Hot Topics

TMA to CMS: Suspend MU Measures That Force Doctors to Coerce Patients
In a letter to Centers for Medicare & Medicaid Services (CMS) Administrator Marilyn Tavenner, TMA asked CMS to immediately suspend meaningful use core measures 7  and 17 .

State Gives “All Clear” on Dallas Ebola Cases
The last person — a hospital worker who handled medical waste on Oct. 17 — being monitored in connection with the state's three diagnosed Ebola patients was cleared from twice-daily monitoring on Nov. 7, according to the Texas Department of State Health Services. The hospital worker had reached the 21-day mark, the longest incubation period for the disease.

Write to Congress to Ask for Two-Year ICD-10 Delay
Join physicians from across the United States to ask Congress for a two-year delay in ICD-10. Ask Congress to delay the mandatory implementation until October 2017 so you and your colleagues can spend more time on patient care. Your patients deserve it.

Get Up to Speed on New Driving Rules, Medical Restrictions
Physicians play an important role in helping to ensure drivers of all ages are medically fit to get behind the wheel. For the first time since 1991, Texas has updated its driving guidelines, with changes that better reflect advances in medical care in the past 23 years.

You Can Now Pay Online for DPS Schedule II Prescription Pads
The Texas Department of Public Safety (DPS) now allows physicians and nonphysician practitioners with a valid controlled substances registration to order and pay online for their prescription pad orders.

Meaningful Use Requires Reporting Clinical Quality Measures
Physicians must report on nine (of 64) clinical quality measures as part of meaningful use. During Stage 1, this was listed as one of the core measures. For Stage 2, it is no longer listed as a separate measure, but it is still required.

Attend the 2014 Texas Immunization Summit Nov. 5-7
The 2014 Texas Immunization Summit, scheduled for Nov. 5-7 in San Antonio, gives you an opportunity to gather information and tools to champion immunization in your community.

“Hey, Doc”: Where Can I Get Help Signing Up in the Marketplace?
This week, TMA’s “Hey, Doc” education campaign answers Texans’ questions about where they can get help signing up for coverage in the new health insurance marketplace, when they can create an account, and how they can get ready to sign up.

Six Texas Communities Receive Vaccination Grants
Six communities across Texas were awarded grants to help physicians and community organizations provide free and low-cost vaccinations to uninsured and underinsured Texans. The grants totaling more than $11,500 were provided by the Texas Medical Association’s Be Wise — ImmunizeSM  program.

Texas Doctors and Nurses Jointly Prep for Ebola

Thousands of Texas physicians and nurses this evening took part in a joint education program to learn as much as they can about the Ebola virus.



Ebola Treatment, Containment Facilities on Tap
In the wake of last week's announcement that a New York doctor who returned from Guinea tested positive for Ebola, public health professionals and hospitals have remained vigilant in preparing to respond to potential future cases of the disease.

TMA Backs Plan to Revamp Medicaid Fraud Cops
The state's use of freezing payments to physicians suspected of possible Medicaid fraud "has gone beyond the law's intent," according to a 225-page report on the Texas Health and Human Services Commission by the Texas Sunset Advisory Commission. The report describes the HHSC Office of Inspector General (OIG) as an agency with poorly trained staff and little accountability or transparency.

TMA Is Searching for the Top Health News of 2014
The TMA Anson Jones, MD, Awards honor outstanding health journalism, and we need your help to find the best stories of 2014. If you've seen, heard, or read an article that caught your attention, nominate it for an award.

Don’t Let Your Membership Lapse. Renew Today!
Intrusion after intrusion is threatening your practice and the care of your patients as you know it. Fortunately, you can trust TMA and your county medical society to stand by you to address them. Your association advocates relentlessly in Washington and Austin to eliminate red tape and bureaucracy. But even as we work to deliver these legislative fixes, TMA provides first-class solutions to your practice headaches.

FDA Allows Normal Saline Importation to Alleviate Shortage
A critical shortage of 0.9-percent sodium chloride injection (normal saline) that threatens patients' safety prompted the U.S. Food and Drug Administration (FDA) to allow B. Braun Medical Inc., of Bethlehem, Pa., to temporarily distribute the drug in the United States from its manufacturing facility in Germany.

Guard Your Practice Against Employee Theft
Medical practices are especially vulnerable to embezzlement, in part, because they are typically cash businesses. According to a 2009 Medical Group Management Association study, 83 percent of the medical practices polled had been the victim of employee theft or embezzlement. But because medical offices are run by a close-knit staff, it can be hard for a physician to imagine any employees stealing from the practice.

