The official publication of the Harris County Medical Society / Volume 52 / Number 10 / June 15, 2010
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Francis C. Moore, MD, Medical Journalism Awards
HCMS President Dr. William Gilmer (front row) shares the Medicare Meltdown Campaign with local journalists at the HCMS/HAM Francis C. Moore, MD, Medical Journalism Awards Ceremony on May 13. Pictured above are the award winners. Click here for more information.
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Sign the Medicare Petition and share it!
Fifty state medical societies and more than 30 national and state specialty societies have joined Texas Medical Association’s (TMA’s) campaign to sign the Medicare Meltdown Petition. The petition urges Congress to permanently fix the Medicare physician payment system with a system that automatically keeps up with the cost of running a practice. Have you signed the petition yet? Have you asked your friends, family, and neighbors to sign it? If not, please do so today! Rarely has there been an issue as important to medicine as the impending Medicare crisis.
You must act now and sign the petition. You must let the members of Congress know that you and your patients are watching their every action and care deeply about this issue. Congress keeps telling us that physicians don't care because they never hear from them. Let's prove to Congress that "PHYSICIANS AND PATIENTS DO CARE."
After you sign the petition, ask your friends, family, and neighbors to sign it until you get 10 signatures or more. We must get one million signatures. It's imperative to your profession! At www.hcms.org, there is a patient flyer available to give to your patients, as well as the link to the online petition.
If you think this doesn’t affect you, think again. Insurance rates are based on Medicare. If Medicare physician payments are not fixed, many physicians will be making tough decisions on whether to continue to take Medicare patients, limit their Medicare patients or leave the practice of medicine - making patient access to care very difficult.
Call Pam Udall at TMA at 800-880-1300, ext. 1382, for hard copies of the petition, or download the petition and flyers for your office at www.hcms.org, under Medicare Meltdown.
Note: Due to HIPAA regulations, we recommend that you not collect signatures directly from your patients nor use patient lists to disseminate this information without first having a HIPAA-compliant patient authorization to do so. However, you can post the flyer with directions on where to sign the petition in your reception area.
Source: TMA Action, June 1, 2010
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New and young physicians: Family event with free museum admission and ethics CME
Attend the Harris County Medical Society (HCMS) New Member & Young Physician Program on Tuesday, Aug. 10, at 6 p.m. at The John P. McGovern Museum of Health and Medical Science (The Health Museum), 1515 Hermann Drive. Bring the entire family! Join HCMS to attend a free ethics CME seminar, gain free admission to The Health Museum, learn more about HCMS benefits and services, and network to build your referral base, all while we entertain your children. This free event includes:
• Ethics CME, Flagging Identity Theft: Is the Patient Who He Says He Is?;
• Hors d’oeuvres and drinks for adults;
• ”Kid-friendly” menu and activities; and,
• Free admission to The Health Museum, including the limited engagement exhibit, Discover the Nuts & Bolts of Animation.
The networking reception begins at 6 p.m. and the CME seminar begins at 7:30 p.m. Activities are planned for your children ages five and older for the entire evening so that you can enjoy networking with your colleagues and attend the seminar. Children under the age of five must be accompanied by a parent at all times.
Reservations are required. Go to www.hcms.org and click on “Meeting RSVPs” in the left margin to make your reservations online. For more information, contact Carol Dean at 713-524-4267, ext. 217, or carol_dean@hcms.org.
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Red Flags Rule delayed
The Federal Trade Commission (FTC) has delayed until Dec. 31 enforcement of the Red Flags Rule that was scheduled to take effect June 1.
Click here for more information.
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PRESIDENT'S PAGE
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PRESIDENT'S PAGE
by Dr. William S. Gilmer
Weather…or not
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The recent oil spill in the Gulf vividly reminds us to prepare for the unexpected. Be ready for the worst and hope for the best. This is especially true for all of us living near the Gulf Coast. Hurricanes and floods are real threats and can be devastating without proper planning.
