Action: Sept. 15, 2015

TMA Action Sept. 15, 2015   News and Insights from Texas Medical Association

Texas Negligence Case to Proceed in New Mexico
TMA: Medicare Should Pay Docs for Added Hassles
Will You Be Ready for ICD-10?
TMB Seeks Doctors to Serve as Advisory Committee Members
AMA Analyzes Potential Aetna-Humana, Anthem-Cigna Mergers
Review Your PQRS Feedback Report and QRUR Now
Free TMF Webinar: Improving Medicare Immunization Rates
Tell Congress to Continue, Expand Conrad 30 Program
Register Now for 2015 TMA Fall Conference
Changes to Syphilis Testing Requirements for Pregnant Women
DSHS, CDC Urge Vigilance for Cases of Acute Flaccid Myelitis
Win $5,000 for Your Champion of Health
Turn Challenges Into Successes With TMAF
Application Deadline for TMA Academic Award Is Dec. 7
This Month in Texas Medicine

Texas Negligence Case to Proceed in New Mexico

Texas physician Eldo Frezza, MD, is facing a negligence lawsuit filed in New Mexico, but he has organized medicine on his side. Frezza v. Montaño has reached the New Mexico Supreme Court after lower courts ruled New Mexico law should apply to the case. 

The Texas Alliance for Physician Access, the New Mexico Medical Society, the Texas Medical Association, the American Medical Association, and many others, including several county medical societies, are joining to submit a friend-of-the-court brief to the Supreme Court on behalf of Dr. Frezza's effort to stop New Mexico law from applying to the case. The Texas Medical Liability Trust is also submitting an amicus brief.

In 2004, Kimberly Montaño, a New Mexico resident, traveled to Lubbock to undergo bariatric surgery, performed by Dr. Frezza, who was an employee of Texas Tech University Health Sciences Center. During the ensuing six years, Dr. Frezza performed follow-up care for complications related to Ms. Montaño's surgery. All of the care Dr. Frezza rendered occurred in Texas. Dr. Frezza's only direct connection to New Mexico was that he was listed on the Lovelace New Mexico Health Plan. Reportedly, he was the only bariatric surgeon listed on the Lovelace plan.

Subsequently, Ms. Montaño sued Dr. Frezza and Lovelace in a New Mexico court. Ms. Montaño argued her case should be tried under New Mexico law because her injuries "manifested" themselves in New Mexico. This was contested in a New Mexico Appellate Court, which agreed with Ms. Montaño, concluding the "place of the wrong" is the place where the injury "manifested" and not where the alleged injury occurred, at the surgical facility. Also, the court determined the "choice of law" favored New Mexico since applying Texas' more restrictive tort claims act violated New Mexico public policy that provides a greater remedy for plaintiffs.

Even though Dr. Frezza was not an employee of the state of New Mexico, the court elected to treat him as if he were. The court's ruling affects all Texas state and local government employees. If affirmed by the New Mexico Supreme Court, the Montaño appellate court decision likely would serve as a precedent for expanded New Mexico-based liability for Texas physicians in private practice, as well. The Texas caps on noneconomic damages likely would not be applied in subsequent cases if an alleged injury "manifested" itself in New Mexico and the suit was filed in New Mexico. Texas limitations on liability likely would be found to be against New Mexico public policy.

You can help TMA help Dr. Frezza and other Texas physicians who might find themselves in similar circumstances. Do you treat New Mexico residents in your practice regularly? What would happen if Texas liability protections no longer applied for the services you provide to men, women, and children from New Mexico? How would it affect your practice? TMA can share your information with the court. Please write your story on your practice letterhead and fax it to TMA at (512) 370-1693 as soon as possible.

The New Mexico courts have not adjudicated the merits of Dr. Frezza's case. That will occur after the court's final determination of choice of law. Read more about the case in the November issue of Texas Medicine.

TMA: Medicare Should Pay Docs for Added Hassles

In comments on the proposed 2016 Medicare Physician Fee Schedule, TMA told the Centers for Medicare & Medicaid Services (CMS) that "the growing Medicare administrative burden, added to the recent history of and future plans for inadequate fee updates, is making Medicare participation and compliance increasingly difficult and costly for practicing physicians, and will impair access to care for Medicare beneficiaries." TMA says that "when Medicare adds administrative burdens, those added burdens should be accompanied by RVU [relative value unit] or conversion factor increases to offset the added costs." CMS published the proposed fee schedule rule in the July 15 Federal Register

The letter to CMS cites as administrative costs acquiring and maintaining current knowledge of changing rules and compliance methods, the purchase or update of practice software, and the actual work of documenting and reporting, saying that "requirements which take physician and staff time and attention away from the direct clinical care of patients are increasing the cost of medical practice and decreasing physician productivity." TMA adds that while "almost all physicians will treat some Medicare beneficiaries … 37 percent of Texas physicians report that they now have limits on accepting new Medicare patients." TMA says increasing administrative burden "without increasing fees commensurately will mean that treating Medicare patients will become increasingly unprofitable and Medicare business increasingly unattractive for physicians."

