Action: Aug. 15, 2014

TMA Action Aug. 15, 2014   News and Insights from Texas Medical Association

HHS Officially Sets ICD-10 Deadline for Oct. 1, 2015
PQRS: Deadline Nears for Group Registration
Additional Ebola Virus Guidance
Virtual Kidnappers Target Texas Physicians
TMA Members: Be a Part of TEDMED
TMB Puts Office-Based Anesthesia Inspections on Hold
Medicaid Meaningful Use Training Modules Available
Comptroller Mails Business Transaction Forfeiture Notices
Teacher Retirement System Contract Transfers to Aetna
Attend TMA Fall Conference Sept. 12-13
HIPAA Security Compliance Seminar From TMA
Free TMA Publication: Business Basics
Give Helmets in Your Office for Hard Hats' 20th Birthday
True Savings of Mobile HIPAA-Secure Communication
TMA Foundation Releases Annual Report
This Month in Texas Medicine  

HHS Officially Sets ICD-10 Deadline for Oct. 1, 2015

On July 31, the U.S. Department of Health and Human Services (HHS) issued a rule setting Oct. 1, 2015, as the new compliance date for health care professionals, health plans, and health care clearinghouses to transition to ICD-10. HHS says the deadline gives physicians, insurance companies, and others in the health care industry time to ramp up their operations to ensure their systems and business processes are ready to go on Oct. 1, 2015.

"ICD-10 codes will provide better support for patient care and improve disease management, quality measurement, and analytics," Marilyn Tavenner, administrator of the Centers for Medicare & Medicaid Services (CMS), said in a press release. "For patients under the care of multiple providers, ICD-10 can help promote care coordination."

TMA continues to oppose ICD-10 implementation but is committed to helping physicians get ready for the new coding system. The U.S. Congress in March pushed the ICD-10 implementation deadline one year to Oct. 1, 2015, with passage of the Protecting Access to Medicare Act. This represented the third ICD-10 deadline extension.

The TMA House of Delegates adopted a resolution directing TMA to "work to permanently delay the implementation of ICD-10" at TexMed 2014 in May. 

CMS plans to implement end-to-end testing in 2015 to help ensure physicians are ready for the ICD-10 transition. For additional information about ICD-10, visit the CMS website or the TMA website.

In addition, TMA encourages you to take the Workgroup for Electronic Data Interchange (WEDI) survey. As an advisor to HHS on HIPAA, WEDI has been conducting periodic surveys on the industry's readiness for ICD-10. The results of this survey will be reported to HHS and CMS, which has oversight of ICD-10 compliance. Use this link to provide your input on your readiness for ICD-10. Responses are due by Aug. 21. 

PQRS: Deadline Nears for Group Registration

Group practices that plan on participating in the 2014 Physician Quality Reporting System (PQRS) program year through the group practice reporting option (GPRO) must register by Sept. 30, 2014. This deadline does not apply to physicians who will participate in the 2014 PQRS program year as individual eligible professionals (EPs) or to physicians in a group practice who will participate in the 2014 PQRS program year as individual EPs. 

Group Practice
According to the Centers for Medicare & Medicaid Services (CMS), a group practice under the 2014 PQRS program year is defined by a single tax identification number (TIN), with two or more individual EPs, as identified by an individual national provider identifier, who have reassigned billing rights to the TIN. Group practices will be categorized by group size: two to 24 EPs, 25 to 99 EPs, and 100 or more EPs. Keep in mind GPRO reporting requirements and reporting method options vary based on the size of a group practice. 

2014 PQRS Reporting Options (All cover the period from Jan. 1 through Dec. 31, 2014):

Aug 15 14 Action PQRS Reporting Table

GPRO Benefits 
There are benefits to participating as a group practice under GPRO, including: 
  • Group practices may report one set of quality measures data on behalf of all EPs in the group (rather than having each EP report data individually), and 
  • Group practices may receive a larger incentive at the TIN level, which is 0.5 percent of all Medicare Part B Physician Fee Schedule claims for covered professional services furnished during 2014. 

Where and How to Register
Group practices may register through the online PV-PQRS Registration System now through Sept. 30, 2014. Group practices that previously reported under GPRO and plan on reporting PQRS data again via GPRO must register every year. 

