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TOA
President's
Update
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By John T. Gill, MD
President, Texas Orthopaedic Association
You are cordially invited to
attend the 2008 Annual Meeting of the Texas Orthopaedic
Association, which will be held at the Westin Riverwalk in
San Antonio on May 22-24, 2008. The Board of Directors look
forward to your attendance and participation in this
important educational meeting, and welcome the opportunity
to share new |
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knowledge in the field of orthopaedic
surgery with you and fellow orthopaedists from across the state of
Texas.
The 2007 TOA Program Committee invites you to submit an abstract
if you would like to participate in the scientific session. For your
presentation to be considered, please complete the online abstract
form and speaker disclosure form. Fax the speaker disclosure form to
the TOA office at 866-864-1568. The deadline
is Friday, December 14, 2007. You
must submit both forms for your presentation to be considered.
These forms can be found on the homepage of the TOA
website (www.toa.org)
under 2008 TOA Annual Meeting. Note that the proposed length of the
paper presentations is five minutes with an additional two minutes for
question and answer.
TOA is accredited by the Texas Medical Association’s Continuing
Medical Education Committee to provide orthopaedic surgeons throughout
Texas the most up-to-date knowledge, trends and techniques in
orthopaedic surgery. We will present the 6th annual Resident Quiz
Bowl, scientific workshops, practice management information, sports
medicine papers and general orthopaedic presentations. Resident awards
for best papers range from $1500 to $500 and will be awarded at the
TOA Annual Business Luncheon.
Please visit the TOA
website (www.toa.org) to register for this meeting. More program
information and a registration mailing will be sent to TOA members in
December. We hope that you will consider being a part of another
outstanding TOA annual program.
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TDI To Hold
eBill Stakeholder Meeting On Monday, Oct. 22nd
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The Texas Department of Insurance,
Division of Workers' Compensation
(TDI) has scheduled an eBill Stakeholder Meeting from 9:30 a.m. to
11:30 a.m. on Monday, October 22, 2007. The meetings will take place
at the Division of Workers' Compensation's Central Office, 7551 Metro
Center Drive, Suite 100, Austin, Texas in the Tippy Foster Meeting
Room 1.107A. A map to the Division of Workers' Compensation's
Central Office can be found
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This meeting is to discuss
issues related to the TDI's eBill companion guide and
implementation concerns identified by stakeholders. Specific
items to be discussed include:
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adding flexibility for the
Electronic Transmitter Identification Number;
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adding a Pharmacy NCPDP 5.1
companion guide; and
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removing or clarifying
non-standard segments or instructions.
Insurance carriers and health care
providers will be asked for candid feedback on their progress to
implement eBill transactional processing, including information on any
potential barriers or problems that may impede or delay successful
implementation.
TDI will provide conference call services for those stakeholders who
cannot attend this meeting in person. The conference call is limited
to the first 125 callers and may be accessed by calling: (877)
226-9790 and entering access code 9278155.
A memorandum concerning the stakeholder meeting is posted on the
agency website at and can be found by clicking
here.
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TO-PAC
Working For YOU At The Capitol
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“A viable political action committee (PAC) is the vehicle for
power in the political process. The more money we raise and
the more strategically we spend it, the more effective we can
be. It is as simple as that.”
Dr. John Gill, President of the Texas Othopaedic
Association
Why TO-PAC Is Important:
Every legislative session there are:
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proposals to encroach on our
specialty’s scope of practice,
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constant attempts to dilute
the medical liability reforms our entire profession fought
so hard to get,
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and seemingly endless efforts
to add to our tax burden.
Doing battle costs money. Your
contributions are critical. Help make the Texas Orthopaedic
Association a force to be reckoned with in the legislative process!
Click here
for a printable donation form.
2007 Legislative Victories:
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Prevented debate on any bill that would expand the scope of practice
for the podiatrists to work on the ankle.
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Passed legislation that contained critical adjustments to previous
workers’ compensation reforms.
• Doctors performing peer review, utilization review, and
retrospective review in workers’ compensation cases must now be
licensed in Texas.
• Providers of workers’ compensation health care services will
not forfeit their right to reimbursement if the claim for payment is
filed timely, but erroneously filed with the wrong insurer.