New Deadline to Apply for Meaningful Use Hardship Exception
The Centers for Medicare & Medicaid Services (CMS) will reopen its meaningful use hardship exception application for physicians and hospitals to avoid the 2015 penalty. Following advocacy efforts by the American Medical Association, the new deadline will be Nov. 30. The hardship exception application deadline had been April 1 for hospitals and July 1 for physicians.

Doctors Worried About Nonphysician Entities Providing Medicare Wellness Visits
TMA officials remind physicians they can provide Medicare annual and first-time "Welcome to Medicare" wellness visits to their patients and warn that nonphysician health care entities may be beating doctors to the punch, albeit legally. "Welcome to Medicare" visits occur within a patient's first 12 months of having Medicare Part B coverage.

Judge Sides With Aetna Against Texas Clinics
Aetna is collecting $8.4 million from a small hospital and three clinics after a Texas judge ruled the facilities overbilled the insurer for two years.

FDA Warns Against Using NuVision Pharmacy Sterile Products
The U.S. Food and Drug Administration (FDA) has safety concerns about sterile-use drug products made and distributed by Downing Labs LLC, doing business as NuVision Pharmacy, in Dallas.

New Webinars Offer Guidance on Accurate, Timely Payments
Late payments? Missed revenue? The efficiency of your billing can make or break your practice. By using accurate billing techniques and effective collection strategies you can keep your practice revenue flowing.

Patients Continue to Ask Doctors for Unnecessary Tests, Study Finds
Two-thirds of physicians say they have a great responsibility in making sure their patients do not receive unnecessary tests and procedures; yet even more say American physicians today are ordering these exams every week, a new survey finds.

Feds Enact Tougher Standards as Nurses Contract Ebola

Last week, Thomas Eric Duncan, the first known person to develop Ebola in the United States, died at Texas Health Presbyterian Hospital in Dallas.



Free TMA Publication: Business Basics
Thanks to a generous grant from The Physicians Foundation, you can download Business Basics for Physicians, TMA's newest publication, free.

Get Critical Lab Values on Your Mobile Device via DocbookMD
You no longer have to wait by the fax machine, computer, or electronic health record for lab results. DocbookMD's latest clinical integration with Clinical Pathology Laboratories allows users to report critical lab values directly to the ordering physician's mobile device or laptop at the moment the labs are completed. Critical values will be sent directly to the ordering physicians, wherever they are, to any device the DocbookMD app is running on.

Perform FGIs? Undergo Safety Training by May 1, 2015
Under Texas law, physicians performing fluoroscopically guided interventions (FGI) must undergo safety training. Specifically, by May 1, 2015, physicians have to complete a minimum of 8 hours of AMA PRA Category 1 Credit™ in radiation safety awareness training. For more information, read the Texas Department of State Health Services (DSHS) Questions and Answers document.

Two Deaths From Enterovirus D68 Reported

A four-year-old New Jersey boy died Sept. 25, and a 21-month-old Michigan girl died Oct. 10, making them the first two confirmed deaths from enterovirus D68 (EV-D68). The Centers for Disease Control and Prevention (CDC) confirmed 594 cases of EV-D68 in 43 states, including Texas, as of Oct. 6. 



DSHS Offers Tutorial on Using PEP to Identify, Prevent Rabies
The Texas Department of State Health Services (DSHS) and the Texas Health and Human Services Commission are offering a tutorial titled Identifying Rabies Exposures and Preventing Rabies Through Post-Exposure Prophylaxis.

Upgrade Your EHR by Jan. 1, 2015
If you are participating in the electronic health record (EHR) meaningful use incentive program and haven't upgraded your EHR to the 2014 version yet, be sure to do so by Jan. 1, 2015. Some EHR vendors have already released 2014 certified versions of their products. You can check the certified health product list to see if your vendor has upgraded yet.

TMF to Lead Regional Health Care Improvement Initiatives
TMF Health Quality Institute has been designated the Quality Innovation Network-Quality Improvement Organization by the Centers for Medicare & Medicaid Services for Arkansas, Missouri, Oklahoma, Puerto Rico, and Texas.