June 1 marks the beginning of hurricane season. We have learned the hard way from Hurricanes Ike, Katrina and Rita, and Tropical Storm Allison. Each of these storms brought on new challenges and taught us better ways to prepare and recover from disasters.
How you prepare now will have a great impact on how well you fare during and after a disaster. If you don’t have a plan for your practice, you need to develop one now. Click here to find helpful information on Disaster Preparedness. HCMS has a whole section dedicated to disaster preparedness, which includes information on how to create your own contingency plans, and how to sign up for the HCMS Physician Alert System.
The HCMS Physician Alert System is our way to contact you in case of a disaster or public health threat. We’ve used this system prior to, during and after all the major hurricanes and tropical storms. Through it, we can provide information on other public health threats as they develop, such as on H1N1. Using this system, HCMS was able to provide physicians with information on open pharmacies, dialysis facilities, available office space, and much more during the first days after Hurricane Ike.
Don’t wait for a storm to have a disaster plan in place to communicate with your employees. Hurricane season is already here. Keep a list offsite of employees home phone numbers, cell phone numbers, e-mail addresses, etc. Indicate who on the list has text message capabilities, as this is the most reliable form of communication in disaster situations.
Prepare your list today and update it regularly. Collect staff evacuation information and share your own plans with your staff. If an employee lives in an evacuation zone, he/she may need to evacuate even if your office is not in the zone.
Once a storm is approaching, communicate to staff about possible office closure. If payday is near, consider advance transmission. Have a plan for payroll continuity.
Think now about how your patients could contact you in the case of a disaster. Post an alternate telephone number and e-mail address on your Web site and in patient literature. Consider using VoIP (Voice over Internet Protocol), a phone service that uses broadband Internet connectivity, as it is more likely to stay in service during a disaster. You can’t rely on your answering services because many will be down. Keep an old fashioned corded phone in your office that does not require electricity. Your phone system will not work without power. Also, have car chargers for cell phones.
Take time to educate your special needs patients and their caregivers on steps they should take. They can pre-register year-round for evacuation transportation by calling 2-1-1 Texas/United Way HELPLINE. A trained specialist will take your patient’s personal contact information and ask about transportation needs. The HELPLINE can assist with your patient’s needs before, during and after a disaster.
Have them register for transportation now, when there is no threat in sight. Remind patients to wear medical alert tags or bracelets to identify any special needs. Insist that they compile a list of all their medications, dosage instructions, physicians, and adaptive equipment they need. Be sure they obtain refills long before they (and pharmacies) run out. Temperature sensitive drugs should be stored in home and office freezers as they will stay cold longer there than in refrigerators.
Once we are in a hurricane’s path, secure your practice:
• Require employees to back-up all computers;
• Remove office computer back-ups to an offsite secure location;
• Consider a daily online backup service;
• Disconnect computers and electronic equipment, moving them to non-window locations off the ground;
• Cover file cabinets with plastic sheets and clear desk surfaces, in case windows are broken; and
• Have a similar plan for your home, family and pets.
Take the time to plan now, and act. This will make a huge difference on how well you can take care of your practice and patients after the storm passes. Click here for more information and download the HCMS Disaster Brochure. You will be glad you did. Ask your colleagues from Galveston, Lake Charles, New Orleans, and Gulfport. They know, and they remember.
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HCMS helps make TMA policy
Physician delegates from all the Texas county medical societies, of which nearly 100 were Harris County Medical Society (HCMS) physicians, attended the 2010 TMA House of Delegates meeting in Fort Worth, April 30-May 1. During the meeting, the delegates hammered out new policy measures to be considered. Below are the resolutions offered by HCMS physicians and how they fared.
Financial & Organizational Affairs:
Choice for Political Narrative Control vs. Transparent Dialogue – The House referred for additional study the HCMS resolution that if TMA chooses to offer a members’ only, password-protected, interactive communication venue, such as a blog, that every good faith effort should be observed to accept and share dialogue from the membership.
Leadership in Organized Medicine – In response to concerns about the direction the American Medical Association took on health system reform, the House passed a resolution by HCMS that TMA should continue to work with other medical organizations, with similar goals, to advocate for patients and physicians on a national level.
