Action: Sept. 1, 2015

 TMA Action Sept. 1, 2015   News and Insights from Texas Medical Association

Effective Sept. 1: Lower Taxes, Greater Plan Accountability, and More
DPS Automatically Renewed Current, Active CSR Permits
Medicaid Not Jumping at TMA’s 1115 Waiver Ideas
TMA Tips on Move to ICD-10
TMA Survey Says Texas Doctors Concerned About ICD-10 Rollout
Don't Miss Out! Medicare Pays for Chronic Care Management
TMA White Paper Addresses Copy Fees for Mental Health Records
TMA Opposes TMB Proposal to Revise Standard Disciplinary Sanctions
New Law Expands Access to Naloxone
CDC Announces Changes to 2015-16 Flu Vaccine Recommendations
Fight the Flu With Tools From TMA
Make Your Reservations Now for TMA's Fall Conference
Stay Up to Date on Important Drug Information With PDR Drug Alerts
2015 Texas Immunization Conference Coming in November
This Month in Texas Medicine  

Effective Sept. 1: Lower Taxes, Greater Plan Accountability, and More

This legislative session, the Texas Medical Association fought tirelessly to ensure physicians can continue to give their patients the best care possible. Several TMA-backed bills become law today, including these: 

  • House Bill 7 by Drew Darby (R-San Angelo) and Sen. Kevin Eltife (R-Tyler) gives physicians a $200 annual tax cut by eliminating the annual occupational tax paid by physicians and a dozen other professions.
  • Senate Bill 760 by Sen. Charles Schwertner, MD (R-Georgetown), increases oversight and accountability of Medicaid HMOs' network adequacy. SB 760 raises current Medicaid access criteria — based on mileage standards used for commercial health plans — to measures using the patient's geographic location and the number and distribution of health professionals within the region. TMA believes the new standards are more suitable for low-income populations. The bill would suspend enrollment by and payments to health plans if they fail to maintain adequate networks.
  • Senate Bill 97 by Sen. Juan "Chuy" Hinojosa (D-McAllen) makes it a crime to sell e-cigarettes to someone younger than 18 or to someone who intends to give e-cigarettes to a minor, just as it's illegal to do so with regular tobacco products. The new law also bans e-cigarettes from public school campuses and school events.
  • House Bill 1621 by Rep. Greg Bonnen, MD (R-Friendswood) requires health plans to give physicians and patients 30 days' notice before denying a prescribed drug or intravenous medication. If appealed, health plans and utilization review organizations must provide expedited review by a physician of the same or similar specialty as the prescribing physician.
  • House Bill 1624 by Rep. John Smithee (R-Amarillo) provides another layer of health plan accountability and an avenue to help patients make informed choices about their health plan coverage. The measure strengthens requirements for health plans to publicly post on their websites their network directories and drug formularies. TMA worked with the National Multiple Sclerosis Society on this bill and HB 1621.
  • House Bill 1514 by Rep. J.D. Sheffield, DO (R-Gatesville), requires insurers to clearly differentiate whether patients bought coverage through the ACA marketplace by displaying the letters "QHP" on their plan identification cards. TMA says the measure gives physicians an opportunity to educate patients about the benefits and limitations of the insurance coverage they purchase. About 85 percent of policies sold on the exchange qualify for a federal 90-day grace period, triggered once a patient with subsidized marketplace coverage misses a premium payment. Health plans must give patients 90 days to catch up, but they can recoup physician payments made in the latter 60 days of that grace period if patients are delinquent on their premium payments.
  • House Bill 3519 by Rep. Bobby Guerra (D-Mission) allows Medicaid payment for home telemonitoring of patients with two or more specific medical conditions and a history of frequent hospital admissions and emergency visits.
  • House Bill 2171 by Representative Sheffield requires the state's immunization registry, ImmTrac, to store childhood vaccination records until age 26 instead of age 18, to ensure they are available past college and into early adulthood, and to promote easier access to the information. ImmTrac kept childhood immunization records only until a person turned 18.
  • Senate Bill 1462 by Sen. Royce West (D-Dallas) gives physicians authority to prescribe the lifesaving opioid antagonist naloxone to patients and family members or friends of those who may be at risk of an overdose.
  • House Bill 751 by Representative Zerwas sets requirements for prescribing and pharmaceutical substitution of biologic products.

