Westchester County Healthcare News February 2018 ebook by Belsito Communications Inc.

Healthcare news February 2018

Westchester County

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IN FEBRUARY

HAPPY & HEALTHY

Raise Awareness for the #1 Killer of Men AND Women— Heart Disease

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AMERICAN HEART MONTH Boomers &Beyond Westchester County

February 2018

SHARING your HEARTon

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VNS Westchester Awarded Grant from Aging in America, Inc. to Stem the Tide of Sepsis among Home Care Patients p10

Heart Healthy Tips for Seniors

Legal advice for Medicaid & AssetProtection planning. Call (914) 8162900 today! See page 14

Wartburg partners with leader in Music Therapy, Neuroscience, Research and Training p4

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Healthcare News - Westchester February, 2018

FARMERS MARKET

provided

Sabrina Nitkowski-Keever, MSN, RNC, Director of Maternal Child Health, chats with Kevin Sullivan of Do Re Me Farms at the NewYork-Presbyterian Hudson Valley Hospital Farmers Market.

PAGE 3

NewYork-Presbyterian Hudson Valley Hospital extends popular Farmers Market into Winter

The three-season Farmers Market at NewYork-Presbyterian Hudson Valley Hospital has been so successful that the hospital has announced plans to hold a monthly Farmers Market throughout the winter months. The hospital will hold a winter Farmers Market in the Main Lobby once a month through March 2018. The winter market will be held from 10 a.m. to 3 p.m. on the third Tuesday of the month: NewYork-Presbyterian Hudson Valley Hospital will resume the bi-weekly Farmers Market schedule in April 2018— a month earlier than in previous years. It will be held in the Main Lobby from 11 a.m. to 4 p.m. on the first and third Tuesdays of each month.About 500 shoppers attend each Farmers Market, with 15 Hudson Valley vendors selling fresh fruits, vegetables, herbs, artisan baked goods, local grass-fed beef, and selected crafts and gifts.

An Education Table is now at each market, staffed by a clinical nurse instructor from NewYork-Presbyterian Hudson Valley Hospital’s Education Department and/or a staff member from the hospital’s Cheryl R. Lindenbaum Comprehensive Cancer Center. As part of a green initiative this year, the hospital has supplied each vendor with paper bags for purchased items. EBT/SNAP customers are welcome and some farmers accept FMNP checks. The Farmers Market is one of NewYork-Presbyterian Hudson Valley Hospital’s community wellness initiatives, along with a variety of cooking classes and innovative programs at its Chef Peter X. Kelly Teaching Kitchen and Organic Healing Garden. NewYork-Presbyterian Hudson Valley Hospital is at 1980 Crompond Road in Cortlandt Manor, NY. For more information on the Farmers Market, call 914-734-3797 or email farmersmarket@hvhc.org.

Westchester Sisters to Co-Chair Go Red For Women Luncheon PAGE 4

February, 2018

The American Heart Association announced the new co-chairs for the 15th Annual Westchester-Fairfield Go Red For Women Luncheon set for Friday, June 1st at the Hilton Westchester. Two sisters, Terri Ferri and Grace Ferri, will lead the Go Red campaign efforts to help raise awareness and funds to fight women’s number one killer—heart disease. The Ferri sisters will lead fund raising and outreach for the Go Red For Women Luncheon and yearround campaign, including National Wear Red Day on Friday, February 2nd. The Go Red Luncheon event includes a health and wellness expo, local health experts, and a PURSEonality auction featuring sophisticated handbags, wallets and more. Ticket and event information is online at www.westfairgoredluncheon.heart.org. More than 80% of coronary events in women may be prevented with simple lifestyle changes, but Terri Ferri

photos provided

Healthcare News - Westchester

prevention is hindered by the fact that many women don’t realize that heart disease is the number one killer of women—more than all cancers combined. For 15 years, the Go Red For Women movement has worked to close this knowledge gap and provide women with tools, resources and inspiration to build a healthier life. Women can access free resources at www.goredforwomen.org. Terri Ferri has been the Branch Manager of the Morgan Stanley Wealth Management Purchase Headquarters Office since November 2013, and has been with Morgan Stanley and its predecessor firms since 1993. She was Assistant Branch Manager at Smith Barney's Third Avenue office in 2004, and in 2007, became Smith Barney Regional Sales Manager in for New York City. In 2008, she served as Branch Manager of the Smith Barney office at 53rd and Lexington Avenue.

She served in senior management positions at Citibank and was the Region Sales Manager for the Westchester, Connecticut and Bronx, Citi Personal Wealth Management Advisors until she joined Morgan Stanley’s Wealth Management Unit. Terri Ferri serves on the Board of Directors of the Italian American Forum in Westchester County. She is a native of the Bronx, NY and holds a bachelor’s degree from Fordham University. She currently lives in Eastchester with her husband, Seth Marcus and her two daughters, Arielle and Toni. “Over the next decade, women will control two thirds of consumer wealth in the United States and be the beneficiaries of the largest transference of wealth in our country’s history. We know that managing stress and improving health measures will help women. That’s why I’ve made a commitment to support the mission of the American Heart Association’s Go Red For Women movement,” she said. “It is my goal that our efforts with Go Red For Women will allow us the ability to raise awareness, not only to our clients, but to all women, the importance of a healthy lifestyle and how it can prevent heart disease,” Ferri added, “I am lucky to have my sister, Grace Ferri, as my partner in health. Together, we aspire to bring our financial and healthcare industries together along with the Go Red For Women campaign to raise awareness, educate and tell every woman that heart disease is our #1 killer. We want every woman to have a partner in health.” Her sister, Grace Ferri, is Vice President of Development & Marketing for United Hebrew of New Rochelle. As an ambassador for United Hebrew’s campus of comprehensive care, Grace provides essential information and one-on-one counseling to help families and their loved ones navigate the complex pathways of health care and identify the level of care that’s right for them. She also oversees United Hebrew’s fundraising events and development plan.