• A health care provider reviewing a workers’ compensation
case must be certified in a specialty appropriate to the type of
care an injured employee is receiving.
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Killed a Senate bill that would have eliminated the standard of
willful and wanton negligence in liability claims arising out of
emergency care. Had this provision been repealed, the result would
have been a roll back of the hard won medical liability reforms.
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Protected income exemptions for Medicaid, Medicare, CHIP, Worker’s
Compensation, TriCare and uncompensated care in the tax bill.
Support TO-PAC today!
Click here
for a printable donation form.
To contribute
by credit card, please call 1-512-708-9053 or send your checks* to:
TO-PAC
Dr. Richard McKay, Treasurer
504 West 14th Street
Austin, Texas 78701
*(Personal
check required if paying by check), PAC contributions are not tax
deductible.
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Workers'
Compensation: Address Your Pre-auth Concerns Now!
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The state Legislature required the
Division of Workers’ Compensation (DWC) to adopt and implement
disability management processes. The three components of disability
management are:
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Treatment guidelines (ODG) – adopted and implemented
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Return to Work Guidelines (MDA) – adopted and implemented
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Treatment planning requirements - ongoing |
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As the formal disability management
process is being implemented, TMA has identified that there are
conflicts between the pre-authorization rules and ODG treatment
guidelines. These conflicts give physician offices an opportunity to
change the pre-authorization requirements. DWC is accepting comments
on pre-authorization now.
As most of you are aware,
pre-authorization requirements in the Texas workers’ compensation
system adds administrative hassle and burdens to physician offices.
The Division of Workers’ Compensation will be changing the
pre-authorization requirements. The tool they are using to accept
comments is a survey and it can be found
here.
Click on “Preauthorization Survey” and
please return the survey via email to Jane McChesney (Jane.McChesney@tdi.state.tx.us)
as soon as possible.
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This Week In Texas: Mignon McGarry Memos
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By Mignon McGarry
TOA Legislative Advocate / Memos: Wed Oct. 17, 2007
TOA Online Version: All Memos
October 17th, Wednesday
Robert Scott has
been appointed as Texas Education Commissioner. Scott has
served as Interim Commissioner twice before – in 2003 and
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beginning in July
of this year when Shirley Neely left the post after not being
reappointed by Governor Perry. Scott will serve a term
that expires in January of 2011.
Governor
Rick Perry has endorsed former New York City mayor
Rudy Giuliani for President in the 2008 election.
Kay Bailey
Hutchison has announced that she will not run for
reelection to the U.S. Senate. Her current term expires in
2013. Speculation abounds regarding her future plans and
whether she will serve out her current term.
Rep.
Robert Puente (D-San Antonio) has confirmed rumors
that he will not seek reelection to his House District 119
seat. Puente has served in the Texas House since 1991 and
currently serves as the Chairman of the House Natural
Resources Committee.
The proposed rules
implementing the Texas Franchise tax changes have been
published in the Texas Register. Following the required
public comment period, the rules are expected to be adopted in
December. Comptroller Susan Combs estimates that close to
200,000 new entities will have to file franchise reports.
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Register
Today For The Orthopaedic Specific
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Texas
Workers’ Compensation Workshops
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The experts are available to answer every question.
The TOA
Orthopaedic Specific ~
Workers’ Compensation Workshops will provide orthopaedic specific
information on regulatory changes, reimbursement challenges, and
disability management aspects of treating patients in the workers’
compensation system. The workshop agenda is as follows: |
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Orthopaedic Specific ~ Texas Workers' Compensation
Workshop
Agenda |
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AM |
8:15 – 9:00 |
Registration and Breakfast |
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9:00 – 10:30 |
Developments in the Workers’ Compensation System |
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10:30 – 10:40 |
Break |
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10:45 – 12:00 |
Orthopaedic Specific Administrative Tips and Coding |
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PM |
12:00 – 1:00 |
Working Lunch |
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1:00 – 3:30 |
Orthopaedic Specific Administrative Tips and Coding |
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3:30 – 3:45 |
Break |
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3:45 – 5:00 |
Discussion and Questions Period |
Register today for
the Orthopaedic Specific ~
Workers’ Compensation Workshop in your city:
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