TMA's letter elaborates on the need to collect data on global billing; the need to pay for services that may not be confined to the setting of a face-to-face visit; establishing separate payment for collaborative care; advance care planning services; incident-to proposals; the Physician Compare website; the Physician Quality Reporting System; electronic clinical quality measures and certification criteria; the electronic health record incentive program; the Comprehensive Primary Care Initiative; the Merit-Based Incentive Payment System; the value-based payment modifier; physician self-referral updates; and Medicare opt-out elections. 

CMS will publish the final fee schedule in early November.

Will You Be Ready for 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: 

  • Register for our Encore Webcast: Essentials in ICD-10 Coding, available Sept. 18 and 25. This encore seminar webcast dives into the ICD-10 code set and delivers a deeper understanding for practice staff who touch diagnosis data — managers, billers, coders, front desk, and clinical staff.  Seminar attendees will receive detailed answers to their ICD-10 questions and gain confidence in working with the codes.
  • 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. 

Also, check out the CMS ICD-10 Transition Checklist.

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

TMB Seeks Doctors to Serve as Advisory Committee Members

Senate Bill 202 by Sen. Jane Nelson (R-Flower Mound), which passed this legislative session, transferred to the Texas Medical Board (TMB) licensing and regulation of medical physicists, medical radiologic technologists, perfusionists, and respiratory care practitioners. The legislation calls for advisory committees to be formed for licensing of perfusionists and medical physicists. The members of the committees must be appointed by TMB President Michael Arambula, MD. TMB is now accepting applications for those interested in member positions on those committees.    

If you're interested in serving on one of the committees, read the invitation letter from Dr. Arambula and then complete an application by Sept. 30. TMB says licensing of medical physicists may be of particular interest to radiologists, while cardiac surgeons, cardiothoracic surgeons, anesthesiologists, vascular surgeons, cardiologists, and pulmonologists may be interested in licensing of perfusionists.

SB 202 also transfers licensing and regulation of some health-related occupations — such as midwives, dietitians, and speech pathologists — to the Texas Department of Licensing and Regulation in 2017.

  TMAIT Action Ad 6.15  

AMA Analyzes Potential Aetna-Humana, Anthem-Cigna Mergers

The combined impact of proposed mergers among four of the nation's largest health insurance companies would exceed federal antitrust guidelines designed to preserve competition in as many as 97 metropolitan areas within Texas and 16 other states, according to new special analyses of commercial health insurance markets issued by the American Medical Association. 

For these locations, the mergers would enhance market power. According to the U.S. Department of Justice, "a merger enhances market power if it is likely to encourage one or more firms to raise price, reduce output, diminish innovation, or otherwise harm customers as a result of diminished competitive constraints or incentives."

The mergers would also raise significant competitive concerns in additional markets. All told, the two mergers would diminish competition in up to 154 metropolitan areas within 23 states. 

"A lack of competition in health insurer markets is not in the best interests of patients or physicians," said AMA President Steven J. Stack, MD. "If a health insurer merger is likely to erode competition, employers and patients may be charged higher than competitive premiums, and physicians may be pressured to accept unfair terms that undermine their role as patient advocates and their ability to provide high-quality care. Given these factors, AMA is urging federal and state regulators to carefully review the proposed mergers and use enforcement tools to preserve competition."

A closer look at the Aetna-Humana merger shows it would enhance market power in 15 metropolitan areas within seven states, including Florida, Georgia, Illinois, Kentucky, Ohio, Texas, and Utah. The merger would also raise significant competitive concerns in additional markets. All told, AMA says, the Aetna-Humana merger would diminish competition in up to 58 metropolitan areas within 14 states, including Texas, Arizona, Florida, Georgia, Illinois, Indiana, Kentucky, Louisiana, Mississippi, Ohio, Tennessee, Utah, Wisconsin, and West Virginia.