TMF Announces 2013-14 Texas Physician Practice Quality Improvement Award Recipients
TMA, the TMF Health Quality Institute, and the Texas Osteopathic Medical Association recognize the 291 recipients of the 2013-14 Texas Physician Practice Quality Improvement Award for their commitment to improving patient care. These practices have demonstrated excellence in health care quality through exemplary performance on national quality priorities.

Physicians Get Green Light to Treat Families for Infectious Diseases
Texas physicians may now prescribe medications and vaccines to close contacts of their patients to prevent the further spread of infectious diseases. The Texas Medical Board announced the change to its rules in the July 25 issue of the Texas Register.

TMA Asks Legislature to Increase Medicaid, CHIP Payments for Physicians
TMA and 17 state specialty societies called on the Legislative Budget Board (LBB) asking for action to increase "utterly inadequate physician payment rates" in Texas Medicaid and the Children's Health Insurance Program. TMA also provided comments to the LBB on funding for exceptional items requested by the Texas Department of State Health Services in its Legislative Appropriations Request.

TMA: CHIP Managed Care Plans Responsible for Out-of-Network Payments
Because federal law prohibits patients covered by the Children's Health Insurance Program (CHIP) from paying anything other than a copay, the state of Texas should require managed care organizations in CHIP to cover the costs for out-of-network physicians. That's the position TMA takes in a formal letter to the Texas Health and Human Services Commission.

Survey Says Physicians Overextended and Overworked
Physicians are at or exceeding full patient capacity and are limiting access to their practices in light of significant changes to the medical practice environment, according to a comprehensive new survey by The Physicians Foundation.

Educate Your Patients on Flu Vaccination
Today is annual Influenza Awareness Day in Texas. The day, designated by the Texas Legislature in 2013, raises public awareness of the health risks associated with influenza and encourages Texans to reduce these risks. One of the safest, most effective ways to reduce transmission of flu is to receive annual flu vaccination, universally recommended for anyone aged 6 months and older.

Are You Choosing Wisely?
The Choosing Wisely® campaign is a no-cost initiative that promotes conversations among physicians and patients about the need, or lack thereof, for many commonly ordered tests or treatments.

What About Hydrocodone Combination Refills?
On Oct. 6, 2014, drugs that contain hydrocodone combinations switch from Schedule III to Schedule II. How will I handle a prescription I write for a hydrocodone combination product on Oct. 5 (while it is still a Schedule III drug), and specify refills?

Nominate a Teacher for Excellence in Science Teaching Award
TMA is giving away $24,000 in cash prizes to great science teachers. Please help spread the word. Three Texas science teachers will receive $5,000 each and an all-expense paid trip to TMA's annual conference for the TMA Ernest and Sarah Butler Awards for Excellence in Science Teaching presentation ceremony in May 2015. Their schools will receive a $2,000 award to use toward the science curriculum. In addition, second-place winners receive $1,000 for their schools.

Training Available for Preventable Adverse Events Reporting
Mandatory reporting of preventable adverse events occurring at Texas health care facilities, including general hospitals and ambulatory surgery centers, will begin Jan. 1, 2015. Amendments to the Texas Health and Safety Code during the 2013 legislative session require reporting by health care facilities to the Texas Department of State Health Services (DSHS) for public posting on the DSHS website.

Get Your Practice in Shape With TMA’s Business Boot Camp
In this tough business climate of rising costs and falling payments, two-thirds of Texas physicians report having trouble covering payroll and other practice expenses because of slow pay, low pay, or no pay from insurers and government payers. It is now more imperative than ever to closely manage your practice's finances, minimize waste, and collect every bit of income you are due.

TMA Opposes Bill to Expand Audiologists' Scope
TMA and more than 110 national organizations, state and local medical associations, and state and local specialty societies delivered a clear message to members of the U.S. Congress: Oppose any efforts to give audiologists direct, unlimited access to Medicare patients without a physician referral and to include audiologists in the definition of physician. The groups outlined their opposition to House Resolution 5304 in a letter to Congress last month.

DSHS Alert Urges Doctors to Report Respiratory Illness Outbreaks
The Texas Department of State Health Services (DSHS) has issued a health alert since learning nine residents of North and East Texas tested positive for enterovirus D68 at a Centers for Disease Control and Prevention laboratory.

Broadband Access Needed for EHR Incentive Programs
Physicians living in rural areas may struggle with some of the meaningful use measures, especially if their patients cannot access the information required. For this reason, there is an exclusion related to broadband access. TMA has received calls about how physicians can find out if they are eligible for this exclusion.