DPS Automatically Renewed Current, Active CSR Permits

Senate Bill 195 by Sen. Charles Schwertner, MD (R-Georgetown), and Rep. Myra Crownover (R-Denton) eliminates the controlled substances registration (CSR) permit program, effective Sept. 1, 2016. To implement the change, the Texas Department of Public Safety (DPS) says it automatically renewed all active or current CSRs on Aug. 20, 2015. They will expire on Aug. 31, 2016. 

DPS adds that it will not mail new certificates with automatic renewals. To verify your CSR, check the CSR Search & Verification System.

DPS notes the change does not apply to registrations that expired on or before July 31, 2015. To renew an expired CSR, you must submit a renewal application and pay the $25 renewal fee and $50 late fee. DPS has instructions for submitting new or renewal applications. Contact DPS if you need assistance.

The department says it will continue to accept and process new registrations. New registrations issued after Aug. 20, 2015, will expire Aug. 31, 2016. New registrants must submit a completed application and $25 processing fee. DPS says fees will not be prorated.

Visit the DPS CSR webpage for updates and additional information.

TMA actively supported SB 195, which also moves the state's electronic prescription drug monitoring database from DPS to the Texas Board of Pharmacy and broadens physicians' authority to delegate who can access the database.

Medicaid Not Jumping at TMA's 1115 Waiver Ideas

State Medicaid officials offered a lukewarm response to TMA's recommendations to increase physician involvement in Medicaid transformation plans, boost physicians' Medicaid payment rates, and design a privately based plan to cover more uninsured, low-income Texas adults.

Texas' five-year 1115 Medicaid Transformation Waiver will expire Sept. 30, 2016, unless the federal government grants a renewal or extension. Texas received a waiver in 2011 to allow it to expand Medicaid managed care statewide, to establish a new uncompensated care pool for safety net hospitals and health professionals, and to establish and fund innovative projects to improve availability and quality of services to Medicaid and uninsured Texans. Federal and state funds sustain the waiver, with primary funding coming from large hospital districts.

In his July 16, 2015, letter to the Health and Human Services Commission (HHSC), TMA President Tom Garcia, MD, said TMA "absolutely supports renewal" of Texas' 1115 waiver but with more physician involvement and a solid plan to recruit more physicians to the Medicaid program. The letter pointed out that the U.S. Centers for Medicare & Medicaid Services (CMS) told states it will be more likely to approve waiver renewals if states take steps to improve coverage of uninsured, low-income residents and to pay physicians enough to "promote provider participation and access."

On Aug. 11, 2015, HHSC Chief Deputy Executive Commissioner Charles Smith said the agency "appreciate[s] TMA's initial support of the waiver renewal despite the concerns you raise in your letter." Mr. Smith said HHSC is aware of CMS' preference for coverage expansion and better pay for physicians but said neither is likely to happen in Texas any time soon.

Of TMA's request that HHSC "design a pragmatic, private health insurance initiative to extend coverage to the 1 million Texans earning too much for Medicaid but too little to qualify for federal health insurance subsidies," Mr. Smith wrote, "At this time, Texas opted not to proceed with a Medicaid coverage expansion; therefore, HHSC does not plan to include a request for coverage expansion in the extension request."

And in response to Dr. Garcia's call for "competitive Medicaid physician payments to attract and retain physicians within Medicaid," Mr. Smith said the agency "must operate within the parameters of its budget in setting provider rates. Given our rate constraints, HHSC is working to increase physician participation in Medicaid by reducing administrative burdens both in fee for service and managed care."

He was more positive in answering TMA's request that HHSC establish an ongoing physician advisory council composed of privately practicing physicians as well as their academic and hospital-affiliated peers to actively assist in the development, implementation, and evaluation of new or renewed health care delivery projects under the 1115 waiver. Mr. Smith said TMA representatives currently serve on two waiver advisory committees, and "HHSC would be glad to add more privately practicing physicians" to the committee that provides clinical and quality input on the program.

