First Choice Neurology News

Dr. Jennifer Buczyner Featured in Fall Edition of Pinnacle Magazine

Signs of Stroke by Dr. Jennifer BuczynerDr. Jennifer Buczyner was featured in the Fall edition of Pinnacle, World-Class Health Care in Palm Beach County. She talks about Signs of Stroke. Know what to look for and how to act fast to stay healthy.

She will answer these key questions:

  • What exactly is a stroke?
  • How do you know that you're having a stroke?
  • What is it important to get to the hospital as soon as possible?
  • What happens after treatment?
  • What is a "comprehensive stroke center"?

You can read the full article here.

Dr. Margarita Almeida El-Ramey New Location

Margarita Almeida El-Ramey, DO has a new office in Pembroke Pines, Florida. She is located at 600 North Hiatus Road, Suite 203B, Pembroke Pines, FL 33026.  You can call her office for an appointment at (954) 874-0201. Congratulation Dr. Margarita Almeida El-Ramey!




MIPS for Quality Improvement Some Practices like It, Others Not so Much Why the Reviews Are Mixed

Not all neurologists are fans of the MIPS program. But one practice that has found it beneficial discusses its strategies for success with the program.

Neurology Today TweetThe federal government's Merit-based Incentive Payment System (MIPS) has many detractors but the folks at First Choice Neurology, a large practice in South Florida, are not among them.

The Centers for Medicare & Medicaid Services (CMS) will announce the final results later this month. But, based on the points accrued, Jose Rocha, First Choice Neurology central business office director, is confident the physicians will receive a 4 percent positive payment adjustment to its Medicare Part B billings in 2019, reflecting their MIPS scores in 2017. And he hopes — though he is still not certain — they will have earned “exceptional performer” status: another 10 percent of Medicare Part B billings.

“We had bonus points to throw away because it caps you at a certain level,” Rocha said. “I can't imagine we would not.”

Moreover, Rocha said First Choice's participation in the MIPS program has improved the quality of patient care, improved care coordination with other providers, and impressed private payers who want to develop value-based payment programs for specialty care.

Figuring out the logistics of the MIPS program was Rocha's job, but the practice's physicians are the key to First Choice's success, he said.

“This is a physician-owned practice, so the physicians decide what administration pays attention to and what's important to them,” he said. “The doctors are the ones who became engaged.”

Read the full article here on Neurology Today

New Location in Miami


Timothy Grant, MD
9299 SW 152 Street, Suite 100
Miami, FL 33157
Phone: (305) 665-5552  I  Fax: (305) 665-5565



Using Neuro-specific Measures Can Gain Higher QRR Score

The AAN has developed neuro-specific measures that you can use in your practice to get a higher score for MIPS payment program because neurology measures are not "topped out" and they may be more relevant to your practice.

And to help make reporting your scores more easily, you use can either the AAN's Axon Registry or MIPSwizard to report these.

Jose Rocha is the director of the Central Business Office, Performance Medical Management, and is the Practice Manager for AAN Board Member James N. Goldenberg, MD, FAAN, at First Choice Neurology. In this practice, there are 68 neurologists among 88 providers in the group. The group -- which is spread across Miami, Ft. Lauderdale, Palm Beach, Tampa and the Florida Keys--has physical medicine and rehabilitation, pain management, sleep specialists, and ancillary providers.

Read the full article on the AAN website.

Click on the image to view and print the flyer.

A Helping Hand for Parkinson’s Patients

Deep Brain Stimulation (DBS) and Movement Disorder support group for those with Parkinson’s Disease and those who care for someone with Parkinson’s Disease. The next meeting is scheduled for November 1, 2018.

Una mano amiga para los pacientes con Parkinson

Grupo de apoyo para trastornos del movimiento y estimulación cerebral profunda (ECP)

Important Information for Patients Covered by Aetna or Coventry

First Choice Neurology is proud to announce that all of its providers have earned the maximum score in quality from the Center for Medicare and Medicaid Services thru Merit-Based Incentive Program (MIPS). We work hard every day to be your choice of care.