To register for the 2014 PQRS GPRO: 

  1. Go to On the right side, select Login to CMS Secure Portal.
  2. After accepting the terms and conditions, enter your Individuals Authorized Access to CMS Computer Services (IACS) user ID and password in the Welcome to CMS Enterprise Portal screen. Select Log In to continue.
  3. Select the PV-PQRS tab at the top of the screen, and select Registration from the drop-down menu.
  4. You will see a screen where the group practice(s) and EP(s) (if applicable) associated with your IACS account are listed. To register a group practice for the first time, select the Register link to the right of the group practice you want to register. 

If reporting via a qualified registry, consider one of TMA's endorsed, qualified registries. PQRSwizard, and Covisint PQRS provide simple and cost-effective ways for EPs to collect and report quality measures data for the 2014 PQRS program year. Visit the TMA website to learn more.

PQRS CME Webinar
Don't know where to start with PQRS? TMA offers continuing medical education on the 2014 PQRS program year.

PQRS GPRO Resources
For additional PQRS GPRO information, visit:  

For answers to PQRS questions, contact the CMS QualityNet Help Desk, Monday through Friday, 7 am to 7 pm (CT), by phone, (866) 288-8912, or email. You can also contact the TMA Knowledge Center by phone, (800) 880-7955, or email.

Additional Ebola Virus Guidance

Recent cases of Ebola virus disease (EVD) underscore the potential for travel-associated spread of the disease and the risks of EVD to health care workers, according to the Centers for Disease Control and Prevention (CDC), which issued a health advisory July 28.

Nigerian health authorities confirmed a diagnosis of EVD in a patient who died in a hospital in Lagos, Nigeria, after traveling from Liberia on July 20. The report marks the first Ebola case in Nigeria linked to the outbreak in the West African countries of Guinea, Sierra Leone, and Liberia. Health authorities also reported two U.S. citizens working in a hospital in Monrovia, Liberia (including one Texas physician), have confirmed Ebola virus infection.

CDC says that while the possibility of infected people entering the United States remains low, U.S. health care workers should consider EVD in the differential diagnosis of febrile illness, with compatible symptoms, in any person with recent (within 21 days) travel history in the affected countries and consider isolation of those patients meeting these criteria, pending diagnostic testing. 

Visit the CDC website for more information on EVD and for interim guidance on EVD for health care workers

Virtual Kidnappers Target Texas Physicians

TMA wants to alert you about a disturbing development that hit the family of medicine in the past several weeks.

On separate occasions, individuals contacted physicians in San Antonio, El Paso, and Corpus Christi and claimed to have kidnapped the doctor’s child with the intent to extort money from the physician. Ultimately, no physical harm came to any physician or their family, and no actual kidnappings occurred. 

The Federal Bureau of Investigation (FBI) office in San Antonio has more reports of physicians victimized by the scheme.

"This year, during the months of June and July, the FBI received multiple reports indicating physicians in McAllen, Laredo, Brownsville, and Del Rio, Tex., were contacted in attempts to collect extortion payments in 'virtual kidnapping' schemes," the FBI states.

The number of virtual kidnappings is increasing, and the perpetrators of these schemes may be targeting physicians in South Texas, the FBI says. 

The San Antonio FBI said an individual or an organization calls the victim and demands payment for the return of a kidnapped family member or friend. While no actual kidnapping occurred, the callers use co-conspirators, who sometimes scream for help in the background, to convince their victims of the legitimacy of the threat.

Callers, who sometimes say they are members of a drug cartel or corrupt law enforcement entity, typically demand an immediate ransom payment via wire transfer to ensure safe return of the allegedly kidnapped loved one. 

The victimized TMA member physicians are working with local law enforcement to determine how and where the criminals are getting physicians' personal information, including family members' names. Even though TMA does not keep the names of physicians' children in its member data and therefore cannot be the source of this information, we are working to assist the county medical societies in the affected counties.

For tips on how to avoid falling victim to the scheme, see the FBI’s news release. TMA will update you with new information as it becomes available.


TMA Members: Be a Part of TEDMED

TEDMED is where the world's most creative minds meet health care's most innovative scientific concepts. And that's why you need to be there.