Grace Ferri

Grace Ferri began her career at Calvary Hospital where she served as Director of Annual Giving and Special Events. She was named the 2012 Professional Fundraiser of the Year by the Association of Development Officers and was the past president of the board of directors. She has over 20 years of experience in healthcare and graduated summa cum laude from IONA College with a bachelor’s degree in health care administration. “Strong institutions and healthy communities go hand in hand. United Hebrew of New Rochelle’s mission of caring for residents and their families is deepened by collaborating with Go Red for Women and its supporters. It's important that women, who are often the caretakers for the family, are more aware of their own health. We are proud to be part of a women’s health care initiative to educate and raise awareness of heart disease on our campus as well as outside the community,” said Grace Ferri. Go Red For Women is sponsored Nationally by Macy's and CVS. Greenwich Hospital is the Signature Sponsor. Local sponsors include White Plains Hospital, Morgan Stanley, United Hebrew at Willow Towers, Fujifilm, Tompkins Mahopac Bank and Dr. Icilma Fergus. Media sponsors include 100.7 WHUD, Westchester Magazine and Examiner Media.

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Client Testimonials You came to our aid during the most stressful time of life for my family. You are like a guardian angel to us - with every task you gave us 110 percent of your efforts and you have resolved many issues for us, in both financial and legal matters. We have known you for over eight years and you have always demonstrated fairness and good judgment. In addition, you have provided invaluable comfort, friendship and legal guidance for my family and we are grateful for your services. We look forward to continue to work with you and your firm. – Beatrice Y.

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February, 2018

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Healthcare news February 2018

Westchester County

GORED

HealthcareNewsMagazine.com

IN FEBRUARY

HAPPY & HEALTHY

Raise Awareness for the #1 Killer of Men AND Women— Heart Disease

OPTIONS FOR

VALENTINE’S DAY

AMERICAN HEART MONTH Boomers &Beyond Westchester County

February 2018

SHARING your HEARTon

VALENTINE’S DAY p12

VNS Westchester

MedWise

MVP Healthcare

Oasis Financial

Resource Directory

Ely J. Rosenzveig & Associates, PC

5,12

The Wartburg Westchester County Medical Society

27 18, 19

CORPORATE INFORMATION Healthcare News - Westchester, New York edition Vol. 11 No. 2 - is published monthly, 12 times a year by Belsito Communications, Inc., 1 Ardmore Street, New Windsor, NY 12553. Postage Paid at New Windsor, NY and additional mailing offices. Postmaster: Send address changes to Healthcare Newspaper, 1 Ardmore Street, New Windsor, NY, 12553. No financial responsibility is assumed by this newspaper to publish a display, classified, or legal ad or for typographical errors except of reprinting that part of the ad which was omitted or in error. Omissions or errors must be brought to the attention of the newspaper during the same month of publication.

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INSIDE

Westchester Sisters to Co-Chair Go Red For Women Luncheon The American Heart Association to host 15th Annual Westchester-Fairfield Go Red For Women Luncheon Friday, June 1, Hilton Westchester. Page 4

Burke Rehabilitation Hospital Successfully discharges ﬁrst patient with ReWalk device in region Page 8-9

WMCHealth’s TCS New York City Marathon Team Raises nearly $40,000 to support Hudson Valley Patients Page 10-11

GO RED FOR WOMEN Page 14-15

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PAGE 7

American Heart Association Board tackling Heart Health in Hudson Valley

At their recent board meetings, members of both the American Heart Association’s Westchester and Putnam Boards packed healthy snack bags for more than 100 children served through the Westchester Food Bank. The bags included healthy whole grain, low-fat, low-sugar snacks and beverages. The two regional boards are committed to the AHA’s Healthy For Good movement designed to create lasting change to improve heart and brain health, one small step at a time. “As part of the American Heart Association’s commitment to improving the lives and health of our communities, we are delighted to partner with the Westchester Food Bank in providing our neighbors in need with a heart healthy breakfast to start their day,” said Virginia Kuper, AHA Westchester Board Chair. The Healthy For Good movement addresses the obesity issue in American adults and children. More than two-thirds of American adults are overweight or obese, putting them at risk for heart disease and stroke as well as many other chronic illnesses and conditions, according to the AHA, and less than one percent of Americans have an ideal diet, as measured by sodium and sugar intake; fruit, vegetable and fish consumption; and more. Sadly, children are not immune from this health threat. About one in three American kids and teens is overweight or obese. The prevalence of obesity in children more than tripled from 1971 to 2011. Among children today, obesity is causing a broad range of health problems that previously weren’t seen until adulthood. These include high blood pressure, type 2 diabetes and elevated blood cholesterol levels.

Changes to lifestyle can be made incrementally-some small change today that will make a big difference tomorrow. The four key pillars of health include:

• EAT SMART: Make overall healthier eating choices each day. Know your daily calorie limit and aim for it. Read labels and choose mostly fruits and vegetables, whole grains, lean meats or ﬁsh, and limit sugar, sodium and alcohol intake. Get delicious recipes and meal planning tips at www.heart.org/recipes.

• ADD COLOR: This is the simplest way to start eating healthier: just look at your plate and add some color to it in the form of colorful fruits and vegetables. Add color to every meal and snack, because adding even one serving of fruits and vegetables each day is a great way to start building a healthier you. • MOVE MORE: Our bodies were built to move, so they need daily activity to be healthy. But working out doesn’t have to take over your life – in fact, you can start by simply adding a few 10-minute bursts of activity each day. Whether it’s walking or doing yoga or trying a new workout video, start slowly and build up to a total of 30 minutes of exercise daily, most days of the week.

• BE WELL: For ultimate whole-body health, your mind and body need to rest, reset and recharge. Stress management, getting enough quality sleep or connecting with the world in a healthier way, can help create a calmer, healthier you.