DSHS Offers Local Health Authority Training Module
Physicians who have been appointed as a local health authority (LHA) or have an interest in the role can now access online training from the Texas Department of State Health Services Division for Regional and Local Health Services. The LHA training module debuted online in August. The module, developed based on feedback obtained in a statewide survey of LHAs, provides an overview of authorities' roles and responsibilities.

TMA Knowledge Center Offers Current Medical Diagnosis & Treatment 2015
To deliver the best care to your patients, turn to the No. 1 annually updated guide in internal medicine and clinical practice, Current Medical Diagnosis & Treatment 2015. The latest edition is now available in AccessMedicine, a database offered as a member-only benefit through the TMA Knowledge Center.

Take TMA's Texas Physician Survey
TMA's 2014 Texas Physician Survey is under way. Complete the survey, and provide TMA with your opinion on and experience related to health care issues. Your feedback helps support the association's policy development and political focus.

Do You Choose Wisely?
TMA wants to know if you have implemented the Choosing Wisely® recommendations in your practice.

Fight the Flu With Tools From TMA
Flu season is just around the corner, and TMA's Be Wise — Immunize program has tools you can use to protect yourself, your staff, and your patients:

DSHS Provides Interim Guidance on Enterovirus D68
A recent outbreak of enterorvirus D68 (EV-D68) is affecting children in six states throughout the Midwest. The Centers for Disease Control and Prevention reports that as of Sept. 10, 84 people had been confirmed to have respiratory illness caused by EV-D68.

TDI FAQs Address 90-Day Grace Period, Prompt Pay
The Texas Department of Insurance (TDI) has updated its FAQs for Health Carriers to include information about the federal 90-day grace period granted to patients with subsidized ACA health insurance marketplace coverage and about prompt payment of claims.

New Option for Providing LARCs to Medicaid, TWHP Patients
Physicians now have a new option for providing select long-acting reversible contraceptives (LARCs) to their Medicaid or Texas Women’s Health Program (TWHP) patients. Effective Aug. 1, the Texas Health and Human Services Commission added Mirena and Skyla to the Medicaid drug and device formulary, allowing physicians the option of writing a prescription for the devices instead of buying and billing, as they had to do before the change.

CMS Sets ICD-10 Testing Dates
The Centers for Medicare & Medicaid Services (CMS) has instructed Medicare administrative contractors to promote three specific testing weeks with health professionals and to provide data and statistics to CMS that demonstrate readiness for the ICD-10 transition.

TMA Comments on TDI Draft Rules for Independent Review Organizations
TMA told the Texas Department of Insurance (TDI) in a letter that the association will oppose any potential fee increases affecting physicians involved in a review of an independent review organization (IRO). TMA provided comments Aug. 15 on TDI's informal draft rules for IROs.

New CMS Rule Slightly Modifies EHR Program
The Centers for Medicare and Medicaid Services (CMS) recently published a final rule designed to give physicians more flexibility with the floundering electronic health record (EHR) incentive program. While TMA appreciates that CMS recognized the need for modification, the association says CMS did not go far enough and did not heed most of TMA's suggested comments.

Massive HIPAA Breach Affects 4.5 Million Patients
In just the past month, 18 Texas medical centers were part of a massive nationwide HIPAA breach that included the data of 4.5 million patients. The penalties, lawsuits, and negative publicity to follow are sure to take a staggering financial toll. Texas physicians should take proactive steps to implement processes that secure patient data and mitigate risk.

TMA Practice Consulting Helps You Maintain a Healthy Practice
Getting paid for your services accurately and on time is the key to preserving the viability of your practice. By maintaining efficient processes and carefully monitoring each step in the revenue cycle, you can minimize future problems, ensure sufficient cash flow, improve collection rates, and increase staff productivity.

Critical Congenital Heart Disease Reporting Now Mandatory
Beginning Sept. 1, reporting of critical congenital heart disease (CCHD) is mandatory in Texas. House Bill 740, which passed in the 2013 legislative session, added CCHD to the required Texas newborn screening panel. The Texas Department of State Health Services has developed rules for CCHD screening.

TMA Opposes Nurse Practitioner Plan
Proposed new rules regulating the scope of practice of advanced practice registered nurses (APRNs) would illegally allow APRNs to make medical diagnoses, and they ignore key tenets of a new state law, the Texas Medical Association and nine other state medical societies wrote in a formal comment letter to the Texas State Board of Nursing.

