The official publication of the Harris County Medical Society / Volume 52 / Number 19 /Dec. 1, 2010
Making a decision on your Medicare participation options?
By Dec. 31, 2010, physicians will need to decide their 2011 participation options with Medicare (PAR, NON-PAR, Opt Out) even if Congress fails to stop the pending cuts (Dec. 1, 23% cut and another cut of 6.5% on Jan. 1). The decision each physician makes will be binding throughout 2011.
The Texas Medical Association (TMA) is offering some help in making a decision through a recorded seminar “Evaluating Your Medicare Options” on the TMA Web site at www.texmed.org/Verondi/Templates/Seminar.aspx?pageid=18425. The one-hour Webinar, featuring TMA's in-house Medicare specialists, provides detailed information about participation options and the consequences of those choices. The Webinar is also worth 1 AMA PRA Category 1 CreditsTM.
Also, the American Medical Association (AMA) has developed an updated Medicare Participation Kit, which provides physicians with helpful information so they can make informed decisions about how their choices affect their practices. To access this kit, go to www.hcms.org/Template.aspx?id=1334.
When making business decisions, it is imperative that you plan ahead and consider your financial position, work flow and other processes that affect your business.
Source: TMA and AMA
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Medicare-New disclosure requirements for radiology self-referral
Starting Jan. 1, 2011, physicians who refer to their own medical practices or radiology facilities for MRI, CT and PET scans will have to disclose ownership to their Medicare patients. The written disclosure must advise the patient that he/she may receive the imaging services from another “supplier” of the patient’s choice and must include a list of five other suppliers (hospitals do not count) of MRI, CT and PET services located within a 25 mile radius of the referring physician’s office. Also, the other “suppliers” cannot have a financial relationship with the referring physician. More information will be provided in the Dec. 15, 2010, Harris County Physician Newsletter.
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U.S. Office of the Inspector General’s 2011 work plan
Every year, the Office of the Inspector General (OIG) publishes a work plan that provides brief descriptions of activities that the OIG plans to initiate or continue with respect to the programs and operations of the Department of Health & Human Services (HHS) in the new fiscal year (FY). The OIG’s operational mission is to protect Medicare program integrity and the well‐being of program beneficiaries by detecting and preventing waste, fraud and abuse; identifying opportunities to improve program economy, efficiency and effectiveness; and holding accountable those who do not meet program requirements or who violate federal laws.
Parts of the work plan that will affect physicians
Error‐Prone Providers: Medicare Part A and Part B
Medicare requires physicians to submit accurate claims for services provided to Medicare beneficiaries. The OIG is going to identify physicians that consistently submit claims found to be in error in a 4-year period. They will select the top error‐prone providers based on expected dollar error amounts and match selected physicians against the National Claims History file to determine the total dollar amount of claims paid. OIG will then conduct a medical review on a sample of claims to determine their validity, project their results to physicians, and request refunds on projected overpayments.
Payments for Services Ordered or Referred by Excluded Providers
OIG will review the nature and extent of Medicare payments for services ordered or referred by excluded providers. Pursuant to the Social Security Act, no payment shall be made for any items or services furnished, ordered, or prescribed by an excluded individual or entity. OIG will examine the Centers for Medicare and Medicaid Services’ (CMS) oversight mechanisms to identify and prevent improper payments for services based on orders or referrals by excluded providers.
Medicare Providers’ Compliance with Assignment Rules
OIG will review the extent to which physicians comply with assignment rules and determine whether and to what extent beneficiaries are inappropriately billed in excess of amounts allowed by Medicare requirements. Pursuant to the Social Security Act, physicians participating in Medicare agree to accept payment on an “assignment” for all items and services furnished to individuals enrolled in Medicare. CMS defines “assignment” as a written agreement between beneficiaries, their physicians and Medicare. The beneficiary agrees to allow the physician to request direct payment from Medicare for covered Part B services by assigning the claim to the physician or supplier. The physician agrees to accept the Medicare‐allowed amount indicated by the carrier as the full charge for the items or services provided. OIG will also assess beneficiaries’ awareness of their rights and responsibilities regarding potential billing violations and Medicare coverage guidelines.