TEDMED is the annual, health-care focused conference sponsored by the internationally renowned TED Talks. "Unlocking Imagination" is the theme of TEDMED 2014, which will take place in Washington, D.C., and San Francisco, Sept. 10-12. Like the TED Talks, TEDMED is famous for engendering discussions of "way-out-of-the-box" solutions to society's most pressing problems. The talks are streamed live to audiences worldwide via organizations preapproved by the TEDMED team. TMA members are preapproved for this exciting experience.

As a special benefit of membership, TMA member physicians can watch the thought-provoking TEDMED talks live from Washington, D.C., and San Francisco. Just connect via the TEDMED mobile application. Early in September, you can download the 2014 TEDMEDConnect mobile app in your app store. When prompted, input the TMA location ID L67538 and your personal email address.

Using the app, you can: 

  • Connect "live" to the speakers on the TEDMED stage and ask them questions or transmit comments.
  • View an up-to-the-minute TEDMED schedule.
  • View and upload photos from TEDMEDLive viewing locations.
  • Participate in live polls and games.
  • Request a follow-up "Science Kit."
  • Download the conference program.
  • Connect to Facebook and Twitter. 

Have plans to be in Austin that week? Please join us for TEDMED week in Austin. In a spirit of collaboration and information-sharing, TEDxAustin, TMA, The University of Texas at Austin, and Seton Healthcare Family are pleased to present an HD live simulcast of TEDMED throughout the city. To enhance your experience, we will provide live speakers at each location to promote discussion and idea exchange around the topic "Imagine the Future of Medicine: A Better, Smarter, Healthier Austin." We invite you to register and attend for free.

If you're coming to the TMA 2014 Fall Conference, you can watch the live stream from TEDMED on Friday, Sept. 12, 7 am-7:30 pm in the Scribes Club at the Hyatt Lost Pines in Bastrop. 

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 clarifies the temporary hold doesn't exempt physicians from complying with OBA board rules. 

"Each physician who provides anesthesia services or performs a procedure for which anesthesia services are provided in an outpatient setting, including the use of analgesics and anxiolytics, must register and pay a fee to the Texas Medical Board. The current fee for office-based anesthesia is a total of $210 per physician," the newsletter states.

Rules stipulate physicians also must identify the level of anesthesia services provided at each practice site. OBA registration is part of physicians' biennial registration. 

According to the TMB website, the board will give physicians at least five days' notice before inspection and will request information from registered physicians at or before the time of inspection. 

Medicaid Meaningful Use Training Modules Available

The federal electronic medical record (EHR) 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.

Physicians interested in participating in the Medicaid meaningful use program or needing a refresher should view the Texas Medicaid EHR Incentive Program self-paced training modules. As a reminder, physicians can't receive money from both Medicaid and Medicare EHR incentive programs; they must choose one.  

The Texas regional extension centers (RECs) have received grants from Medicaid to assist physicians with the EHR incentive program if they are serving patients that meet certain health priorities as defined by Medicaid. Physicians should call their local REC to see if they qualify for this assistance.

Physicians who have questions related to the EHR meaningful use program can contact TMA's Health Information Technology Department by phone at (800) 880-5720 or email

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." 

Practices legally formed as limited liability partnerships (LLPs), limited liability companies (LLCs), professional associations, or other corporate forms are subject to the franchise tax. The Texas Comptroller of Public Accounts mailed the notices Aug. 8 to those taxable entities that failed to file the 2014 franchise tax report by May 15.

By law, the right to transact business can't be forfeited before 45 days from the date the comptroller mails the notice. A company's status will remain active on the comptroller's Taxable Entity Search during this period, but the practice should act immediately to address the problem. 

Practices that filed for and received an extension have until Nov.15 to file the 2014 franchise tax report.

TMAIT Action Ad 7.14

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 (BCBSTX) to Aetna. The change does not impact TRS retirees.

TMA has compiled the following list of answers to commonly asked questions to help member physicians work through this transition.

Q. I provided services to a TRS-ActiveCare enrollee in August and will file the claim for payment in September. Will I file the claim to Aetna or to BCBSTX?

A. BCBSTX is responsible for paying all TRS-ActiveCare claims for services provided through Aug. 31, 2014. If services you provide run through August into September, you will need to split the claim by date of services and bill each portion to the correct plan.