Post Health System Reform – To prepare for upcoming changes, the House passed one of the HCMS resolutions that called on TMA to continue to focus its efforts on analyzing the health system reform law, improving education of physician members about its provisions and methods of adapting their practices to be viable and successful, and continuing advocacy for regulations that are consistent with TMA’s health reform principles and other TMA policy positions.
Science & Education:
Restore Funding of Statewide Preceptorship Program – The HCMS resolution that called on TMA to strongly encourage the Texas Legislature to provide increased funding for the Statewide Preceptorship Program was passed.
Public Recognition of Board Certification by Texas Medical Board – In an effort to clear up confusion regarding the use of “board certification” in advertising, the House passed a Harris County resolution that asked the TMA to (1) ask the Texas Medical Board (TMB) to recognize that, the ABMS, AOABS, ABOMS, and non-ABMS/AOABS/ABOMS boards with equivalent standards and training, are the standard in specialty board certification for the specialties they encompass; (2) evaluate TMB rules and practices regarding physicians’ ability to advertise that they are “board certified” and report back to the 2011 TMA House of Delegates; and (3) actively oppose all efforts of any alternate certifying organizations in the State of Texas to recognize its members as “board certified” without the equivalent certification and training standards.
Socioeconomics:
Laboratory and Radiology Reports Database – The House passed the HCMS resolution that the TMA support immediate implementation of an effective method for helping physicians who do not order patients’ lab, radiology, and other tests to have access to those results.
Medicare’s Elimination of Payments for Consultation Codes – The House adopted the HCMS resolution that TMA (1) oppose all public and private payer efforts to eliminate payments for inpatient and outpatient consultation service codes; and (2) support legislation to overturn the Centers for Medicare & Medicaid Services action that eliminated payments for consultation codes.
Monitoring of Massachusetts Health Care Reform Efforts – The House passed the HCMS resolution that TMA (1) actively monitor and disseminate the available health care data from Massachusetts’ and other states’ health reform models for the last three years; and (2) that, from such data, TMA make appropriate projections on how other states’ health care reform models could impact the practice of medicine in Texas and share this information with the TMA House of Delegates.
Presented by the HCMS Board of Medical Legislation
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Animation at the museum
Explore how art, math, science, and technology come together in the exciting world of Animation. Experiment with storyboarding, character design, movement, timing, filming, sound, and more! The exhibit is being featured at the John P. McGovern Museum of Health and Medical Science, 1515 Hermann Drive, now until Sept. 6. Come and bring your junior animators to learn how animation comes alive. For more information, visit www.thehealthmusuem.org.
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In Memoriam
Dr. Henry E. Mendell, an internist, died May 13, 2010. He had been a member of HCMS for 59 years.
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Disaster Preparedness - Prepare your practice & patients for disaster
Downloadable brochure
HCMS has created a downloadable brochure, with detailed information on how to prepare your practice and patients for a disaster. It includes links to other sites. Click here.
Volunteer liability immunity
If you plan to volunteer during a disaster, click here to register with the Medical Reserve Corps, which will provide you with liability immunity for rendering care in a declared emergency.
We need your current contact information:
Is your information with HCMS current? If not, please give us your contact information so HCMS can contact you about emergency information. Click here.
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‘HOT’ Member Benefit
Find products & services
Looking for a specific product or service for your practice and don’t know who offers it? Go to www.hcms.org, select Medserv/Practice Resources in the left margin and you will find our database of companies with services for physicians and medical practices.
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Webinars for ethics CME
Texas Medical Association and Texas Medical Liability Trust have teamed up again to offer six webinars for physicians in all specialties who are interested in medical-legal compliance and practical ways to reduce the potential for professional liability. These one-hour courses are a quick, no-hassle way to learn about top areas of risk and receive ethics CME without ever having to leave the office. Register for at least three programs and receive a TMLT discount or register for all six and receive two discounts!