Finally, Dr. Garcia asked that HHSC require each regional health care partnership (RHP) to establish a physician advisory committee composed of county medical society physician representatives and practicing community and academic physicians (to the extent the latter practice within the region) to ensure that physicians are actively involved with the RHP in designing, implementing, and evaluating projects. Each committee would be required to convey its recommendations not only to its RHP but also to HHSC and the general public to ensure greater transparency. Mr. Smith said "further involvement of community doctors would strengthen" the 1115 projects, and HHSC will consider that request later this year.

For more information about the 1115 Medicaid Transformation Waiver, visit the HHSC website or see the article in the upcoming October issue of Texas Medicine magazine.

TMA Tips on Move to ICD-10

Here's an ICD-10 tip with a short life span, and the more prompt you are in billing insurance, the less it applies to you. But it's likely to apply to at least some of the claims you'll submit immediately after the Oct. 1, 2015, ICD-10 implementation date. TMA has resources to help with the transition.

Remember: ICD-10 is service-date driven, so if you file a claim on or after Oct. 1 for services you provided Sept. 30 or earlier, you must file the claim using ICD-9 codes.

Payers expect they'll receive late filings and adjustments of pre-Oct. 1 claims and will continue to accept ICD-9 codes for those claims. Submit adjusted claims using the code set with which you originally filed the claim. Never combine ICD-9 and ICD-10 codes on one claim.

Also note: ICD-10 does not require payers to change their late filing requirements to accommodate the transition to ICD-10. Contact payers for the current information regarding late filing for claims. These payers have good payer-specific FAQs about ICD-10 on their websites: 

See also the Centers for Medicare & Medicaid Services' MLN Matters No. SE1408 Revised for guidance.

The big change to ICD-10 is only a month away. Will you be ready? TMA can help: 

  • Registration is open for our live seminars: ICD-10 Essentials — two seminars in one day. In Essentials in ICD-10 Coding, staff can perfect their new coding and auditing skills with hands-on exercises using ICD-10. In Essentials in ICD-10 Documentation, physicians can find out how to change their documentation to support increased code specificity and get paid most accurately for their services. They run through Sept. 16 in cities around the state.
  • Take specialty-specific, physician-developed three-hour online courses. Choose from 21 medical specialties to learn physician documentation tailored to your specialty. Each self-paced course shows you critical documentation elements you'll need to maintain payment under ICD-10 and features the top clinical conditions for each specialty with emphasis on their associated documentation and coding requirements. Complete this online documentation training now. Use coupon code 10DOCTMA to save $100 on registration.
  • Register for on-demand recordings of ICD-10 planning and implementation courses.
  • Visit TMA's ICD-10 Resource Center for tools and information. 

Questions? Contact the TMA Knowledge Center by calling (800) 880-7955, Monday-Friday, 8:15 am-5:15 pm CT, or by email.

TMA Survey Says Texas Doctors Concerned About ICD-10 Rollout

Most Texas physicians say they are not confident their practices are ready to use the new ICD-10 medical billing and coding system by Oct. 1, according to a new report. A new TMA survey regarding practices' ICD-10 readiness reveals doctors' concerns. Some physicians might even retire early as a result of the anticipated disruption stemming from the overhaul. 

Nearly two-thirds (65 percent) of all physicians responding have little or no confidence that their practice is ready to transition to ICD-10 by the deadline. In July, TMA surveyed Texas physicians about their practices' readiness to transition to ICD-10. TMA emailed a link to the survey to approximately 36,786 TMA members and nonmembers. The survey has a ±3.2-percent margin of error.

"It's horrible," said TMA President Tom Garcia, MD. "The United States is the only country that couples the ICD coding with payment. The implications are that the patient-physician relationship is going to be stressed." 

Only 10 percent of physicians are "very confident" their practices are prepared to transition. More than half of the solo practitioner respondents are "not at all confident" their practices are ready for the big switch. That could spell disruptions in patient care, considering solo doctors account for close to half of the physicians in the survey (42 percent).

Few physicians have extensively transitioned to ICD-10. For example, three-quarters (74 percent) of doctors said they either have not started or have only made some of the switch to the system. A whopping 82 percent of solo practitioners say they have made little or no progress. Even among physicians who feel very confident their practices are ready for ICD-10, only 42 percent report their practices have begun transitioning extensively. More pediatricians reported taking ICD-10 preparation courses and training than physicians in other specialties, like obstetrics-gynecology and surgery.

