Action: May 16, 2016

TMA Action May 16, 2016   News and Insights from Texas Medical Association

TMA Lays Out Balance Billing Plan to Senate Panel

Just days after the TMA House of Delegates adopted TMA's plan to preserve physicians' rights to bill for services and protect patients from surprise bills, TMA Council on Legislation Chair Ray Callas, MD, presented it to the Senate Committee on Business and Commerce. 

The major planks include:  

  • Mandatory increases in state agency oversight of the adequacy of insurer networks, especially for insurers often brought to mediation by patients. (This point was particularly well received by Sen. Charles Schwertner, MD [R-Georgetown].)
  • Expand the current $500 balance bill threshold for mediation to include all out-of-network physicians, other health care professionals, facilities, and vendors.
  • Prior to any preauthorized elective services, require the insurer to inform the patient "about the network status of the facility-based physicians and others who may participate in their care and bill for services." Similarly, physicians and providers should use a standard form to tell patients which physicians and providers who may be involved in their care "typically practice in the facility where the planned services … will occur."
  • Require insurers selling PPOs to include "a clear and conspicuous notice regarding the implications of using or receiving services from an out-of-network physician … and the potential for balance billing" on their websites, policy documents, and directories.
  • Require insurance brokers and agents to educate consumers on the inherent limitations of the plans they buy, especially their out-of-pocket responsibilities for care provided both in and out of network. 

That same day, TMA also unveiled its first patient education piece on the root causes of unexpected medical bills. Download "Why Did I Get That Medical Bill?" from the TMA website and share it.

For more about TMA's balance billing efforts, read "No More Surprises" in the May 2016 issue of Texas Medicine.  

CMS Extends Texas' 1115 Medicaid Waiver by 15 Months

The Texas Health and Human Services Commission (HHSC) has reached an agreement with the Centers for Medicare & Medicaid Services (CMS) on a 15-month extension of the state's 1115 Medicaid waiver. The waiver funds uncompensated care and the Delivery System Reform Incentive Payment Program (DSRIP) through December 2017 and will maintain its current funding. While physicians applaud the move, they say it doesn't alleviate their concerns about a long-term solution to sustain funding for uncompensated care.  

HHSC says it will work with CMS over the next 15 months to negotiate a longer term extension. 

John Holcomb, MD, chair of the TMA Select Committee on Medicaid, CHIP, and the Uninsured, said in a statement the "extension is critical to Texas' health care safety net" and "will allow the state of Texas to maintain uncompensated care pools for safety-net hospitals and providers and fund innovative projects to improve availability and quality of services to Medicaid and uninsured Texans."

He added that the extension of federal money, combined with local funds, totals $3.1 billion for 12 months for uncompensated care and another $3.1 billion to continue innovative projects to improve care delivery. There will also be an additional estimated prorated amount of $1.55 billion for the remaining three months of the extension. In total, the continuation of the five-year funding will provide $7.75 billion dollars for uncompensated care and DSRIP. The waiver extension also allows Texas to continue the managed care model. 

"However, given CMS' prior statements indicating enhancing access to care is a better long-term solution to reducing uncompensated care costs, Texas physicians are concerned about the enduring stability of the health care safety net without a long-term agreement in place to sustain it. This is just one step: We strongly encourage the Texas Legislature to devise a strategy to develop long-term direction that focuses on appropriate payments and use of health care resources on the front end rather than the back of the health care system," Dr. Holcomb said.  He added he's hopeful the extension "will lay the groundwork for future expansion of access to care for Texans."

Negotiating the waiver extension will be one of the last major acts for HHSC Commissioner Chris Traylor, who announced he is retiring on June 1. Gov. Greg Abbott appointed Charles Young, the current No. 2 at the agency, to succeed him.

DSRIP consists of local programs working to improve health care delivery costs and outcomes. 

There are 1,451 DSRIP projects across 20 regions in the state. In each region, a coalition of governments, hospitals, and other health professionals develops novel solutions for containing health care costs while preserving access and quality. HHSC says most projects focus on increasing primary and preventive care. The waiver program also helps hospitals with uncompensated care costs.

