The Northern California Rheumatology Society (NCRS) is proud to host a
presentation/ dinner event on 7/21/2010 (Wednesday Evening) in partnership
The Association of Rheumatology Health Professionals (ARHP), part of
the American College of Rheumatology (ACR).  

Topic: The Role of Nurse Practitioners and Physician
Assistants in Rheumatology Practice

Date: 7/21/2010 (Wednesday) 6-8pm
Location: Fuki-Sushi Japanese Cuisine - Palo Alto .
Address: 4119 El Camino Real, Palo Alto, CA 94306   
Tel:  650.494.9383  650.494.9383   Fax: 650.494.8475

Speaker: Kristine E. Blik  MSN , ARNP  (presentation 6:45pm- 7:45pm)
Immune Disease Treatment Services, Bellevue , WA

The objectives for the NP/PA presentation are:
- Identify benefits to rheumatologists of including nurse practitioners and
physician assistants in their rheumatology practices
- Discuss scope of practice, regulatory structure and reimbursement for nurse
practitioners and physician assistants in rheumatology practices
- Identify the contributions of nurse practitioners and physician assistants in a
rheumatology practice
- Identify strategies to facilitate successful practice relationships between
rheumatologists and nurse practitioners and physician assistants

This event is open to all dues paying NCRS rheumatologists and NP/PAs who are
interested in joining a rheumatology practice.
It is a FREE event, BUT RSVP
 (Current NCRS members, please bring your annual $100 dues, Thanks)

Please RSVP to   with the Subject:NP/PA event
RSVP before 7/15/2010.
Feel free to forward this invitational email to whom you think might be interested.


SAVE THE DATE!   2010 Annual Case Sharing Meeting -
October 7,2010 (Thursday)  at The Boulevard Restaurant  1
Mission Street, SF, CA 94105.  
Members annual due $100, Fellows attend for free!

    6:00 PM – Arrivals & NCRS Board Member Meeting
    6:45 PM – Announcements (Barry Shibuya, Michael Stevens)
    7:00 PM Case Sharing – Moderated by Dr Elaine Lambert

    Four Interesting Cases Presented By:
    Stanford Case – Dr (Fellow) & Lester Miller
    UC Davis Case – Dr (Fellow) & Nancy Lane
    UCSF Case – Dr (Fellow) & David Daikh
    Dr Lester Miller & Elaine Lambert (Moderator): Unknown Cases
    And bring your own case to share & get feedback from our expert panel.

    Certified Rheumatology Coder (CRHC™) exam

    The CRHC™ is designed to provide a higher knowledge of coding
    and billing compliance for physicians, fellows, practice managers,
    nurse practitioners, physician assistants and coders/billers in
    rheumatology practices. The course will allow applicants to be
    educated on CPT, ICD-9 and HCPCS codes as well as offer an
    understanding of how to properly bill to the highest level of
    specificity for procedures performed in rheumatology practices.

    Coders with sufficient experience and expertise in rheumatology coding are
    encouraged to prepare to sit for the CRHC™ exam.

    CRHC examinees will be tested on:

    Reading and abstracting physician office and procedure notes to
    apply correct ICD-9-CM, CPT®, HCPCS Level II, and modifier coding
    Evaluation and management (both the 1995 and 1997 Documentation
    Rules and regulations of Medicare billing including—but not limited to—
    incident to, teaching situations, shared visits, consultations, and global
    Coding of surgical procedures commonly performed by rheumatologists, such
    as trigger point injections, joint injections, etc.
    Medical terminology
    Anatomy and physiology
    Purpose of Credentialing

    The purpose of the CRHC credentialing program is to:

    Evaluate the level of knowledge demonstrated by rheumatology
    coders in a valid and reliable manner Encourage professional growth
    in the field of rheumatology coding
    Formally recognize individuals who meet the requirements set by the ACR
    and AAPC.

