September 8, 2008

 

 
TOA President's Update
  

By Timothy L. Beck, MD
President, Texas Orthopaedic Association

                        Save the Date!
 

              
2009 Socioeconomic Summit
                         
 Stephen F. Austin Hotel
           Saturday, January 31 – 1:30 to 5:30 PM

The Business of Orthopaedics
TOA’s Original Practice Management Course for Orthopaedic Residents
January 31 & February 1, 2009

Please schedule to attend the 2009 Socioeconomic Summit of the Texas Orthopaedic Association, which will be held at the Stephen F. Austin Hotel in Austin on January 31st from 1:30pm to 5:30pm.  We will provide a shuttle to and from the TMA Winter Conference so TOA members can attend TMA Saturday morning meetings if they wish.  You and your family are also invited to join us during the Saturday evening reception for TOA members and their spouses!

Join us at the Socioeconomic Summit to discuss issues such as national health care reform, workers’ compensation, physician ownership and scope of practice.  TOA is accredited by the TMA to provide continuing medical education for physicians. The Summit has been approved for 4 hours of CME credit!

The Legislature will convene for the 81st Regular Session on January 13, 2009.  We need to know which issues are important to you.  In Texas and around the country, many health care issues important to orthopaedics are either new on the scene or seem to be ongoing problems.  If you have not filled out our issues survey, please open, print and fax this form to answer these questions for us so we will know your concerns. Or you may simply fill it out online by clicking here - the password is: toa-03-25-08-is.

Also on Saturday, January 31st & Sunday, February 1st (8:30am-12:00pm), you won’t want to miss The Business of Orthopaedics, our 6th annual practice management course for orthopaedic residents and fellows.

Download Early Registration Form
2009 Socioeconomic Registration Form (PDF)

Hope to see you in Austin!
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Reported Commissioner Appointment Draws Stakeholder Support
 
  

By Michael Reed, MPA, MBA, Director of Healthcare Delivery Systems
Texas Medical Association

Stakeholders on Friday applauded the reported appointment of Office of Public Insurance Counsel head Rod Bordelon as Texas' workers' compensation commissioner.

Gov. Rick Perry's office refused to comment on the reports, as did Bordelon.

But Austin insiders told WorkCompCentral an announcement is expected very soon. The current commissioner, Albert Betts, who was appointed as the first commissioner for the recognized Division of Workers' Compensation in September 2005, has resigned effective Aug. 31.

Several stakeholders cited Bordelon's experience as head of OPIC and his background in insurance – along with a reputation for fairness in running the state agency – as supporting his possible selection.

The office represents the interests of insurance consumers as a class.

Bordelon originally was appointed as executive director and public counsel at OPIC by Gov. George W. Bush in April 1995 and reappointed by Perry.

Joe Woods, vice president and regional manager, Property Casualty Insurers Association of America (PCI), said he has dealt with Bordelon on insurance issues and has found him to be "a good lawyer and a plain talker."

"He will need to make the change from being a consumer advocate to a middle-of-the-road administrator, and I'm sure he can do that," Woods said, adding that Bordelon "has always been straightforward with me."

Nick Huestis, workers' compensation consultant with Austin law firm of Burns, Anderson, Jury and Brenner, said that he has worked with Bordelon on the self-insurance advisory committee "for years" and found him to be "very fair-minded" and knowledgeable.

"I think he's shown that in his work at OPIC," Huestis said.

"I don't think he has any hidden agenda…. He has tried to see that rates are fair and reasonable and I think that fairness would carry over if he is the commissioner."

Huestis said he believes Bordelon "has a good knowledge of workers' compensation…. He certainly is knowledgeable about insurance."

Bordelon also has demonstrated that he is "very serious about safety. He's demonstrated that on the self-insurance committee," Huestis said.

Bordelon's experience with managing a state agency also would be a plus in taking over the Division of Workers' Compensation, Huestis said.

Terry Frakes, senior vice president for communications with Texas Mutual Insurance Co., said that if Bordelon is the governor's choice, "I'm happy for Rod," although Bordelon would be "taking on a tough, tough job."

Bordelon would bring extensive experience to the commissioner's post, Frakes said.

"He does have a lot of experience in insurance. And I think he would be very fair to everyone."

Some stakeholders contacted by WorkCompCentral declined to comment, pending an official announcement by the governor's office.

However, one who requested not to be identified, said that "if that's the governor's choice, I'd say he'd made a fine decision."

Prior to his appointment at OPIC, Bordelon was a partner in the law firm of Bordelon & Fields, L.L.P.

In 1988, Bordelon served as the deputy public counsel and then acting public counsel for the Office of Consumer Protection, the predecessor of OPIC.

Bordelon is a native of Laredo. He received his Bachelor of Business Administration degree from the University of Texas at Austin in 1981 and his law degree from the South Texas College of Law in Houston in 1984.

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This Week In Texas: Mignon McGarry Memos

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

September 3, 2008, Wednesday
In addition to the general election, there will be three special elections for legislative districts held on November 4, 2008.

Senate District 17 is an open seat due to the resignation of former Senator Kyle Janek (R-Houston).  There are four Republicans in the race:  Austen Furse, a financial manager from Houston; attorney Grant Harpold of Houston; Joan Huffman, a Houston attorney; and Ken Sherman, a business owner from Lake Jackson.  There are two Democrats – Houston Attorney Chris Bell, who was the Democratic nominee for Governor in 2006 and Stephanie Simmons, an attorney from Missouri City.

