May 2013

The Official Publication of the Dade County Medical Association®

MIAMI MEDICINE ✚ May 20132

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By: F. Scott Wells, CFP®, Wealth Adviser, United Capital Financial Advisers, LLC

Do You Know Your MoneyMind™?If Not, You Should…It’s the New-age Approach to Wealth Management

There is a tectonic shift occurring in the wealth management industry. This shift is heightening

the emphasis on holistic planning that takes into account an individual’s emotional perspective on money and their underlying perception biases.

When looking to chart out and reach specific financial goals, most people – and physicians in particular – often either select an under-qualified wealth adviser or select an exceptional adviser and then underutilize his or her knowledge, wisdom, and experiences. The main cause of this unfulfilled potential is the lack of an actual tangible action plan that not only details all of an individual or family’s specific goals and objectives but also all of the areas of the overall strategy with the greatest potential for improvement.

Consider the case of a couple that doesn’t truly understand their most important goals, let alone how to go about planning for them. After a proper discussion they may have a better idea of their fears, concerns, aspirations, and everything else they hope their money can help them achieve, but they don’t understand how that translates to the financial planning process and specific tangible actions.

In this evolved era of comprehensive financial planning, this information is indispensable to the process. With the right conversation – with Honest Conversations® – the adviser can translate these emotions and financial perspectives into a structure that can accommodate what the particular individual or couple feels would allow them to achieve their One Best Financial Life™.

As the famous quote from Albert Camus states, “your life is the sum of the choices you make”. This means that the emotional basis of our decisions is crucial as we evaluate how to achieve and optimize the way in which we allocate our finite resources. This evolved way of thinking about comprehensive financial planning is in sharp contrast to the more traditional approach that has not formally emphasized the emotional biases of an individual’s decision-making.

The Traditional Approach to Wealth ManagementHistorically the wealth management industry has focused mainly on investment portfolio management. As the industry has evolved, many transitions have occurred from the old days of stockbrokers and the dominant brokerage firms where they worked.

All too often, the typical assumption made for practicing physicians is that accumulation is the sole dominant goal. The goal, as well as the investment plan that is attached to it, varies on the basis of risk tolerance preferences. The flaw in this strategy is that it ignores many other critical considerations that should be applied in the evaluation of your overall financial plan. Other facets that should be evaluated include: your comprehensive creditor protection strategy, your practice’s qualified retirement plan design, your retirement income distribution plan, your disability income protection plan, as well as a host of other areas, many of which are not tied to investment management at all.

The Emotional Approach of Wealth CounselingUnited Capital is leading this industry changing transition to include a strategic focus on the emotional components of the decision making process that can help clients to make better and more well-informed financial decisions.

Many of our most important decisions are not the result of a purely analytical thought process – most times decisions are made from the heart, with our ‘gut’, or by impulse. These types of biases have traditionally not been formally incorporated into the financial planning process given the emotional nature of such motivators. In order to best plan for the future, we must take the time to understand our priorities, our hopes, and our fears as they relate to our view of money, so that our plan is built to anticipate and accommodate what typically drives all of our decisions, and certainly those that involve money.

A plan that is built with enough elasticity to weather changes in the markets, individual wealth circumstances, and other unexpected events must take into account an individual’s goals and priorities. This means taking the time to determine what means more – protection and security? Investing in one’s self? Leaving a lasting legacy? As mentioned earlier, life is the composition of all of our choices, and in each choice we make, other consequences and limitations follow. Furthermore, for each goal and priority, various solutions exist which can be evaluated and presented by an adviser. However, for all solutions, the level of the priority decides the scale in which the financial solution should be implemented.

This complex equation of which financial planning services and solutions to implement, at which levels, and at what time is all a function of understanding what your unique goals, challenges, and priorities are. It is in demanding these answers that many physicians generally fall short in utilizing the full potential of their adviser. However, when these answers are demanded, and hence, provided, we have found our clients to enjoy immense comfort and empowerment.