    NCRS Presents The Certified Rheumatology Biller
    Course - Details

    March 3(Wed), March 4 (Thur), March 5(Friday), 2010

    Fremont Professional Park
    3775 Beacon Ave, Suite 100
    Fremont, CA 94538

    ACR Registration Cost = $350/Physician Office without 2010 NCRS Membership

    NCRS Members = $150/Physician Office
    $150 = Covers the course fees and your 2010 NCRS Dues ($100)
    Total Cost Savings = $300 for NCRS Members

    Wednesday, March 3, 2010

    12:00 Noon – Lunch Provided (Amgen)

    12:30 PM – 4:30 PM Medicare Billing Updates

    5: 00pm - 5:30pm - Dinner Provided (Centocor)

    5:00 PM – 8:00 PM Basic Rheumatology Billing Review

    Friday, March 5, 2010

    12:00 Noon – Lunch Provided (Genentech)

    12:30 PM – 5:30 PM Certification Test

    RSVP to or call 510-791-1300 ASAP with the
    names of attendees.
Details of Next Upcoming Event:

July  16, 2009 (Thursday) 6pm: CME Approved
Dinner Program

“The Prevention & Management of Infections in Patients
Receiving TNF Inhibitors”

- Jack Cush, MD- Professor of Medicine & Rheumatology, Baylor University Medical
- Jerrold Ellner MD - Professor of Medicine, University of New Jersey

at Boulevard Restaurant, One Mission St., San Francisco, CA 94105  (415) 543

After Dr Jack Cush’s presentation, the participant should be able to:
1)       Identify infectious risks that accompany RA and other rheumatic diseases
2)       Assess the potential risk of bacterial infections in RA patients on TNF
3)       Recognize measures needed to reduce the risk of infections in patient on
TNF inhibitors
4)       Interpret guidelines for the screening, prevention and treatment of
mycobacterial infections in patients on TNF inhibitors
5)       Utilize recently proposed guidelines for the prevention & management of
infections in TNF inhibitor treated patients

After Dr Jerrold Ellner’s presentation, the participant should be able to:
1)       Recognize the serious infectious complication of TNF inhibitor therapy
2)       Understand why TNF inhibition poses a specific risk of TB
3)       Recognize the clinical manifestations of TB in patients treated with TNF
4)       Recognize the value of the tuberculin skin test and Quantiferon-Gold for
screening for risk of TB in evaluation of patients for TNF inhibitor therapy
5)       Understand indications for treatment of latent TB infection (preventive
therapy) in patients to be started on TNF inhibitors
6)       Recognize special issues such as risk in the foreign born, impact of BCG
vaccination on diagnosis of latent TB infection, value of annual tuberculin skin

Dr Ellner's bio:
Dr Ellner is trained in internal medicine and infectious diseases at Johns
Hopkins and the NIH and also was chief of ID at Case Western Reserve
University and Chair of Medicine at New Jersey Medical School.  Dr Ellner’s
research interest throughout his career has been in tuberculosis and he has
directed clinical trials on TB and TB/HIV in Uganda and Brazil.  Dr Ellner also
served as a consultant for several expert panels convened by pharma to
evaluate the risk of TB in patients treated with TNF inhibitors and have served
on data safety monitoring boards for trials of new inhibitors.  Dr Ellner currently
serves as University Professor at the New Jersey Medical School - University of
Medicine and Dentistry of New Jersey and Professor of Medicine at New Jersey
Medical School.
Date: 9/28/2011 (Wednesday)      
Time: 5PM - 7:30PM
Location: TOWN Restaurant
716 Laurel Street, San Carlos, CA. 94070
(650) 595-3003

A networking event for Rheumatology Office Managers, Billers, Managing Physicians etc.
Fee: Free but donations are welcome to support our non-profit organization.
Event format: Short presentation with Round Table Discussion.

Think of this as a mini "NORM" event, with goals of bringing local rheumatology offices together to network and learn from each other.  We will
eventually discuss current managed care trends, billing and coding, new innovative approaches to increase practice efficiency, and current
rheumatology related news! Spread the word... hope you can join us.

Topic: Office Efficiency - Marketing, Inventory, Time & Financial Management Tips   Facilitator: Janeen Thompson (Office Manager of Dr. Michael Stevens)

"I have been managing rheumatology practices for 25 years and have been with Dr. Stevens for 19 of them.  I learned everything I know "on the
job".  Networking with other rheumatology practices has been invaluable in helping me to keep up with an ever changing and challenging field." -

Topic: Tips of creating a thriving office environment
Facilitator: Joyce Murray (Office Manager of Dr. Umesh Sab).

"I have been a manager of a Multi-specialty practice including Rheumatology for 25 years. I continually develop and coordinate practice policies and
management processes in conjunction with the ongoing changes in medicine. I work with staff always in pursuit of the most efficient and effective
workflow possible in our constantly changing environment." - Joyce  

Please RSVP by 9/23/11 via

Event Sponsors:  ABBOTT    AND     Janssen Biotech