Action: Feb. 3, 2014

TMA Action Feb. 3, 2014   News and Insights from Texas Medical Association 

INSIDE: Blue Cross Takes Blues Out of ACA Grace Period 

TEXPAC Releases Slate for March 4 Primaries
TMLT Puts $20 Million Into Policyholder Rewards
Ten Years of What Has TMA Done for Me Lately?
Register for ICD-10 Testing Week by Feb. 28
Deadlines to Attest for EHR Incentive Programs Approach
TexMed 2014 Registration Is Now Open
Free DocbookMD Update Now Available

What to Report to the Health Authorities
Physicians Foundation Examines ACA Rollout
Apply for a Grant for a Vaccination Event by March 1
Mobile App Publishes Choosing Wisely Recommendations
Apply for AMA Leadership Award by March 14
Step Up to Leadership
This Month in Texas Medicine

TEXPAC Releases Slate for March 4 Primaries

The Texas Medical Association's political arm is giving TMA a running start in next year's battles to protect patients and their physicians, TEXPAC Chair Jerry Hunsaker, MD, says.

TEXPAC released a list of 125 endorsed candidates for the March 4 party primaries.

"TMA has a great record of advocating for patients," Dr. Hunsaker said. "But it's not because we walk over to the Capitol and win just because we're right. We win only because of all the work that goes on at election time."

The endorsed slate of candidates includes five TMA member physicians and one TMA Alliance member.

"I strongly encourage you to get out and vote, and vote for these excellent candidates," Dr. Hunsaker said. "We have a great slate of men and women committed to working with TMA to improve care for all of our patients."

He also reminds TMA members that today, Feb. 3, is the last day to register to vote for the March 4 primaries. (Voter registration cards must be postmarked by midnight.) Early voting runs from Tuesday, Feb. 18, through Friday, Feb. 28.

The TEXPAC-endorsed candidates for the March 4 party primaries are:

For U.S. Senate: John Cornyn (R)
For lieutenant governor: David Dewhurst (R)
For attorney general: Dan Branch (R) (open seat)
For comptroller of public accounts: Harvey Hilderbran (R) (open seat)

Supreme Court of Texas
Place 1: Nathan Hecht (R)
Place 6: Jeff Brown  (R)
Place 7: Jeffrey Boyd  (R)
Place 8: Phil Johnson  (R)

Courts of Appeals
Third Court of Appeals (Austin), Place 2: Jeff Rose (R)
Ninth Court of Appeals (Beaumont), Place 3: Leanne Johnson (R)

Texas Senate
SD 1: Kevin Eltife (R-Tyler)
SD 2: Bob Deuell, MD (R-Greenville)
SD 3: Robert Nichols (R-Jacksonville)
SD 4: Brandon Creighton (R-Conroe) (open seat)
SD 10: Mark Shelton, MD (R-Fort Worth) (open seat)
SD 14: Kirk Watson (D-Austin)
SD 15: John Whitmire (D-Houston)
SD 16: John Carona (R-Dallas)
SD 17: Joan Huffman (R-Houston)
SD 23: Royce West (D-Dallas)
SD 31: Kel Seliger (R-Amarillo)

