Major Changes Coming in 2021 for Office/Outpatient E/M Codes

November 19, 2020

Effective January 1, 2021, CMS will be changing the way providers bill for office/outpatient E/M codes. The changes begin with reducing the documentation requirements for the history and exam components, placing the emphasis on the level of medical decision making (MDM) and total time spent in caring for the patient. See below for informational resources.

Texas Podiatric Medicine magazine article

Office / Other Outpatient Evaluation and Management Changes for 2021 training webinar: https://register.gotowebinar.com/recording/720310261709592588

Getting Ready: Documentation for E/M Coding in 2021 training webinar: https://www.apma.org/Events/CalendarEventDetail.cfm?EventID=121159

Overview of the changes: https://www.apma.org/em2021

APMA will do another webinar on December 17, 2020, to show examples on how the new E/M rules should be applied. More information on this webinar will be coming soon.

Step Into Podiatry

October 19, 2020

We are asking all podiatrists to help to promote podiatry to the next generation.

To help facilitate this process, APMA has created a webpage, Step Into Podiatry, that provides excellent resources for high school and undergraduate students. Included on the website are flyers, videos and a customizable PowerPoint presentation for prospective students, which can be used when speaking with student groups or individuals.

In Memoriam – Gilmore E. Guster, DPM

September 17, 2020

It is with a heavy heart and great sadness hearing of the passing of Dr. Gil Guster on September 12, 2020, my peer, my mentor, and especially one of my dearest friends. Gil was one of our unsung leaders of podiatry in the Houston and Clear Lake, NASA community during the ’70s through the ’90s. He never said no to helping or guiding any new podiatrist moving into the area.

He was held in great respect not only by his fellow podiatrists but also with the MD community. He will be missed by many but never forgotten. My condolences to his wife Evie who lives in the San Diego area where they have resided together for the past several years. He is also survived by his two adult children and their families.

RIP Gil.

Michael A Mineo, DPM
Galveston, TX

New Human Trafficking Prevention Training Requirement

July 15, 2020

Pursuant to House Bill 2059, certain health care practitioners are required to complete an approved human trafficking prevention training course in order to renew their license beginning September 1, 2020. The training course must be approved by the Texas Health and Human Services Commission (HHSC) and is required for each license renewal submitted on or after the effective date.

The following TDLR license types are impacted by HB 2059 and will be required to comply with the new training requirement:

· Podiatric Physician
· Podiatric Temporary Residency
· Podiatric Medical Radiological Technician

HHSC has already approved one training course and posted it on their website. Additional courses will be posted as they are approved. You can find more information on HHSC’s Texas Human Trafficking Resource Center webpage.

TPMA Online CECH Series – Webinar #1

June 16, 2020

Zoom Webinar | June 24, 2020 | 12:00 – 1:00 pm
1 CECH

Podiatric Dermatology Essentials
Speaker: Tracey Vlahovic, DPM, FFPM RCPS (Glasg)

Register now!

Your Podiatry Practice and COVID-19

March 23, 2020

Dear member,

As the effects of the COVID-19 pandemic continues, the Texas Podiatric Medical Association wants to share some important information with you and guidance for your practice during this challenging time. Below are some links that we hope will help you deal with the current situation. 

Many podiatrists are searching for answers about how to address COVID-19 in their practices and personal lives. TPMA/APMA is here to help by directing you to the most authoritative and timely news and tools. These resources are available on APMA’s COVID-19 resource page at www.apma.org/covid19 as well as an FAQ page.

PODIATRISTS CAN PROVIDE E/M SERVICES REMOTELY
A resource that may be of interest to you are APMA-developed resources on providing telehealth services. You may need to provide Telephone Services and Online Digital Evaluation and Management Services during this time. CMS has announced major changes to services that podiatrists can furnish remotely under the 1135 waiver authority and Coronavirus Preparedness and Response Supplemental Appropriations Act. This waiver allows Medicare to pay for office, hospital, and other visits furnished via telehealth. This change means podiatrists can submit CPT 99201–99215 when these services are provided remotely. Watch APMA’s webinar for guidance on coding, compliance, and documentation for these service types. As of today, telehealth can be provided for Medicare Part B (Fee for Service) and Medicare Advantage plans only. Rules and Regulations change from day to day so stay tuned for updates.

