August 13, 2007

 

 
TOA President's Update
  

By John T. Gill, MD
President, Texas Orthopaedic Association

We had a marvelous weekend in Austin at the TOA Socioeconomic Summit.  On Friday, over 20 residents participated in our Business of Orthopaedics course, coordinated by David Teuscher.  It is about the only training residents get in setting up an office, reading a business contract, or selecting an accountant.  Kudos to UTMB who had the highest attendance at 13.

That evening, Lt. Governor David Dewhurst joined us for our opening reception.  He shared with the group his concerns for healthcare in Texas going forward, in particular dealing with the 5 million uninsured and the ever growing Medicaid population.  As a group, we were able to once again thank him for his leadership in securing tort reform in Texas and reminded him that it is working even better than expected. 

Saturday morning, Mignon McGarry, our TOA lobbyist, led us through a state legislative wrap-up, including some memorable video clips of high drama on the Texas House floor, as a coup de tête attempt to unseat Speaker Craddick failed.  David Lovett, from the AAOS Washington DC office, followed with a federal update and touched on the looming healthcare reform debate that will materialize in the 2008 presidential campaign.

We then had a segment on economic survival in medicine, a subject you would never have expected 20 years ago at a meeting of orthopaedic surgeons.  Times have changed.  Covered were topics on controlling costs, maximizing revenues, marketing your practice, ancillary services, and investment in facilities such as ASC’s and specialty hospitals.  Michael Reed, from TMA, also joined us and gave us an update on developments in the Workers Comp world, and reminded us that the Approved Doctors List goes away come September one.

Our luncheon speaker was State Representative, and anesthesiologist, Dr. John Zerwas.  He came equipped with a binder full of bill summaries.  Instead, I asked him to share with the group his personal journey from the operating room to the house chamber.  What followed was an inspiring story of changing course when opportunity knocked and how, with emotional support from family and friends, one can make it happen.

As a bonus, TMA President, Dr. Bill Hinchey, attended the luncheon and gave us an update on recent events and angst over the SCHIP reauthorization bill currently under debate in Washington.  Although the bill does contain some high profile elements favorable to physicians, buried deep within are several provisions extremely harmful to medicine, such as a ban on physician ownership in hospitals.

TOA President Elect, Dr. Tim Beck, then presented a new public relations campaign that TOA will roll out in coming weeks.  We will utilize public service announcements that AAOS has produced, to educate the public about orthopaedic services and encourage folks to get active and exercise.  We concluded the summit with a session on media training, complete with tips from the pros, on camera interviews, and peer and professional review.

Many thanks to TOA executive office staff, Donna Parker, Jeseka Wallace, Ed Berg and Sam Kreitner for their efforts in producing an outstanding event.
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Study: Nearly 2 In 10 Patients Don’t Follow Through On Referrals
 
  

A study published in the July/August issue of the journal Annals of Family Medicine finds that as many as 17 percent of patients may not complete referrals to specialists within 3 months’ time. Researchers observed a cohort of 776 referred patients from 81 practices in 30 states, and asked referring physicians and patients to complete self-administered questionnaires at the time of the referral decision and 3 months later. Among the 132 patients who did not complete the referral,

47.5 percent said the medical situation had resolved itself; 37.3 percent responded that they didn't have the time, and 26.5 percent stated they disagreed with their doctor's advice. Additionally, patients on Medicaid were less likely to follow through on a referral and more likely to be denied coverage under their health plan. For more information click here.  The abstract of the study can be viewed here.

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This Week In Texas: Mignon McGarry Memos

By Mignon McGarry
TOA Legislative Advocate
TOA Online Version: All Memos

 

August 6, 2007, Monday
Although most people are focused on the 2008 presidential election, there will be 16 proposed constitutional amendments on the ballot in

Texas on November 6th this year.  Since it was enacted in 1876, the Texas State Constitution has been amended more than 400 times.  In order for an amendment to appear on the ballot, the proposal must pass by a two-thirds vote in both the Texas House and Senate.  The proposals must receive a majority vote to be amended to the constitution.

A drawing was held recently to determine the order of the amendments on the ballot. Below is a complete listing of the amendments:

Proposition 1:  "The constitutional amendment providing for the continuation of the constitutional appropriation for facilities and other capital items at Angelo State University on a change in the governance of the university."