First Steps to Find EmpowermentTrue wealth empowerment brings peace of mind through achieving best possible outcomes. Best possible outcomes are the result of having complete information, doing an honest and objective analysis, and by taking deliberate action. Much like a physician writes prescriptions and sets a regiment for patients to follow; working with a financial adviser should be very similar. At the outset of working with your adviser, a full financial work up (evaluation) should take place, where your adviser intakes and categorizes all of your financial information.

The first steps in this new-age process would be to spend time going through the appropriate exercises to understand your perspective of money, or your MoneyMind™. Understanding your MoneyMind™ brings into focus the underlying emotions that strongly influence the financial decisions you make. I invite you to utilize the powerful tool we have developed to determine your dominant MoneyMind™. Simply go to www.findyourmoneymind.com.

After understanding these biases, going through a formal process with an adviser to specify – explicitly – what your financial goals are and what you expect your wealth to provide is an exercise that will allow you to truly utilize the value that an adviser can provide you. These exercises, and this level of understanding, allows negative patterns to be obstructed, adaptive plans to be executed, and real financial empowerment to be gained.

DisclosureUnited Capital Financial Advisers, LLC (“United Capital”) provides advice and makes recommendations based on the specific needs and circumstances of each client. For clients with managed accounts, United Capital has discretionary authority over investment decisions. Investing involves risk and clients should carefully consider their own investment objectives and never rely on any single chart, graph or marketing piece to make decisions. The information contained in this newsletter/email is intended for information only, is not a recommendation to buy or sell any securities, and should not be considered investment advice. Please contact your financial adviser with questions about your specific needs and circumstances.

F. Scott Wells, CFP® is a Wealth Adviser with United Capital Financial Advisers, LLC. As a 20-year industry veteran, Scott specializes in customized and comprehensive financial planning for physicians. He can be reached at 305.542.9238 or scott.wells@unitedcp.com.

MIAMI MEDICINE ✚ May 20134

MIAMI MEDICINE ✚ May 2013 5

Every day we are asked a number of questions. We thought we would address some of the more recent and interesting ones in this article. The selection is

admittedly somewhat eclectic. If you have a question you would like to see addressed in a future article please email me at rconroy@drlaw.com.

Make Meaningful Use of Your Security Risk AnalysisQuestion: Does the security risk analysis I attested to as part of Stage 1 Meaningful Use satisfy my compliance requirements under HIPAA?

Answer: No. The privacy and security requirements for Stage 1 of Meaningful Use include Core Objective & Measure 15 (http://ow.ly/ipolP), which is to “protect electronic health information created or maintained by the certified EHR technology through the implementation of appropriate technical capabilities.” This requires conducting a security risk analysis in accordance with the requirements of the HIPAA Security Rule, implementing security updates as necessary, and correcting identified security deficiencies as part of a risk management process.

But the Meaningful Use requirements are not intended to supersede or substitute for compliance required under HIPAA. If you are a HIPAA covered entity, you are still required to comply with the HIPAA Privacy and Security Rules. It’s not easy to keep all of this straight. If you are preparing for the chance that a Meaningful Use audit is coming your way, take a look at this table of Security Risk Analysis Myths and Facts: http://ow.ly/ipfvD. It’s taken from the Office of the National Coordinator for Health Information Technology’s Guide to Privacy and Security of Health Information. While the Guide was written prior to adoption of the HIPAA Omnibus Rule (meaning some of its guidance is not up-to-date), this clarification of the interplay between Meaningful Use and HIPAA remains helpful.