The AHA encourages employers to create a healthy work environment and promote a healthy lifestyle for their employees. The AHA has created the Healthy Workplace Food & Beverage Toolkit to assist companies achieve a culture of health free online at www.heart.org/workplacewellness. “The AHA can help local employers to create an environment where the healthy choice is the default or easy choice,” said Jennifer Miller, AHA Senior Director in Westchester, “And it doesn’t just benefit your workers. Maintaining a healthier workforce can lower direct costs such as insurance premiums and worker’s compensation claims. It will also positively affect many indirect costs such as absenteeism and worker productivity.” For example, at company meetings, organizers can make a policy to replace pastries and donuts with healthier yogurt and fruit. They can remove sugarsweetened beverages as a choice at meetings, and only offer water or 100% juices. They can serve only the healthiest choices, like salad, whole grain breads or fruit, or lean meats or fish on the lunch buffet. They can set up walking paths and have fun fitness challenges. “These are the small changes we encourage individuals to make in their own lives, and we’re asking organizational leaders to make those same choices for the health of their employees,” she said. Creating a healthier work environment can benefit everyone, and can help avoid the devastation and personal loss that heart disease and stroke causes in the lives of our community members. To learn more about workplace health, visit www.heart.org/foodwhereur. To get tips on improving your health, visit www.heart.org/gettinghealthy.

PAGE 4

February, 2018

Healthcare News - Westchester

Patient discharged from Burke Rehabilitation Hospital with ReWalk Robotic Exoskeleton Device Burke Rehabilitation Hospital discharged a patient, Rusty Chmelovsky, with a ReWalk robotic exoskeleton device on December 20, 2017. This was the first discharge home of a patient in the region with the robotic device—a wearable exoskeleton that provides powered hip and knee motion to enable the individual to stand upright, walk and turn. This pivotal event in rehabilitative medicine took place at Burke’s main lobby in White Plains, NY. Rusty is a 39-year-old Slovakian-born patient who was employed in New York as a construction worker. In 2008, his entire life changed in a split second when he fell from the roof of a house approximately 32 feet high, and the fall caused a spinal cord injury that left him paralyzed from the waist down. Post-injury, Rusty was involved in various therapies, interventions and treatments at Burke Rehabilitation Hospital. Burke’s expert therapists work closely with patients to evaluate and treat on a case-by-case basis. Because of this individualized approach, his therapist, Glenda Rosado, DPT, was able to identify that he was a candidate for robotics. With a ReWalk robotic exoskeleton device as the goal, Rusty and his therapist worked on developing his upper body strength, flexibility and ability to stand upright. “Rusty’s rehabilitation journey exemplifies Burke’s goal of getting patients back to their maximum level of recovery and independence,” said Jeffrey Menkes, Burke’s President and CEO. The ReWalk is a wearable robotic device which allows an individual with spinal cord injury that prevents them from walking on their own to be able to stand and walk. ReWalk offers devices for the rehabilitative and home setting— allowing qualifying individuals to use a device in their home and community. photo provided continued on next page

Burke ReWalk cont. from previous page With recommendations from the Burke team in collaboration with Rusty’s physician, his insurance approved the device that would alter his future. He then began the process of learning the basic and advanced skills required to ultimately take his ReWalk device home. According to Rusty, “When I was first injured, I held on to hope that someday there would be a way for me to walk again. When the ReWalk technology became available and I learned that I could possibly walk with it, I knew this was my chance. Walking with the device has allowed me to regain sensation in muscles in my body that I have not felt since before my accident. This has motivated me to

Healthcare News - Westchester February, 2018

continue to work at home, with a goal of walking 1-2 hours a day in it.” His rehabilitation process included learning to put on and remove, as well as stop and start the ReWalk, stand and sit independently, walk with supervision and navigate up and down inclines and through simulated household spaces. Rusty also walked over various indoor and outdoor surfaces, including Burke’s rubberized track, and he cooked his first meal while standing at Burke before discharge. All of this therapy and training was essential to his gaining independence as he moves home with his ReWalk device. His companion has also been provided extensive education and training.

PAGE 9

Glenda Rosado concluded, “Working with Rusty over the past two years has been a transforming experience for both of us. We were able to improve his quality of life by changing his perspective from sitting in a chair looking up at the world to once again being able to stand and see it on his own two feet, something he had not been able to do in the last nine years” As a pioneer in rehabilitation medicine for more than 100 years, Burke remains at the forefront by incorporating cutting-edge technology during patients’ rehabilitation journeys. Rusty’s story is one chapter in a long legacy of Burke getting patients back to the lives they love. For additional information, please visit burke.org.

PAGE 10

February, 2018

Healthcare News - Westchester

WMCHealth’s TCS New York City Marathon Team raises nearly $40,000 to support Hudson Valley Patients Healthcare News - Westchester February, 2018

PAGE 11

Twelve runners representing 10 hospitals in the Westchester Medical Center Health Network run the TCS New York City Marathon

A special group of Westchester Medical Center Health Network (WMCHealth) employees representing multiple healthcare professions and celebrating the cultural diversity of our region raised nearly $40,000 running in the TCS New York City Marathon earlier this month in support of WMCHealth facilities across the Hudson Valley.

The team’s 12 members – five registered nurses, a cardiac rehabilitation care manager, an oncology pharmacist, a physical therapist, an outpatient mental health counselor, two anesthesiologists and an OBGYN - all of whom are motivated by their own special stories – competed in support of the life-changing and lifesaving care provided at each of WMCHealth’s 10 Hudson Valley hospitals.