Coding of Evaluation and Management Services
OIG will review evaluation and management (E&M) claims to identify trends in the coding of E&M services. Medicare paid $25 billion for E&M services in 2009, representing 19 percent of all Medicare Part B payments. Medicare requires physician responsibility for ensuring that the codes they submit accurately reflect the services they provide. E&M codes represent the type, setting and complexity of services provided and the patient status, such as new or established. OIG will review E&M claims to determine whether coding patterns vary by physician characteristics.
Payments for Evaluation and Management Services
OIG will review the extent of potentially inappropriate payments for E&M services and the consistency of E&M medical review determinations. Medicare instructs physicians to “select the code for the service based upon the content of the service” and says that “documentation should support the level of service reported.” Medicare contractors have noted an increased frequency of medical records with identical documentation across services. OIG will also review multiple E&M services for the same providers and beneficiaries to identify electronic health records (EHR) documentation practices associated with potentially improper payments.
Evaluation and Management Services During Global Surgery Periods
OIG will review industry practices related to the number of E&M services provided by physicians and reimbursed as part of the global surgery fee. Medicare Claims Processing Manual, Pub. No. 100‐04, ch. 12, § 40, contains the criteria for the global surgery policy. Under the global surgery fee concept, physicians bill a single fee for all of their services that are usually associated with a surgical procedure and related E&M services provided during the global surgery period. OIG will determine whether industry practices related to the number of E&M services provided during the global surgery period have changed since the global surgery fee concept was developed in 1992.
Source: OIG and TMA
Medicare Corner presented by the HCMS Board on Socioeconomics
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Check your Medicare status
Physicians are required to be in the Medicare PECOS system by Jan. 3, 2011, in order to continue getting paid in Medicare. Physicians who have not made any changes to their Medicare profile (address change, name change, added a physician, etc.) since November 2003, most likely are not in the PECOS system. Check to make sure.
Keep in mind that it takes time to complete this process so start the process now. Refer to the Sept. 15 President’s Page of the Harris County Physician Newsletter for a more comprehensive explanation of Medicare reenrollment. Go to www.hcms.org and click on News, Newsletter, Sept. 15, 2010, President’s Page.
The Harris County Medical Society (HCMS) has been informing physicians on this issue for some time through the HCMS newsletter, HCMS Web site, flyers at branch meetings, HCMS Fall Business Expo, and frequent reminders to those signed up for HCMS Direct emails. HCMS also has links to tools to help you through the process. These tools can be found at the dedicated Medicare reenrollment site on the HCMS Web site at, www.hcms.org, then select in the left margin Business of Medicare, Medicare, Pecos.
Physicians need to get reenrolled in Medicare for every Tax ID number they practice under that is associated with referring to or ordering for Medicare patients. Check the Medicare IVR system first, to find out if any of your NPI numbers and associated PTAN numbers already are in the PECOS system. (Instructions for the IVR system are on the Medicare reenrollment HCMS Web site mentioned above.)
Presented by the HCMS Board on Socioeconomics
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Bring your white coat to the Texas Capitol
The “White Coat Invasion” has been the key to physicians’ successes in the Texas Legislature since the inception of Texas Medical Association’s First Tuesdays at the Capitol in 2003. Medicine tends to get its way when physicians and Alliance members arrive en masse in the House and Senate galleries. Senators and representatives listen when their hometown physicians show up in their offices. It’s time again to bring out Texas medicine’s strongest weapon in the 2011 Legislative Session. The 2011 session of the Texas Legislature will be a tough one for medicine. The line-up of issues will test medicine more than at any other time in recent history. Here’s how it looks right now:
• The state faces a projected budget shortfall of up to $20 billion – that will generate tremendous pressure to cut payments for Medicaid, the Children’s Health Insurance Program, and for medical education;
• The trial lawyers, as always, will be pushing to erode our 2003 liability reforms;
• Hospitals will try once again to crack the state’s ban on the corporate practice of medicine; and
• Advance practice nurses and other non-physician practitioners will battle for the right to practice independently.