Texas House of Representatives
HD 4: Lance Gooden (R-Athens)
HD 6: Skip Ogle (R-Tyler) (challenger)
HD 8: Byron Cook (R-Corsicana)
HD 9: Chris Paddie (R-Marshall)
HD 11: Travis Clardy (R-Nacogdoches)
HD 12: Kyle Kacal (R-Pearland)
HD 13: Lois Kolkorst (R-Brenham)
HD 14: John Raney (R-Bryan)
HD 15: Bruce Tough (R-The Woodlands) (open seat)
HD 18: John Otto (R-Dayton)
HD 20: Marsha Farney (R-Georgetown)
HD 22: Joe Deshotel (D-Beaumont)
HD 24: Greg Bonnen, MD (R-Friendswood)
HD 25: Dennis Bonnen (R-Angleton)
HD 27: Ron Reynolds (D-Missouri City)
HD 28: John Zerwas, MD (R-Richmond)
HD 30: Geanie Morrison (R-Victoria)
HD 31: Ryan Guillen (R-Rio Grande City)
HD 32: Todd Hunter (R-Corpus Christi)
HD 34: Abel Herrero (D-Robstown)
HD 35: Oscar Longoria (D-Mission)
HD 36: Sergio Muñoz (D-Palmview)
HD 37: Rene Oliveira (D-Brownsville)
HD 38: Eddie Lucio III (D-Brownsville)
HD 39: Mando Martinez (D-Weslaco)
HD 40: Terry Canales (D-Edinburg)
HD 41: Bobby Guerra (D-Mission)
HD 42: Richard Raymond (D-Laredo)
HD 43: J.M. Lozano (R-Kingsville)
HD 44: John Kuempel (R-Seguin)
HD 46: Dawnna Dukes (D-Austin)
HD 47: Paul Workman (R-Austin)
HD 48: Donna Howard (D-Austin)
HD 49: Elliott Naishtat (D-Austin)
HD 51: Eddie Rodriguez (D-Austin)
HD 52: Larry Gonzales (R-Round Rock)
HD 53: Rob Henneke (R-Kerrville) (open seat)
HD 54: Jimme Don Aycock (R-Killeen)
HD 55: Ralph Sheffield (R-Temple)
HD 57: Trent Ashby (R-Lufkin)
HD 59: J.D. Sheffield, DO (R-Gatesville)
HD 60: Jim Keffer (R-Eastland)
HD 64: Myra Crownover (R-Denton)
HD 66: Glenn Callison (R-Plano) (open seat)
HD 70: Scott Sanford (R-McKinney)
HD 71: Susan King (R-Abilene)
HD 72: Drew Darby (R-San Angelo)
HD 73: Doug Miller (R-New Braunfels)
HD 74: Poncho Nevarez (D-Eagle Pass)
HD 75: Mary Gonzalez (D-Clint)
HD 76: Naomi Gonzalez (D-El Paso)
HD 77: Marisa Marquez (D-El Paso)
HD 78: Joe Moody (D-El Paso)
HD 79: Joe Pickett (D-El Paso)
HD 80: Tracy King (D-Batesville)
HD 81: Austin Keith (R-Odessa) (open seat)
HD 82: Tom Craddick (R-Midland)
HD 85: Phil Stephenson (R-Wharton)
HD 86: John Smithee (R-Amarillo)
HD 87: Four Price (R-Amarillo)
HD 88: Ken King (R-Canadian)
HD 90: Lon Burnam (D-Fort Worth)
HD 92: Andy Cargile (R-Hurst) (challenger)
HD 94: Diane Patrick (R-Arlington)
HD 95: Nicole Collier (D-Fort Worth)
HD 99: Charlie Geren (R-Fort Worth)
HD 100: Eric Johnson (D-Dallas)
HD 101: Chris Turner (D-Arlington)
HD 103: Rafael Anchia (D-Dallas)
HD 104: Roberto Alonzo (D-Dallas)
HD 107: Ken Sheets (R-Dallas)
HD 109: Helen Giddings (D-Dallas)
HD 110: Toni Rose (D-Dallas)
HD 111: Yvonne Davis (D-Dallas)
HD 112: Angie Chen Button (R-Garland)
HD 114: Jason Villalba (R-Dallas)
HD 115: Bennett Ratliff (R-Coppell)
HD 116: Trey Martinez Fischer (D-San Antonio)
HD 117: Philip Cortez (D-San Antonio)
HD 118: Joe Farias (D-San Antonio)
HD 119: Roland Gutierrez (D-San Antonio)
HD 120: Ruth Jones McClendon (D-San Antonio)
HD 121: Joe Straus (R-San Antonio)
HD 122: Lyle Larson (R-San Antonio)
HD 123: Mike Villarreal (D-San Antonio)
HD 125: Justin Rodriguez (D-San Antonio)
HD 127: Dan Huberty (R-Houston)
HD 128: Wayne Smith (R-Baytown)
HD 131: Alma Allen (D-Houston)
HD 133: Jim Murphy (R-Houston)
HD 134: Sarah Davis (R-West University Place)
HD 136: Tony Dale (R-Cedar Park)
HD 137: Gene Wu (D-Houston)
HD 139: Sylvester Turner (D-Houston)
HD 140: Armando Walle (D-Houston)
HD 141: Senfronia Thompson (D-Houston)
HD 142: Harold Dutton (D-Houston)
HD 143: Ana Hernandez Luna (D-Houston)
HD 144: Mary Ann Perez (D-Houston)
HD 145: Carol Alvarado (D-Houston)
HD 146: Borris Miles (D-Houston)
HD 147: Garnet Coleman (D-Houston)
HD 148: Jessica Farrar (D-Houston)
HD 149: Hubert Vo (D-Houston)