Team members in this year’s race were:

Boeu Chon, DO, New York City – Running for Maria Fareri Children’s Hospital, a member of WMCHealth

Fred Dombrowski, PhD, LMHC, Milford, CT – Running for the Behavioral Health Center, a member of WMCHealth

Leslie Guido, RN, New Windsor, NY – Running for Westchester Medical Center, the flagship of WMCHealth

Amy Hess, Highland, NY - Running for HealthAlliance of the Hudson Valley, a member of WMCHealth

Ruth Johnson, RN, Poughkeepsie, NY – Running for Westchester Medical Center, the flagship of WMCHealth

Jennifer Mack, MD, Warwick, NY— Running for Good Samaritan Hospital, a member of WMCHealth

Melissa Maura, PT, DPT, Monroe, NY – Running for Westchester Medical Center, the flagship of WMCHealth

Jennifer Qualter, RN, Valley Cottage, NY – Running for Westchester Medical Center, the flagship of WMCHealth

Laura Santiago, RN, Hopewell Junction, NY – Running for MidHudson Regional Hospital, a member of WMCHealth

WMCHealth Team member Melissa Maura, PT, DPT, at Westchester Medical Center

Henry Spence, RN, Mount Vernon, NY – Running for Westchester Medical Center, the flagship of WMCHealth

Gabriel Tenembaum, MD, Monsey, NY – Running for Good Samaritan Hospital, a member of WMCHealth

Michael Thomas, PharmaD, White Plains, NY – Running for Westchester Medical Center, the flagship of WMCHealth

About Westchester Medical Center Health Network The Westchester Medical Center Health Network (WMCHealth) is a 1,700-bed healthcare system headquartered in Valhalla, New York, with 10 hospitals on eight campuses spanning 6,200 square miles of the Hudson Valley. WMCHealth employs more than 12,000 people and has nearly 3,000 attending physicians. From Level 1, Level 2 and Pediatric Trauma Centers, the region’s only acute care children’s hospital, an academic medical center, several community hospitals, dozens of specialized institutes and centers, skilled nursing, assisted living facilities, homecare services and one of the largest mental health systems in New York State, today WMCHealth is the pre-eminent provider of integrated healthcare in the Hudson Valley. For more information about WMCHealth, visit WMCHealth.org.

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February, 2018

Healthcare News - Westchester

Westchester Financial Center 50 Main Street, Suite #1000 White Plains, NY 10606 Email: Info@ejrosenlaw.com

Tel: (914) 816-2900 www.ejrosenlaw.com

The law firm of Ely J. Rosenzveig & Associates, PC, achieves impressive results for clients in the areas of elder law, trusts and estates

Ely J. Rosenzveig and his son, Ariel, are proud to lead a respected elder law firm in White Plains serving families throughout the tri-state area. However, the family feel extends past father and son. The law firm of Ely J. Rosenzveig & Associates, P.C treats every client like family. “My dad and I are very involved in our clients’ lives, especially during difficult times,” Ariel Rosenzveig said. “We become close to them and we enjoy the relationships that we build. We value those relationships and are always attentive to our clients to help them with all of their needs. We take special pride in being there for our clients and their families through thick and thin.” Ely J. Rosenzveig & Associates practices in all areas of elder law, including trust and estate planning, administration, and litigation, tax counsel, asset protection and special needs planning, Medicaid, Medicare, and Social Security disability benefits, guardianships, long term care planning, Medicaid spousal recovery claims, and Medicaid lien resolutions. Father and son pride themselves on an unyielding commitment to the advocacy of their clients’ interests. Estate planning is one of the most important steps any person can take to make sure that their final property and health care wishes are honored, and that loved ones are provided for in their absence. A comprehensive estate plan can resolve a number of legal questions that arise whenever anyone dies. The firm has achieved impressive results for clients on a host of Medicaid related issues, from getting Medicaid approvals for coverage of home care and institutional care benefits, to very accommodative resolutions of Medicaid spousal recovery claims, where the office of Medicaid aggressively pursues a claim for reimbursement for Medicaid benefits provided from the non-institutionalized (i.e., or “community”) spouse.

“Our firm has a thorough understanding of Medicaid and the experience to advocate aggressively and effectively for you and your family,” said Ely Rosenzveig, who has been an attorney for nearly thirty (30) years. “It is very rewarding work and we work tirelessly for our clients.” Elder law is very important. Appropriate estate and asset-protection planning can help preserve assets, reduce taxes, and help individuals qualify for Medicaid. As you or your loved one grows older, the quality of care you receive becomes increasingly important. At some point, it becomes necessary to make plans for the future to make sure that your needs and desires are met. When this time comes, it is important to enlist the experience of Ely J. Rosenzveig & Associates, so the process of planning for the future is stress-free for your family. This can be critical in the process of maintaining the well-being of you or your loved one. At Ely J. Rosenzveig & Associates, father and son have the opportunity to help clients plan across the span of many years. Often, it leads to advising multiple generations of the family, which Ely and Ariel Rosenzveig find rewarding. Over the course of time, they help clients as their lives and needs change, from naming the guardians of their minor children in their Wills, to planning for retirement, to protecting assets when in need of a skilled nursing facility or home care. Ely J. Rosenzveig & Associates builds a relationship with clients, which is built upon years of assisting them, often in difficult times in their lives, and helping them move beyond those times and provide them with peace of mind and financial security. Our firm is certainly proud to build these types of relationships with families such as yours.

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PAGE 13

Couples Massage: A Romantic way to Celebrate Valentine's Day Healthcare News - Westchester February, 2018

Looking for some romantic ideas on how to celebrate Valentine's Day? Look no further. Try a couple’s massage. Couples massage is a popular service at the spa where two people are massaged in the same room, at the same time, by two different therapists. The couple can be a husband and wife, girlfriend and boyfriend, same-sex partners, moms, and daughters, or best friends. It is sometimes also called a duo massage or duet massage. Couples massage takes place in a room that is, at the very least, large enough for two massage tables, which is the typical set-up in a day spa. On the other hand, resort and hotel spas often create elaborate environments where couples can not only have side-by-side spa treatments, but also take a bath together, get pedicures, spend time in a steam shower, or lounge by a fire after the treatment. Couples massage is a good choice when lovers are in the throes of early romance, and can't bear to be apart. They want to share everything, even their massage. Many couples treatments are specifically designed with romance in mind, including time alone in a rose-petal-strewn tub, a bottle of Champagne with strawberries and chocolate, and lounging time by a fire after the treatment. Part of what you are paying for is a time in the room, which works best when it's a beautiful romantic setting.

