Donation Tips

shutterstock_110693282There have been a few questions about donations…Here are some quick tips….

  1. Enter the AMOUNT of your donation on this page of the web site, BEFORE you click the donate button.
  2. You can confirm your donation amount when you get to the PayPal/Credit Card page.
  3. Remember…you can set up a monthly donation if you wish.  Just choose that option from this page!
  4. Honor wall updates will be based on your designated desire from the donation box.

Thanks for Helping the ISP help YOU!

 

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CIGNA – NEXT STEPS

ISP Takes Action

ISP will send a letter to Cigna on behalf of ISP describing the dispute, the inappropriateness of Cigna’s actions and a proposed resolution of the dispute.  It is hoped this will resolve the non-payment issue declared by CIGNA to be implemented March 14, 2014 for Illinois. ISP is not  demanding mediation or arbitration at this time and is not filing a complaint in court.

Balance Billing? 

It is our understanding that some groups may believe that if they are, or become, non-participating with Cigna, that they may be able to bill the patient directly.  We believe it is unwise to make any global assumptions as to the appropriateness of billing in the manner described above.  Non-participating providers that are considering to directly bill members need to do so after carefully considering the legal issues involved.

ISP Needs Support NOW

Please make a donation to ISP’s Advocacy efforts.
This legal action is going to need resources.

Donate NOW on the web site using the easy form on the TOP RIGHT column.

Yes, YOU need to contribute. 

The investment for YOUR FUTURE INCOME is worth it.

Do It NOW.  PLEASE.

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PLEASE NOTE: WHEN YOU GO TO MAKE A PAYMENT YOU WILL BE TAKEN TO THE PAY PAL SITE. You DO NOT NEED a paypal account.  When you make your donation by credit card, click on the link shown below (on the site, not on this posting)

This is what the pay pal site will look like:

paypal illustration

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CIGNA STOPS CP PAYMENTS

CIGNA DECIDES NOT TO PAY FOR PROFESSIONAL COMPONENT FOR CP STARTING MARCH 2014
CIGNA has sent a letter to select providers that effective March 2014 they will follow Medicare’s lead and only reimburse professional component clinical charges (appended with modifier 26) on appropriate codes designated by CMS.  Initial reports are that they intend for it to apply to all providers nationwide in and out of network. CIGNA has decided to approach this via a policy change as opposed to amending contracts unilaterally with providers.
ISP believes CIGNA does not have the right to enact this change. We believe we need to move forward to block this effort quickly.  We are contacting pathology groups and meeting with legal advisors.  As soon as details are available we will update you.

Eleni Bourtsos, MD
President
ILLINOIS SOCIETY OF PATHOLOGISTS

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Somewhere in the future…..

It’s in the future and there is a new type of kindergarten class … where teaching is mixed with economics.   Let’s listen in…

“Good Morning Class.  I am your teacher, Ms. Clara Marie Smith.  Now that you are back from your holiday break and it’s the new year, I want to go over a few new rules that went into effect while you were on vacation…on January 1.

“We are going to change the way we do art class.  From now on, I will pay you for your art work.  $1 perClownBlank completed picture.  And remember you have to buy your supplies.

“Our first project is a clown picture.  I want you to color the clown with at least 3 colors , so I can correctly identify it as a clown.  So go ahead and get started.”

But Mickey Doyle, one of the students, asks “But Ms.  Clara, the crayons are $0.50.  So if I try to color the one cartoon with three crayons, it will cost me more than you are going to pay me.  HClownCompleteow can I afford that?  I won’t be able to buy my lunch today. Before we went for winter break we used to be able to do it the best way…”

“Sorry Mickey…just do your best”.  So Mickey has an idea.  He realizes that if he colors one picture with all three colors, he will lose money and not be able to buy lunch.  But if he paints three pictures, each with one color, he will still be able to buy his lunch and eat after he pays his bill for the crayons.

“Ms. Clara, the picture doesn’t look right if I have to use three colors to do the project on three pages, but I can’t buy lunch if I color the one picture to make it really look good.  If I do the project on three pieces of paper…I really can’t see the clown in the best way to know it’s the clown.  Why do we have to do it this way?  Why?  It doesn’t make sense. I still have to buy my crayons for the project and they are not cheaper if I use them separately.  I still have to use all of the colors because I am trying to do the best job that I can.  Why do I have to color three sheets to get paid fairly, when things would look much better if I could do them all on one page?  Why am I penalized for doing the project correctly?”

Ms. Clara Marie Smith replies, “Mickey, rules are rules.  This the way the school board told me to enforce the rules, even if they don’t make sense.  These are the rules they wrote.  See right here in the rule book…these are rules #88342 and #88343.   Just do your best.”

So Mickey pulled out three sheets of paper, bought his three crayons and colored his clown the best way he could by following the rules.  And Micky said, “Ms. Clara, I don’t think the school board knows ANYTHING about coloring.”

Clowns3

 

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