STAR+PLUS Expands to Rural Areas
On Sept. 1, the STAR+PLUS Medicaid managed care program expanded to 164 rural counties not currently participating in the model. The expansion requires elderly patients eligible for Medicaid long-term services and supports (LTCSS) and adult patients with disabilities to enroll in a STAR+PLUS plan. Children with disabilities may enroll voluntarily.

Congress Passes VA Overhaul
On Thursday, Congress approved a widespread overhaul of the embattled Department of Veterans Affairs (VA). TMA has been calling on the nation's leaders to clear existing bureaucratic landmines — slow payment and lack of interaction between the VA and the private sector, for instance — so private-sector physicians can help get veterans the timely care they need.

Congress Patches SGR, Delays ICD-10
Congress has done it again. For the 17th time, lawmakers slapped yet another Band-Aid on Medicare to stave off a 24-percent physician payment cut under the fatally flawed Sustainable Growth Rate (SGR) formula. It sets the next SGR cliff for April 1, 2015.

Tax Refund Fraud Scheme Affects Texas Physicians
Physicians are the latest victims in a tax refund fraud scheme making waves across the nation. The American Medical Association reports it's working with federal officials in the investigation, headed by the Internal Revenue Service and the Secret Service. While the exact source of the identity theft hasn't been detected, several theories exist.

Secret Service Expects to Make Arrests in Tax Refund Fraud Case
Last month, the Texas Medical Association first reported Texas physicians are victims of a tax refund/identity theft fraud scheme making waves across the nation. The association has since learned the crime's victims also include physician assistants, advanced practice registered nurses, dentists, podiatrists, and pharmacists. Texas is one of 49 states and the District of Columbia affected by this con.

Thorough Risk Analysis Key to HIPAA Preparedness
An estimated 40 million to 45 million patient records have been compromised in HIPAA data breaches since 2012. Since 2009, theft or loss of unencrypted devices or computers accounted for 35 percent of all breaches.

Academic Physicians: Your Commitment and Leadership Deserve Recognition
TMA is eager to recognize Texas physician leaders who have simultaneously dedicated their lives to the care of their patients and to the preparation of the physician workforce of tomorrow. The TMA Award for Excellence in Academic Medicine program recognizes teaching physicians who have a record of TMA leadership and serve as a role model in scholarly activity, mentoring, professional development, advocacy, or community service. If this sounds like you, TMA encourages you to apply for this award created for doctors like you.

10 Tech Tips to Help Make Your EHR Bloom
Has the notion of converting to an electronic health record (EHR) germinated within your practice? For this big changeover to bear fruit in your practice operations, you need to proceed with care. TMA has tools, guidance, and reference material — most are free — to help you produce your desired results.

It's Not Too Late to Participate in the Medicare EHR Incentive Program
The last year to begin participating in the Medicare electronic health record (EHR) incentive program is 2014. Physicians can begin the program by Oct. 1 and still receive up to $24,000 over the next three years. New participants must demonstrate meeting three months of Stage 1 meaningful use criteria.

TMA Honors Science Teachers
TMA will honor deserving Texas educators again in 2015 with the Ernest and Sarah Butler Awards for Excellence in Science Teaching.

Physician Health Conference Focuses on Well-Being
Physician Well-Being for Life is the theme of the TMA Committee on Physician Health and Wellness conference, Oct. 24-25 at The Adolphus Hotel in Dallas. The conference has been accredited for a maximum of 8.5 AMA PRA Category 1 Credits™, 6 of which are ethics and/or professional responsibility education.

Mentors Wanted for Tomorrow’s Physician Leaders
Remember your first professional mentor? The physician who introduced you to all the right people? The one who shared invaluable tricks of the trade? The one who helped steer you away from trouble? It's time to repay the favor. The fifth class of scholars in the TMA Leadership College will begin their year of studies at the 2014 Fall Conference.

Delegating and Supervising Prescribing Privileges for APRNs/PAs
New state law governing the delegation and supervision of prescribing privileges for advanced practice registered nurses and physician assistants went into effect Nov. 1.  MembersOnlyRed

TMA Opposes Audiology Scope Expansion
Audiologists lack the "medical training necessary to perform the same duties as physicians" and aren't able to "provide patients with the medical diagnosis and treatment options they require." That's the message TMA, the American Academy of Otolaryngology – Head and Neck Surgery, 38 state and local medical associations, and dozens of specialty societies and national organizations sent in a letter to House and Senate leaders.