Another type of couples massage is simply getting the same treatment at the same time in a room that has two tables. This is a great way to introduce a partner who has never gotten a massage before in a way that makes them feel more comfortable the first time. Some men are apprehensive about getting a massage because of the nudity involved, and to have their wife or girlfriend there is reassuring. So many men have been converted to the power of therapeutic touch after being introduced to it by a partner. Once they experience a couples massage, they feel comfortable booking a massage on their own. Sometimes you're not intimate partners, just traveling with someone you don't get to see often enough --a sister, mom or best friend -- and you want to spend as much time together as possible. All of these scenarios are fine, really, because you make the rules up. If you want to talk to each other during the massage, you can. If you want to quietly commune, that's good, too. The therapists will follow your lead. The price of a couples massage depends on the spa, the amount of time, and the amenities. Generally, it is the cost of a regular massage, times two. At some spas, the package might include private time and amenities like Champagne, which sends the price higher. Source:www.tripsavvy.com

7 Common Medical Billing Errors Everyone makes mistakes. It’s a natural part of life. But when it comes to medical billing and coding errors, one mistake can mean thousands of dollars in mismanaged costs for both a physician and a pa"ent. Medical billing errors might mean that a pa"ent’s treatment is coded as a procedure that is not covered by insurance, so they are le with a he y bill. We’ve compiled some common medical billing errors and medical coding errors, so you can get an idea of where issues usually arise in this profession.

Upcoding: This error happens when a medical billing code is incorrectly used to reflect a more severe treatment or diagnosis. Upcoding is against the law and may cause a pa"ent’s bill to be very inflated. Some examples of upcoding include coding for a namebrand medica"on when a generic medica"on is distributed to the pa"ent. Another example is when a regular office visit is coded as inpa"ent care.

Unbundling: Some"mes pa"ent charges fall together under one billing code, and that is called bundling. But unbundling is when charges that would typically be grouped together under the same code are listed separately, inﬂa"ng the pa"ent’s bill. Duplicate Billing: This means that a pa"ent is billed for the same service more than once. Some"mes this medical billing error is made when a doctor and a nurse indicate that the pa"ent should be billed, duplica"ng the billing for that prescrip"on. Some"mes pa"ents are inaccurately billed for mul"ple “ﬁrst days” in a hospital, which typically cost more than the following days at the same hospital. This is unfortunately a very common billing mistake that elevates pa"ents’ bills.

Balance Billing: This error occurs when a pa"ent has a le over balance a er the claim is submi#ed to the insurance company by a doctor’s oﬃce or hospital. A pa"ent should check with their insurance company to see if all of the charges are covered in their policy, and if so, the balance on the bill is illegal to charge.

Lack of Medical Necessity: If a doctor doesn’t provide a medical coder with correct informa"on about a pa"ent’s diagnosis, the wrong code may be used on the bill, and an insurance company may deny coverage, ci"ng a “lack of medical necessity.”

Incorrect Pa ent Informa on: If a pa"ent’s name is misspelled or an insurance number is incorrect, this could cause the claim to be rejected by the insurance company. Unfortunately, these errors are common since, between the healthcare facility and the insurance company, many people may be handling one claim. Mismatched Treatment/Diagnosis Codes: If a medical biller upcodes a pa"ent’s diagnosis, but doesn’t change the treatment code, an insurance company will usually reject the claim because the treatment code and diagnosis code doesn’t match. Now that we know where many of the common medical billing and coding errors come from, let’s see what the experts say about ﬁxing and avoiding these costly mistakes.

PAGE 10

February, 2018

Pop quiz, ladies!

GO RED FOR WOMEN Healthcare News - Westchester

What’s the number one killer of men AND women? It’s heart disease. Most men know their number one health threat, but far too many women still don’t know this fact, and costing them their lives. The AHA’s Go Red For Women movement focuses on women’s heart health awareness in February because far too many women are still unaware of the facts that heart disease is their number one killer--killing more women than all forms of cancer combined; or that the symptoms of heart attack can be different in women vs. men, causing women to delay seeking treatment; or that ninety percent of women have one or more risk factors for heart disease or stroke. This lack of awareness means that more women than men are dying from heart disease and stroke. Go Red For Women’s goal is to save women’s lives through research and awareness. The good news is that more than 80% of heart disease events in women can be prevented by making simple lifestyle changes like eating healthier,

Healthcare News - Westchester February, 2018

Raise Awareness for the #1 Killer of Men AND Women— Heart Disease quitting smoking and exercising 30 minutes daily. Know your family health history and your number like cholesterol, blood pressure, blood sugar and body mass index or BMI can help women and their healthcare providers determine their risk for developing cardiovascular diseases. Know the signs of heart attack and get help fast if symptoms are present. Some heart attacks are sudden and intense, but most of them start slowly, with mild pain or discomfort. Call 9-1-1 if these symptoms are present:

• Chest discomfort. Most heart attacks involve discomfort in the center of the chest that lasts more than a few minutes, or that goes away and comes back. It can feel like uncomfortable pressure, squeezing, fullness or pain.

• Discomfort in other areas of the upper body. Symptoms can include pain or discomfort in one or both arms, the back, neck, jaw or stomach.

2018 Real Women of Go Red For Women

• Shortness of breath. This may occur with or without chest discomfort. • Other signs. These may include breaking out in a cold sweat, nausea or lightheadedness.

As with men, women’s most common heart attack symptom is chest pain or discomfort. But women are somewhat more likely than men to experience some of the other common symptoms, particularly shortness of breath, nausea/ vomiting and back or jaw pain. Learn more at www.heart.org/warningsigns. Women can get lifesaving information at www.goredforwomen.org and join in the healthy lifestyle conversation at https://www.facebook.com/ groups/GoRedGetFit/.