This year’s webinar series will run from June 29 to Nov. 16 and will include discussions on:
• June 29: Avoiding RAC Audits - Employ documentation and coding audit tools to avoid RAC audits
• July 27: HIPAA/HITECH - Prepare and implement policies to comply with new HIPAA/HITECH regulations
• Aug. 24: Patient Satisfaction - Develop strategies to engage patients for better compliance and lower risk exposure
• Sept. 28: Health Care Disparities - Discuss drivers of health care disparities and identify solutions
• Oct. 26: Electronic Communications - Identify legal and ethical responsibility when communicating electronically with patients
• Nov. 16: Employed Physicians - Outline the pros and pros of independent practice vs. employment
Webinars are on Tuesdays from noon to 1 p.m. and will include an interactive Q&A, handouts, and tools. Participants may register for one program or take advantage of multi-program discount by signing up for the entire series.
For more information, go to http://texmed.org/Template.aspx?id=8645.
Presented by the HCMS Board of Ethics
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TMA online and home study CME
Earn CME at your convenience by taking one of Texas Medical Association’s online or home study courses. Below is a sample of the courses offered.
Online
• Coping with Stress in the Practice of Medicine - This course provides 2 AMA PRA Category 1 CreditsTM; 2 hours ethics and/or professional responsibility.
• How to Create Balance in Your Life -This course provides 1 AMA PRA Category 1 CreditTM; 1 hour ethics and/or professional responsibility. It expires July 31, 2010.
• Electronic Medical Record: The Link to a Better Future -This course provides 3 AMA PRA Category 1 CreditsTM; 3-percent reduction on TMLT professional liability premiums (not to exceed $1,000); 3 hours ethics and/or professional responsibility.
Home Studies
• Medical Records - This publication provides 4.0 AMA PRA Category 1 CreditsTM. TMA has designated this course for 1 hour ethics and/or professional responsibility education. TMLT insured may earn a 3-percent risk management discount upon completion of this home study, with a maximum discount of $1,000 per program. It expires on Aug. 15, 2010.
• Switch: How to Change Things When Change Is Hard - This publication provides 4.5 AMA PRA Category 1 CreditsTM. TMA has designated this course for 2 hours ethics and/or professional responsibility education. TMLT insured may earn a 3-percent risk management discount upon completion of this home study, with a maximum discount of $1000 per program.
For more information about these and other CME courses go to the HCMS Web site at www.hcms.org and click on CME at the top margin, then TMA CME.
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MONDAY 5
HCMS Offices Closed
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TUESDAY 13
Noon, Retired Physicians Organization (RPO), Houston Racquet Club
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TMA Health Reform School
The Texas Medical Association (TMA) has created three brochures for physicians on health system reform: Eight Things Physicians in Independent and Small Group Practices Need to Know About Health System Reform; Survive and Thrive in New Health Landscape—What the New Health Care Law Means for Physicians’ Medicare Fees; and TMA Analyzes Pros and Cons of Health System Reform.
These brochures are available to download from the Harris County Medical Society Web site, www.hcms.org, under Health System Reform.
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Trends
Positive physician ratings on Web sites
The Los Angeles Times (5/18, Roan) "Booster Shots" blog reported that, according to a study appearing in the Journal of General Internal Medicine, physician rating sites "haven't caught on in any big way with consumers," and "many of the reviews posted online are positive." The study showed that "patients just don't appear too interested in providing feedback on their doctors, the authors noted." Data indicated that of "33 physician rating sites that contained 190 reviews for 81 doctors," 88% "were positive, 6% negative and 6% neutral."
Source: AMA Morning Rounds, May 19, 2010
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Business of Medicine
Prep for another HIPAA change
If you electronically submit administrative transactions, such as checking a patient’s eligibility, filing a claim, or receiving a remittance advice, either directly to a health insurance payer or through a clearinghouse, the version of the transactions currently in use will be updated. The US Department of Health and Human Services (HHS) announced that updated versions of the HIPAA transactions will be required for use by physicians and others on January 1, 2012. The Centers for Medicare and Medicaid Services (CMS) is the agency within HHS charged with overseeing compliance with the standards.