For more information about the 1115 Medicaid waiver, read "1115 Medicaid Waiver Up for Renewal" in the October 2015 issue of Texas Medicine.

Focus on Member Services: Human Resources Help

When you need to find and keep the right staff for your practice, turn to TMA's many members-only resources for recruitment and management help. TMA experts can address a range of staffing concerns, including how to prevent one of the most troubling and costly problems physicians encounter — employee theft, which occurs in more than 80 percent of medical practices.

And if you run into a staffing crisis, TMA can stand in the gap while we help you recruit new, reliable staff for your practice.

As a TMA member, you also have access to resources like these for meeting the challenges of hiring and managing office staff:  

  • TMA Knowledge Center: Members can contact TMA by email or by phone at (800) 880-7955 with human resources questions.
  • Education: You'll find a wealth of information in practice e-tips, white papers, continuing medical education (CME), and FAQs on human resources. 
  • Human resources consulting: TMA's experts can work with you on everything from defining staff roles and determining the most efficient staffing level for your practice to staff recruitment and on-site training.
  • Insurance: You can protect your practice from employee-related risks and provide valuable benefits to your staff using exclusive products and services from TMA endorsed vendors, including the Texas Medical Liability Trust and the TMA Insurance Trust. 

For more information on all the ways TMA can help you, visit the TMA website

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Vote Early in May 24 Primary Runoffs 

It’s election season again. If you live in one of nine key state House and Senate districts — from the Houston suburbs to just north of San Antonio to Killeen and on up to the northeast corner of Texas — TEXPAC has some medicine-friendly candidates for you to support.

The party primary runoff elections are May 24; early voting runs from May 16 to 20. The candidates are the top two finishers from every March 1 primary election in which no candidate got more than 50 percent of the vote.

"In a runoff, your vote is really worth a lot more," said TEXPAC Board Chair Brad Holland, MD. "In some cases, less than 1 percent of the voting-age population shows up at the polls to choose a candidate."

Based on the recommendations of local physicians, TEXPAC has endorsed 10 candidates in the nine targeted races.

"Each of these men and women will be solid votes for physicians and our patients," Dr. Holland said. "We need to help bring them to Austin."

Here are the candidates TEXPAC has endorsed: 

  • Senate District 1: Rep. Bryan Hughes (R)
  • Senate District 24: Dawn Buckingham, MD (R), and Rep. Susan King (R)
  • House District 18: Ernest Bailes (R)
  • House District 27: Rep. Ron Reynolds (D)
  • House District 33: Justin Holland (R)
  • House District 54: Scott Cosper (R)
  • House District 64: Lynn Stucky (R)
  • House District 73: Rep. Doug Miller (R)
  • House District 128: Rep. Wayne Smith (R) 

TEXPAC membership is open to all TMA member physicians, residents, and medical students, and to all TMA Alliance members. Learn more on the TEXPAC website. (Your login credentials are the same as for the TMA website.)

Physicians Foundation Survey Gauges Your Satisfaction 


How satisfied are you with the current state of medicine? The Physicians Foundation is surveying you and your 650,000 physician colleagues across the country to determine just that. The survey asks for your thoughts on health reform, electronic health records, new physician payment methods, ICD-10, and a variety of other topics. Take a few minutes to complete the survey

 A full copy of the final survey report will be emailed to all physicians who participate, and participants will also be entered to win one of five $500 Amazon gift cards and one $5,000 Amazon gift card. Additionally, the Physicians Foundation is offering a $5,000 grant to the state medical society that achieves the most total survey responses and a $5,000 grant to the state medical society that achieves the highest per capita response. As a founding member of the Physicians Foundation, TMA expects to be in the running to win both of those grants. 


"This is the one national survey that allows physicians to share their perspective on the state of the medical profession," said Walker Ray, MD, Physicians Foundation president. "We'd like to hear from as many physicians as possible so we can accurately understand — and share with the public — physicians' perspectives on the most significant issues in medicine and health care today."

A nonprofit, grant-making organization, the Physicians Foundation is determined to strengthen the patient-physician relationship and help physicians sustain their medical practices in today's practice environment. The Physicians Foundation focuses on physician leadership, physician practice trends, physician shortage issues, and the impact of health care reform on physicians and patients.