Proposition 2:  "The constitutional amendment providing for the issuance of $500 million in general obligation bonds to finance educational loans to students and authorizing bond enhancement agreements with respect to general obligation bonds issued for that purpose."

Proposition 3:  "The constitutional amendment authorizing the legislature to provide that the maximum appraised value of a residence homestead for ad valorem taxation is limited to the lesser of the most recent market value of the residence homestead as determined by the appraisal entity or 110 percent, or a greater percentage, of the appraised value of the residence homestead for the preceding tax year."

Proposition 4:  “The constitutional amendment authorizing the issuance of up to $1 billion in bonds payable from the general revenues of the state for maintenance, improvement, repair, and construction projects and for the purchase of needed equipment."

Proposition 5:  "The constitutional amendment authorizing the legislature to permit the voters of a municipality having a population of less than 10,000 to authorize the governing body of the municipality to enter into an agreement with an owner of real property in or adjacent to an area in the municipality that has been approved for funding under certain programs administered by the Texas Department of Agriculture under which the parties agree that all ad valorem taxes imposed on the owner's property may not be increased for the first five tax years after the tax year in which the agreement is entered into."

Proposition 6:  "The constitutional amendment authorizing the legislature to exempt from ad valorem taxation one motor vehicle owned by an individual and used in the course of the owner's occupation or profession and also for personal activities of the owner."

Proposition 7:  "The constitutional amendment to allow governmental entities to sell property acquired through eminent domain back to the previous owners at the price the entities paid to acquire the property."

Proposition 8:  "The constitutional amendment to clarify certain provisions relating to the making of a home equity loan and use of home equity loan proceeds."

Proposition 9:  "The constitutional amendment authorizing the legislature to exempt all or part of the residence homesteads of certain totally disabled veterans from ad valorem taxation and authorizing a change in the manner of determining the amount of the existing exemption from ad valorem taxation to which a disabled veteran is entitled."

Proposition 10:  "The constitutional amendment to abolish the constitutional authority for the office of inspector of hides and animals."

Proposition 11:  "The constitutional amendment to require that a record vote be taken by a house of the legislature on final passage of any bill, other than certain local bills, of a resolution proposing or ratifying a constitutional amendment, or of any other nonceremonial resolution, and to provide for public access on the Internet to those record votes."

Proposition 12:  "The constitutional amendment providing for the issuance of general obligation bonds by the Texas Transportation Commission in an amount not to exceed $5 billion to provide funding for highway improvement projects."

Proposition 13:  "The constitutional amendment authorizing the denial of bail to a person who violates certain court orders or conditions of release in a felony or family violence case."

Proposition 14:  "The constitutional amendment permitting a justice or judge who reaches the mandatory retirement age while in office to serve the remainder of the justice's or judge's current term."

Proposition 15:  "The constitutional amendment requiring the creation of the Cancer Prevention and Research Institute of Texas and authorizing the issuance of up to $3 billion in bonds payable from the general revenues of the state for research in Texas to find the causes of and cures for cancer."

Proposition 16:  "The constitutional amendment providing for the issuance of additional general obligation bonds by the Texas Water Development Board in an amount not to exceed $250 million to provide assistance to economically distressed areas."

Proposition 15, the proposal to authorize the issuance of bonds to create the Cancer Prevention and Research Institute of Texas, is the only proposal likely to have a publicity campaign behind it.  You can expect commercials and print ads with celebrities like Lance Armstrong and other cancer survivors to begin soon.
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Coding questions? Check The Online Practice Management Center
 
  

Is getting paid correctly for the work you perform foremost on your mind? One of the many AAOS member benefits is access to the online Practice Management Center (PMC). The PMC was created to address members’ needs in proactively managing the business side of their

practices. The PMC section on CPT/ICD-9 Coding explains the resources available to help you code correctly so you can be paid correctly. In addition to links to articles and monographs, you can view recent frequently asked coding questions (FAQs), organized by anatomical site. For more information, visit the PMC CPT/ICD-9 Coding Counsel page online here.  (member login required)

You may also contact Matt Twetten, Senior Policy Analyst in the Department of Medical Affairs. Matt can be reached by phone at (847) 384-4338, or via e-mail at: twetten@aaos.org

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