Payment Card Industry Standards May Apply to YouQuestion: I am aware that some companies have had security incidents related to credit card information. If my practice conducts credit card transactions, is it enough that I have a HIPAA Security Policy?Answer: Not necessarily. The Payment Card Industry (“PCI”) has very specific Data Security Standards (“DSS”) to be implemented and followed by any entity that is considered a Merchant or a Service Provider as defined by the PCI DSS. A “Merchant” is a business entity that accepts payment cards bearing the logos of any of the five members of the Payment Card Industry (AMEX, Discover, JCB, Master Card or Visa) as payment for goods or services. A physician practice or surgical

center that accepts credit card payments is a Merchant for purposes of PCI DSS. A “Service Provider” is a business entity, that is not a payment brand, directly involved in the processing, storage or transmission of cardholder data. For example, a billing company may be a Service Provider for purposes of PCI DSS. Failure to comply with PCI DSS can lead to penalties or to an actual data breach.Merchants and Service Providers are required to meet 12 basic standards in order to be in compliance with PCI DSS, standards that should sound very familiar to you as you update your HIPAA Security policies:

1. Install and maintain a firewall configuration to protect cardholder data

2. Do not use vendor-supplied defaults for system passwords and other security parameters

3. Protect stored cardholder data4. Encrypt transmission of cardholder data across

open, public networks5. Use and regularly update anti-virus software6. Develop and maintain secure systems and

applications7. Restrict access to cardholder data by business need

to know8. Ass ign a unique ID to each person with

computer access9. Restrict physical access to cardholder data10. Track and monitor all access to network resources

and cardholder data11. Regularly test systems and processes12. Maintain a policy that addresses information

securityYour actual PCI DSS compliance obligations are determined by the manner in which you handle and store credit card information. At the least, you will need to confirm the security of your point of service vendor. Certainly, while you are in the process of updating your HIPAA Security Risk Assessment and policies, assess whether and how the PCI DSS apply to your practice or entity. Then be sure to incorporate those compliance requirements into your security safeguards and overall security policies.

Kern Augustine Conroy & Schoppmann, P.C., Attorneys to Health Professionals. For more than 30 years the firm’s practice has been solely devoted to the representation of health care professionals. The authors may be contacted at 800-445-0954 or via email – rconroy@drlaw.com. For more information log on to DrLaw.com

More Questions from Our Electronic MailboxBy: Robert J. Conroy, Esq.1 & Denise Sanders, Esq.2

Q: & A:

1 Mr. Conroy is a member of the bar in Florida, New York, New Jersey, Pennsylvania, California, Massachusetts, Wisconsin and the District of Columbia.

2 Ms. Sanders is a member of the bar in New Jersey and Pennsylvania.

MIAMI MEDICINE ✚ May 20136

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MIAMI MEDICINE ✚ May 2013 7

Award of Excellence in Maternal, Infantand Child Health for Healthy Start PrenatalScreening Consent Rate 95% or Higher

· Alberto Dominguez-Bali, MD· Borinquen Medical Centers of Miami-Dade· Bridgewater Women Center· Citrus Health Network· Community Health of South Florida -Doris Ison Health Center

· Emilio Blanco, MD· Faris Hanna, MD· Francisco Tudela, MD, OB/GYN· Metro-Miami OB/GYN Associates· Miami Beach Community Health Center -Beverly Press Center

· Miami Beach Community Health Center -Stanley C. Myers Center

· Miami-Dade County Health DepartmentWomen’s Health and Preventive Services -Health District Center

· North Dade Health Center, Jackson HealthSystem/Public Health Trust

· Ofilio Arguello, MD· Pavilion For Women’s Care, LLC - Kendall· South Florida Obstetrics & Gynecology, LLC· St. John Clinic· West Kendall OB/GYN

Evidence Based Maternity Care 2012,recognizes birthing facilities that havemade significant progress towardinternational Baby Friendly designation

· Baptist Hospital of Miami· Homestead Hospital· Jackson North Medical Center· Kendall Regional Medical Center· Mercy Hospital, a Campus ofPlantation General Hospital

· West Kendall Baptist Hospital

Moving Forward to a Healthier FutureTHANK YOU to all of our Sponsors, Staff, Board Members, Vendors, Contracted Providers,Elected Officials, Professional Colleagues and all of our Award and Recognition Recipients

of the Annual Meeting and Award Ceremony.