At the urging of TMA and other physician groups across the country, Medicare will not deny doctors' claims for one year if their ICD-10 codes are not specific enough, as long as the doctors submit a valid ICD-10 code from the correct family of codes. And if the doctors submit claims in the correct code family but they are not specific enough, Medicare also will not audit those. Dr. Garcia said, "I asked for two years' grace period, but they only gave us a one-year grace period. I think it is going to take at least three years before this thing is finally settled down."

Physicians fear the massive switch to the new coding system will disrupt patient care and delay payment. In fact, 83 percent of the doctors anticipate delayed or denied claims because of the transition, regardless of specialty. More than one-third of the physicians expect severe disruption that will require them to draw from personal funds to keep their practices open (36 percent), and almost one-third (30 percent) might retire early over anticipated cash-flow problems. (Almost half — 46 percent — of the doctors aged 61 or older might retire early.) Nearly one-third (32 percent) might cut employees or reduce employee work hours or benefits. 

  TMAIT Action Ad 6.15  

Don't Miss Out! Medicare Pays for Chronic Care Management

Do you manage patient referrals and care transitions between and among physicians and health care settings? Do you spend time reconciling medication lists and managing prescription refills for your patients? Do you take calls during and after office hours to address patient care needs? If the answer is yes and you're not billing for these types of services, you're missing out on a new CPT code and practice revenue opportunity from Medicare.   

In January, Medicare began paying separately for chronic care management (CCM) services under the Medicare Physician Fee Schedule (PFS). CCM services are non-face-to-face activities performed by you or your clinical staff to manage and coordinate the care of your patients. You've long provided these services at your own expense. But now, Medicare will pay you for your time on a monthly basis. 

Under the Medicare PFS, CCM services are billable using CPT code 99490 for your patients with two or more chronic conditions. Before billing, you must comply with multiple requirements, including patient consent and the use of certified electronic health record technology. Payment is approximately $42 for a minimum of 20 minutes of qualifying care per patient per calendar month. 

The health care industry is reporting a potential annual revenue as high as $75,000 to $100,000 or more per physician. TMA says the total payment physicians will receive depends on the quantity of eligible Medicare patients who consent to participation, their need for CCM services, and billing frequency.  

To help you determine whether this new opportunity is right for your practice, TMA created a new resource center outlining all the details. Visit the new TMA Chronic Care Management Resource Center, and read about Texas physicians who have implemented CCM services in their practices in the September 2015 issue of Texas Medicine.   

TMA White Paper Addresses Copy Fees for Mental Health Records

TMA's newly updated white paper (log-in required) addresses Texas Medical Board (TMB) rules regarding fees for copying mental health medical records, as well as several situations where special rules for charging for copies apply. 

Under the Texas Health and Safety Code, if the patient requests a summary or narrative of mental health records, the mental health "professional" (which includes physicians) must respond or give the patient a written reason for a refusal to disclose. You must provide the patient a copy of any portion of the record you haven't specifically denied him or her access to within a reasonable time, and you "may charge a reasonable fee."

According to the white paper, it is unclear whether the TMB rules regarding fees for medical records generally apply to fees for copies of mental health records specifically. The regulations do not mention this portion of the Health and Safety Code. Nonetheless, it may be prudent for physicians who are mental health "professionals" to follow the TMB rules in this area, the white paper says.

The white paper is one of a series on medical records from TMA's Office of the General Counsel on the TMA Medical Records resource page (log-in required for most). In addition, TMA's publication Managing Your Medical Records addresses consent, release, privacy, and more under Texas law and HIPAA. 

TMA Opposes TMB Proposal to Revise Standard Disciplinary Sanctions

In a letter to the Texas Medical Board (TMB), TMA outlined its concerns with the board's proposal to revise the standard disciplinary sanctions that apply to violations of the Medical Practice Act. Of particular concern to TMA is the board's proposal to increase the "High Sanction" penalty for a standard-of-care violation and more than one prior standard-of-care or care-related violation from $3,000 per violation to $7,000 per violation. 