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The 15th Annual Westchester-Fairfield Go Red For Women Luncheon set for Friday, June 1st at the Hilton Westchester. Go Red For Women is sponsored Nationally by Macy's and CVS. Greenwich Hospital is the Signature Sponsor. Local sponsors include White Plains Hospital; Morgan Stanley; United Hebrew of New Rochelle, Willow Towers Assisted Living; Fujifilm; Tompkins Mahopac Bank; and Dr. Icilma Fergus. Media sponsors include 100.7 WHUD, Westchester Magazine and Examiner Media. The American Heart Association is devoted to saving people from heart disease and stroke – America’s No. 1 and No. 5 killers. We team with millions of volunteers to fund innovative research, fight for stronger public health policies, and provide lifesaving tools and information to prevent and treat these diseases. The Dallas-based association is the nation’s oldest and largest voluntary organization dedicated to fighting heart disease and stroke. To learn more or to get involved, call 1-800-AHA-USA1, visit www.heart.org.

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February, 2018

Healthcare News - Westchester

Heart-Healthy Valentine’s Day Tips

Your sweetheart may have the key to your heart, but eating healthy and being physically active can be the key to a healthier heart. This Valentine’s Day, indulge your sweetheart with a heart-healthy gift or date.

If your kids are having a Valentine’s Day party at their school or day care, instead of sending candies, consider raisins, grapes, whole-grain pretzels, colored pencils or stickers as tokens of their friendly affection.

Quality time is one of the most meaningful gifts. Bundle up and plan an active outing such as sledding, ice skating, gathering wood for a fire, or if you’re feeling adventurous, visit an indoor rock wall.

Rather than tempting your beloved with sweets, consider a gift that has more permanence. Search for a poem that describes your feelings and write it on beautiful paper for a handmade Valentine. Or visit www.ShopHeart.org for gift ideas that benefit the American Heart Association.

Cooking at home is an excellent way to control what and how much you eat. Take a date to a local cooking class to practice your skills or learn a new technique.

Prepare a romantic candlelit dinner at home using one of our heart-healthy recipes at https://recipes.heart.org/. Try preparing one of your sweetie’s favorite recipes in a healthier way with healthy salt, sugar or fat substitutions

Take a long, romantic walk with your beloved – and try to make it a regular habit. Aim for at least 150 minutes of moderately intense physical activity each week to help keep your heart healthy.You can reach this goal by walking briskly for at least 30 minutes five days each week.

Don’t forget to love Fido, too! Give your pet a Valentine and remember to walk or exercise them daily – getting active with your pet will benefit your health and your bond with your pets.

source: www.heart.org

Give to one another by giving back. Ask a date to volunteer with you at a local organization. Giving back is a healthy habit that can boost your mood and help beat stress.

Healthcare News - Westchester February, 2018

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Healthy Valentineâ&#x20AC;&#x2122;s Day recipe Valentineâ&#x20AC;&#x2122;s Day Strawberry Love Muffins Ingredients

Serves 18

1 1/2 cups 100% whole wheat flour 1 cup + 2 tbsp unbleached all-purpose flour 1 1/2 teaspoon baking powder 1/2 teaspoon baking soda 1/2 teaspoon fine-grain sea salt Zest of one fresh lemon 1/2 cup extra virgin coconut oil 2 cups pure cane sugar, or sweetener of choice 1 Large egg 2 Large egg whites 1 tablespoon freshly squeezed lemon juice 12oz or 1 1/3 cups non-fat, plain or vanilla Greek yogurt 16 ounce package of fresh strawberries (washed, thoroughly dried, hulled, and chopped into bite size pieces)

Step 3 Using either a stand or hand mixer, cream coconut oil and stevia (or sweetener of choice) together until light and fluffy. Slowly beat in the whole egg then the egg whites, one at a time, until well mixed. Drop the speed down to low and gently stir in the lemon juice.

Directions

Step 6 Using a large cookie scoop or a large spoon, scoop the batter into the tins so they are about 90% full.

Step 1 Pre-heat oven to 350 degrees F. I used a non-stick pan so I didn't need liners, but if you don't have non-stick muffin tins either add liners or spray two large muffin tins with non-stick spray. Set aside. Step 2 In a small bowl, whisk together all of the flour (except the two tablespoons) baking powder, baking soda, salt and lemon zest. Set aside.

Step 4 Keeping the speed on low, slowly add the flour mixture then a bit of the yogurt, alternating between the two, until the mixture is just incorporated. BE SURE NOT TO OVER MIX. These muffins are dense enough as it is! Step 5 Coat the strawberries in the remaining 2 tbsp of flour then gently mix the berries into the batter.

Step 7 Bake for 20-25 minutes or until a toothpick inserted into the middle comes out clean. Allow the muffins to cool in the tins for 10 minutes then transfer to a wire rack to cool completely. Step 8 Enjoy! Source:slimpickinskitchen.com/

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February, 2018

Healthcare News - Westchester

Healthcare News - Westchester February, 2018

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February, 2018

Healthcare News - Westchester

Celebrate African American History Month!

This February celebrate African American History Month. Learn about how heart disease, cancer, and stroke impact African Americans and how to improve your health.

Heart Disease and Stroke • 1 in 3 deaths in the United States is due to cardiovascular disease. People of all ages, genders, races, and ethnicities are aﬀected. However, certain groups—including African Americans and older individuals, are at higher risk than others. • Nearly half of all African American adults have some form of cardiovascular disease that includes heart disease and stroke. • High blood pressure is the leading cause of heart attack and stroke in the United States. About 2 out of every 5 African American adults have high blood pressure, and less than half of them have it under control. African American adults are much more likely to suﬀer from high blood pressure (hypertension), heart attacks, and stroke deaths than white adults. Individuals living below the federal poverty level are more likely to have high blood pressure compared with those living at the highest level of income.

Cancer • Cancer is the second leading cause of death among black people in the United States. Among men, black men get and die from cancer at higher rates than men of other races and ethnicities. Among women, white women have the highest rates of getting cancer, but black women have the highest rates of dying from cancer. • Breast cancer deaths are going down fastest among white women compared to women of other races and ethnicities. Black women have the highest death rates of all racial and ethnic groups, and are 40% more likely to die of breast cancer than white women. The reasons for this diﬀerence result from many factors, including having more aggressive cancers and fewer social and economic resources. To improve this disparity, black women need more timely follow-up and improved access to high-quality treatment. • Prostate cancer is more common in black men. It tends to start at younger ages and grow faster than in men of other racial or ethnic groups, but medical experts do not know why.

