The Weekly Dose           Bexar County Medical Society

Week of March 17,  2013 

Vol. 2, No. 27

Does anyone collect your money?


By John K. Wisniewski

BCMS CEO/Executive Director



Practice management systems gather billing information as part of the encounter, then most claims are adjudicated electronically.


Today, "collecting" means the resolution of errors, denials and discrepancies, along with collecting the true patient portion.  Some practices are actively involved in holding payers responsible for their coverage, while others expect patients to take responsibility for whatever balance the payer indicates on the EOB. 


This would be a good week to evaluate your practice's approach. Generally, there is a dollar threshold that merits human intervention, and you should participate in this decision along with your administrator or billing service. It can be costly to help patients get the benefits they deserve, but then again, it can be costly not to.




 April 13 

2013 Oral Cancer Foundation Walk/Run for Awareness of San Antonio


8 a.m.-noon

O.P. Schnabel Park

9606 Bandera Road

San Antonio 78240


 For information,

click here




 83rd Legislative Session Update

BCMS supports ImmTrac bill heard

in committee

Governor signs HB 10

Texas House Speaker

Joe Straus on the topic

of Medicaid expansion

71 days remaining in the session


By Mary E. Nava, MBA

BCMS Chief Governmental and

Community Relations Officer


Last week, I attended a hearing of the Texas House Public Health Committee and dropped a card in support of HB 772, which would make the state's immunization registry, ImmTrac, an opt-out registry. This bill is important legislation for TMA's Texas Public Health Coalition, of which BCMS is a member.


Other bills heard that also pertained to medicine included:  HB 15, which aims to improve the quality of care and birth outcomes; HB 740, which would screen newborns for critical congenital heart diseases in the hospital setting; and HB 772, which directs HHSC to study the impact of 2011 policy changes that prioritized family planning funds to certain physicians over others, and the impact these changes had on Texas' unintended pregnancy rates.


Also last week, Gov. Rick Perry signed House Bill 10, the emergency appropriations supplemental bill that ensures Texas Medicaid can operate  through Aug. 30, 2013. To see the news release from the governor's office, click here.


In case you missed the front-page headline last week in the San Antonio Express-News, Texas House Speaker Joe Straus made a big push to lawmakers regarding the topic of Medicaid expansion. To read the article, click here


The Texas Medical Association stands in support of a solution for Texas that fixes the broken Medicaid system and allows physicians to provide care more efficiently and more affordably for this vulnerable population.  For comments by TMA President Michael E. Speer, MD, click here


For more news stories on healthcare from around Texas and the United States, including TMA's top issues and positions on these topics, check out TMA's new news source by clicking here.


For more information on the 83rd Session or to join local discussion on this and other topics, consider joining the BCMS Legislative and Socioeconomics Committee. 


Contact Mary Nava by email at


















 About The Weekly Dose 

  The Weekly Dose is a service of the Bexar County Medical Society.

Some of the suggestions conveyed may not be applicable to your practice today,
 but the goal is to offer information over time that returns value in excess

of the cost of your membership.

If you would like to recommend future topics to share with your colleagues,

please submit them to the BCMS executive director at

All rights reserved. Unauthorized use prohibited.

Copyright 2013
 Bexar County Medical Society, San Antonio, Texas.



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