Updating to the 5010 transaction
The present version of HIPAA transaction is 4010A1 completed in 2002. Since then, many technical issues identified in the transactions were corrected and changes were made to accommodate new business needs. There is continuous work on updating the standards and implementation guides for the transactions to better meet the needs of the health care industry. Work was completed between 2006 and 2007 on a newer version of each transaction, Version 005010, commonly called “5010.”
Because the 4010A1 version of the transactions is named in a federal rule, the regulatory process must be followed to upgrade to the 5010 version. In 2007, a request was made to the Secretary of HHS to modify HIPAA to replace version 4010A1 with version 5010. The final rule was published on January 16, 2009, and makes the 5010 transactions mandatory on January 1, 2012. The Final Rule allows for the use of the 5010 transactions prior to the compliance date to facilitate the migration to the updated transactions and prevent the need to convert overnight.
In addition, a Final Rule adopting ICD-10 as the new code set to replace ICD-9 something that cannot occur prior to moving to the use of the 5010 transactions – has been issued. The use of the ICD-10 code set will be mandatory as of October 1, 2013. Because of the need to convert to ICD-10 so soon after complying with 5010, it is imperative that practices begin their transition work to 5010 as early as possible. The Final Rule does not allow for the use of ICD-10 codes prior to the compliance date.
What physicians can do now to prepare for 5010
The biggest concern for practices will be complete implementation and full functionality of the 5010 transactions at or before the compliance deadline to avoid transaction rejections and subsequent payment delays. Practices can begin now to prepare for this upcoming effort by developing their own implementation plan. The following are various tasks to include in an implementation plan.
1. Talk to your current practice management system vendor.
2. Talk to your clearinghouses or billing service, if you use either one, and health insurance payers.
3. Identify changes to data reporting requirements.
4. Identify potential changes to existing practice work flow and business processes.
5. Identify staff training needs.
6. Test with your trading partners, e.g., payers and clearinghouses.
7. Budget for implementation costs, including expenses for system changes, resource materials, consultants, and training.
The following are additional resources for you to use when implementing the 5010 transactions: http://www.cms.gov/TransactionCodeSetsStands/02_TransactionsandCodeSetsRegulations.asp.
Source: CMS
Presented by the HCMS Board on Socioeconomics
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Health System Reform
Legislative hearings zero in on health reform in TX
The 2011 Texas Legislature will not convene for eight more months, but your representatives and senators already are preparing for how the state will respond to the new federal health reform law. So is Texas Medical Association (TMA). TMA’s goal is to make sure that Texans decide what health reform will look like in Texas. Council on Legislation Chair Dr. Dan McCoy led a host of TMA leaders who testified before legislative committees in hearings covering physician employment, scope of practice, Medicaid expansion, health information technology, the Texas Medical Board, patient privacy, and many more issues.
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Fee cut impact lessened
State officials released their spending cuts May 18. A Texas Medical Association (TMA) staff analysis of the reductions indicates that while all physicians will see a 1-percent fee cut for treating Medicaid and Children's Health Insurance Program patients, a proposal for an additional 1-percent cut for physicians who care for adult Medicaid patients and those in nursing homes was scrapped. The fee cuts begin Sept. 1.
Officials also rejected a proposal to cut 200 inpatient public mental health beds and to partially restore uncompensated trauma care funds.
Gov. Rick Perry, Lt. Gov. David Dewhurst, and House Speaker Joe Straus ordered the Legislative Budget Board staff to notify state agencies to immediately implement the budget savings proposals they requested earlier this year. They say the cuts will save about $1.2 billion in the current 2010-11 biennial budget. In January, the state leaders told state agencies to submit a plan to cut their budgets by 5 percent because of a budget deficit that is expected to worsen next year.
Source: TMA Action, June 1, 2010
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TDI requires quality in ratings
Health insurers cannot rank physicians solely on cost, but must take into account quality of care when they rate their performance under rules the Texas Department of Insurance (TDI) adopted in May. TDI agreed with virtually all of the recommendations the Texas Medical Association made when it adopted the rules.