Award of Excellence in Maternal,Infant and Child Health for Healthy StartPostnatal Screening Consent Rate95% or Higher

· Baptist Hospital of Miami· Hialeah Hospital· Homestead Hospital· Jackson Memorial Hospital· Jackson North Medical Center· Jackson South Community Hospital· Kendall Regional Medical Center· Mercy Hospital, a Campus ofPlantation General Hospital

· Mount Sinai Medical Center· North Shore Medical Center· Palmetto General Hospital· South Miami Hospital· West Kendall Baptist Hospital

Breastfeeding Friendly WorksiteRecognition for organizations thathave shown support of breastfeedingemployees through the implementationof worksite lactation support policies

· Community Health of South Florida· The Village South· Wellness 4 Life

Florida Breastfeeding Friendly EmployerAward Sponsored by the FloridaBreastfeeding Coalition, recognizesbusinesses that provide workplacesupport to their breastfeeding employees

· Community Health of South Florida· Miami-Dade County Health Department· Miami-Dade Family Learning Partnership· The Village South· Wellness 4 Life

THANK YOU TO OUR SPONSORS of the ANNUAL MEETING and AWARDS CEREMONYGOLD SILVER BRONZE

Sunshine State Health Plan Miami-Dade Family Kendall Regional Medical CenterLearning Partnership Miami Beach Community Health Center

PC Depot

Recognition to Ms. Shirley Gibson,former Mayor, City of Miami Gardens

The Village South Staff

Evidence Based Maternity Care 2012 Recipients

The Healthy Start Coalition of Miami-Dade (HSCMD) is a community-based non-profit organization with the missionto ensure that all children in Miami-Dade County get a healthy start in life. To achieve our mission, we partner witha network of local community-based organizations and healthcare professionals to plan, coordinate and providehigh quality health and education services to women of childbearing age, children to age 3, and their families. Ourprimary goals are to reduce infant mortality, reduce the number of low birth weight and pre-term births, and improvematernal health and child health and developmental outcomes.

701 S.W. 27th Avenue, Suite 1401 • Miami, FL 33135 • 305-541-0210 • www.hscmd.org

MIAMI MEDICINE ✚ May 20138

MIAMI MEDICINE ✚ May 2013 9

MIAMI MEDICINE ✚ May 201310

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MIAMI MEDICINE ✚ May 2013 11

REMS: Opioid-Related Patient Safety and Liability

Adverse drug events have become a subject attracting considerable attention, both in

medical literature and in the lay press. In a recent report,1 the National Center for Injury Prevention and Control found that the number of overdose deaths from prescription painkillers (including hydrocodone, oxycodone, oxymorphone, and methadone) is greater than deaths from heroin and cocaine combined (both misuse and abuse). Drug deaths outnumbered traffic fatalities in 2011. Hydrocodone is now both the most widely prescribed and the most commonly abused prescription drug in America.

Claims AnalysisAn analysis of 2,646 claims closed by The Doctors Company in 2011 revealed that 5.8 percent contained medication-related errors. These claims involved all medical specialties. The medication-related errors identified in these claims include the following:

Narcotic analgesics were the most common class of medications identified in these claims. They include the following:

• Dilaudid (hydromorphone) (3 claims) • Dilaudid and morphine (3 claims)

• Dilaudid and oxycodone (1 claim) • Percocet† (oxycodone) (2 claims) • Oxycodone (1 claim) • Vicodin† (hydrocodone) (7 claims) • Norco† (hydrocodone) (1 claim) • Methadone and oxycodone (1 claim) • Methadone (2 claims) • Morphine (4 claims) • Fentanyl (4 claims) • Darvocet† (propoxyphene) (1 claim)

Total: 30 claims

†Narco t i c ana l g e s i c s tha t a l so conta in acetaminophen.