To access previous Physicians Foundation surveys, visit the foundation's website.

Be a Preceptor; Help Shape the Next Generation of Medicine 

The Texas Chapter of the American College of Physicians (TXACP) is seeking physician mentors for the summer 2016 General Internal Medicine Statewide Preceptorship Program (GIMSPP).  

Preceptors open the doors to their practice to provide a medical student with personal instruction, training, and supervision for three to four weeks. Students get the opportunity to observe the daily routine of the physician, experiencing the variety that the practice of internal medicine provides. For physicians, benefits of preceptorship include:  

  • The opportunity to give back, while rekindling your passion for medicine; 
  • The ability to help advance primary care in Texas; and 
  • An enriching experience for the student and preceptor. 

This year, preceptors will receive $100 off their annual American College of Physicians dues through the Texas chapter, as well as one of the following incentives:  

Preceptors must be board certified in internal medicine, possess a current Texas medical license with no restrictions from the Texas Medical Board, and practice at least 40 percent to 50 percent general internal medicine apart from any other subspecialties. 

For more information on the program or to fill out the preceptor application, visit the GIMSPP website

DSHS Prioritizes Pregnant Women During Drug Shortage

Due to a critical shortage of Bicillin-LA (benzathine penicillin G), the Texas Department of State Health Services (DSHS) is prioritizing use of the drug in pregnant women infected with or exposed to syphilis within the past 90 days. DSHS is also allowing use of the drug to complete treatment in other patients who already have initiated the treatment series. The U.S. Centers for Disease Control and Prevention's (CDC's) drug shortage notification says benzathine penicillin G "is the recommended treatment for syphilis and the only treatment option for pregnant women infected with or exposed to syphilis."

The Food and Drug Administration estimates the shortage will be resolved by July 2016. In the meantime, CDC's 2015 STD Treatment Guidelines provide additional guidance on recommended treatments for syphilis and alternative regimens.

DSHS says all others who test positive for or who have been recently exposed to syphilis should be given doxycycline 100 mg b.i.d. for 14 days. Those with latent syphilis (more than one year) or latent of unknown duration should be given doxycycline 100 mg b.i.d. for 28 days.  

To obtain the drug, DSHS encourages physicians to work through their health service region, which will have nominal doses available. 

DSHS will notify physicians when the department can return to filling regular orders for benzathine penicillin G. If you have questions, contact Tammy Foskey, manager of the DSHS STD/HIV public health follow-up team, at (512) 533-3020, or by email

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New Infographic Promotes Whooping Cough Vaccination

TMA's new whooping cough infographic can help you educate expecting moms about the importance of vaccination to keep babies from catching this serious, potentially deadly illness.  

The U.S. Centers for Disease Control and Prevention (CDC) recommends women get the Tdap vaccination (a combination vaccination that protects against tetanus, diphtheria, and pertussis) during each pregnancy. While the vaccination may be given any time during pregnancy, CDC suggests pregnant moms receive it between 27 weeks and 36 weeks of gestation, or during the third trimester. 

Infants typically catch whooping cough from a family member or caregiver, so CDC also recommends those who will come into contact with the baby be up to date on their pertussis vaccination. That includes parents, siblings, grandparents, childcare providers, and health care workers. For the best protection, CDC recommends family members get the shot at least two weeks before they have contact with the baby.

Download TMA's bilingual whooping cough infographic, provided by TMA's Be Wise — ImmunizeSM program, to post on your practice website or other social media site, or to post copies in your exam rooms. To order hard copies, contact Tammy Wishard, TMA's outreach coordinator, by email or by phone at (512) 370-1470 or (800) 880-1300, ext. 1470. TMA also has produced a flu infographic and a human papillomavirus (HPV) infographic

Be Wise  Immunize is a joint initiative led by TMA physicians and medical students, and the TMA Alliance. It is funded in 2016 by the TMA Foundation thanks to major gifts from H-E-B and TMF Health Quality Institute, along with generous contributions from physicians and their families. 