TDI finalized the rules to enforce legislation the Texas Legislature passed in 2009. House Bill 1888 by Rep. John Davis (R-Houston) and Sen. Robert Duncan (R-Lubbock) requires health plans to conform to nationally recognized standards and guidelines when ranking or tiering physicians. Additionally, it gives physicians due process protections, including:
• Notice of the standards and measures the health plan uses prior to any evaluation period;
• An opportunity to dispute the ranking prior to publication;
• A minimum of 45 days written notice of the proposed rating, ranking, or tiering, including all methodologies and information the company used;
• A fair reconsideration process (if timely requested), and
• A written communication of the outcome of the proceeding prior to publishing the ranking or tiering.
TMA Action, June 1, 2010
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Member discounts for the Astros
Harris County Medical Society (HCMS) has discounted tickets for HCMS members to the following Houston Astros games at Minute Maid Park:
• Friday, July 9, at 7:05 p.m. (Houston Astros vs. St. Louis Cardinals)
• Thursday, Aug. 19, at 7:05 p.m. (Houston Astros vs. New York Mets)
• Sunday, Sept. 12, at 1:05 p.m., (Houston Astros vs. L.A. Dogers)
Discounted seats are as follows: Field box, $22; Bullpen Boxes; $15; Mezzanine, $12; View Deck I, $9; AND View Deck II, $7. To purchase your discounted tickets, go to www.astros.com/hcms and enter the password: HCMS. For groups of 20 or more, contact Chris Aubertin at 713-259-8304 or caubertin@astros.com. For more information, go to www.hcms.org.
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AMA and others sue to stop “Red Flags Rule”
Physician groups from around the country filed suit in federal court to prevent the Federal Trade Commission (FTC) from extending identity theft regulations to physicians. Led by the American Medical Association (AMA), the complaint alleges that the FTC’s application of its “red flags rule” to physicians is “arbitrary, capricious and contrary to the law.” The rule says physicians who regularly bill their patients for services (including billing for copayments and coinsurance) are creditors and must develop and implement written identity theft prevention programs for their practices. The programs must identify and respond to patterns, practices, or specific activities — known as “red flags” — that could indicate identity theft. The Litigation Center of the AMA and state medical societies developed and approved the filing of this case. Texas Medical Association (TMA) is a founding member of the Litigation Center, and TMA General Counsel Rocky Wilcox is chair of the executive committee.
Source: TMA EVPGram, May 24, 2010
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United ends H1N1 special payments
UnitedHealthcare is ending emergency reimbursement measures it instituted in October because the Centers for Disease Control and Prevention (CDC) data show that H1N1 cases have steadily declined since last fall. United announced that after consulting with federal and state public health officials:
• Special contracts with mass vaccinators and retail pharmacies to administer the H1N1 vaccine to UnitedHealthcare members expired May 1.
• Special coverage of the administration of the H1N1 vaccine, including the removal of related deductibles, copays and coinsurance fees, ended May 31. For dates of service on or after June 1, United will process claims for the H1N1 vaccine and its administration in accordance with its members' benefit plans.
• Special reimbursement rates for H1N1 vaccine administration ended May 31, 2010. H1N1 vaccination services rendered on or after June 1, 2010, will be reimbursed in accordance with contracted fee schedule rates.
Source: CDC
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The Circus is coming! Discounts available for HCMS members
Harris County Medical Society members and their families and friends can receive discounted tickets to the Ringling Bros. and Barnum & Baily Circus, running from July 7 to July 25. The discount is $5 off each regularly priced ticket. To purchase discounted tickets, contact Jason Chavez at 1-866-248-8740, ext. 102, or e-mail him at jchavez@feldgroupsales.com. Be sure to let him know you are an HCMS member.
If you have questions, call Regina Palasota at 713-524-4267, ext. 243, or email regina_palasota@hcms.org.
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Candidates for membership
Please note that candidates for HCMS membership can be found by going to the HCMS Web site, www.hcms.org, and clicking on Membership/Membership Candidates in the top margin.