The medication-related errors identified in these 30 narcotic analgesic claims include the following:

When compared to medication-related errors in all claims, monitoring errors in narcotic analgesic claims are more common (34.5 percent versus 20.8 percent), as are drug administration errors (17.2 percent versus 9.8 percent) and ordering errors (10.3 percent versus 6.5 percent).

Opioid Analgesics and REMSWhat in the world is REMS? Robotic Exploration of Mars Study? Restoration of Egyptian Museums Society? Regulatory Earthquake Management Systems? Restoration of Epicurean Mannerisms Society? NO. It’s Risk Evaluation and Mitigation Strategies.Over the past decade, adverse events related to the inappropriate prescribing, misuse, and abuse of long-acting opioids have reached epidemic proportions and have become a source of substantial patient morbidity and mortality—and a growing cause of prescriber liability. As a consequence, the U.S. Food and Drug Administration (FDA) has mandated a Risk Evaluation and Mitigation Strategies (REMS) program for prescribing extended-release and long-acting opioid analgesics. In July 2012, the FDA announced plans to implement this voluntary program on March 1, 2013.

As part of its REMS program, the FDA is requiring opioid manufacturers to provide grants that will fund continuing medical education (CME) programs to advance prescr iber understanding and safe use of pain medications. The programs will be designed by independent, accredited organizations that provide CME for health professionals, and they will comply with standards set by the Accreditation Council for Continuing Medical Education (ACCME)—not standards set by the drug manufacturers.

The d r ug s sub j e c t t o REMS inc lude hydromorphone, morphine , oxycodone, oxymorphone, and tapentadol in oral dosage forms; fentanyl and buprenorphine used in transdermal delivery systems; and methadone tablets and solutions.

The CME programs are three hours long and cover three basic components: prescriber training to assure safe use, patient counseling (including the use of patient-prescriber agreements) on safe use and risks, and a medication guide for each opioid that patients will receive from the pharmacist when it is dispensed.

In our analysis of the 30 medication-related errors involving narcotic analgesics, we identified the following opioids that are subject to the REMS program: hydromorphone (seven claims), morphine (seven claims), oxycodone (five claims), fentanyl (four claims), and methadone (three claims). Hydrocodone (eight claims) is not included in the REMS program. Thus, not only are medication-related errors involving long-acting opioids a patient safety concern; they are also a cause of significant professional liability for

physicians and other prescribers.

The Doctors Company has informed its 74,000 members about the patient safety and medical professional liability issues associated with opioid prescribing and encourages all physicians who prescribe long-acting opioids to complete this REMS CME program.

SummaryThe incidence of medication-related errors in The Doctors Company’s 2011 medical professional liability claims is 5.8 percent, and long-acting narcotic analgesics account for 17.5 percent of the medications identified in these claims. We encourage all physicians who prescribe long-acting opioids to complete the REMS CME program for extended-release and long-acting opioid analgesics. Watch for future announcements about how you can advance safe use of pain medications while you earn complimentary CME credits.

Reference

1. Centers for Disease Control and Prevention. Prescription painkiller overdoses in the U.S. Vital Signs. Published November 2011. www.cdc.gov/vitalsigns/PainkillerOverdoses.

Reprinted with permission. ©2013 The Doctors Company (www.thedoctors.com).

By David B. Troxel, MD, Medical Director, Board of Governors, The Doctors Company

The medication classes involved in these medi-cation-related errors include the following:

17.5% Narcotic analgesics

13.5% Anti-infective drugs

12.3% Anticoagulants

10.5% Cardiovascular drugs

6.4% Anesthetics

5.8% Steroids

4.1% Chemotherapy drugs

4.1% Sedatives/Hypnotics

3.5% Antidepressants

3.5% Hormones

2.9% NSAIDs

2.9% Anticonvulsants

2.3% Antipsychotics

*Most involved Coumadin, Lovenux, and Gentamycin Source: The Doctors Company Closed Claims Study 2011

Source: The Doctors Company Closed Claims Study 2011

MIAMI MEDICINE ✚ May 201312

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Did you receive money back on your premium last year?Many doctors have through the Dade County Medical Association Workers’ Compensation Program.

