Centers for Medicare & Medicaid Services (CMS) officials rejected organized medicine's request to delay implementation of the ICD-10 coding system. That means the new coding system will take effect Oct. 1, 2014.
Because of the CMS decision, you must begin preparing for ICD-10 now if you haven't already. TMA has a variety of ways to help physicians prepare.
Learn more -- and be prepared.
Federal officials should appoint a "highly visible HIT Safety Czar" to help protect patients from adverse events caused by electronic health record systems functioning improperly, TMA says in a letter to the director of the Office of the National Coordinator for Health Information Technology.
Sanofi Pasteur has made additional influenza vaccine available for children and adults. This includes Fluzone in 0.25 mL prefilled syringes for children ages 6 through 35 months, as well as Fluzone in 0.5 mL vials for patients 3 and older.
Read more and find out all the various flu vaccines that are on the market now.
Dozens of physicians from across Texas took time away from their medical practices to ask state leaders to reinstate cuts that harm access to care for thousands of Texas’ dual-eligible patients. Dual-eligible patients are old enough to qualify for Medicare and able to qualify for Medicaid assistance because of their income.
Texas Medicaid slashed program funds over a year ago at the direction of the 2011 Texas Legislature, creating a medical emergency for thousands of dual-eligible patients and the doctors who care for them.
For nearly a year, TMA and BHC physicians organized rallies, met with state leaders, and lobbied to get the cuts reversed. BHC is a confederation of county medical societies that work together to improve patient care and public health throughout South Texas. Many of the BHC doctors take care of large percentages of elderly, low-income patients.
Medicare and Medicaid pay dual-eligible patients’ medical bills, with Medicare paying a majority of the tab. In January 2012, Texas Medicaid stopped paying the patients’ Medicare deductible, which was $140 — this year its $147. Medicaid also stopped paying the patient’s coinsurance (due if Medicare’s payment to the physician exceeded what Medicaid pays for the same service, which is usually the case). The coinsurance had been an 80/20 split, with Medicare paying 80 percent of the patient’s doctor bill and in most cases, Medicaid paying the remaining 20 percent.
These cuts affected approximately 320,000 dual-eligible patients in Texas, who are the oldest, sickest and most frail, and who rely on regular physician care and prescription medications. Doctors kept seeing these patients even though Texas Medicaid was not paying the patients’ deductibles nor fully paying all of the 20-percent coinsurance. Many doctors were forced to tap savings, obtain loans, cut staff, retire early, or move away. Some patients lost their doctor altogether.
Finally last week, under the direction of the Texas Legislative Budget Board, the Texas Health and Human Services Commission restored coverage of the Medicare deductible for dual-eligible patients in 2013.
“That’s a start,” said Dr. Brotherton, pleased that some relief has arrived. But the 20-percent coinsurance cut remains.