The Texas Health and Human Services Commission (HHSC) has proposed new Medicaid rates for ambulatory surgery centers (ASCs). Click here to download the .zip file for the “Medicaid Biennial Calendar Fee Review” dated January 1, 2019. The proposal is a mixed bag for orthopaedic ASCs. TOA will join other stakeholders to provide comments. HHSC will hold…
The Centers for Medicare and Medicaid Services (CMS) released the final calendar year (CY) 2019 Physician Fee Schedule (PFS) rule on November 1, and CMS modified the controversial E/M proposal. CMS also released the hospital outpatient department (OPPS) and ambulatory surgery center (ASC) final payment policy rule for CY 2019 on November 2. Click here…
The Texas Department of Insurance, Division of Workers’ Compensation (TDI-DWC) announced on October 12, 2018 that it will conduct a plan-based audit for neuromuscular testing. Click here to view details of the plan-based audit. The study will focus on the 10 providers who had the highest number of referrals for neuromuscular testing during the time period…
By Mel Gunawardena, SYNERGEN Health Ensuring successful revenue cycle management comes down to how proficient health care organizations are at optimizing processes, utilization of staff and the latest technology. More health organizations are turning to advanced technology that can be integrated into their current billing software and delivers an immediate return on investment. Specifically, artificial…
Henry B. Ellis, MD is a pediatric orthopaedic surgeon at the Texas Scottish Rite Hospital for Children’s Center for Excellence in Sports Medicine. Dr. Ellis is an El Paso native who received his medical degree from the University of Texas Science Center San Antonio, conducted his residency at UT Southwestern Medical Center, and completed fellowships…
A special committee of the Texas Legislature chaired by State Senator Charles Schwertner, MD and State Representative JD Sheffield, DO will meeting on October 3, 2018 to review the state’s prescription monitoring program (PMP). Click here to view TOA’s position paper.
The Centers for Medicare and Medicaid Services (CMS) released proposed changes to the Conditions of Participation for ambulatory surgery centers (ASCs), hospitals, and other segments of the health care industry on Monday. CMS indicated that it has gathered feedback from stakeholders, and this proposal would address 55 percent of the issues. As a result, CMS…
David Brigati, MD is a fellow in adult reconstructive surgery at the Dell Medical School at the University of Texas at Austin. Upon completion of his fellowship, Dr. Brigati hopes to go into practice in the Fort Worth area. Dr. Brigati, a Texas native, performed his orthopaedic residency at the Cleveland Clinic. He performed his…
The Texas Department of State Health Services (DSHS) will dedicate the rest of 2019 and 2020 to re-writing its trauma and stroke rules. TOA is joining the Texas Medical Association and other stakeholders to make recommendations. DSHS has announced the following stakeholder meetings for the rest of 2019:
Three members of TOA’s Residency Council – Max Danilevch, MD (UTMB), Jacob Murphree, MD (Texas Tech) and Joey Romero, MD (UT Southwestern) joined the Texas Orthopaedic Association for its annual trip to meet with the Texas Congressional Delegation on Capitol Hill in June 2018. The three orthopaedic surgeons … click here to view the entire article.