The rates for all physicians throughout the state are set by the State of Florida. Your practice will pay the same price no matter where you choose to secure coverage. However, under the OptaComp program, you may be eligible for a potential dividend of up to 24.8%:

• $10K premium has returned an average dividend of 20%, or $2,000.

• $5K premium has returned an average dividend of $1,000.

• $2K premium has returned an average dividend of $400.

Your membership with the Dade County Medical Association (DCMA) can provide savings that can be paid back in dividends. OptaComp has returned a dividend for 11 straight years, with over $3 million over the past five years to Florida medical societies’ members: $325,000 of that went to DCMA members.

The OptaComp (rated “A” by A.M. Best) program is endorsed by the DCMA and is offered by Danna-Gracey, Inc.

For more information on the workers’ compensation insurance program through OptaComp,fax your information below or contact Tom Murphy or Bill Gompers at 800.966.2120.

Please fax back to 888.235.5008

MIAMI MEDICINE ✚ May 2013 13

Twelfth Annual

Primary Focus Symposium

Friday-Sunday, June 21-23, 2013Marco Island Marriott Beach Resort

Marco Island, Florida

A. Ruben Caride, M.D., FACPSymposium Director

For complete symposium details and registration,

go to PrimaryFocus.BaptistHealth.net or call 786-596-2398.

Connect with usBaptistCME

MIAMI MEDICINE ✚ May 201314

CME CalendarMay 2, 2013

Controversies in Atrial FibrillationBoca Raton Truluck’s, Boca Raton, FL2.50 AMA PRA Category 1 Credits™

October 18-20, 2013Synergy 2013: A Multidisciplinary Approach

to Interventional OncologyEden Roc, Renaissance Beach Resort, Miami

Beach, FL

SAVE THE DATENovember 9-10, 2013

Dermatology “Close Up:” Melanoma and Other Neoplasms of the Skin

The Alexander Hotel, Miami Beach, FL

November 16, 2013Florida Antiomicrobial Stewardship

Symposium (FASS) 2013Miami Marriott Biscayne Bay, Miami, FL

ONLINE COURSEMedical Errors Prevention

2 AMA PRA Category 1 Credits™Meets Florida Board of Medicine requirements

http://cme.med.miami.edu/documents/medicalerrors.pdf

To obtain information or to register for upcoming conferences, go to www.cme.med.miami.edu and click on “Conferences” or call University of Miami Miller School of Medicine, Division of Continuing Medical Education at 305- 243-6716 or email umcme@med.miami.edu.