The Harris County Medical Society (HCMS), Texas Medical Association (TMA) and Texas Medical Association Alliance (Alliance) are calling on YOU. Be a medical lobbyist for a day. You will make a difference. It is absolutely essential for medicine to engage our representatives and senators early and often. Our theme for the 2011 session is “Caring for Patients in a Time of Change.”
As TMA President Dr. Sue Bailey said, “This is a message that reminds each of us – as well as our patients and state officials and candidates for office and the general public – that caring for patients is what we do. And it’s what makes our profession so special.”
Beginning Feb. 1, physicians, Alliance members, and medical students from around the state will converge on Austin the first Tuesday of each month to reenact the white coat invasion. Lobbying tips, legislative briefings and debriefings, and personal visits to legislators’ offices are all part of First Tuesdays at the Capitol. HCMS will schedule your appointments and give you talking points.
Contact Doug Abel at HCMS at 713-524-4267 or at email@example.com for more information. First Tuesdays will be held: Feb. 1, March 1, April 5 (medical student & residents day), and May 3. More information is available at www.hcms.org.
Presented by the HCMS Board of Medical Legislation
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by Dr. William S. Gilmer
The 82nd State Legislature – A preview
Politics used to be predictable, sometimes even boring; but not anymore. Anyone who says they foresaw the Republicans winning 39 new seats to take an overwhelming 99-51 majority in the Texas House of Representatives is pulling your leg. Now we have to prepare for the 2011 session with a different dynamic of power in the House.
Before the election, Republicans held a 76-74 edge in seats and it appeared that Rep. Joe Straus (R-San Antonio) had secured enough pledges from both Democrats and Republicans to return for a second term as speaker. Now, however, many Republicans don’t want a Speaker who garners bipartisan support. Speaker Straus already has two declared opponents. A new speaker would mean dramatic changes to the committee structure.
Even if Rep. Straus returns as Speaker, there will be significant changes in committee membership so we will have to educate 39 new members about our issues, just as we did at the beginning of last session. The election of Charles Schwertner, MD (R-George-town) means that we will have three physicians in the House and one in the Senate.
It is inevitable that the budget will dominate discussion in the 2011 session. A $20+ billion shortfall tends to focus everyone’s attention. However, even in very hard times, we must remember that the Texas Medical Association (TMA) was organized in 1853 “to serve the people of Texas in matters of medical care, prevention and cure of disease, and the improvement of public health.”
The Texas Public Policy Foundation (TPPF), an influential conservative Austin think-tank, suggests that the Legislature roll back the 2007 CHIP reforms that brought access of care to so many uninsured Texas children. We fought very hard for those reforms in 2007. Now is not the time to step backward. Others have proposed doing away with Medicaid completely in Texas! We can and must do better than that for our patients and fellow Texans.
Scope of practice and the ban on corporate practice of medicine will be huge issues for us this session. Others argue that they can practice medicine just as well as physicians. Some will say that since we have a physician shortage the solution is to lower the quality of care. Special interest groups call for the elimination of physician supervision of Advanced Practice Nurses. They favor the independent practice of medicine by nurse practitioners, with the quality of their care monitored solely by the Board of Nursing. Their prescriptive authority and scope of practice would be determined solely by the nurses themselves, rather than by the Texas Medical Board that monitors physicians.
Hospitals are making a strong push to allow direct employment of physicians. Who will then direct the final plan of care, your hospital corporation employer, or the patient’s physician? Again, we have worked very hard to devise a system that works and is safe for patients. We must ensure that each profession is securely accounted for within a heath care team. It must be clearly understood that physicians lead that team and practice for the good of their patients with full independence from outside forces.