According to AMA, on an individual basis, the Anthem-Cigna merger would enhance market power in 85 metropolitan areas within 13 states, including California, Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, New York, Ohio, and Virginia. The merger would also raise significant competitive concerns in additional markets. All told, the association says, the Anthem-Cigna merger would diminish competition in up to 111 metropolitan areas within all 14 states that Anthem currently operates: California, Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, New York, Ohio, Virginia, and Wisconsin.

AMA bases these findings on an in-depth analysis of data used to create the newly released 2015 edition of AMA's Competition in Health Insurance: A Comprehensive Study of U.S. Markets, which offers the largest and most complete picture of competition in health insurance markets for 388 metropolitan areas, as well as all 50 states and the District of Columbia. The study includes 2013 data captured from commercial enrollment in fully and self-insured plans and includes participation in consumer-driven health plans.

The prospect of reducing five national health insurance carriers to just three should be viewed in the context of the unprecedented lack of competition that already exists in most health insurance markets. According to AMA's latest study: 

  • Seven out of 10 metropolitan areas studied had a significant absence of health insurer competition. These markets are rated "highly concentrated," based on federal guidelines used to assess the degree of competition in a given market.
  • In nearly two out of five metropolitan areas studied, a single health insurer had at least a 50-percent share of the commercial health insurance market. 
  • Fourteen states had a single health insurer with at least a 50-percent share of the commercial health insurance market. 
  • Forty-six states had two health insurers with at least a 50-percent share of the commercial health insurance market.
  • The 10 states with the least competitive commercial health insurance markets were (listed in order) Alabama, Hawaii, Delaware, Michigan, Alaska, South Carolina, Louisiana, Nebraska, Illinois, and North Dakota. See the 10 states with the least competitive HMO, PPO, or POS markets. 
  • The 10 states that experienced the biggest drop in competition levels between 2010 and 2013 were (listed in order) Louisiana, Idaho, New Jersey, Missouri, Montana, Illinois, Texas, West Virginia, Iowa, and Ohio. 

The new AMA study will help lawmakers, policymakers, regulators, and researchers identify markets where mergers and acquisitions among health insurers may harm patients, physicians, and employers.

Competition in Health Insurance: A Comprehensive Study of U.S. Markets is free to AMA members. The study is also available to nonmembers. To order a copy, visit the online AMA Store, or call (800) 621-8335 and mention item number OP427113.

Review Your PQRS Feedback Report and QRUR Now

If you submitted data to Medicare's Physician Quality Reporting System (PQRS) for the 2014 reporting period, now is the time to review your quality reports. The reports include information about your quality and cost performance and whether you'll get hit with penalties or receive bonus payments. You must act quickly, as the deadline to appeal any errors is Nov. 9, 2015. 

Quality Reports

Medicare is moving toward physician payment that is based on value rather than volume. The intent of the quality programs is to let you assess the quality and efficiency of your medical care through feedback reports so you can identify gaps in care and improve performance, resulting in better care and reduced costs for Medicare fee-for-service beneficiaries. 

On Sept. 9, Medicare announced the release of two quality reports. The first report is the 2014 PQRS feedback report, which contains information about your quality performance and whether you will receive a payment cut in 2016 or an incentive payment this year. If you receive the penalty, you will be subject to a 2-percent pay cut on a per-claims basis under the 2016 Medicare Physician Fee Schedule. If you are eligible for the bonus, Medicare will issue a separate, consolidated incentive payment to you electronically or via check later this fall.

The other report is the annual Quality and Resource Use Report (QRUR), and it is available to all solo physicians and group practices this year. The QRUR is a component of Medicare's value-based payment modifier (VBM) program. The VBM aligns with and is based on your participation in PQRS. The QRUR provides detailed information about your quality and cost performance and how you compare to your peers. Under this program, Medicare used quality and cost data from 2014 to calculate the value-modifier score for group practices with 100 or more eligible professionals. That score determines whether the physicians in the group practice will receive an adjustment payment boost, no change, or a cut up to 2-percent on a per-claims basis under the 2016 fee schedule. 

For group practices with 10 to 99 eligible professionals, physicians will receive no payment change or a 2-percent increase in 2016. High performers treating high-risk beneficiaries will receive an additional 1 percent in payment in both group sizes. For solo physicians and smaller group practices, the QRUR is provided for informational purposes this year, and the VBM will not affect payment in 2016. Note that in 2017 the VBM will apply to all solo physicians and groups regardless of practice size based on 2015 data. Read more about Medicare's quality reports in the July 2015 issue of Texas Medicine.  