Elizabeth Etkin-Kramer, M.D. Tel.: (305) 674-8038

Eleonor Pimentel, M.D.Tel.: (305) 445-0700

Thomas Mesko, M.D.Tel.: (305) 674-2397

Andrew Nullman, M.D.Tel.: (305) 534-4404

Eduardo G. Martinez, M.D.Tel.: (305) 835-9090

Beny Rub, M.D.Tel.: Tel.: (305) 932-1007

Audina M. Berrocal, M.D.Tel.: (305) 326-6045Term Expires May 2014

Eugene Fu, M.D.Tel.: (305) 585-6970Term Expires May 2013

Oscar Loret De Mola, M.D.Tel.: (305) 274-8243Term Expires May 2014

James A. Voglino, M.D. Tel.: (305) 596-3707Term Expires May 2013

Jeffrey Horstmyer, M.D.Tel.: 305 856-8942Term Expires, May 2014

Raul Ravelo, M.D.Tel.: (305) 285-2195Term Expires May 2015

Alan Ackermann, D.O.Tel.: (305) 935-5101Term Expires May 2013

Charles P. Shenker, M.D.Tel.: (305) 705-0501Term Expires May 2015

Barbara Montford, M.D.Tel.: (305) 696-0806Term Expires May 2015

Jorge Mordujovich, M.D.Tel.: (305) 835-7045Term Expires May 2013

Eugene Eisner, M.D.Tel.: (305) 598-2020Term Expires May 2013

Alberto Dominguez-Bali, M.D.Tel.: (305) 693-3535Term Expires May 2015

Cheryl L. Holder, M.D., FIUSteven Falcone, M.D., UM

Vacant

Kyle Schmitt, FIUMickey Skaret, FIUPaul Tenzel, UMLaura Stone, UM

Patricia C. HandlerTel.: (305) 324-8717

Sandi Chamyan Tel.: (305) 720-9488

Ziskind & Arvin, P.A.

Ana SilveraEricka CarlsonClaudia Montiel

Patricia C. Handler

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Miami Medicine is the official publication of the Dade County Medical Association (DCMA).

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Baptist Health offers more than 200 CME/CE courses each year through its nationally accredited Continuing Medical Education program. For complete details and registration, go to BaptistHealth.net/CME, or contact the Baptist Health Continuing Medical Education Department at 786-596-2398, or CME@BaptistHealth.net.

State of Science Symposium: Critical Care Best Practices 2013 (Fourth Annual)Saturday, May 4 • Marriott Miami Dadeland (6.75 CME/CE)CriticalCare.BaptistHealth.net

Primary Focus Symposium (12th Annual)June 21-23, 2013 • Marriott Marco Island, Marco Island (12 CME/CE)PrimaryFocus.BaptistHealth.net

Brain Injury Symposium (19th Annual)Fall 2013 • JW Marriott Hotel, Miami (10.25 CME/CE)

Foot and Ankle Symposium (Inaugural Year)September 20, 2013 • The Ritz-Carlton Coconut, Grove, Miami (4 CME/CE)MiamiFootandAnkle.BaptistHealth.net

Beneath the Surface: In-depth Focus on Wound, Care Symposium (Eighth Annual)September 21, 2013 • The Ritz-Carlton Coconut Grove, Miami (6.25 CME/CE)WoundCareMiami.BaptistHealth.net

Breast Cancer Symposium (Inaugural Year)Saturday, September 28 • South Miami Hospital, Auditorium (4 CME/CE)BreastCancerSymposium.BaptistHealth.net

Sleep Center Symposium, (11th Annual)October 5, 2013 • South Miami Hospital, Auditorium (4 CME/CE)SleepMiami.BaptistHealth.net

Diabetes Symposium (Second, Annual)October 19, 2013 • South Miami Hospital, Auditorium (6 CME/CE)DiabetesSymposium.BaptistHealth.net

Coronary CTA: Hands-on Workshop (Fifth Annual)October 19-20, 2013 • Eden Roc Hotel, Miami Beach (17 CME/CE)CTAMiami.BaptistHealth.net

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Click on – Join the DCMA on-line – and follow the instructions.

ALREADY A MEMBER OF THE DADE COUNTY MEDICAL

ASSOCIATION?

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Go to the DCMA website www.miamimed.com

Click on – Renew your membership dues online – and follow the

instructions.

Your Endorsed Agent! We Specialize In:Life Insurance • Long Term Care

Disability Insurance • Group Health Insurance

Serving South Florida Since 1978Please give us a call and let us help you

make the right choice of carrier and product.

Jeff D. Hackmeier& Associates, Inc.

12000 Biscayne Boulevard, Suite 407, North Miami

305-893-4488Dade County Medical Association Authorized Broker • National Association of Health Underwriters

American Association for Long Term Care • Miami Association of Insurance and Financial Advisors

ong Term CareInsurance

DCMA Members receive up to a

25% Discount

APRIMA ELECTRONIC HEALTH RECORD

SEE WHY APRIMA IS A DCMA VENDOR OF CHOICEAprima gives your practice better, faster EHR documentation with less e�ort. You’ll save time and money and have happier, healthier patients. Your sta� will love it too!