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

TMA Gives Minority Medical Student Scholarships


Eleven minority students entering Texas medical schools this fall will each receive a $10,000 scholarship from TMA. Students received the scholarships in Dallas at TexMed 2016 for their academic achievement, commitment to community service, and desire to care for Texas' increasingly diverse population. 

TMA created the Minority Scholarship Program in 1998 to help diversify the physician workforce to meet the health care needs of Texans. 

The TMA Educational Scholarship, Loan, and Awards Committee chose one recipient for each Texas medical school from a competitive field of promising future physicians. The committee doubled the amount of the individual scholarship this year, thanks to a new donor-established trust fund at the TMA Foundation, which funds the program.

The scholarship encourages minority students to attend medical school by reducing the financial burden of their education, which averages more than $175,000. TMA has awarded 112 scholarships totaling $615,000 since the program's inception, thanks to generous gifts from TMAF donor physicians and their families, major supporters, and others.

2016 TMA Minority Scholarship Winners

Bianca Arechiga, of San Antonio, graduated from Baylor University in Waco and will attend Texas College of Osteopathic Medicine at the University of North Texas Health Science Center at Fort Worth. She plans to specialize in primary care to later practice in rural Texas. Ms. Arechiga's scholarship is provided by The TMAF Trust Fund of Dr. Roberto J. and Agniela (Annie) M. Bayardo of Houston; Tarrant County Medical Society; and the Khushalani Foundation in Humble.

Amanda Arreola, of Dallas, is a Baylor University graduate. She will study family medicine or pediatrics after completing work at The University of Texas Rio Grande Valley School of Medicine (UTRGV). Ms. Arreola plans to practice in a rural area near El Paso. Dr. Roberto and Mrs. Agniela Bayardo and Hidalgo-Starr CMS funded her scholarship. 

David Samuel Chapman, of Cedar Hill, graduated from UT Arlington. He will attend Texas A&M Health Science Center College of Medicine to become a family physician. After graduation, Mr. Chapman plans to practice in an underserved area of Dallas/Fort Worth. His scholarship is made possible by Dr. Roberto and Mrs. Agniela Bayardo; the TMAF Patrick Y. Leung, MD, Minority Scholarship Endowment, established by Dr. Patrick and Mrs. Nancy Leung of Midland; Dr. Jim and Mrs. Charli Rohack of Galveston; and McLennan County Medical Society.

Everardo F. Ibarra, of Mission, is a graduate of UTRGV. He will attend The University of Texas Medical Branch at Galveston School of Medicine and hopes to become a neurologist. Dr. Roberto and Mrs. Agniela Bayardo; Baldemar Covarrubias, MD, of Corpus Christi; Drs. Mary Dale Peterson and Rafael Coutin of Corpus Christi, in honor of James Arens, MD, of Brenham; and Mark J. Kubala, MD, of Beaumont, provided donations for his scholarship. 

Laura Moore, of El Paso, will graduate from St. Mary's University in San Antonio in May. She plans to become a pediatric oncologist and will study at McGovern Medical School at The University of Texas Health Science Center at Houston. Her scholarship is made possible by H-E-B. 

Monika Pyarali, of Austin, is a UT Austin graduate who will attend Baylor College of Medicine with plans to specialize in psychiatry or neurology. She expects to practice in an underserved area within a large urban area, such as Dallas/Fort Worth. Ms. Pyarali's scholarship is funded by Dr. Roberto and Mrs. Agniela Bayardo; C. Enrique Batres, MD, of Sugar Land; Gregory R. Johnson, MD, of Houston; and Harris County Medical Society /Houston Academy of Medicine.

Cooper Quiroz, of Temple, is a graduate of UT Austin. He hopes to specialize in internal medicine after earning his degree at Texas Tech University Health Sciences Center (TTUHSC)-Lubbock School of Medicine and plans to practice in a rural community near the Texas/Mexico border. His scholarship is made possible through contributions from Dr. Roberto and Mrs. Agniela Bayardo; Nueces County Medical Society; and Andre and Sukie Desire of Wichita Falls, in memory of Robert Horth.