I call on every physician to be fully engaged this session. The changes that took place in Washington this year were a catalyst for changes that will be proposed in Texas next year. So what can you do?
First, join HCMS Direct. Go to our Web site, www.hcms.org and click on the News tab on the left margin. Then click on Choose Your News. Register for HCMS Direct (your direct line for topics of your particular interest), choosing whatever subjects you like. Definitely sign up for Legislative Issues so that you will receive critical legislative e-mail updates as they happen.
Second, while you’re still on the Internet, type in www.texmed.org/firsttuesdays and sign up for First Tuesdays at the Capitol. Starting Feb. 1, 2011, physicians in their white coats will storm the Capitol in Austin on the first Tuesday of every month. You will become a citizen lobbyist for a day. This is really easy and a lot of fun. Your Harris County Medical Society staff will make all the arrangements and TMA will provide all the information and training you’ll need before you and a group of your colleagues head over to the Capitol to help educate our local elected officials. According to legislators, this is one of the most effective efforts of the session. (See story on page 1.)
Finally, if you already have a personal relationship with any of our elected officials, make sure we know about it. Politicians hear from lobbyists and “experts” all the time, but just like anyone else, they really listen to people they know personally. So if you have a politician’s ear, call Doug Abel at HCMS, 713-524-4267, and let him know. You might be the key to getting a critical vote during the session.
This is our profession and others will be trying to change it to suit their interests. We need to stand up for our patients and for our principles. Stay informed, get involved, and we will have a positive and productive session.
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Join us Jan. 21!
2011 HCMS/HAM Installation of Officers and Leadership Recognition
Friday, Jan. 21, 6:30 p.m.
Westin Oaks Hotel
5011 Westheimer Road at Post Oak
Dr. Guru N. Reddy Dr. Robert B. Morrow
2011 HCMS President 2011 HAM President
Mark your calendars!
Watch for your invitation
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Explore the museum
The John P. McGovern Museum of Health & Medical Science (The Health Museum) promises a unique experience that is interactive, educational and fun. The Health Museum is an innovative and interactive health and science museum sure to entertain you and your family with each visit. You'll have fun exploring:
• Amazing Body Pavilion: Take a larger-than-life tour of the human body and learn all about how your organs and bones work. Sit on giant teeth, ride a bicycle with a skeleton, walk through a giant brain and more.
• You: The Exhibit: Age yourself as much as 30 years, find out how long you will live, change your features, scan your internal organs and more.
• 4D Theater: Take a journey into the alien landscape of your own skin with Planet You 3D, the latest 3D movie now showing at the McGovern Theater. Find out all about the creepy, crawly things that live on your body.
For more information, go to www.thehealthmuseum.org.
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Dr. Muntaz Ali, a general practitioner, died Nov. 6. He had been a member of HCMS since 1984.
Dr. Rufus C. Davis Jr., a general practitioner, died Nov. 8. He had been a member of HCMS since 1952.
Dr. Grenville R. Mosley, a specialist in emergency medicine and family medicine, died Nov. 7. He had been a member of HCMS since 1983.
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TMB enforces new death certificate requirements
Texas physicians who are asked to sign a death certificate must now do so electronically or face fines of up to $500 per violation. House Bill 1739, which took effect in 2007, requires a medical certifier on a death certificate to submit the medical certification and attest to its validity electronically. Physicians must register with the Texas Electronic Death Registrar (TEDR), www.dshs.state.tx.us/vs/edeath/, before signing a death certificate. Any physician who signs a death certificate who is not registered with TEDR could be fined $500 by the Texas Medical Board. The Texas Department of State Health Services operates the TEDR.
Physicians should also note that signing a paper death certificate, even if you are registered with the TEDR, is now considered illegal. Therefore, do not sign a paper death certificate. Although the legislation went into effect in 2007, the Texas Medical Board began enforcing it in 2010.