Obesity, Nutrition, and Physical Activity Obesity is a problem in the African American community and is related to conditions like heart disease, stroke, and cancer. Obesity is common, serious, and costly. The estimated annual medical cost of obesity in the U.S. was $147 billion in 2008.

• African Americans are nearly 1.5 times as likely to have obesity as compared to non-Hispanic Whites. • African Americans eat fewer vegetables than other racial/ethnic groups but eat similar amounts of fruit as non-Hispanic Whites. • More than half (56%) of African American adults 18 years of age and older do not meet the aerobic component of the 2008 Physical Activity Guidelines.

What You Can Do For Your Health Living a healthy lifestyle can help prevent heart disease, cancer, and stroke. Take these steps: • Eat a healthy diet with fruits, vegetables, whole grains, and fat-free or low-fat milk and milk products. Choose foods low in saturated fats, cholesterol, salt (sodium), and added sugars. • Exercise regularly. Adults needs 2 hours and 30 minutes (or 150 minutes total) of exercise each week. You can spread your activity out during the week, and can break it up into smaller chunks of time during the day. • Be smoke free. If you are ready to quit, call 1-800-QUIT-NOW (1-800784-8669) or 1-855-DÉJELO-YA (1-855-335-3569 for Spanish speakers) for free resources, including free quit coaching, a free quit plan, free educational materials, and referrals to other resources where you live. • Limit alcohol use , which can lead to long-term health problems, including heart disease and cancer. If you do choose to drink, do so in moderation, which is no more than one drink a day for women and two for men. • Know your family history. There may be factors that could increase your risk for heart disease and stroke. • Manage any medical condition you might have. Source:www.cdc.gov

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February, 2018

Healthcare News - Westchester

Information

Classes

Groups

Volunteer

Board of Health seeks Nominees for 2018 Public Health Awards Volunteer efforts by adults and young people to be recognized

The Westchester County Board of Health wants to recognize volunteers whose time and talents this past year made outstanding contributions to public health in Westchester, and encourages community leaders, educators, health professionals and leaders of local organizations that serve county residents to nominate their unsung volunteer heroes for these annual public health service awards through by Feb. 11. The Dr Harold Keltz Distinguished Public Health Service Award is presented annually to a person or community-based organization, whose efforts have made an extraordinary contribution to the public health of Westchester residents but who is not professionally engaged in public health work. The J.R. Tesone Youth Public Health Service Award is an annual award to a student for his or her creative contribution to public health in Westchester. The award was created in 2014 in memory of J.R. Tesone, a Board of Health member with a lifelong commitment to Westchester children. The Board also will highlight the compassion, creativity and commitment demonstrated by a select group of nominees, who will be named Public Health Honorees.

These awards will be announced and presented in April to spotlight National Public Health Week, and the honorees and their achievements will be featured on the health department’s web pages. Recent youthful winners have included a teenager who advocated for children affected by cancer and another who created an app to foster communication between teens with Type 1 diabetes. A volunteer who advocated for comprehensive mental health care for low-income residents, as well as non-profit programs that have worked to reduce health disparities, improve health literacy, and improve access to care also have been honored with the Distinguished designation. “The Health Department and the Board of Health rely on creative partnerships with the public to promote public health,” said Steven Nakashima, president of the Westchester County Board of Health. “By shining a spotlight on these local heroes, we hope to inspire more people and organizations to join us in this work which is so vital to the health of our community.” Nomination forms are available at www.westchestergov.com/health.

News

Citizenship Classes at the Port Chester-Rye Brook Public Library Mondays at 7:00pm February 26th, 2018-March 26th, 2018

Retired educator and Port Chester resident Anthony Napoli teaches this free citizenship course. Students review exam questions and practice for the written section. Verbal and written English are required. Space is limited and pre-registration is required at 914-939-6710 ext. 110 or in person at the Information Desk.

kiddie corner Winter Storytimes at the Port Chester-Rye Brook Public Library

Toddler Time for Ages 2-3 years on Thursdays at 11:00am. Classes will be held on Thursdays at 11:00am on: February 15; March 1, 8, 15, 22 & 29; April 12, 19 & 26; May 34. Parents and children will participate with ﬁngerplays, songs, stories, musical instruments and other related parent child activities. Pre-registration is required by phone 939-6710 x108 or in person.

Preschooler Storytime for Ages 3-5 years on Thursdays at 10:00am. Classes will be held on Thursdays at 10:00am on: February 15; March 1, 8, 15, 22 & 29; April 12, 19 & 26; May 3. Children will listen to stories and participate in songs, ﬁngerplays, movement and an occasional craft activity. Pre-registration is required.

Healthcare News - Westchester February, 2018

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Hundreds of local High School students attend NewYork-Presbyterian Lawrence Hospital’s Careers in Medicine Event

More than 400 high school students and parents visited New Rochelle High School for the 3rd annual healthcare careers interactive fair sponsored by NewYork-Presbyterian Lawrence Hospital. Students from public and private high schools throughout Westchester were invited to gain hands-on experience and speak directly with doctors and other health professionals about career options. Students learned how to intubate and suture mannequins; examine the chambers of a cow’s heart; scope a knee under the guidance of an orthopedic surgeon; and use laparoscopic instruments as if they were performing an actual surgery. The more than 60 participating professionals included NYP Lawrence Hospital physicians, ColumbiaDoctors, NewYorkPresbyterian Medical Group Westchester, physical therapists, pharmacists, dietitians, physician’s assistants, first responders, medical students, and other allied health professionals. “This has become one of our team’s favorite events, because it allows us to participate in the education of the next generation of healthcare professionals.