House District 55 is an open seat due to the resignation of former Representative Dianne White Delisi (R-Temple).  There are three candidates:  Republican Ralph Sheffield, Jr., of Temple, owner of Las Casas Restaurant, who won the Republican Primary and Run-off in this district; Democrat Sam Murphey of Harker Heights, an Army veteran and long-time aide to Congressman Chet Edwards, who is the Democratic nominee in the General Election; and Independent R. "Danny" Daniel, a performance specialist from Belton, who is not a candidate in the general election contest.

House District 81 is an open seat due to the death of Representative Buddy West (R-Odessa) on June 25, 2008.  The only candidate to file is Republican Tryon Lewis, who defeated West in the Republican Primary Run-off.


 

August 27, 2008, Wednesday

A federal judge in Austin overturned two portions of the "speaker's statute", the state law limiting Texans from spending money to influence the speaker's election.  State law had limited individuals to spending no more than $100 on correspondence to aid or defeat a speaker candidate. It also barred groups or organizations from giving "anything of value," directly or indirectly, to aid or defeat a speaker candidate.  The judge ruled those provisions are unconstitutional infringements on free speech.  The ruling will likely lead to individual Texans and groups spending money this fall to support their preferred candidate for speaker.

Last week, we asked you to send us some information about your office.  This week, we include some information about our office.  If you call our office, you will likely speak to our staff at one time or another.  Here are some details about us.

Vicki Goff joined the firm in 2004.  As the Office Manager, Vicki handles scheduling, client and customer relations, business operations, and information systems for the firm.  Vicki devoted over thirty years in service to the State of Texas prior to joining the firm, bringing extensive knowledge and experience in governmental relations and administration.  Vicki held various administrative and management positions in the University of Texas System, the Office of the Governor, the Texas House of Representatives, and the Texas Senate.

Charles H. Girard exemplifies the presence of business experienced professionals utilizing corporate best practices and blending those with the strategic acumen needed for governmental consulting.  Chuck graduated from The University of Texas at Austin in 1996 with B.A.'s in Government and History.  His educational experience was supplemented with a rigorous work schedule as well, working up to 30 hours a week during his college tenure.  Upon graduating in 1996, his professional path led him to an array of challenging endeavors including a stint working in litigation support for the defense in a $14 billion products liability lawsuit in Texas and an unconventional sprint up the corporate hierarchy at Merrill Lynch in Denver, Colorado.   Chuck returned to school to pursue a graduate business education at Rice University in Houston, and earned his M.B.A. in 2003.  Prior to joining Mignon McGarry in January 2005, Chuck worked in an advocacy and communications role for a Senior Vice President at Pfizer Inc in their headquarters in New York. 

M.L. Calcote brings her decade of legal expertise and legislative drafting skills to the firm.  M.L. graduated with a Plan II degree from The University of Texas at Austin in 1989 and then earned her law degree from The University of Texas School of Law in 1994 and is licensed to practice law in Texas.   Upon graduation from law school, M.L. served as an Assistant Attorney General in Texas in the Tort Litigation Division.  She began her legislative career in 1996 when she joined the Legal Division at the Texas Legislative Council.  There, M.L. drafted legislation for members of the Texas Legislature until 1999 when she became General Counsel for Senator Jeff Wentworth.   M.L. also served as the Committee Director and General Counsel for the Senate Jurisprudence Committee before joining the firm in 2006. 

Amy Dyer is the newest addition to the firm.  A 2003 graduate of The University of Texas, Amy served on the staff of U.S. Representative Ralph Hall in Washington, D.C. for four years in a variety of positions.  Like many Texans, Amy longed to return to Texas so she chose to return to Austin to see how the Texas Legislature compares to the U.S. Congress.
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TDI/DWC Ambulatory Surgical Center Facility Fee Guidelines Educational Seminars
 
  

AUSTIN, TX — University of Houston (UH) Small Business Development Center (SBDC), the University of Texas at San Antonio (UTSA) SBDC and North Texas SBDC Network will sponsor several half-day educational seminars entitled The New Ambulatory Surgical Center Facility Fee Guideline in Houston, San Antonio and Dallas. The seminar is presented by the Texas Department of Insurance, Division of Workers' Compensation.

The New Ambulatory Surgical Center Facility Fee Guideline seminar will be offered on the following dates at the locations shown:

  • Houston: 8:30 a.m. to 11:30 a.m. on Wednesday, September 10, 2008 at UH SBDC, 2302 Fannin, Suite 200. To register online click here or call 713-752-8488. The cost is $49 online registration and $69 at the door.

  • San Antonio: 8:30 a.m. to 11:30 a.m. on Tuesday, September 24, 2008 at UTSA Downtown, Durango Building, Southwest Room at 501 W. Durango. To register click here, e-mail sbdcworkshop@utsa.edu or call 210-458-2047.  The cost is $50 per person.

  • Dallas: 8:30 a.m. to 11:30 a.m. on Thursday, October 4, 2008 at 1402 Corinth Street, Room 1530. To register call 214-860-5865. The cost is $50 per person.

The seminar includes a comprehensive overview of the newly adopted Ambulatory Surgical Center Facility Fee Guideline. The newly adopted fee guideline requires ambulatory surgical centers (ASC) to use the most current federal Centers for Medicare and Medicaid Services weight, values, measures and payment policies when billing for facility services provided on or after September 1, 2008. The educational seminar will provide information on the following subjects:

  • key billing laws and rules;

  • applicability of the new ASC Facility Fee Guideline;

  • definitions;

  • basic concepts;

  • resources required to use new ASC Facility Fee Guideline;

  • reimbursement calculation and examples;

  • billing and reimbursement for ambulatory surgical center facility services (non-device and device intensive services); and

  • billing and reimbursement for implantables (non-device and device intensive services).

For more information contact: (General) Michelle Banks @ (512) 804-4203 or (Media) John Greeley @ (512) 463-6425

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