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Not Seeing Eye to Eye: Physician Employment of Optometrists Tested - 02/18/2020

A state board’s concerns over stopping conflicts of interest and a physician’s right to employ and delegate treatment to other professionals are colliding head-on. Now, it’s up to Texas Attorney General Ken Paxton to sort out what, in his view, the state’s optometry law allows.


Preserving Do No Harm: Supreme Court Tosses Challenge to Medical Ethics Committee Law. - 02/18/2020

Twenty years after it took effect, Texas’ medical ethics committee review law has withstood challenge after challenge. The Texas Supreme Court is on the verge of ending the latest high-profile attack on the law that ensures physicians can uphold their professional obligation to “do no harm.” In October 2019, the state’s high court declined to take up Kelly v. Houston Methodist Hospital, in which the mother of a deceased patient attempted to overturn a provision of the Texas Advance Directives Act. Justices’ action leaves intact an appeals court decision that preserves physicians’ ability to use their medical judgment in end-of-life cases.


Wage Rule Extends Overtime to More Employees - 02/07/2020

Some of your employees may have become newly eligible for overtime pay on Jan. 1. The U.S. Department of Labor has increased the minimum salary for exempt employees to $684 per week – $35,568 annually – from the previous level of $455 per week ($23,660 annually). Any employee earning less than $684 per week is automatically nonexempt and thus eligible for overtime pay.


Taking Privacy to a New Level: Texas Lowers Reporting Threshold for Security Breaches - 01/27/2020

Federal requirements have not changed, but starting Jan. 1, breach notification requirements will become even more stringent for Texas physicians or medical entities. The Texas Legislature dropped the threshold for breach reporting from 500 patients to 250. House Bill 4390 also requires medical entities to report breaches to the Texas attorney general’s office within 60 days of the breach.


Finally Settled: Hospitals Settle Physician's Anti-Competition Lawsuit - 01/08/2020

A Laredo oncologist confidentially settled a years-long lawsuit involving a pair of hospitals he alleged mischaracterized a past legal misfortune to terminate his privileges and eliminate his clinic from competing with the facilities.


TMA Supports Medical Ethics Committee Review Law in Latest Challenge - 12/20/2019

TMA has joined several other organizations on a friend-of-the-court brief in a case challenging the state's medical ethics committee review law. In the most recent challenge, the mother of a 10-month-old girl who since birth has been on life-support at Cook Children’s Medical Center in Fort Worth, has sued the hospital and obtained a temporary restraining order to keep her daughter on life support.


Laptop Encryption Helps You Stay HIPAA Compliant - 12/19/2019

If you or your practice store financial or patient information on laptop computers, you could face hefty fines if those devices are lost or stolen. Thankfully, one important step toward protecting patient data, and yourself, is simple thanks to widely available encryption tools.


Don’t Let it Happen to You: Practice Fined Over Social Media - 12/09/2019

As more people go online to research products and services, online reputation management has become increasingly relevant for physicians.Because of the HIPAA Privacy Rule, physicians cannot respond to online reviews in any way that reveals PHI. Even if a patient discloses their own personal information in a review, physicians cannot respond with the same level of disclosure.


Know Your ADA Obligations - 12/04/2019

If someone asked you about your training on federal requirements for accommodating patients with disabilities, would your answer sound something like this? “Oh golly. I have no idea. I’m sure I had to read or study something sometime. I’ve been doing this a long time. I’ve been a doctor for quite a while, so I suspect I had to learn it somewhere, but I don’t remember where.” That’s an actual answer from one internal medicine physician in a recent study of doctors’ knowledge of their legal obligations under the Americans with Disabilities Act (ADA). And if the results of that small study are any indication, many physicians might be lacking in their knowledge on the subject.  


Do Your Security Risk Assessment Before Dec. 31 - 11/13/2019

If you participate in the Medicare Merit-Based Incentive Payment System (MIPS), conducting or updating a risk assessment is a requirement in the Promoting Interoperability category. In order to meet the 2019 performance year requirements, you must complete your security risk assessment by Dec. 31. This is not an optional measure. Thankfully, an upgraded tool from the U.S. Department of Health and Human Services (HHS) might make the assessment easier.


20 Everyday HIPAA Tips to Help You Stay Compliant - 11/11/2019

The goal of HIPAA is to make sure the protected health information you are responsible for or come into contact with remains confidential, secure, and available when you need it. Here are basic steps every practice can take to help make this happen.


20 Everyday HIPAA Tips - 11/11/2019

 The goal of HIPAA is to make sure the protected health information you are responsible for or come into contact with remains confidential, secure, and available when you need it. Here are basic steps every practice can take to help make this happen.  