Presented by the HCMS Board of Ethics
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‘HOT’ Member Benefit
HCMS Newsletter Ads
Want to reach more than 10,000 physicians in the Greater-Houston area? Advertise in the Harris County Physician Newsletter, the official newsletter of Harris County Medical Society (HCMS). The newsletter provides your ad with high visibility from physicians and physicians’ offices at a very low cost—much lower than local newspapers. HCMS members can apply to receive a special low rate for certain noncommercial-approved ads.
For more information, contact Maria Sandoval at 713-524-4267, ext. 240, or go to www.hcms.org and click on Advertise With Us and then HCMS Physician Newsletter.
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Feature your practice year round
You already know your listing in the HCMS Pictorial Roster is important in generating patient referrals from colleagues. HCMS offers you an opportunity to increase your visibility and feature your practice in the 2011 HCMS Pictorial Roster.
The Medical Practice Listings section of the Pictorial Roster is the place to include important details about your practice that are not a part of your regular roster listing. With a circulation of approximately 12,000 annually, the Roster reaches your physician colleagues as well as area hospitals.
In this eight line business card sized listing at the front of the Pictorial Roster you may feature: multiple office locations, languages spoken, special procedures/treatments available through your practice, Web site, fax number, email address, and more.
The price for a single listing is $199.00. To view current listings, go to page 78 of your 2010 HCMS Pictorial Roster.
HCMS is currently accepting new listings for the 2011 Pictorial Roster until Dec. 31, 2010. To take part in this benefit, go to www.hcms.org and click Medserv/Practice Services and then on Medical Practice Listings, to view the terms and conditions. You can create your listing using the online form. You will be invoiced once you submit your listing.
For more information, contact Holly Smith at 713-843-7187 or firstname.lastname@example.org.
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EMR information at www.hcms.org
Harris County Medical Society (HCMS) has designed a section on its Web site devoted to electronic medical record (EMR) information. The site provides information on everything from EMR federal stimulus money to providing information on how to shop for an EMR system that is right for your practice. To view the site go to www.hcms.org and click on “Electronic Medical Records (EMRs)” at the top of the home page.
Presented by the HCMS Board on Socioeconomics
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Business of Medicine
Get your office ready for 2011
Use the below check-off list to help your practice continue to run smoothly in the new year. If you know of additional items that could be added to this list that would help your colleagues, please let us know and we will share them in upcoming issues! Fax your suggestions to HCMS at 713-528-0951 or e-mail at email@example.com.
o Verify each patient’s coverage (eligibility and benefits) for all payers, especially for Medicare and Medicaid patients.
o Ensure that front-end staff are asking for a copy of the insurance card on the first visit each year and comparing it to the old card. Also, make sure old information in the system is deactivated and add the new information. The insurance company may stay the same, but the product, copays and deductibles may have changed.
o Verify patients’ referrals and authorizations are within effective dates and do not need to be renewed.
o Check deductibles owed by patients because of the new calendar year.
o Update your files (staff, patients, vendors, etc.) for changes in names, insurance, addresses, phone numbers, dependent care, immunizations, etc.
o Review your staff salaries and health insurance, if it is done on a calendar basis. Also, ensure that data is in place to help in funding the pension/retirement plan.
o Check for any employment law changes.
o Formulate the 2011 weekend on-call calendar.
o Update office policies and procedures and educate your staff.
o Check HIPAA, OSHA and OIG compliance for updates and have your staff review and sign.
o Check Medicare and Medicaid for any 2011 policy changes.
o Load the Medicare 2011 fee schedule into your system (once final schedule determined).
o Be sure the 2011 CPT, ICD-9 and HCPCS codes are updated in the system. This also includes deleting codes that are no longer usable in 2011.
o Reformat superbills, encounter forms, etc., by adding new codes and deleting old codes.
o Review all forms, standardized letters and any other documents for needed updates (i.e., change date from 2010 to 2011).