Appeals Process 

If you disagree with Medicare's analysis of your performance or believe your final determination is incorrect, submit what is called an "informal review request" by Nov. 9, 2015. This is the only appeals process Medicare has for the PQRS and VBM programs. Once a request has been submitted, Medicare will review your data and respond to you through email within 90 days of your submission.  

Where to Turn For Help

For no-cost technical assistance on how to access and interpret your report, turn to the TMF Quality Innovation Network Quality Improvement Organization (QIN-QIO). Under contract with Medicare, the TMF QIN-QIO provides free consulting services and technical assistance to solo physicians, group practices, and other health care professionals for Medicare's quality programs.

For help with your quality reports or the informal review request process, contact Tracy Swoboda at the TMF QIN-QIO by phone at (361) 258-1053 or email. And join the free TMF Value-Based Improvement and Outcomes Network to learn how to successfully participate in the PQRS and VBM programs to improve performance and maximize your Medicare payment.

Free TMF Webinar: Improving Medicare Immunization Rates

The TMF Health Quality Innovation Network Quality Improvement Organization (QIN-QIO) will host an informational webinar on Improving Immunizations for Medicare Beneficiaries from noon to 1 pm CDT on Sept. 29. 

The free webinar, hosted by Mark Clanton, MD, medical director of the TMF Health Quality Institute, will focus on strategies physicians can use to improve influenza, pneumonia, and herpes zoster immunization rates for Medicare beneficiaries. Register here.  

This educational webinar is part of the TMF QIN-QIO Immunizations Project. The project works to boost vaccination rates for Medicare beneficiaries in Arkansas, Missouri, Puerto Rico, and Texas. The program also strives to improve referrals for tracking and reporting of immunizations administered via certified electronic health records and evaluates opportunities to enhance payment for these services by reviewing practice workflow processes.  

Additional TMF QIN-QIO webinars this month include:   

  • The Importance of Community Development for Health, noon-1 pm CDT, Tuesday, Sept. 22, 2015. Register here. 
  • Apps That Assist With Patient Engagement, 12:30 pm CDT, Thursday, Sept. 24, 2015. Register here.  

For more information on the Immunizations Project or to get news about upcoming events, visit the TMF QIN-QIO website. Please note visitors will have to log in or register for a free account to view some of the site content, including event information. 

For information on the national challenges surrounding adult immunizations, read this vaccine report from America's Health Insurance Plans, provided by the TMF Quality Innovation Network.

Tell Congress to Continue, Expand Conrad 30 Program

Congress is back to work after its annual August recess, and the continuation of the Conrad 30 Program is on the "to-do" list. Without congressional action, the Conrad 30 Program will expire on Sept. 30, 2015. 

This program allows certain international medical graduate physicians who trained in the United States on J-1 visas to obtain a waiver of the two-year home residence requirement. In exchange for the waiver, the physician must work for at least three years treating medically underserved populations in the United States. Many communities rely heavily on international medical graduate physicians for their primary care needs. 

Because the program is due to expire at the end of the month, we need your help to tell Congress to continue and expand the Conrad 30 Program. Physicians can send an email through TMA's Grassroots Action Center. Please take a moment to contact U.S. Sens. John Cornyn and Ted Cruz and your U.S. representative today. 

 TMLT Action Ad 4.13    

Register Now for 2015 TMA Fall Conference

It's not too late to register 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 to earn up to 2.75 hours of AMA PRA Category 1 CreditsTM

This year's programming features a variety of topics, including Physician Employment Contracting, with Mike Kreager, MD; a reporters' roundtable discussion on what makes health care news at the Capitol; Health Care and Medical Education Redesign, with Frank Opelka, MD; and a discussion on Texans and hepatocellular carcinoma.

Online registration for the conference ends Friday, Sept. 18, but you can also register when you arrive starting on Friday, Sept. 25. For more information about the conference, sleeping room availability, and the full General Session agenda, check the TMA Fall Conference webpage. If you have questions, email the TMA Knowledge Center, or call (800) 880-7955, Monday-Friday, 8:15 am-5:15 pm CDT.

Changes to Syphilis Testing Requirements for Pregnant Women

Effective Sept. 1, every pregnant woman must be tested for syphilis at her first prenatal visit and again during the third trimester, no earlier than 28 weeks gestation. Pregnant women had previously been required to be tested at their first prenatal care visit and at delivery. The testing requirement changes became law with passage of Senate Bill 1128 by Sen. Judith Zaffirini (D-Laredo). 

