TOA News Feed

Are You Ready for the Trump Administration’s New Price Transparency Rules?

December 10, 2019

Author: Mel Gunawardena, Managing Partner, SYNERGEN Health In November 2019, two new rules that require pricing information to be made public were finalized by executive order and announced by the Trump administration. The rules – Calendar Year 2020 Outpatient Prospective Payment System & Ambulatory Surgical Center Price Transparency Requirements for Hospitals to Make Standard Charges…

Read More

A Look at Medicare’s Competitive Bidding Program for DME

November 19, 2019

TOA recently sat down with Ross DeRogatis of Matrix Orthopedics to look at Medicare’s Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding program, which will affect back and knee braces. Ross is the President/Owner of Matrix Orthopedics, an exclusive Donjoy distributor.  He has been in the DME space for over 10 years and…

Read More

The Medical Expert Witness Industry: Q&A with J. Clark Race, MD

November 6, 2019

Clark Race, MD is board certified in Orthopedic Surgery by the American Board of Orthopaedic Surgery and has been in private practice in the Austin area since 1983. Dr. Race recently created Expert Witness Doctors to provide medicolegal services, which include depositions, trial testimony, medical record reviews, IMEs, peer reviews, disability evaluations, designated doctor exams,…

Read More

2020 Physician Fee Schedule Summary

November 5, 2019

The Centers for Medicare and Medicaid Services (CMS) released its final payment rule for the calendar year (CY) 2020 Physician Fee Schedule (PFS) payment policy on Friday, November 1. CMS finalized most of the orthopaedic-related proposals that were published in this summer’s proposed rule. Therefore, this summary will simply touch on a few of the…

Read More

2020 OPPS/ASC TOA Summary

November 5, 2019

The Centers for Medicare and Medicaid Services (CMS) released its final payment rule for the calendar year (CY) 2020 hospital outpatient (OPPS)/ASC payment policy on Friday, November 1. CMS finalized most of the orthopaedic-related proposals that were published in this summer’s proposed rule. Click here to review TOA’s summary of the proposed rule. Click here…

Read More

A Look at the Evolution of Football Injuries

September 10, 2019

TOA recently sat down with Field Scovell, MD of the Carrell Clinic in Frisco and Shane Miller, MD of Texas Scottish Rite Hospital for Children in Frisco to take a look at the evolution of football injuries and their treatment. The following is TOA’s conversation. TOA: Have you and your colleagues changed the way that…

Read More

Medicare Is Considering a Renewal of the CJR Program

September 3, 2019

The White House Office of Management and Budget (OMB) is reviewing a three-year extension of the Comprehensive Center for Joint Replacement (CJR) model. CJR, which focuses on hip and knee replacement bundles, debuted in 2016. It is scheduled to end in 2020. Sixty-seven geographic areas, including five Texas regions, were included in the initial mandate.…

Read More

Texas Medical Board Offers Guidance Related to the State’s New Opioid Law

August 30, 2019

The Texas Medical Board (TMB) issued preliminary guidance related to Texas’ new limit on opioid prescriptions that will go into effect on September 1, 2019. The 10-day limit on opioid prescriptions was created by HB 2174 in the 2019 Texas Legislature. Click here to view the initial guidance: HB 2174 Initial Guidance – TMB

Read More