TMA's letter lists three reasons the association opposes the proposed "High Sanction" administrative penalties increase:  

  1. The proposed increase to $7,000 is greater than the administrative penalty amount authorized by the Texas Legislature. "Specifically, the Medical Practice Act provides that an administrative penalty imposed on a person licensed or regulated under Title 3, Subtitle B, Occupations Code, who violates that subtitle, or a rule or order adopted under that subtitle, may not exceed $5,000 for each violation," TMA states. TMA contends the proposed increase exceeds the board's statutory authority. 
  2. The proposed per-violation increase in the "High Sanction" penalty is inconsistent with the board's own rules. TMA says the proposed amendment conflicts with a TMB rule that states, "The amount of an administrative penalty may not exceed $5,000 for each violation." 
  3. The preamble to the rule proposal fails to set forth the specific reason for the proposed increase.  

"For all of the foregoing reasons, TMA strongly recommends that the Board not adopt the proposed amendment to increase the 'High Sanction' for … standard-of-care violations to $7,000," TMA wrote.

The letter also notes TMA's opposition to TMB's proposal "to raise the corresponding 'Low Sanction' administrative penalty for the aforementioned standard-of-care violations from the current $3,000 per violation to $5,000 per violation." 

 TMLT Action Ad 4.13    

New Law Expands Access to Naloxone

Senate Bill 1462 by Sen. Royce West (D-Dallas), supported by TMA during the legislative session, gives physicians authority to prescribe the lifesaving opioid antagonist naloxone not only to patients but also to family members or friends of those who may be at risk of an overdose. The law, effective Sept. 1, also allows a person or organization acting under a standing order to distribute an opioid antagonist and allows pharmacies to dispense the drug. 

Fatal drug overdoses are a leading cause of unintentional death in Texas and the United States. The Centers for Disease Control and Prevention (CDC) has called prescription painkiller overdoses an epidemic. 

The new law provides liability protection for prescribers who, acting in good faith with reasonable care, prescribe an opioid antagonist. 

CDC has guidance on prescribing opioids for chronic pain. Visit Prescribe to Prevent to access guidance for clinicians, information on naloxone products, and links to training for consumers.

CDC Announces Changes to 2015-16 Flu Vaccine Recommendations

Among the Advisory Committee on Immunization Practices' (ACIP's) recommendations for the 2015-16 influenza season are changes to the composition of the vaccines and revised recommendations for children. What hasn't changed is the recommendation for a routine annual vaccination for everyone aged 6 months and older who does not have contraindications. 

Children aged 6 months through 8 years still require two doses of vaccine during their first season of vaccination. However, ACIP has changed how to determine the appropriate number of doses. Children who previously have received two or more total doses (not necessarily received during the same season or consecutive seasons) of trivalent or quadrivalent influenza vaccine before July 1, 2015, require only one dose for 2015-16. ACIP no longer recommends a preference for live attenuated flu vaccine over inactivated flu vaccine for children.  

Trivalent vaccines will reflect changes in the influenza A (H3N2) virus and the influenza B virus. The trivalent vaccines will contain a hemagglutinin derived from an A/California/7/2009 (H1N1)-like virus, an A/Switzerland/9715293/2013 (H3N2)-like virus, and a B/Phuket/3073/2013-like (Yamagata lineage) virus. Quadrivalent influenza vaccines will contain these viruses and a B/Brisbane/60/2008-like (Victoria lineage) virus, which is the same virus recommended for the quadrivalent formulation in 2014-15. 

For more information, visit:  

  • The Texas Department of State Health Services website which has downloadable educational fliers and web banners and links to the weekly statewide influenza surveillance summary.
  • The Centers for Disease Control and Prevention website, which provides information on available influenza products and guidance on vaccination, antiviral drugs, testing, and infection control.  

Fight the Flu With Tools From TMA

Flu season is just around the corner, and TMA's Be Wise — ImmunizeSM program has tools you can use to protect yourself, your staff, and your patients. 

You can:

  • Provide flu facts at a glance with TMA's new flu infographic (in English and Spanish). Post a copy in your waiting room, download it to your website or Facebook page, or hand out copies. 
  • Share more in-depth information about the importance of an annual flu vaccination with TMA's flu fact sheet (in English and Spanish).  
  • Remind your employees about the importance of getting their flu vaccination with this poster to hang in your break room or other areas where your staff gather. 
  • Use TMA's educational and giveaway items at your Be Wise — Immunize flu shot clinic in October. Oct. 1 is Influenza Awareness Day in Texas, so TMA urges physicians to host a shot clinic sometime that month to improve vaccination coverage statewide.
  • Download and print the "Fist-Bump Your Doctor" materials, developed by Jason Marchetti, MD, of Denton, a graduate of the TMA Leadership College.