Q. What Aetna networks does TRS-ActiveCare use for its plans?

A. The TRS-ActiveCare 1-HD and TRS-ActiveCare 2 plans are Aetna Choice POS II plans. TRS-ActiveCare Select uses the Aetna Select (Open Access) network or the Aetna Whole Health network, depending upon the patient's county of residency. If you are unsure whether you are participating in any of these networks, call Aetna to verify your network status. You also can view the current Aetna TRS-ActiveCare participating physicians in DocFind

Q. Does TRS-ActiveCare have an exclusive laboratory arrangement?

A. Aetna TRS-ActiveCare has an exclusive arrangement with Quest. Depending upon the patient's TRS-ActiveCare plan, laboratory services Quest provides may be covered at 100 percent. Other laboratories may or may not be in the Aetna-TRS ActiveCare network. Check the Aetna TRS-ActiveCare provider directory to determine network status.

Q. Is Aetna also managing the prescription drug benefit for TRS-ActiveCare enrollees?

A. No. Caremark now manages the prescription drug benefit.

Q. I am an obstetrician-gynecologist with a pregnant patient who is enrolled in TRS-ActiveCare. I am not participating in the Aetna TRS-ActiveCare network. How can this patient continue to see me after Sept. 1, 2014?

A. Your patient MUST complete a Transition Coverage Request form and submit it to Aetna TRS-ActiveCare. Aetna will accept the form before the Sept. 1, 2014, transition date. Your patient should have you complete the provider information and diagnostic/treatment information sections of the form.  

Q. How are newborns covered by TRS-ActiveCare?

A. TRS-ActiveCare automatically provides coverage for a newborn child of a covered employee for the first 31 days after the date of birth. To add coverage for the newborn, the covered employee must notify his or her benefits administrator within 60 days after the date of birth. The current enrollment guide also states that the covered employee has up to one year after the newborn's date of birth to add the newborn to coverage if the employee had "employee and family" or "employee and children" coverage with TRS-ActiveCare at the time of birth. TMA has asked Aetna to provide more clarification on this allowance because we have concerns about what the effective date of coverage will be for the newborn and how claims will be processed since they could be past the filing deadline. Once we receive guidance from Aetna, we will update this FAQ.

Q. I obtained authorization from BCBSTX TRS-ActiveCare for a procedure but won't perform it before Aug. 31, 2014. Will the authorization transfer to Aetna TRS-ActiveCare?

A. BCBSTX is providing Aetna with data files of all approved authorizations. TMA recommends contacting Aetna TRS-ActiveCare to verify the authorization is on file. We have asked Aetna TRS-ActiveCare how it will handle appeals if it denies a claim for no authorization when the physician obtained one under BCBSTX. Once we receive guidance from Aetna, we will update this FAQ.

Q. How can I identify which TRS-ActiveCare plan my patient selected?

A. See the examples below of TRS-ActiveCare ID cards. All ID cards will have the ActiveCare logo. If the patient is enrolled in TRS-ActiveCare Select and resides in one of the counties using the Aetna Whole Health accountable care organization (ACO) network, the applicable ACO will be identified on the front of the ID card. See the breakdown below of counties and the Aetna Whole Health networks. Be aware: TRS-ActiveCare Select has NO out-of-network benefits. Unless the services were for emergency care, the patient will be responsible for all the charges. TMA recommends practices obtain a copy of their patient's new Aetna TRS-ActiveCare insurance card and verify eligibility with Aetna. Insurance cards are being mailed to patients; however, it's important to note that an enrollee who changed his or her plan selection after Aug. 11, 2014, will receive an updated card in the mail. Verify that your patient is providing you a copy of the correct insurance card for the date of service.

Aetna Active Care Select Chart

Important Aetna and Caremark TRS ActiveCare Links

Aetna TRS ActiveCare

Teacher Retirement System (TRS) of Texas

TRS Enrollment Guide for Enrollees

Aetna Precertification Lists

Caremark TRS ActiveCare

Caremark TRS ActiveCare Drug List

Caremark TRS ActiveCare List of Drugs Removed from Formulary

Texas School Districts Participating in TRS

Attend TMA Fall Conference Sept. 12-13


TMA Fall Conference Focuses on a Healthy Future

Join your colleagues Sept. 12-13 to be part of the 2014 TMA Fall Conference movement to "Focus on a Healthy Vision for Texas" at Hyatt Regency Lost Pines Resort & Spa.