The Texas Medical Association Political Action Committee (TEXPAC) is a bipartisan political action committee of TMA and affiliated with the American Medical Association Political Action Committee (AMPAC) for congressional contribution purposes only. Its goal is to support and elect pro-medicine candidates on both the federal and state levels. Voluntary contributions by individuals to TEXPAC should be written on personal checks. Funds attributed to individuals or professional associations (PAs) that would exceed legal contribution limits will be placed in the TEXPAC administrative account to support political education activities. Contributions are not limited to the suggested amounts. TEXPAC will not favor or disadvantage anyone based on the amounts or failure to make contributions. Contributions are subject to the prohibitions and limitations of the Federal Election Campaign Act. 

Contributions or gifts to TEXPAC or any CMS PAC are not deductible as charitable contributions or business expenses for federal income tax purposes.

Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation, and name of employer of individuals whose contributions exceed $200 in a calendar year. To satisfy this regulation, please include your occupation and employer information. Contributions from a practice business account must disclose the name of the practice and the allocation of contributions for each contributing owner. Should you have any questions, call TEXPAC at (512) 370-1361.

Paid for by the Texas Medical Association Political Action Committee, 401 W. 15th St. Austin, TX 78701.

TMLT Puts $20 Million Into Policyholder Rewards

The Board of Governors of the Texas Medical Liability Trust (TMLT) has voted to dedicate $20 million to its Trust Rewards Program for 2014. TMLT uses Trust Rewards to reward policyholders for their loyalty. 

The allocation brings the Trust Rewards total to $150 million.

"We stand by our Texas physicians and provide them with more benefits than any competitor," said TMLT President and Chief Executive Officer Charles R. Ott Jr. "The Trust Rewards program is an excellent demonstration of TMLT's superior benefits."

Each year when a physician's policy renews, funds are set aside in the Trust Rewards account. The funds will be allocated to policyholders at the time of retirement or other qualifying event.

TMLT, the largest medical liability insurance provider in Texas, is the only medical professional liability insurance provider created and exclusively endorsed by TMA. 

Ten Years of What Has TMA Done for Me Lately?

Jim Bob Brame, MD, a family physician in Eldorado, turns 85 this year. Dr. Brame is a former TMA president who still cares deeply about organized medicine. In a recent speech to the Concho Valley County Medical Society, he gave his colleagues 10 years' worth of reasons for belonging to TMA:

  • 2003 — Passed strong liability reform and a prompt pay law that are working.
  • 2005 — Generated $1 billion-plus in relief for physicians through national class action suits against for-profit insurance companies.
  • 2006 — Prevented onerous taxes on medical practices.
  • 2007 — Won 25-percent increase in Texas Medicaid payments for physicians.
  • 2008 — Convinced Blue Cross and Blue Shield of Texas to rescind a plan to rate physicians on how cheaply we care for our patients.
  • 2009 — Won passage of a bill defining fair rating plans for physicians.
  • 2010 — Opposed passage of President Obama's Affordable Care Act (which doesn't seem to be working very well).
  • 2011 — Defended physicians' clinical autonomy by protecting the ban on the corporate practice of medicine, and outlawed anonymous complaints to the Texas Medical Board.
  • 2012 — Restored state payment of the Medicare Part B deductible for patients covered by both Medicare and Medicaid.
  • 2013 — Won passage of a bill defining physician-led, team-based care, stopping nurse practitioners' drive for independent practice.  

For 2014, the association is preparing to launch the TMA Physician Services Organization, which will provide products and services to help physicians survive against the big-money hospitals and insurance companies that want to gobble us up.

If you like this list, share it with nonmembers and ask them to join TMA and their county society. 

And if you haven't paid your 2014 dues yet, it's past time. Please renew today.  

Register for ICD-10 Testing Week by Feb. 28

During March 3-7, Medicare will conduct national tests for submitting claims using the ICD-10 coding system. The testing week will give you access to the Novitas Common Electronic Data Interchange (CEDI) for testing, with real-time help-desk support.

