TOA News Feed

COVID-19

March 25, 2020

  Click here to learn more about Congress’ end-of-year legislation in 2020. Texas DSHS Dashboard – June 2020 Click here for DSHS’s dashboard, including hospitalizations by trauma service area. Financial Relief Refer to TOA’s e-mail updates for members for extensive details related to federal relief. Texas Medical Board Click here to view the TMB’s guidance.…

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CMS: Special Open Door Forum re: Prior Authorization Process

February 28, 2020

Prior Authorization Process for Certain Durable Medical Equipment Prosthetics, Orthotics and Supplies (DMEPOS) Items: Inclusion of Lower Limb Prosthetics (LLPs) in Prior Authorization Wednesday, March 11th, 2020 2:00-3:00 PM Eastern Time Conference Call Only The CPI will host a Special Open Door Forum to invite suppliers, physicians, and other Medicare practitioners or interested parties to…

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An Alternative to Private Equity and Hospital Absorption: Use of ESOPs for Medical Practices and Physician-Owned Hospitals in Texas

February 25, 2020

TOA disclaimer: The following article has been provided for informational purposes only.  It does not constitute legal or accounting advice. You should consult your attorney and accountant. By Susan Scherbel, Bellview Associates It is hard to think of a profession that has faced more challenges than medicine. For the past decade, physicians have been hammered…

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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…

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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…

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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,…

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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…

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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…

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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…

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