TMA's release of Healthy Vision 2020 in May 2012 identified the needs and laid the groundwork for the future of health care in Texas. Now that our target is on the horizon, it's time to refocus our efforts to ensure the continued success of our mission.

Conference Topics

  • Texas legislative update w Sen. Jane Nelson (R-Flower Mound);
  • TMA's current and future Healthy Vision 2020 goals by Dawn C. Buckingham, MD;
  • How Texas physicians can increase their community leadership by Michael J. Deegan, MD;
  • How to get involved in the Choosing Wisely® campaign by Donald E. Wesson, MD; and
  • Review of Texas legislative candidates by Evan Smith of The Texas Tribune.

Saturday's session begins at 7:30 am with a Dawn Duster on Critical Competencies for Contemporary Physician Leaders.   The speaker is Michael J. Deegan, MD, DM, clinical professor of Healthcare Leadership & Innovation. He will discuss the current transformation of American health care delivery and financing, where physician leadership is increasingly recognized as critical for a successful outcome in a high-stakes transition. 

Among our General Session presenters is Donald E. Wesson, MD, speaking on Choosing Wisely and how it promotes conversations between physicians and patients to ensure the right care is delivered at the right time. The ABIM Foundation awarded TMA and its philanthropic arm, the TMA Foundation, a grant to advance Choosing Wisely among Texas physicians. Support for the grant program comes from the Robert Wood Johnson Foundation. Dr. Wesson is the immediate past chair of the American Board of Internal Medicine (ABIM) Foundation Board of Trustees. Read more about Choosing Wisely in the August issue of Texas Medicine.

Our meeting will end with a discussion on the legislative candidate race dynamics and what that means for Texas health care as presented by Evan Smith, CEO and president, The Texas Tribune.

Registration and Housing

Register online on the TMA website today. The Hyatt Regency Lost Pines has sold out of sleeping rooms for Friday, Sept. 12. 


Contact TMA Knowledge Center at (800) 880-7955 or knowledge[at]texmed[dot]org

HIPAA Security Compliance Seminar From TMA

The HIPAA Security Rule addresses administrative, physical, and technical safeguards for electronic protected health information (e-PHI). This governs e-PHI in all forms of electronic media, including computer hard drives and servers, CDs, DVDs, SD cards, external hard discs, smartphones, and tablets. Failure to secure these electronic versions of patient information can be costly.

In May, two New York-based health care organizations reached the largest HIPAA breach settlement in history — a combined $4.8 million — with the U.S. Department of Health and Human Services Office for Civil Rights. Federal agencies are taking HIPAA breaches seriously, and physicians should proactively implement and regularly review their compliance measures.

HIPAA Security: The Keys to Compliance, a new TMA seminar, will give you an overview of the HIPAA Security Rule and provide techniques you can use to identify and address any HIPAA deficiencies in your practice. This is a perfect opportunity for you and your staff to jump ahead of the curve on HIPAA security readiness.

Live seminars begin in Houston on Sept. 9, and continue throughout the month in cities across the state. If you can't attend in person, register for the live webcast, and participate via the Internet on Sept. 25 from your home or office.

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.

Business Basics for Physicians guides you through essential business skills like hiring and managing staff, developing a budget, crafting administrative policies and procedures, and promoting the practice. Learn more on the TMA website, or download now. 

Give Helmets in Your Office for Hard Hats' 20th Birthday

TMA's Hard Hats for Little Heads program is planning a statewide giveaway in October to mark the program's 20th birthday, and we invite you to host a local celebration. If a community event isn't for you, consider purchasing a few helmets to hand out in your office to help us reach our goal of giving away 5,000 helmets in October.

When you purchase up to 50 helmets, TMA will match your purchase with the same number of free helmets. Helmets are $7.35 each, including shipping. As a bonus, TMA will publicize all October giveaways to Texas media outlets. 