To help you get ready, Novitas Solutions, the Medicare carrier for Texas, has added a Frequently Asked Questions section to its website.

Please continue to check the Frequently Asked Questions as you prepare to test. Registration for testing week continues through Feb. 28. You can register online.

Clearinghouses and billing services are only required to enroll with one of their submitter IDs. Physicians and providers linked to a clearinghouse or billing service do not need to enroll.

Call (855) 252-8782 for more information.

Remember, you must begin using the ICD-10 system on claims to Medicare and all other payers starting Oct. 1, 2014, or you will not be paid. 

The TMA website offers information to help you make the transition to ICD-10, including answers to frequently asked questions, detailed timelines and checklists, an on-demand webinar, questions you need to ask your electronic health record vendor, and access to transition software. 


Deadlines to Attest for EHR Incentive Programs Approach

For physicians who participated in the 2013 Medicare electronic health record (EHR) incentive program, the deadline to attest to meaningful use is quickly approaching. Physicians hoping to receive the incentive must attest no later than Feb. 28, 2014, by 10:59 pm CT. 

For physicians participating in the Medicaid EHR incentive program, the deadline is March 16.

TMA urges you not to wait until the last minute. You should attest as soon as possible due to the increasing volume of visitors on the Center for Medicare & Medicaid Services Registration and Attestation website as the deadline approaches. Give yourself enough time to resolve any issues that may come up during the attestation process. These resources are good to have on hand when preparing for attestation:  

For more information about the EHR incentive programs, contact TMA's Health Information Technology Department by telephone at (800) 880-5720 or by email.

And to stay up-to-date on all the pending regulatory deadlines that could affect your practice and your patients, check TMA's Deadlines for Doctors at least once a month. 

TexMed 2014 Registration Is Now Open

Register today for TMA's free annual conference, and join thousands of fellow Texas physicians, as TexMed 2014 descends on Fort Worth May 2-3 for a weekend of continuing medical education (CME) events, networking, policymaking, and all-around fun. TexMed is TMA's largest event of the year, offering more than 80 hours of available CME, an extensive gathering of exhibitors to help with every aspect of your practice, and, of course, this year's keynote speaker, Zubin Damania, MD ― perhaps better known for his alter ego and street persona, ZDogg, MD.

Practicing medicine today involves a dizzying array of regulations, standards, electronic health records, and payment plans that interfere with physicians' ability to develop a positive, productive medical culture. In his TexMed General Session presentation, Redefining the Culture of Medicine, Dr. Damania will delve into the ethical challenges of delivering excellent care in our dysfunctional health care system and will propose ways to revitalize it. In his new clinic, Dr. Damania seeks to break down the barriers, bringing together physicians and frontline health care professionals to mend the system and put autonomy back into health care.

Be sure to connect with Dr. Damania at before attending TexMed 2014. And check out ZDogg's personal invitation for you to go to Fort Worth.

For a full schedule of events, CME, exhibitors, lodging information, and fun things to do in and around Fort Worth, visit the TexMed 2014 webpage, and be sure to register today to reserve your spot so that you can enjoy this free benefit of your TMA membership.  

Free DocbookMD Update Now Available

Version 5.3 of TMA's endorsed secure communication app DocbookMD is now available for free in the Apple App Store and on Google Play. This latest update sees some major improvements to the user interface, most noticeably in the organization and navigation of messages and upgrades for your "favorites" list. 

Among other new features, version 5.3 now stores your favorites in the DocbookMD cloud, synced with any device you log into, and persistent when uninstalling or upgrading the app.

In many situations, texting is the fastest and most efficient way to send information, and reports show that texting among physicians is widespread and that physicians are texting clinical information. Physicians who text each other clinical information risk exposing themselves to HIPAA privacy and security violations, but DocbookMD mitigates that risk by combining the ease and mobility of texting within a HIPAA-secure framework.

DocbookMD is a free benefit of your TMA membership that you can start taking advantage of immediately. Across the country, DocbookMD is offered as a free benefit through county and state medical societies and is now used by more than 20,000 physicians in 38 states.

To begin using DocbookMD, download the app to your smartphone or tablet and follow the registration instructions. For more information or help registering, contact the TMA Knowledge Center, and be sure to view these video tutorials on how to use DocbookMD.  