Members who have information about these physicians should contact a member of the HCMS Board of Ethics by June 10. Members of the Board of Ethics are: Chair Dr. Denis K. Hoasjoe; Vice Chair Dr. Clare A Hawkins; and Drs. Jacob Tal; Steven M. Petak; Helen M. Schilling; Natarajan S. Bala; and Freemu K. Varghese. Call HCMS at 713-524-4267.
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Law requires electronic death registration
Texas law requires all cause-of-death information and medical certifications to the Texas Department of State Health Services (DSHS) to be submitted electronically through the state's online death registration system, the Texas Electronic Registrar (TER) at www.dshs.state.tx.us/vs/edeath/default.shtm.
Physicians must register with DSHS to participate in the online death registration. Penalties for noncompliance start at $500. If you are cited, you should consider contacting your own retained counsel for legal advice and representation for your situation, because a response to the TMB will be time sensitive.For additional questions, e-mail help-TER@dshs.state.tx.us or go to the TER Web site at www.dshs.state.tx.us/ vs/edeath/terhelp.shtm.
Source: Action, May 17, 2010
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IMMEDIATE OPENINGS AVAILABLE FOR PHYSICIANS with excellent interpersonal & communication skills for an established 27 yr multi location medical clinic. Bilingual preferred but not required. $150,000.00 plus salary (negotiable). Must have DEA, DPS, TX License & own Malpractice Insurance. MOONLIGHTERS also needed to cover part-time & Sats. E-mail your CV to drnazk@aol.com or call Dr. Keshwani at 713-201-8951.
Female OB/Gyn physician looking to office-share with a primary care physician. 2800 sq. ft., 8 exam rooms, large waiting area and reception/checkout area. Located in Spring, Texas in a growing community. Please call 832-683-5384 for more information.
LOOKING TO SELL YOUR PRACTICE? Physician seeks family practice, urgent care or walk-in clinic in the greater Houston area. X-ray preferred but not required. Please e-mail mike@optimumllc.com or call 713-527-8787 with asking price and details about your practice.
Family Practice with multiple locations looking for FT/PT Family Practice Physicians, and PT Physical Therapist. Please fax CV to 281-485-3308.
FOR SALE by surgeon: General and Plastic Surgery instruments, matching desk, credenza, and bookcases; Lots of other office items. Call 281-494-5900 to arrange to see.
We are interested in purchasing established primary care practices (family and pedi), Medicaid, Medicare, insurance, etc… Please e-mail your contact information to razavi2000@aol.com or call Dr. Razavi at 713-771-7373. All contact will be kept confidential.
Locum Family Physician Wanted: Clinic in Pasadena would use the services of family physician 1-2 weeks at a time, 6 to 8 weeks per year. E-mail: FairmontMedicalClinic@Hotmail.com.
PSYCHIATRIST wanted… Immediate opening for established 20 yr PHP/IOP near Medical Center. EMR. Flexible Hours, Part time or Full time. E-mail CV to bgoldman@innerwisdom.com or call Brian Goldman at 713-296-9414.
Neurology Practice for sale: Enough business for 2. Great for new-to-private-practice neurologists. Start busy from day 1, instead of hoping for patients. Experienced supporting staff will assist in your success. Offers and brokers welcome. Please no equipment sell inquiries. Seriously interested buyers please contact Julius.Crown@gmail.com.
PEDIATRICIANS or Pediatric NPs Needed: Positions open Summer 2010, Night (5pm to 11 pm) and Weekend (Noon to 7pm) shifts available for Pediatricians. Positions opening Summer 2010. Urgent Care Practice located in the Sugar Land area and New location in Cy-Fair. Full-time, Part-time and locum packages available. Contact 281-325-1010 or info@nightlightpediatrics.com.
AFTER HOURS CLINIC FOR SALE: Sugar Land, Richmond, Rosenberg area. Good opportunity for enterprising Doctor. For more information please contact: familyclinic4057@sbcglobal.net.