To order flu materials or to learn about hosting a shot clinic, email Tammy Wishard, TMA's outreach coordinator, or call (800) 880-1300, ext. 1470, or (512) 370-1470.

TMA launched Be Wise — Immunize in 2004 to increase Texas' immunization rates. Since then, the program has provided more than 280,000 shots to Texas children, adolescents, and adults. 

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, TMF Health Quality Institute, Permian Basin Youth Chavarim, and gifts from physicians and their families. 

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

Make Your Reservations Now for TMA's Fall Conference

Join us for the 2015 TMA Fall Conference at Hyatt Regency Lost Pines Resort and Spa, Sept. 25-26. This free member benefit offers you the opportunity to reconnect with colleagues and TMA staff, as well as hear a recap of this year's legislative session and participate in discussions about Texas health care. 

Although the room block at the Hyatt Regency is sold out, you can still reserve a room at the Hampton Inn & Suites in Bastrop. Call (512) 321-2898 or visit the TMA website to make your reservation. Group code is XMA.

Make your reservation no later than Sept. 3, 2015, to get the TMA discounted rate of $129.

Questions? Email the TMA Knowledge Center, or call (800) 880-7955, Monday-Friday, 8:15 am-5:15 pm CT.

 PC Action Ad July 13     

Stay Up to Date on Important Drug Information With PDR Drug Alerts

Make sure you're receiving U.S. Food and Drug Administration-mandated and product-related patient safety alerts the minute they are issued by registering for Physicians' Desk Reference (PDR) Drug Alerts. This free service also provides information on drug recalls and approvals. 

Once registered to receive PDR Drug Alerts, you'll have access to a 12-month alert history master file, and you can appoint a member of your health care team to manage practice alerts. And if no one has reviewed an alert within 72 hours, PDR sends a reminder letter. 

The PDR Network also offers mobilePDR, available free of charge to TMA members.  

MobilePDR includes: 

  • FDA-approved full drug labeling,
  • Concise point-of-care information, and
  • Weekly drug updates. 

Log on to download it. It is available for all major mobile platforms, including iPhone/iPod touch/iPad, Android, BlackBerry, Palm, Palm Pre, Symbian, and Windows Mobile.

2015 Texas Immunization Conference Coming in November

Learn some strategies to improve immunization rates across Texas at the 2015 Texas Immunization Conference, which will take place Nov. 18-20 at the Renaissance Austin Hotel. The theme is Promoting a Healthy Texas: Communicate, Educate, and Vaccinate. A discounted early bird registration fee is available until Sept. 15. Regular registration ends Oct. 31.

Hosted by the Texas Department of State Health Services, the event targets physicians and residents, physician assistants, nurse practitioners, pharmacists, nurses, epidemiologists, public health staff, health educators, health care and public health students, school personnel, coalition members, stakeholders, and anyone interested in improving immunization rates in Texas. Continuing education credit will be provided.

Learn more about the conference and scheduled speakers. 

This Month in Texas Medicine

The September issue of Texas Medicine features a cover story on Austin Regional Clinic's announcement that as of July 1 it would no longer accept new pediatric patients whose parents don't permit vaccinations. In the issue, you'll also find information on the new payment systems that will replace Medicare's Sustainable Growth Rate formula; Austin Internal Medicine Associates' decision to close its doors due to ICD-10 implementation and burdensome government regulations; an electronic health record research project that illustrates the need for physicians to get involved in usability testing; Medicare's move to pay for chronic care management; and the Texas Medical Board's stricter chronic pain management rules.

Click to launch the full edition in a new window.  

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.   

Deadlines 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.  

ICD-10 Implementation Compliance   

First-Year Participants' Last Day to Begin 90-day Reporting Period of Meaningful Use for the 2015 Medicare and Medicaid EHR Incentive Programs

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.  

Encore Webcast

Essentials in ICD-10 Coding —  Encore Webcast 

Conferences and Events

TMA Fall Conference
Sept. 25-26

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Last Updated On

December 12, 2016