TMAIT Action Ad 4.13    


What to Report to the Health Authorities

The Department of State Health Services (DSHS) has released the latest Texas Notifiable Conditions for 2014. DSHS updates the list yearly to identify all conditions, diseases, and expressions of disease that under state law must be reported to state or local public health authorities. While most notifiable conditions must be reported within one week, for many other cases or suspected cases of illness, more timely requirements apply. 

The new list, which goes into effect April 1, 2014, includes two multidrug resistant organisms: carbapenem-resistant Enterobacteriaceae and multidrug-resistant Acinetobacter. Also, severe acute respiratory syndrome has been replaced by a more inclusive "Coronavirus, novel causing severe acute respiratory disease."

The list provides additional condition-specific information on reporting. You should make most reports directly to your local or regional health department. While your county disease reporting contact may develop a customized form for reporting, you also may report by telephone to the state office at (888) 963-7111. For notifiable conditions requiring an immediate report, you may report by telephone 24/7 at (800) 705-8868.

Physicians Foundation Examines ACA Rollout

Despite its rocky start, the Affordable Care Act is well under way to being implemented nationwide. As of mid-January, nearly 2.2 million people had selected a health insurance plan through the exchange marketplace. 

Physicians continue to grapple with confusion over certain issues of ACA implementation, including political and budget issues at the federal and state levels and how those issues will affect their practices in the years ahead. 

A comprehensive new report from The Physicians Foundation, The Patient Protection and Affordable Care Act: From Theory to Boots on the Ground, examines critical issues facing the implementation of health insurance exchanges and ongoing challenges of health reform, including state Medicaid programs. The 48-page white paper also provides perspective on critical matters facing physicians in the years ahead. 

Boots on the Ground covers:  

  • Significant near-term ACA issues such as the congressional defunding movement; decisions by states, including Texas, not to expand their Medicaid programs; and the extensive technological challenges associated with the federally facilitated exchanges and the federal Data Services Hub. 
  • The Small Business Health Option exchanges for physicians who are small employers.
  • The potential for final action on the Medicare fee schedule. 

Follow-up reports on ACA implementation and the Medicare program are scheduled to be released by The Physicians Foundation later this year. 

Apply for a Grant for a Vaccination Event by March 1

Flu season hit Texas hard this year. Help keep your community healthy next flu season by hosting a vaccination clinic. Money is available. Apply now for a grant from TMA's Be Wise — ImmunizeSM to cover the cost for your flu shot clinic or other vaccination event. 

TMA is accepting applications until March 1 for Be Wise local impact grants of up to $2,000. Physicians, medical students, TMA Alliance chapters, and county medical societies can use the funds for free or low-cost shot clinics for children, adolescents, or adults. Any recommended vaccination qualifies. Awardees have up to 12 months to use the funds. 

Need help planning your event? Check out the Be Wise — Immunize Quick Start Manual: A Step-by-Step Vaccination Outreach Guide and Be Wise Event Ideas. Contact Tammy Wishard, TMA's outreach coordinator, at (512) 370-1470 to find out more about how to bring a vaccination event to your community.

Be Wise — Immunize is a joint initiative led by TMA physicians and the TMA Alliance. Funding for Be Wise — Immunize is provided by the TMA Foundation thanks to generous support from H-E-B, the TMF Health Quality Institute, and gifts from physicians and their families. 

Be Wise — Immunize is a service mark of the Texas Medical Association.

Mobile App Publishes Choosing Wisely Recommendations

iTriage, an application that helps patients answer common medical questions, will make some Choosing Wisely® recommendations accessible to the public via its free mobile and web platforms.

Choosing Wisely, an initiative of the ABIM Foundation, promotes conversations between physicians and patients based on evidence provided by specialty societies that have identified tests or procedures that should be discussed. Some campaign materials will be available to iTriage’s users across the country. With access to the Choosing Wisely recommendations on iTriage’s web and mobile applications, patients can participate more effectively in their health care decisions.

Among the recommendations that will be published by iTriage are these from three specialty societies:   

  • American College of Physicians: Do not obtain imaging studies in patients with nonspecific low back pain.
  • American College of Cardiology: Do not perform stenting of nonculprit lesions during percutaneous coronary intervention for uncomplicated, hemodynamically stable ST-segment elevation myocardial infarction (STEMI).
  • American Society of Nuclear Cardiology: Do not perform radionuclide imaging as part of routine follow-up in asymptomatic patients.   