Diana Rascon, of San Antonio, graduated from Texas State University in San Marcos. She will attend UT School of Medicine in San Antonio with plans become a surgeon. Dr. Roberto and Mrs. Agniela Bayardo; Drs. Rajam and Somayaji Ramamurthy of San Antonio; and Jaime D. Sandoval, MD, of Corpus Christi, underwrote her scholarship.

Oswaldo Renteria, of Balch Springs, graduated from UT Austin. He will study at UT Southwestern Medical School and plans to practice primary care in an underserved urban area. Dr. Roberto and Mrs. Agniela Bayardo, Dallas County Medical Society, and Charles B. Mullins, MD, of Austin, provided his scholarship. 

Juan Resendez, of Laredo, is a UT Austin graduate who will attend UT Austin Dell Medical School. He plans to practice obstetrics/gynecology or another primary care specialty in South Texas. Dr. Roberto and Mrs. Agniela Bayardo and Travis County Medical Society provided his scholarship. 

Stephanie Trujillo-Molina, of El Paso, graduated from UT El Paso. She will study at TTUHSC Paul L. Foster School of Medicine and plans to practice family medicine in her hometown after medical school. Ms. Trujillo-Molina's scholarship is made possible by Dr. Roberto and Mrs. Agniela Bayardo and El Paso County Medical Society.

TMA Physicians Honor Outstanding Science Teachers

TMA named six Texas science teachers as winners of the 2016 TMA Ernest and Sarah Butler Awards for Excellence in Science Teaching. TMA awarded three first-place prizes at TexMed 2016 in Dallas. Three second-place awards will be presented in upcoming local ceremonies. 

TMA recognizes elementary, middle school, and high school teachers for the awards. These educators help create tomorrow's physicians by inspiring students in the field of science.

First-Place Winners

Lauren Paquette of Hobby Elementary School in Houston, Nancy Brown of Charles Baxter Junior High School in Everman, and Kenric Davies of Sherman High School in Sherman are this year's elementary, middle, and high school first-place winners. TMA awards each top recipient a $5,000 cash prize, and each winner's school receives a $2,000 resource grant toward its science programs.  

Mrs. Paquette teaches kindergarten through fifth grade science lab at Hobby Elementary School in Houston. "I want students to know that science is in everything," she said. Mrs. Paquette strives to include hands-on activities wherever possible to show her students how science can be engaging ― and even fun. She encourages her students to think critically and learn from their mistakes. "In my lab, failure is not an option, and although we may struggle, we should never give up." Her colleagues say Mrs. Paquette constantly looks for ways to do more for Hobby Elementary and its students. She won several science grants for the school, and through her leadership, Hobby Elementary was chosen for the National Wildlife Foundation's Eco-Campus Partnership Program. The program teams an American school with a Taiwanese school to collaborate on an eco-friendly project. 

Mrs. Brown teaches eighth grade pre-advanced placement (AP) science at Charles Baxter Junior High School in Everman. Labeled as learning disabled and diagnosed with attention deficit disorder in her childhood, Mrs. Brown knows firsthand the need for caring, motivated teachers. "I knew from the depths of my soul that I needed to teach — and be the teacher that I never had," she said. Hands-on learning plays a central role in Mrs. Brown's lessons. She demonstrates Newton's law of inertia by balancing a spinning tennis ball and wire contraption on her head, then letting her students take turns with the device themselves. When she teaches topography, her students create detailed 3-D topographic maps. When she teaches electricity and circuitry, her students build and solder their own electronic device. "I love to challenge my students and do things that make them feel like they are really doing something amazing. They are active participants."

Mr. Davies teaches 11th- and 12th-grade AP physics and astronomy at Sherman High School in Sherman. "The look in a student's eyes when they realize how something works or get the answers to questions like 'why is the sky blue?' or 'how do magnets work?' gives me a sense of purpose, like I am directly participating in the construction of our future," he said. Mr. Davies cultivates student interest and understanding of science and emphasizes community involvement. He sponsors the school's Engineering Team and the Astronomy Club and puts together a Family Science Night every year, where students demonstrate science in action to their families and community. "I strive to show my students that they will not stop learning when they leave high school; they will continue to learn all throughout their lives, and this is something that should excite them."