o Order 2011 chart labels.
o Assess and change your billed charge fee schedule as appropriate.
o Review your insurance contracts and fee schedules to ensure they are appropriate for your business.
o Check all your insurance policies for renewal (medical liability, Workers’ Compensation, general/commercial liability, E&O/D&O, etc.).
o Be sure your EMR is updated to 2011 information. Internal testing for Version 5010 transactions should be completed by Dec. 31, 2010 (Level 1 compliance). External testing should begin in the new year (Level 2 compliance). (Refer to article on HIPAA Version 5010 for more information.)
o Begin gathering tax information for your practice.
o Send out 1099s to independent contractors. (Make sure you have W-9 information in your file prior to sending.)
o Make sure you send out W-2s to your staff on or before Jan. 31.
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Business of Medicine
Financially — Do you know your patient population? Do you understand the cash-flow of your practice by patient population?
If not, you may be doing yourself a financial disservice. With health plans reacting differently to changes in the federal laws and the Medicare fee schedule again in a state of political flux, it is very important to know your revenue from a payer/patient point of view.
The patients of payers that reimburse the highest with the least amount of administrative burden should fill your appointment slots first. Just like any business decision, revenue seeking ideas are what keep the doors open. For instance, Medicare payments from June 1-20 were unknown because of political infighting regarding reimbursement cuts and missed deadlines. Financially, and as a good business decision, you should treat any major disruption in the payment arena with extreme caution. This is an unfortunate situation for patients, but it is a cash-flow reality that every good business person needs to recognize.
Keep this information in mind as we continue to deal with fluctuations as a result of changing Washington policies. Educate your Senators and Congressmen/women about your business. As they have to balance the federal budget, you have to balance your budget, too.
Business of Medicine is presented by the HCMS Board on Socioeconomics
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TMA CME Seminar
Accountable Care Organizations – Opportunity or Threat?
The Texas Medical Association (TMA) encourages you to be wary and informed on the new health care reform law – the Patient Protection and Affordable Care Act. Take the time to learn about these systems, understand their differences and what they can mean to your practice and patients.
Date: Thursday, Dec. 9 Time: 5:30 – 9 p.m. CME: 3 AMA PRA Category 1 Credits
Location: Marriott Westchase, 2900 Briarpark Dr.
Cost: $149 for TMA members or their staff; $229 for nonmembers
Contact: TMA at www.texmed.org/ACOcourse.aspx or call 1-800-880-7955
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HIPAA alert! 4010 to 5010
HIPAA is updating its electronic language standards to enhance the capabilities of electronic transactions including: claims, claims status requests and responses, payment to providers, eligibility requests and responses, referral requests and responses, enrollment and disenrollment in a health plan, coordination of benefits, and premium payments.
The current version of the standards, Version 4010, is widely recognized as lacking certain functionality that the health care industry needs. This is including the upgrade to ICD-10 codes which are scheduled to be implemented Oct 2013. Version 5010 is the new version of the standards for HIPAA transactions which has been adopted for covered entities (health plans, health care clearinghouses, and certain health care providers) and must be used fully by Jan. 1, 2012. But, don’t let the date fool you! Converting to the 5010 language is a huge undertaking by all parties. For physicians, it may force you to purchase new practice management systems. A year of testing the system starts January 2011 to ensure that by Jan. 1, 2012, you will be able to submit electronic claims. The first thing to do is to talk to your practice management software vendor to see what it will take to upgrade to 5010. The Harris County Medical Society (HCMS) has created a Web page dedicated to 5010 implementation.
Go to www.hcms.org and click on 4010 to 5010 on the front page. HCMS will continue to educate the membership on 5010 throughout the rest of 2010 and all of 2011.
Source: U.S. Health and Human Services
Presented by the HCMS Board on Socioeconomics
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Turned in your Roster bio card?