The iTriage app can be downloaded for free through the Apple iTunes App Store and the Google Play Android Market, or you may use the iTriage website.

The ABIM Foundation awarded TMA and its philanthropic arm, the TMA Foundation, a grant to advance the Choosing Wisely campaign among Texas physicians. Support for the grant program comes from the Robert Wood Johnson Foundation.   


    PC Action Ad July 13   

Apply for AMA Leadership Award by March 14

Want to positively influence the future of health care for patients and the community by becoming a recognized leader in the profession? An American Medical Association Foundation program offers training to hone your skills as part of its Leadership Award program. Apply for a Leadership Award by March 14.

Each year, the AMA Foundation honors a select group of young physicians, residents, and medical students who exemplify the profession's highest values: altruism, leadership, and dedication to improving public health. Applicants must demonstrate outstanding leadership in advocacy, community service, public health, and/or education.

"As future physicians, I think we all try to be advocates for our patients, to serve our communities, and to shape the future health care environment," said 2013 Leadership Award winner and TMA member Justin Berk, a third-year medical student at Texas Tech University Health Sciences Center. "Most of the recipients of this award recognized the overlap in these services and worked hard to be good physician leaders. I hope to be a leader in my community, to serve as an advocate for my patients, and to mobilize my peers to be politically active."

Leadership Award winners will be honored at the Excellence in Medicine Awards ceremony during the AMA Annual Meeting in June and will be invited to attend leadership development training. Recipients will be reimbursed for travel and hotel accommodations to attend the awards ceremony and leadership training.

Step Up to Leadership

If you're running a medical staff, you won't want to miss the upcoming Stepping Up to Leadership conference. Scheduled for March 6-8 at the Loews Coronado Bay Resort in San Diego, Calif., the conference is a great chance to learn or polish the practical skills you need every day. 

The Stepping Up to Leadership program, offered by the Institute for Medical Quality (IMQ) and the PACE Program at the University of California San Diego, trains medical staff leaders in communicating, problem-solving, and improving outcomes for patients and staff. With significant support from The Physicians Foundation, the program provides unique hands-on and interactive learning opportunities. 
Course work provided by the program's excellent faculty includes:  
  • Effective staff leadership, 
  • Credentialing and privileging, 
  • Assessing the needs of an organization, 
  • Using continuing medical education effectively, 
  • Resolving on-call issues, 
  • Improving communication skills, 
  • Using quality measures effectively, 
  • Legal considerations, and 
  • Managing disruptive or impaired colleagues.    
A generous grant from The Physicians Foundation allows IMQ and PACE to offer Stepping Up to Leadership registration fees as low as $795. For more information, visit the program website.

This Month in Texas Medicine

The February issue of Texas Medicine explains how physician practices are staying financially viable, why the TMA Council on Education is considering new policy on medical licensing exams, how legislators responded to the 2013 Texas Health Perception Survey, and the progress being made by health information exchanges in the state. By reading an article on meaningful use and quality improvement and then completing a post-test and evaluation, you may earn continuing medical education credit.

Check out our digital edition.

Texas Medicine RSS Feed

Don't want to wait for Texas Medicine to land in your mailbox? You can access it as an RSS feed, the same way you get the TMA Practice E-Tips RSS feed.

E-Tips RSS Feed

TMA Practice E-Tips, a valuable source of hands-on, use-it-now advice on coding, billing, payment, HIPAA compliance, office policies and procedures, and practice marketing, is available as an RSS feed on the TMA website. Once there, you can download an RSS reader, such as Feedreader, Sharpreader, Sage, or NetNewsWire Lite. You also can subscribe to the RSS feeds for TMA news releases and for Blogged Arteries, the feed for Action.

 This Just In ...

Want the latest and hottest news from TMA in a hurry? Then log on to  Blogged Arteries.   

TMA Education Center

The TMA Education Center offers convenient, one-stop access to the continuing medical education Texas physicians need. TMA's practice management, cancer, and physician health courses are now easier than ever to find online. 


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 Cultural Competence: Putting Patients First  
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Healthy Physicians: Healthy Patients 
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 Action, the TMA newsletter, is emailed twice a month to bring you timely news and information that affects your practice

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Last Updated On

November 09, 2017