Additionally, there may be upcoming issues with patients requiring “covered routine foot care” (RFC) and/or diabetic therapeutic shoes (DTS). With regard to the RFC and DTS it is APMA’s understanding that, “DME CMD’s suggest that CMS is having discussions with all the CMD’s on many of the policy issues given that it is not possible for most folks to get into their PCP offices right now. Priority for ill patients not for those who need to be certified for shoes or routine foot care must be given.

Some coders have also suggested that if possible (based on the patient’s history, physical finding, diagnoses and the Novitas Solution’s LCD on RFG) to use non-asterisk (*) diagnoses as these do not require the patient to be seen by their attending within the past six months. This is just a suggestion and may not be appropriate for every patient’s situation. There is also the possibility that these patients can be scheduled farther out after the virus situation and the social distancing is no longer a problem.

THE FAMILIES FIRST CORONAVIRUS RESPONSE ACT WAS SIGNED INTO LAW ON MARCH 18, 2020
In the coming days and weeks, federal regulatory agencies, including the Department of Labor (DOL) and Health and Human Services (HHS), will provide guidance on how to execute or implement the new requirements. In the meantime, employers and advisors must rely on a good faith interpretation of the act’s text. View the Families First Act

ADDITIONAL LINKS:

TEXAS DEPARTMENT OF STATE HEALTH SERVICES

TEXAS DEPARTMENT OF LICENSING AND REGULATION

CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC)

WORLD HEALTH ORGANIZATION (WHO)

JOHNS HOPKINS UNIVERSITY & MEDICINE

CENTERS FOR MEDICARE & MEDICAID SERVICES

TEXAS WORKFORCE COMMISSION

  • TWC webpage has resources and information on actions taken by the commission in response to COVID-19. This page will be continuously updated with answers to questions about operating your business during this time. Please visit https://twc.texas.gov/news/covid-19-resources-employers.

CYBERSECURITY

  • Be aware there are fake emails coming in posing as COVID-19 informationals; these emails/sites direct you to install an applet in order to view “current” data but instead it installs a malicious program. Please be wary of any unfamiliar sites asking you to download or install anything. You can read more about it here.

Stay well and safe,

Melinda Daise
Executive Director

Steven P. Brancheau
Chief Medical Officer

CMS Announces Actions to Address Spread of Coronavirus

March 12, 2020

It is Novitas Solutions’ priority to keep you informed of updates addressing the Coronavirus (COVID-19). They have developed a dedicated Coronavirus webpage that can be easily accessed from their website home page banner and a red alert box at the top of the page. Stay informed and subscribe to the Novitas Solutions’ eNews to learn the latest Medicare news and other time-critical information.

2020 Medicare Participation Physicians/Suppliers Directory (MEDPARD) NOW AVAILABLE!

March 4, 2020

The 2020 MEDPARD (Medicare Participation Physicians/Suppliers Directory) is now available! As in the past, there will be no hardcopy distributions. Beneficiaries can use the Internet or contact 1-800-MEDICARE for assistance in locating a participating supplier near their home. Also, the beneficiary’s local Social Security Office(s), the Area Administration on Aging office(s) and other beneficiary advocacy organizations may be able to assist as well.

JH MEDPARD includes:

  • Arkansas
  • Colorado
  • Louisiana
  • Mississippi
  • New Mexico
  • Oklahoma
  • Texas

To access the directory, use the arrow pull-down windows to select a specific state, county and specialty. Click “Submit” and the supplier choices will display in alphabetical order.

Mandated Use of the Texas PMP

February 13, 2020

Starting March 1, 2020, prescribers and pharmacists will be required by Texas state law to use the Texas PMP to review a patient’s prescription history before prescribing or dispensing opioids, benzodiazepines, barbiturates, or carisoprodol. Exceptions are made for patients who have been diagnosed with cancer or are receiving hospice care.

The link for this database is https://txpmp.org/.

If you have not already, please register so you are ready for March. You can assign delegates to references the database on your behalf.

New Disclosure & Consent Form Required in 2020

December 20, 2019

The Texas Medical Disclosure Panel (TMDP) has adopted changes to the informed consent forms, which will take effect January 1, 2020. The list of complications for “A” and “B” procedures must be used as well.

Beginning January 1, a patient must sign the new version of the applicable form before a physician provides the care or procedure to have it presumed in a court proceeding that the physician obtained informed consent.

The amended, adopted versions of the two forms, each in both English and Spanish, were published in the Texas Register on June 21. Download the 2020 English version or the Spanish version of the medical care/surgical procedures form.

Updated procedures list across all specialties can be found on the Texas Department of State Health Services website.