Make sure your information is correct in the 2011 Harris County Medical Society/Houston Academy of Medicine Pictorial Roster, and return your Biography Card to HCMS by Dec. 15. Please return the card even if there are no changes. The final Roster is proofread from this card. Also, if you would like a new photo, submit a wallet/passport size photo to Nancy Boone, HCMS, 1515 Hermann Drive, Houston TX 77004 or email firstname.lastname@example.org. Be sure to include your full name with the photo. For additional information, call 713-524-4267, ext. 221.
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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 click 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. 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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PEDIATRIC CLINIC IN HOUSTON, LOOKING FOR FULL TIME BOARD CERTIFIED PEDIATRICIANS TO JOIN THE PRACTICE. Good schedule, friendly staff, and compatible compensation. Medical Spanish is helpful. Please send CV to pediHouston1@gmail.com.
Katy office space sublease: Provincial Professional Park near Kingsland. Two exam rooms available in a 3000 Sq ft building of a busy Family Practice. Please contact Dr. Jarquin at: email@example.com.
An established Family Clinic in Houston is looking for a Full-Time Family Physician or Pediatrician. Out patient only; excellent salary and bonus. Please e-mail your CV to: firstname.lastname@example.org; or fax to 713-771-7376; or call Dr. Razavi at 713-771-7373.
Established Family and Pediatric Practice is looking for a physician. Must have TX License, Malpractice Insurance, DEA, DPS, Medicare, Medicaid. Great opportunity to become partner or assume practice. Bilingual very helpful. Please contact: email@example.com, 713-320-6768.
ANESTHESIOLOGIST NEEDED FOR OFFICE PROCEDURES - FAX CONTACT INFO TO 281-255-9690 OR CALL 832-372-7786.
PHYSICIAN NEEDED FOR ONE MONTH, in a pain management office. Well structured practice with good patient base. From mid-December 2010 to mid-January 2011, Weekdays 8:00 am to 4:00 pm. Good compensation, call Donna at 713-450-4945, or fax CV at 713-450-4928.
We are interested in purchasing established primary care practices (family and pedi), Medicaid, Medicare, insurance, etc… Please e-mail your contact information to firstname.lastname@example.org or call Dr. Razavi at 713-771-7373. All contact will be kept confidential.
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 email@example.com for more information, or fax your CV to 281-598-5107.
Internet4Doctors: A physician-owned company offering website design specifically for medical professionals. Three levels of design packages. Domain registration & web hosting offered at competitive prices. Pricing & sample templates are available upon request. Please visit www.internet4doctors.com or contact Linda Brown at 713-850-0023 or 713-627-3532 for more information.
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: firstname.lastname@example.org or fax CV to 281-724-0210.
IMMEDIATE OPENINGS FOR PHYSICIANS w/excellent interpersonal & communication skills for established 27 yr multi location medical clinic. Bilingual preferred but not required. $150,000+ salary (negotiable). Must have DEA, DPS, TX License & Malpractice Insurance. MOONLIGHTERS also needed to cover part-time & Sat. Please e-mail CV to: email@example.com or call Dr. Keshwani at 713-201-8951 to schedule an interview.
IMMEDIATE OPENINGS: For Family Practice Physicians, FNP, PA'S. Must have DEA, DPS and MEDICAL LICENSE. Full time, Part time and Saturday positions available. Please call 713-201-8951 for an interview appointment.
Universal Physicians PA: Full time and moonlighting house MDs needed for long term acute care facilities. Memorial City /Bellaire/ Pasadena /Clearlake. ACLS required. Flexible scheduling, immediate openings.
E-mail: jobs@UniversalPhysicians.com, or call 832-295-0921
Take the NIGHT OFF (or anytime)! MD Oncall for primary care, nursing home doctors, etc.
$300/month+$15/call answered by experienced MD. Immediate availability. No minimum use requirement. You control the schedule. Call Dr. Chang 713-893-3849 or e-mail firstname.lastname@example.org.
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