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Monday, May 14, 2012

TMA DIABETES PILOT SHOWS GREAT RESULTS, LOTS OF PROMISE

The TMA Council on Health Care Quality isn’t even a year old yet, but the group led by Frank Villamaria, MD, has made serious progress. Some 48 member physicians in 17 practices across Texas took part in the council’s Diabetes Reporting Pilot Program. The pilot taught physicians how to decide if their practice could benefit from the work needed to participate in incentive programs like Medicare’s Physician Quality Reporting System (PQRS) and Blue Cross and Blue Shield’s Bridges to Excellence (BTE). PQRS rewards equal 1 percent of total 2012 Medicare Part B billing. BTE is a two-year program that rewards $100 per attributed diabetic or cardiac care patient each year. The council also received a $50,000, three-year grant from TMF Health Quality Institute to develop more than a dozen interactive calculators that will help practices figure out how they can bill for preventive services ranging from childhood vaccinations to screenings for substance misuse. For an example, check out TMA’s Tobacco Cessation Calculator.

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