THE IMPROVEMENT YOU’VE BEEN SEARCHING FORAprima o�ers a uniquely fast, �exible, and powerful EHR designed to complement and simplify your work�ow, not hinder it. Charting follows the natural �ow of a patient visit.

©2012 Aprima Medical Software, Inc. All rights reserved. Aprima is a registered trademark of Aprima Medical Software. All other trademarks are the property of their respective owners.

NOW YOU CAN END YOUR SEARCH FOR THE SYSTEM THAT LIVES UP TO ITS PROMISE – THAT SYSTEM IS APRIMA. To learn more about how Aprima can help your practice, call 866-960-6890, option 7, or email info@aprima.com.

DISABILITY INSURANCE CLAIMS AND DISPUTES

John Jacob Spiegel, Esq., AV rated with 25 + years experience, is available to assist claimants and their families who seek disability benefits in all types of disability policies; individual, group, ERISA, and others. Disability claims are often complex and contested. Early legal representation is highly recommended.

• Policy review and analysis

• Pre-claim consultation

• Claim assistance, including ghost writing

• Claim monitoring

• Claim dispute resolution

• ERISA mandated presuit “appeals”

• Trial, Litigation and Appeals

John J. Spiegel, P.A. 6538 Collins Avenue, Unit 232, Miami Beach, FL 33141

Phone: (305) 804-3051Please note our new address and telephone number.

We no longer use or have a facsimile machine. Please use email:

JSpiegel@bellsouth.net

Better benefits can help

protect your practice

................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

© 2011 Unum Group. All rights reserved. Unum is a registered trademark and marketing brand of Unum Group

and its insuring subsidiaries. Insurance products are underwritten by the subsidiaries of Unum Group. NS11-009.

To learn more, contact:

Jeff D. Hackmeier & Associates Inc.12000 Biscayne Blvd., Suite 407 ° North Miami, FL.Phone: 305-893-4488 ° Fax: 305-893-1020mchackmeier@aol.com

Endorsed by the DCMA

As the leading provider of disability insurance in the U.S. for more than 30 years, Unum can help protect your employees financially should injury or illness keep them from work. We provide deep expertise and caring service when your employees need them most.

• Plan designs that feature flexible options

• Caring, responsive service at claim time

• Clear, effective benefits education

Dade CMS - 8.75x8.25 - color - monthly - Miami Medicine

www.thedoctors.com

Endorsed by

Tribute Plan projections are not a forecast of future events or a guarantee of future balance amounts. For additional details, see www.thedoctors.com/tribute.

Richard E. Anderson, MD, FACPChairman and CEO, The Doctors Company

We created the Tribute Plan to provide doctors with more than just a little gratitude for a career spent practicing good medicine.

Now, the Tribute Plan has reached its five-year anniversary, and over 28,000 member physicians have qualified for a monetary

award when they retire from the practice of medicine. More than 1,900 Tribute awards have already been distributed. So if you

want an insurer that’s just as committed to honoring your career as it is to relentlessly defending your reputation, request more

information today. Call (800) 741-3742 or visit www.thedoctors.com/tribute.

We do what no other medical malpractice insurer does. We reward loyalty at a level that is entirely unmatched. We honor years spent practicing good medicine with the Tribute® Plan. We salute a great career with an unrivaled monetary award. We give a standing ovation. We are your biggest fans. We are The Doctors Company.

FL_Dade_END_March2013.indd 1 2/25/13 8:23 AM

PRSRT STDU.S. Postage

PAIDMiami, FL

Permit #140

MIAMIMEDICINEDade County Medical Association

1501 N.W. North River DriveMiami, Florida 33125I: www.miamimed.comE: dcma@miamimed.comT: (305) 324-8717F: (305) 325-1316

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