Free CME Program on Opioid Medications
On July 9, 2012, the Food and Drug Administration approved a risk evaluation and mitigation strategy (REMS) for extended-release and long-acting opioid medications to ensure that the benefits of these opioid analgesics outweigh the risks. The REMS supports national efforts to address the prescription drug abuse epidemic.

Bring HIPAA-Secure Mobile Communication to Your Community
With over 9,000 Texas physicians already using the free DocbookMD app to securely text medical information to their colleagues, chances are you or a colleague are one of them. But what if you want to coordinate care via DocbookMD with a physician who’s not yet registered? If you’ve been waiting for enough physicians in your area to come on board, wait no more. Take action to secure your community.

Tell FDA to Regulate All Tobacco Products
The Campaign for Tobacco-Free Kids is urging public comment in support of regulation of all tobacco products, including electronic cigarettes and cigars, by the Food and Drug Administration (FDA). Click here to submit your comments directly to the FDA. The submission deadline is Aug. 8.

True Savings of Mobile HIPAA-Secure Communication
In many situations, texting is the fastest and most efficient way to send information, but physicians who use traditional methods to text clinical information to each other risk exposing themselves to HIPAA privacy and security violations. However, physicians who adopt a secure platform for sending such messages, such as DocbookMD, can benefit by saving time, money, and even lives.

HHSC Releases Marketing Guidelines
Senate Bill 8, which passed during the 2013 legislative session, prohibits certain marketing activities under Medicaid fee-for-service, Medicaid managed care, and the Children's Health Insurance Program. The Texas Health and Human Services Commission (HHSC) released "Texas Provider Marketing Guidelines" to help physicians and other health professionals assess their compliance with the rules, which took effect July 6.

DocbookMD HIPAA-Secure Messaging Now on PC, Mac
Visit docbookmd.com today, and you will notice a new addition to the menu bar at the top of the webpage: A red button inviting you to log in announces the addition of PC and Mac access for the previously mobile-only HIPAA-secure messaging platform. Now, using the same email and password for the app on your phone and tablet, you can access DocbookMD on any computer via the new web version without having to install new software.

DocbookMD Is the Physician's Choice Nationwide
DocbookMD is being used by nearly 9,000 Texas physicians and more than 25,000 physicians nationwide to communicate important clinical information with colleagues and staff in a fast, HIPAA-secure way. In fact, it's working so well that many of those physicians are leading the charge to have their hospital, group, or accountable care organization adopt the Enterprise version of DocbookMD.

Get Claims Paid Promptly With TMA Live Webinars
Since their inception in 1991, Texas' prompt pay laws have helped ensure commercial health plans pay a practice's clean claims promptly and correctly.

Teacher Retirement System Contract Transfers to Aetna
Beginning Sept. 1, 2014, the contract for managing the Texas Teacher Retirement System's TRS-ActiveCare program transfers from Blue Cross and Blue Shield of Texas to Aetna. The change does not impact TRS retirees.

TMB Puts Office-Based Anesthesia Inspections on Hold
The Texas Medical Board (TMB) decided at its June meeting to put office-based anesthesia (OBA) inspections on hold "to make clarifications regarding inspection criteria and requirements," according to the board's July newsletter. TMB notified physicians in early June it would begin inspecting Texas practices registered with the board as providing OBA to ensure compliance with Chapter 192 of board rules.

TMB Begins Inspecting Registered Office-Based Anesthesia Locations
The Texas Medical Board (TMB) has begun inspecting Texas practices registered with the board as providing office-based anesthesia (OBA) to ensure compliance with Chapter 192 of board rules. Practices that provide OBA must register with the board, pay a biennial fee of $210 per physician, and identify the level of anesthesia services provided at each practice site.

TMA Releases 2nd Edition of NPP Guide
Last year, the Texas Legislature passed legislation that replaces site-based requirements for the delegation and supervision of prescriptive authority for nonphysician practitioners (NPPs) with a framework of delegation and supervision that uses customizable prescriptive authority agreements.

Medicaid Meaningful Use Training Modules Available
The federal electronic medical record meaningful use program provides incentives to physicians accepting Medicaid. To be eligible, Medicaid patients or encounters must account for 30 percent of office visits. Pediatricians are eligible at a 20-percent level.