The Centers for Disease Control and Prevention (CDC) recommends the third-trimester test occur between 28 weeks and 32 weeks gestation, ensuring timely treatment. Although not required by law, unless there is no evidence of testing in the third trimester, the Texas Department of State Health Services (DSHS) recommends additional testing for syphilis at delivery for women who: 

  • Live in a high-morbidity area (rates of primary and secondary syphilis of 2.0 per 100,000 or higher);
  • Have no evidence of prior testing;
  • Are uninsured or low income;
  • Are diagnosed with a sexually transmitted disease during pregnancy; and/or
  • Exchange sex for money, drugs, or other goods. 

DSHS encourages physicians to report all syphilis cases in a timely manner to ensure rapid public health follow-up. Primary and secondary syphilis cases must be reported to the local or regional reporting authorities within 24 hours. For more information about reporting, visit the DSHS Disease Reporting webpage. CDC has STD treatment guidelines.

For more information, email DSHS Partner Services Coordinator Sydney Minnerly or call (512) 533-3087. 

DSHS, CDC Urge Vigilance for Cases of Acute Flaccid Myelitis 


From August to October 2014, the U.S. Centers for Disease Control and Prevention (CDC) received an increased number of reports of acute flaccid myelitis (AFM) among children. Since then, CDC has continued to receive sporadic reports of the illness. The apparent increase in AFM cases in 2014 coincided with a national outbreak of severe respiratory illness among children caused by enterovirus-D68, which resulted in an increased number of children hospitalized.

CDC continues emphasizing the importance of vigilance by clinicians for cases of AFM among all age groups, irrespective of enterovirus status. Reporting of cases will help states and CDC monitor potential increases in this illness and better understand potential causes, risk factors, and preventive measures or therapies. 

Please report AFM cases to your local health department. Contact information for Texas local health departments can be found by visiting the Texas Department of State Health Services website or by calling (800) 705-8868.

Win $5,000 for Your Champion of Health

Nominate a program in your town or city that promotes healthy lives and healthy communities by Oct. 30, and it may win a $5,000 grant. The 2016 TMA Foundation John P. McGovern Champion of Health Award focuses on exceptional projects that address urgent threats to the public's health and those that further the foundation's mission "to help physicians create a healthier future for all Texans."

Established in 1995, the award has recognized local and state programs for their innovative and effective ways of reaching Texans. It is named after John P. McGovern, MD, a philanthropist and humanitarian who founded the John P. McGovern Foundation in Houston. Dr. McGovern established a permanent endowment at the TMA Foundation that supports this award. 

Download the nomination form today. The deadline for entries is Oct. 30, 2015. Winners are notified in December 2015, and the presentation of the award is Jan. 30, 2016, at the TMA 2016 Winter Conference, held at the Hyatt Regency Austin. Visit the TMA Foundation webpage or call (800) 880-1300, ext. 1664, or (512) 370-1664 for more information about the program and a list of past winners.

 PC Action Ad July 13   

Turn Challenges Into Successes With TMAF

Donors and volunteers are taking the health challenges Texans face and turning them into success stories, as you'll see in the TMA Foundation's (TMAF's) 2014 Annual Report. Each foundation-funded program is driven by the trusted leadership of TMA physicians and fueled by donations, large and small, from individuals, businesses, and foundations.

From small Texas towns to big Texas cities, read about the impact TMA and TMA Alliance members make when they collaborate with business and community groups that share the vision of "improving the health of all Texans." Learn more about opportunities at TMAF.

Application Deadline for TMA Academic Award Is Dec. 7

TMA knows the difference a good educator makes in the life of a physician. The association is asking for your help in recognizing physicians who excel in teaching. Consider applying for TMA's award program or nominating a leader or colleague. 

The TMA Award for Excellence in Academic Medicine program is scaled across four levels to provide recognition throughout your career, starting with the Bronze level and culminating with the Platinum level. The Platinum Award winner is selected each year from the Gold Award recipients and receives a $5,000 cash award. The TMA Foundation generously provides award monies.

On TMA's website, you will find everything you need, from a description of the eligibility criteria for each award level to the forms you can use to apply or nominate a leader or colleague. TMA will invite qualified nominees to apply for an award.

Help us recognize physicians who make a difference in the lives of other physicians and who prepare our next generation of doctors. 

Important deadlines: If you are applying yourself, the 2015 application cycle runs from Sept. 1 through Dec. 7, 2015. If you are nominating someone else for this cycle, the deadline is Nov. 13. 

If you have questions, call the TMA Knowledge Center at (800) 880-7955, 8:15 am-5:15 pm CDT, and ask for the Medical Education Department, or email tmaacadawrd[at]texmed[dot]org.

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

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.

Last Updated On

December 12, 2016