What Are HIPAA Transaction and Code Sets Standards? - 10/29/2019

Learn about the HIPAA Transactions and Code Sets Rule that standardizes electronic data interchange (EDI) transactions for submitting, processing, and paying claims. Has your practice met the required standards?


Doctors Can Prohibit Handguns in Medical Offices - 10/24/2019

If you're not exactly jazzed about the thought of patients carrying handguns into your medical practice next year, you can do something to prevent it. House Bill 910 by Rep. Larry Phillips (R-Sherman) goes into effect Jan. 1, 2016, and it allows Texans with handgun licenses to openly carry their handguns in a hip or shoulder holster. TMA has received questions regarding whether physicians can post a notice at their practices prohibiting anyone from entering with a handgun – concealed or openly. The answer depends on the type of property the medical office is located on. Generally, a private property owner may post notice prohibiting the carrying of handguns   , but HB 910 contains many requirements. TMA's white paper, titled [insert title and link], has more information for physicians.


Warning: Watch Your Referrals - 10/01/2019

Federal anti-kickback law has changed, and it’s gotten broader. As a result, you may need to re-examine your practice’s compensation arrangements. That includes payments for laboratory referrals.  


The Doctor - and Lawyer - Will See You Now: Medical-Legal Partnerships - 09/27/2019

Elderly woman. Low-income. Chronic pain. Needs to see a rheumatologist. Needs physical therapy. Struggling to pay rent. Has no insurance. Has no disability coverage. As a family physician at a federally qualified health center (FQHC) in Austin, Sharad Kohli, MD, sees a lot of cases like this. In similar health care settings, the patient might face two bad choices: wage bureaucratic war to obtain better health care benefits or simply give up. At People’s Community Clinic, Dr. Kohli referred her to an in-house lawyer who successfully appealed her denial of disability insurance. “[The lawyer] got her a significant income, which allowed her to pay her rent and also helped her get insurance through Medicaid and Medicare,” Dr. Kohli said. “And then she was able to see the rheumatologist and the physical therapist.” This kind of success helps explain why medical-legal partnerships (MLPs) like the one at People’s Community Clinic came about in 1993 and began expanding nationally after 2001. Te...


No Docs of All Trades: Ruling Reinforces Expert Witness Reforms - 09/26/2019

Before Texas’ landmark liability reforms passed in 2003, gray areas in the law often led to serious green for people who sued physicians.


Fighting Back: Practice Wins Court Battle Over Defamatory Online Reviews - 09/03/2019

One practice’s recent legal battle epitomizes physicians’ worst nightmares when it comes to online reviews. Here’s an extreme but glaring real world example, straight from the documents in a lawsuit that Austin Eye first filed in October 2017 over


Court Rejects Hospital Challenge to Defamation Lawsuit - Again - 08/21/2019

Once again, Houston cardiothoracic surgeon Miguel Gomez, MD, has won in court in his battle to collect more than $6 million from Memorial Hermann Health System in a defamation lawsuit.


Medical Futility Law Sustained - 08/02/2019

Court tosses out challenge to ethics committee review of end-of-life care.


Final Verdict? Case Tests Court's Ability to Overturn a Jury Verdict - 08/02/2019

It was an overwhelming, 12-0 verdict – a jury’s unanimous rejection of a negligence case against a Laredo physician. Then, a judge took that decision away and ordered a new trial – not because of jury misconduct, or any procedural stumble that usually negates a court decision. It was taken away, essentially, because the judge said so.


Don’t Try This at Work: Security Risk Analysis Is Not a Do-It-Yourself Project - 08/02/2019

Medicare’s Merit-Based Incentive Payment System (MIPS) requires practices to conduct a security risk analysis at least once a year. HIPAA requires at least one analysis, and annual check-ups are considered a best practice. Many physicians find out through these reports that their practices have a lot of work to do to keep patient records safe.


The Meaning of Monthly: Court Ruling Offers Hope on Pain Clinic Registrations - 08/02/2019

Physicians can encounter a web of confusion and unfairness when it comes to navigating the Texas Medical Board (TMB). A Travis County district court has given Texas physicians clarity and hope when it comes to certain medical board investigations. The court’s decision, if it holds up, establishes an important precedent for when physicians are required to register their facility as a pain management clinic.


Your Photocopier May Be a Security Risk - 05/30/2019

Don’t let this happen to you! A health plan recently paid a huge fine after it returned leased copiers that held protected health information.


Windows XP Support Ending Soon - 05/30/2019

Are you a Microsoft Windows XP user? If so, it’s probably time to upgrade. Your PC won’t be secure after April 8, 2014