Comptroller Mails Business Transaction Forfeiture Notices
Physician practices subject to the franchise tax should be aware that if the Texas Comptroller of Public Accounts hasn't received their franchise tax returns or approved their extension requests, they may receive a "Texas Notice of Intent to Forfeit Right to Transact Business."

New Stage 2 Meaningful Use Tool
The Centers for Medicare & Medicaid Services and the Office of the National Coordinator for Health Information Technology have a new tool to help you meet the meaningful use Stage 2 transitions of care measure. The EHR Randomizer allows physicians to exchange data with a designated test electronic health record (EHR) system to meet part of the measure.

Stage 2 Meaningful Use Incentive Calculator Now Available
Determine your incentive payment eligibility in the Stage 2 meaningful use electronic health record incentive programs with the new calculator developed by the Centers for Medicare & Medicaid Services. Just enter and review your data for each meaningful use measure.

CMS Proposes Flexibility for Meaningful Use Program
The Centers for Medicare & Medicaid Services (CMS) released proposed rules that allow flexibility for electronic health record certification and extend Stage 2 meaningful use. TMA will carefully review the proposal and submit comments by July 21, the end of the comment period.

TMA Calls for Meaningful Use Moratorium
Because physicians "are feeling overloaded by the myriad new Stage 2 meaningful use measures imposed on them," Congress should stop Medicare from requiring any new meaningful use criteria, a TMA leader wrote in a letter to the chair of the U.S. House Energy and Commerce Committee. Otherwise, Matt Murray, MD, the chair of TMA's Ad Hoc Committee on Health Information Technology, wrote to U.S. Rep. Fred Upton (R-Mich.), "Texas physicians — out of frustration — will withdraw from the Meaningful Use program at alarming rates."

OIG Starts Fraud Education Series for Physicians
The Texas Health and Human Services Commission's Office of Inspector General (OIG) has begun a Provider Education series to inform health professionals on OIG's efforts in detecting, deterring, and correcting fraud, waste, and abuse in the Texas Medicaid system. The first topic is Understanding Waste, Abuse, and Fraud.

Docright Helps TMA Members Compare EHRs, Other HIT
Do you need to upgrade or install an electronic health record (EHR) system but aren't sure where to start?

TMA Asks Feds for Emergency Halt of EHR Rules
In a letter to Centers for Medicare & Medicaid Services Administrator Marilyn Tavenner, Matt Murray, MD, specified several concerns TMA has with the agency's proposed modifications to the 2014 Medicare and Medicaid electronic health record (EHR) incentive programs. In the letter, the chair of the TMA Ad Hoc Committee on Health Information Technology requests emergency suspension of the certified EHR requirement that physicians use a certified patient portal and the Stage 2 meaningful use requirement that 5 percent of patients view, download, or transmit their information using the patient portal.

TMA, AMA Tell Feds to Expedite RAC Audit Appeals
It’s a terrible idea to announce a 28-month delay in handling appeals just as physicians’ frustration and ire with Medicare recovery audit contractors (RACs) are mounting, TMA, the American Medical Association, and nearly 100 other physician organizations told a federal official. They called for an immediate solution to the appeals hearings backlog that has caused the delay.

Be on the Lookout for Cyclospora
The Texas Department of State Health Services encourages health care professionals to test for Cyclospora in patients who have diarrheal illness lasting more than a few days or diarrhea accompanied by severe anorexia or fatigue.

Committee to Focus on Strengthening Health Care Workforce
Texas House Speaker Joe Straus created the Select Committee on Health Care Education and Training, which will focus on preparing more Texans for careers in the state's growing health sector.

Brush Up on Patient Records Requirements for Meaningful Use
The Centers for Medicare and Medicaid requires 80 percent of a physician's patients to have records in the certified EHR technology (CEHRT) to meet certain objectives and measures of the electronic health record incentive program.

TMF Health Quality Institute Wins QIO Contract
The TMF Health Quality Institute won the five-year Quality Innovation Network Quality Improvement Organization (QIN-QIO) contract with the Centers for Medicare & Medicaid Services for Texas, Arkansas, Missouri, and Oklahoma.

In Search of the Best Health News of 2014
The TMA Anson Jones, MD, Awards honor outstanding health journalism, and we need your help to find the best stories of 2014. Maybe you've seen, heard, or read something that caught your attention on a new medical treatment, health disparities, obesity or other health concern, or the border crisis.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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