1960 Digital Imaging is seeking a full time diagnostic radiologist. Center includes PACS, voice recognition dictation, 64 slice CT, 1.5T MRI, US, Flouro, Digital Mammo-graphy and XRay. Competitive compensation and benefits package. Interested candidates should submit CV to mdresumes1@txradiology.com or 837 FM 1960 West, Suite 105, Houston, TX 77090 – Attention: Stacy Williams.
ENDOCRINOLOGIST WANTED: Endocrinologist to join a respected and well established large family and multi-specialty practice in Webster, Texas. Brand new office building with EMR and state of the art equipment. Please send your CV to: candice.lopez@gulfcoastmed.com or fax CV to 281-724-0210.
OB/GYN Physician Opportunity in the Clear Lake Area. Generous base, 95% production bonus, one hospital, 1 in 5 call, paid malpractice & health insurance, 401k, 3 weeks paid vacation, 1 week paid CME. Forward CV to hr@taylormdpa.org or fax to 281-332-9532.
Physician Retiring: Office equipment and furniture for sale at reasonable prices. Call 281-484-7546.
Pediatrician/PNP/PA needed for busy Webster, Texas office. Please call 281-332-0500 for more information.
IMMEDIATE OPENINGS AVAILABLE FOR FT/PT FAMILY PRACTICE PHYSICIANS with excellent interpersonal & communication skills for multi location medical clinics in the North side of town. Please e-mail your CV to
msandoval@clarkmedicalgroup.org for more information or fax your CV to 281-598-5107.
FOR RENT 12/25/10-1/1/11, 2-BEDROOM, CONDO IN BRECKENRIDGE/CO AT VALDORA MOUNTAIN LODGE (google for amenities). Contact Alan Fisherman at doctorf111@aol.com, or call 713-667-1250 for more information.
Class A medical building facility for lease, located on 13020 Dairy Ashford Rd. and HWY90 at the entrance of the Sugar Land Business Park in Sugar Land, TX. New and well-designed 18,000 sq ft. building. For more information about the building or the attractive & competitive offers call us at 281-265-8500 or email us at fbheartcenter@hotmail.com.
Collections Being Squeezed? Cash Flow Down? Staff Turnover? Consider Nath Healthcare Business Solutions. Professional physician billing services with over 40 clients in Houston. We provide a web-based software platform and EHR. Very competitive rates! Call 713-772-6690, x255, or www.nath-mds.com. Ask how to get a free practice assessment. Friend of Harris County Medical Society.
Greater Houston Physicians Medical Assoc., is seeking BC/BE Physicians in Internal Medicine, Family Medicine, Physician Assistants and Billing Specialists. Our offices are located in NW Houston, The Woodlands and Kingwood. We are also seeking Physicians for our After Hours Urgent Care Clinic in NW Houston. Fax or e-mail your CV to Tamara at tippeyt@hpmamail.com, fax 281-359-7971.
Psychiatrist with office space to sublease full or PT: 285 sq ft office in shared 1500 sq ft space at 4203 Montrose. Terrific space, Class "A" building, close to restaurants & the medical center. The office has private waiting room, bathroom, visitor parking is free. Office is built for psychotherapy practice, has extra sound proofing; suitable for any small office practice. For more info e-mail psychdocew@yahoo.com, or call 713-256-6153.
Established medical office in Sugar Land looking for additional physician to sublease space. Office setup is suitable for most specialties - Reception, Three exam rooms, Minor procedure room and MD office. Attractive location – private with lake view, easy access to 59. Terms negotiable based on the desired usage of the space (number of days/half-days per week, usage of staff, etc.). Call 281-980-0999 for more information.
Senior PsychCare Needs MD’s: PT (5-10 hrs/mo) or FT physician w/Geriatric experience or interest. Prefer psychiatrist-neurologist. Training available, must be willing to supervise NP, PA & other health professionals. Offices in Houston, San Antonio, Fort Worth, & Dallas. Flexible hrs, sign-on bonus for immediate starts & willingness to travel. FT comp 175,000-250,000. Send resume to: mcampos@seniorpsychiatry.com, or call 713-850-0049.
  
 
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