If you have hearing-impaired or non-English-speaking patients, providing effective communication is not only necessary for securing an accurate diagnosis and developing a treatment plan, it is also required by law. 

    ISMS members receive a 30% discount on per-minute fees, with no monthly minimum and no sign-up fee.

    Check out Language Link today! 



  • ISMS Welcomes New Members

    Thank you for joining the Illinois State Medical Society (ISMS)!

    ISMS is the community for all physicians to be heard in Illinois. Your membership in ISMS provides you with some incredible opportunities and access to a team of individuals working tirelessly to provide you the resources and support you need throughout your medical career.

    ISMS is dedicated to addressing your needs and to making positive changes in the healthcare environment in our state. Welcome to ISMS!

    New members




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