We are a community hospital and we very much want to be a vital part of the Westchester communities we serve.” Said Michael J. Fosina, MPH, FACHE, President of NewYork-Presbyterian Lawrence Hospital. The popular event has been coordinated with different local school districts for the past three years with two physicians spearheading the effort. “Always looking for avenues to give back to the community, our healthcare staff eagerly jumped at the opportunity to show students first-hand what our medical profession entails hoping to inspire a passion for a career in medicine to future generations.” said Matilda M. Taddeo, MD, an Internal Medicine and Cardiology specialist at NewYork-Presbyterian Medical Group and co-coordinator along with Susan Campanile, MD, who added "I am so proud of our NYP Lawrence staff that came together and volunteered their time to interact with students and share their love of medicine.” Dr. Campanile is an Associate Professor of Medicine at Columbia University Medical Center and physician with ColumbiaDoctors.

provided

Pictured from Back row, left to right: Dr. Magda Parvey, Assistant Superintendent for Curriculum & Instruction of the City School District of New Rochelle; Reginald Richardson, Principal, New Rochelle High School; Timothy J. Hughes, CPA, Vice President, Operations, NewYork-Presbyterian Lawrence Hospital; and Michael J. Fosina, MPH, FACHE, President, NewYork-Presbyterian Lawrence Hospital. Front row, left to right: Dr. Matilda Taddeo, Cardiologist, NewYorkPresbyterian Lawrence Hospital; and Dr. Susan Campanile, Internal Medicine Specialist, NewYork-Presbyterian Lawrence Hospital.

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February, 2018

Healthcare News - Westchester

What if a Lender financed your retirement benefits? By Andrew J. Cavaliere, CLTC You finance your car, your business and your home… why wouldn’t you finance your retirement benefits? Our premium financed retirement plan provides a total living benefits package for you and/or your employees far beyond the typical 401(k) or other health insurance plans. These include the following valuable Accelerated Death Benefit Riders: 3 3 3 3

$1.5MM of Life Insurance $1.5MM of Chronic Care Benefits $1.5MM of Terminal Illness Benefits $1.0MM of Critical Illness Benefits1

In addition to all these benefits, access to cash values using policy loans is available to create significant TAX-FREE retirement income2. By using leveraged funds to provide approximately 75% of the total contribution, the plan allows businesses to reward their key employees without breaking the bank. Moreover, because the plans are non-qualified, there are no participation requirements or IRS reporting.

Here are a few notable statistics:

➢ One-third of all U.S. households between the ages of 30 and 59 won’t have enough money for retirement, even if they work until they are 70. (Employment Benefit Research Institute, 2013)

A s k A n

➢ 70% of U. S. households with children under 18 would have trouble meeting everyday living expenses within a few months if a primary wage earner were to die today. (LIMRA Household Trends in U. S. Life Insurance Ownership, 2010) ➢ Medical problems contributed to 62% of all personal bankruptcies filed in the U.S in 2007. This was a 50% increase from a similar 2001 study. (The American Journal of Medicine, 2009)

➢ The average annual cost of an assisted living facility is close to $40,000. You can just about double that for a nursing home. (MSN Money/MoneyRates.com, January, 2013)

Whether you are an executive or a business owner with key employees, are you doing everything you can to protect your most valuable asset … you? Our premium financed retirement plan is designed for businesses owners, executives, professionals, doctors, attorneys, realtors and similar key employees. To qualify, you must be able to obtain a standard or better risk class with the carrier and be age 65 or under. Premiums are paid for only FIVE years but they are higher than traditional policies.

Each plan participant will own a personal trust which will in turn own their policy. Instead of paying a lifetime of premiums, you contribute your portion of the premium to your trust for only FIVE years. Your contribution and your policy are the sole collateral for the self-liquidating, non-recourse loan. The plan is jointly funded by you and by the bank; for every ONE dollar you contribute, the bank contributes THREE! And with our plan, there are no personal guarantees or business loan documents to sign.

This is your opportunity to fund the nest egg you have been working towards but have put off because life got in the way. Now you can not only protect your family with permanent life insurance but you can also protect yourself with significant tax-free retirement income and three essential Accelerated Death Benefit Riders. Call us for a FREE quote today!

For more information about Premium Financed Retirement plans, please call Andrew J. Cavaliere, CLTC at 914-682-2190 or toll free at 877-676-9900. Andrew is certified in Long-Term Care (CLTC) from the Corporation for Long-Term Care Certification, Inc. Andrew is a member in good standing of the Million Dollar Round Table (MDRT), which is the premier Association of financial professionals nationally. Andrew’s offices are located at 50 Main Street, White Plains, NY 10606 and at 263 Tresser Blvd, 9th Floor, Stamford, CT 06901.

Payment of Accelerated Benefits will reduce the Cash Value and Death Benefit otherwise payable under the policy. Receipt of Accelerated Benefits may be a taxable event and may affect your eligibility for public assistance programs. Please consult your personal tax advisor to determine the tax status of any benefits paid under this rider and with social service agencies concerning how receipt of such a payment will affect you. Access to the death benefit may be available through optional accelerated benefit riders in the event of a qualifying chronic, terminal or critical illness. Chronic Care is defined as need of support with activities of daily living; bathing, feeding, dressing, transferring, continence & toileting. Terminal Illness is defined as a medical diagnosis with an estimated life expectancy of less than 12 months. Critical Illness is defined as catastrophic illness such as: heart attack, stroke, cancer, renal failure, organ transplant, ALS and blindness. Retirement income is determined by the age of insured and the death benefit applied for at the time of application; insured must be under age 55 to qualify.

Policy loans and withdrawals reduce the policy’s cash value and death benefit and may result in a taxable event. Withdrawals up to the basis paid into the contract and loans thereafter will not create an immediate taxable event, but substantial tax ramifications could result upon contract lapse or surrender. Surrender charges may reduce the policy’s cash value in early years.

E x p e r t

Healthcare News - Westchester February, 2018

BUSINESS CARD

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