To order your helmets, contact Tammy Wishard, TMA's outreach coordinator, by phone at (512) 370-1470 or by email. Be sure to include helmet sizes and a shipping address. Contact Tammy if you want to request an order packet for a larger event or if you have questions. 

Hard Hats for Little Heads is made possible through a grant from TMA Foundation thanks to top donors — Blue Cross and Blue Shield of Texas, Prudential, and two anonymous foundations — and generous gifts from physicians and their families and friends of medicine. 

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.

Case Study
While staffing the emergency department, Suneet Singh, MD, saw a patient complaining of feeling faint. He ordered an EKG. Dr. Singh experienced a moment of relief when the bedside nurse reported the patient was simply suffering from tachycardia, but a closer examination of the EKG raised suspicion of something more serious. He quickly sought confirmation from the on-call cardiologist by sending him a high-resolution image of the EKG via DocbookMD. Within minutes, the cardiologist confirmed the patient's heart was actually in supraventricular tachycardia and required immediate intervention. Because of direct communication with the consulting cardiologist, Dr. Singh initiated an intravenous medication that corrected the abnormal rhythm and was able to discharge the patient home directly from the emergency department. This ability to instantly connect: 

  • Improved outcomes, patient satisfaction, and workflows; 
  • Saved time and money; and
  • Facilitated care coordination. 

DocbookMD is available to all TMA members as a free member benefit. Across the country, more than 25,000 physicians in 41 states use DocbookMD, further connecting the community of medicine. 

DocbookMD is available for iPhone, iPad, and Android devices, as well as PC and Mac. The app can be downloaded using the Apple App Store or Google Play.

Docbook Enterprise offers a scalable and secure way for groups, hospitals, and accountable care organizations to meet a wide variety of workflow needs and enhance existing technology systems. To introduce the Enterprise version of DocbookMD to your hospital or large group, contact DocbookMD Director of Partnerships Chad Shepler by email or phone, (512) 383-5822.

TMA Foundation Releases Annual Report

Donors and volunteers are creating a Healthy Now and a Healthy Future, as you'll see in the TMA Foundation (TMAF) 2013 Annual Report.

Each TMAF-funded program links to TMA's strategic plan through a focus on prevention, quality of care, access to care, and educating Texans to make smart health decisions.

From small Texas towns to big Texas cities, you'll see the impact TMA and TMA Alliance members are making when they collaborate with businesses and communities that share the vision of "improving the health of all Texans."

This Month in Texas Medicine

The August issue of Texas Medicine tells the story of 100-plus physicians around the state who learned their Social Security numbers had been stolen after attempting to file their 2013 taxes. The issue also highlights legislation that has the potential to relieve administrative hassles in Medicaid managed care, the increasing use of medical scribes by physicians, TMA's support of postexposure prophylaxis, the new osteopathic medical school dean, and physicians who embrace Choosing Wisely.

Click to launch the 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.   

Deadline for Doctors

TMA's Deadlines for Doctors alerts you and your staff to upcoming state and federal compliance timelines and offers information on key health policy issues that impact your practice.


PQRS: Deadline to Register to Participate in GPRO for 2014   


HIT: First-Year Participants: Deadline to Attest to Meaningful Use for the 2014 Medicare EHR Incentive Program  

HIT: Upgrade EHR for Meaningful Use Stage 2

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.  

On-Demand Webinars

Dealing with Difficult Patients 
Making Discussions About Death and Dying Easier 
Meaningful Use: Information Technology Bundle   

Physician Health and Wellness, ext. 1342

 Physician Well-Being for Life  
10/24-25 Dallas                  

Healthy Physicians: Healthy Patients 
9/27    El Paso  
10/4    Tyler  

About Action       

 Action, the TMA newsletter, is emailed twice a month to bring you timely news and information that affects your practice

To change the email address where you receive Action, go to Member Log-In on the TMA website, then click on "Update Your TMA Demographic Information (including newsletter subscriptions and preferences)."

To unsubscribe from Action, email TMA's Communication Division at tmainfo[at]texmed[dot]org.

If you have any technical difficulties in reading or receiving this message, please notify our managing editor, Shari Henson. Please send any other comments or suggestions you may have about the newsletter to Crystal Zuzek, Action editor.

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Last Updated On

November 09, 2017