Second-Place Winners

Second-place winners are Marisol Rodriguez of Achziger Elementary School in Mesquite, Chelsea Atwell of Austin Academy for Excellence in Garland, and Finny Philip of Berkner High School in Richardson. Second-place winners' schools each receive a $1,000 resource grant to enhance science classroom learning.

TMA physicians believe this award, and others like it, encourage the outstanding science teaching techniques that inspire Texas students to succeed. Only 36 percent of Texas eighth-graders have achieved proficiency in science, according to the National Science Foundation's Science and Engineering Indicators 2016 report. Through this award, TMA hopes to help improve these numbers by recognizing innovative teachers and providing them resources to continue motivating and engaging students. Eventually, TMA doctors know, some of these inspired students will choose medicine as a career. Several TMA physician leaders were taught by past recipients of this science teaching award.

"The very best teachers are relentlessly devoted to their students' learning and development. These special educators are who we honor each year with the TMA Science Teacher Award," said Deborah A. Fuller, MD, president of the TMA Foundation. "Teachers like these help ensure that students appreciate the role of science in understanding our world and how to use scientific information to make daily decisions." 

Science professionals from The University of Texas Charles A. Dana Center chose finalists from all the applicants, and physicians from TMA's Educational Scholarship, Loan, and Awards Committee selected the winners. 

The 2016 TMA Ernest and Sarah Butler Awards for Excellence in Science Teaching are made possible with a grant from the TMA Foundation, supported through an endowment generously established by Dr. and Mrs. Ernest C. Butler and gifts from physicians and their families.  

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Be a Health Leader With a TMAF Grant

The TMA Foundation is accepting applications to its 2016–17 Medical Community Grants and Medical Student Leadership Grants programs. TMA county medical societies and TMA Alliance and medical student chapters are eligible to apply to help support their local, collaborative outreach programs. 

Initiatives must address TMA priorities — tobacco use; obesity/metabolic syndrome; mental health and substance use disorders; violence, victimization, or unintentional injuries; vaccine-preventable diseases (through immunizations); unplanned pregnancy; or environmental health (or hazards). 

County medical societies and alliance chapters may receive up to $7,500, and medical student chapters may receive up to $3,000. Application deadlines are July 29 for Medical Community Grants and Aug. 31 for Medical Student Community Leadership Grants. 

Fundraising Challenge Benefits TMA's Hard Hats Program

Nearly 5,000 young Texans will be protected from serious or life-threatening head injury, thanks to a generous matching grant that donors won for the TMA Foundation (TMAF) by participating in TMAF's Make-A-Difference drive. TMAF raised approximately $24,000 for Hard Hats for Little Heads. An anonymous TMA member physician and his spouse donated a $10,500 match, bringing the total to more than $34,000 for the award-winning program.

The quick-paced fundraising effort was part of TMAF's 23rd annual gala on April 29 during TexMed in Dallas. This is the fifth year the donor couple offered the generous matching grant that has inspired dozens of other donors to join them in teaching little Texans the value of injury prevention by wearing a bike helmet. You can still add your support to Hard Hats or other initiatives made possible by TMAF — or sponsor a Hard Hats giveaway event yourself.

This Month in Texas Medicine

The May issue of Texas Medicine features a cover story on balance billing, a matter TMA is studying in preparation for the 2017 legislative session. TMA research shows narrow networks and other health plan practices -— not physician billing -— are bearing down on patients in the form of unexpected, out-of-network balance bills. In the issue, you’ll also find a Match Day photo essay and information on a United States Pharmacopeia proposal that physicians say will mess with an allergy treatment system that's worked for more than a century; problems physicians are running into with a meaningful use objective that requires public health reporting; and a profile of the Texas Department of State Health Services' new commissioner, John Hellerstedt, MD.

Click to launch the digital edition in a new window.

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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.   

Apply for Meaningful Use Hardship Exception

Medicaid Reenrollment Deadline

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.  


E&M Coding Made Easy Workshop
E&M Services From the Physician Perspective
Human Resources Skills Development Workshop 

Conferences and Events

TMA Fall Conference 2016
Sept. 23-24
Hyatt Regency Lost Pines

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Last Updated On

August 17, 2017