Unfortunately, First Choice Neurology (formerly Neuroscience Consultants) contract for Coventry Health Plan was terminated by Aetna the parent company with an effective date of 5/31/2018. We want to be able to provide uninterrupted neurology and pain management services to you. This means that First Choice Neurology 92 providers serving 5 counties in Florida and 36 different hospitals will no longer be able to provide services in our office, but more importantly, all services provided in the hospital will be based on your out-of-network benefits in case of any emergency services.

If you would like to be certain that you will be able to continue treatment with your FirstChoice neurologist or if you would like to see one of the other 92 First Choice Neurology providers, you can do so by enrolling in an insurance plan through one of the insurance companies listed here:

Care Plus
First Health/MultiPlan/PHCS

Neighborhood Health Plan
Simply Healthcare
United Healthcare

If you are considering changing your medical insurance coverage, please call our office first to verify we are able to provide you with uninterrupted service.

These plans and a list of our neurologists by location can be found on First Choice Neurology’s website. If you have questions or need additional information, contact us and we will put you in touch with one of our offices. (786) 924-1311 or If you would like to express your concern or disappointment to Aetna or Coventry that we may not be participating providers, you can contact them through the following channels:

  1. Contact the Aetna executive below the parent company to Coventry:
    June Scott: 305-222-3013 or
  2. Call the number on the back of your insurance card
  3. Post on:
    1. Facebook:
    2. Twitter:
    3. Instagram:

Please know that you and your health are important to us. We are committed to your care and hope that you are able to choose a plan through which we can continue to serve you.

Comprehensive Stroke Program is coming to Jupiter Medical Center with the Help of an Anonymous Gift

stroke-program-imageJupiter Medical Center Foundation announced today a $5 million gift from an anonymous donor that will help the hospital become a designated Comprehensive Stroke Center. This gift will enable Jupiter Medical Center to provide world-class stroke care close to home when seconds count. Jupiter Medical Center also has recruited Jennifer Buczyner, MD, a board-certified neurologist, as the medical director to lead the stroke program.

“This gift, along with the arrival of Dr. Jennifer Buczyner as the medical director of the stroke program, not only allows us to see more complex neurological cases, but puts Jupiter Medical Center on a trajectory to becoming a Comprehensive Stroke Center by the end of 2018,” said Liv Vesely, president of Jupiter Medical Center Foundation.

Dr. Buczyner completed her neurophysiology fellowship at Emory University in Atlanta, where she also treated patients while on the faculty at Emory University’s Department of Neurology. Dr. Buczyner has built an innovative neurology practice in the Palm Beaches that delivers compassionate care while offering her patients the most advanced treatments available today. “Time is vital to the brain and it is imperative to seek emergency neurological care early,” said Dr. Buczyner at a recent women’s health advisory panel discussion hosted by Jupiter Medical Center and attended by more than 150 women.

While Jupiter Medical Center has been a Primary Stroke Center since 2008, this much-needed move to become a designated Comprehensive Stroke Center comes on the heels of a recent protocol change by Palm Beach County Fire Rescue to transport stroke patients only to facilities that have this designation. The closest Comprehensive Stroke Center to the south is in West Palm Beach, and Fort Pierce to the north.

Jupiter Medical Center’s Comprehensive Stroke Program will include neurosurgery and endovascular interventions such as angioplasty, coiling, clipping, and stenting. It will also have a dedicated neuro-intensive care unit where patients will receive care by staff that is trained in advanced critical care, as well as neurophysiology, neuroanatomy, neuro assessment and emergency neuro resuscitation. Additionally, the best technology is being acquired, including a neurointerventional biplane angiography system – an imaging modality for visualization of the complex vasculature. The clinical benefits of the biplane system include improved visualization for aneurysm coiling and interventional stroke care, and reduced radiation exposure and shorter procedure times.