BCMS logo green






July 10, 2016                                                                                                                                                                                               Vol. 5, No. 26









TMA submits 27-page letter to CMS re: MACRA proposed rule



Many thanks to all who took the time to submit comments regarding the Centers for Medicare and Medicaid Services (CMS) proposed rule for implementing the Merit-Based Incentive Payment System (MIPS) and Alternative Payment Model (APM) under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).  On behalf of Texas physicians, TMA submitted a 27-page letter outlining their concerns, along with 50 recommendations for fixing the proposed rule. 

To read TMAfs letter, click here: 


TMA has also prepared a position statement on MACRA – read it here: http://tma.tips/MACRAposition


To keep up-to-date on all the latest happenings with MACRA, click on TMAfs MACRA Resource Center here:  www.texmed.org/macra/.


For local discussion on this and other practice management advocacy topics, consider joining the BCMS Legislative and Socioeconomics Committee by contacting Mary Nava, chief government affairs officer at mary.nava@bcms.org.



Texas Medical Board (TMB) coming to BCMS July 27


Attention members:  The TMB will offer a one-hour presentation with CME on medical ethics on Wednesday, July 27 at 6:30 p.m. at the BCMS headquarters. TMB executive director, Mari Robinson, JD, will deliver the presentation, which will provide an overview of the Boardfs licensing and enforcement programs in addition to a legislative and policy update. The TMB requires a mandatory commitment of a minimum 20 attendees for an in-person presentation. 

Please RSVP by July 25 to Mary Nava at mary.nava@bcms.org.



Attention Physicians and Practice Managers


Would you be interested in attending a one-on-one mini-conference with your health care insurance company?



Ø  Ask questions impacting your practice including:

·        Authorizations, benefits, Medical policy, and appeals

·        Discuss specific claims issues including bundling

·        Electronic filing and online tools specific to BCBSTX

·        Marketplace

Ø       Make connections you will be able to contact directly

Ø       Get information about online and individual training opportunities

And there would be no cost to participate!

If so, what topics would you like to discuss and what companies would you like to meet with?

To provide feedback, please send your responses to membership@bcms.org.






It is time to nominate physicians to serve in

leadership positions of the

Bexar County Medical Society in 2017.


Nomination Deadline - 5 p.m., JULY 13, 2016.


In accordance with Chapter 8, Section 8.31, of the Bylaws of the Bexar County Medical Society, "Each member shall have the opportunity to correspond in writing for the purpose of submitting nominations to the Nominating Committee. Nominations shall . . . reflect nomineefs character, integrity, attributes, and qualifications for the position."


The BCMS is calling for written nominations for the following

positions with terms beginning in 2017:


     President-elect – assists President; is ex-officio member of all boards and committees; and becomes acquainted with all matters pertaining to work and affairs of the Society to properly prepare for office of President, which office is automatically assumed at expiration of one-year term as President-elect. President-elect shall have been a member of BCMS for minimum of five years.

     Vice President – assists President; presides in Presidentfs absence; and, on Presidentfs death, resignation or removal, succeeds to presidency. Term of office shall be one year; tenure of office shall not exceed one term – shall have been a member of BCMS for minimum of five years.

   Secretary – makes certain adequate records of meetings of Society and Board of Directors are maintained; is responsible for such records and reports as may be required by Board of Directors or Bylaws of Society or TMA. Term of office shall be one year; tenure of office shall not exceed two terms – shall have been a member of BCMS for minimum of two years.

   Treasurer – makes regular reports to Board of Directors on financial status of Society. Term of office shall be one year; tenure of office shall not exceed two terms – shall have been a member of BCMS for minimum of two years. 

   Director – 3 at-large positions – establishes and implements policies of Society; acts upon applications for membership upon recommendation from Board of Censors; conducts disciplinary hearings as prescribed by Hearings Procedures Manual; is responsible for long-range planning; decides all questions not specifically delegated to other authorities. Meetings are held a minimum of six times per year – term of office shall be three years; tenure of office shall not exceed two terms.

   Member Board of Censors – 2 positions – supervises medical ethics of membership and counsels individual members where circumstances warrant; examines applicants for membership; investigates suspected violations of code of conduct and prefers charges when indicated; receives investigative charges of unethical conduct made against Society members by another member; and, upon request, reviews findings of Board of Mediations and makes proper disposition of each case. Meets monthly – term of office shall be three years – shall have been a member of BCMS for minimum of ten years.

   Member Board of Mediations – 5 positions – receives, investigates, and mediates complaints from patients or insurance companies brought against member of Society; hears matters of unprofessional conduct, violations of principles of medical ethics or any other matter involving patient/physician relationship; hears and/or reviews insurance complaints; investigates and supervises ethical deportment of membership and receives complaints from general public. Meets monthly – term of office shall be three years – shall have been a member of BCMS for minimum of ten years.

   Delegate/Alternate Delegate to TMA – 30 positions – studies needs and desires of medical profession in Bexar County in its relation to state and national associations to effectively and intelligently represent the membership of Society in TMA House of Delegates (two meetings a year). Meets at least four times a year in San Antonio – term of office shall be two years.

   Member Nominating Committee – 2 positions – studies the challenges and leadership requirements of the organization. The committee will commence its functions from January 1 of each year. Meetings of the committee shall be held at least two times a year and as often as necessary – term of office is one year. Members of the committee will not seek an elected position (other than Delegate or Alternate Delegate) in the Society.


Please seriously consider getting involved with the leadership of BCMS; donft leave it to someone else to watch out for the practice of medicine. Below, please indicate which position you are interested in running for or for which you are nominating a colleague. If you are nominating yourself or someone else please indicate below. Thank you!


Your Name:                                                      Nominating Self:                    Phone:                                  


Name of Person You are Nominating:                                                            Phone:                                  


Nominations must be submitted in writing via email, fax, or mail.

CVs will be required from all nominees.

Click here for an online nomination form.

Or Mail to:

Bexar County Medical Society

Attn: Nominating Committee

P.O. Box 781145, San Antonio, TX 78278

or by email to bcms@bcms.org or fax to (210) 301-2150


Nomination Deadline - 5 p.m., JULY 13, 2016.






The Bexar County Medical Society periodically honors chosen physicians who have given much to the medical community in the form of lifetime service to organized medicine, or have made other significant contributions to the practice of medicine. Dr. Jayesh Shaw has asked that each of you consider and recommend BCMS physicians whom you believe should be considered for one of these awards. Obviously, we canft give awards to everyone, but we would like to hear from you on who you think should be considered and recognized for these awards and why.


Please send your recommendations to the attention of Steve Fitzer (steve.fitzer@bcms.org) and Jayesh Shah, MD (jshahaapi@gmail.com).


Golden Aesculapius Award

In 1980, the Bexar County Medical Society established the Aesculapius Award as our highest honor recognizing a lifetime of distinguished service by a BCMS member to our patients and our profession. This award is not given annually but only upon the occasion of nomination and confirmation of distinguished service.


Those who have received the award are:

Alvin O. Severance, M.D.       1980

John M. Smith, Jr., M.D.         1984

John J. Hinchey, M.D.             1985

Charles A. Hulse, M.D.           1996

Merle W. Delmer, M.D.          1998

Al Sanders, M.D.                     2006

Robert N. Jones, M.D.             2009

Jose M. Benavides, M.D.         2010

Harmon W. Kelley, M.D.        2011

Antonio Cavazos, Jr., M.D.     2013


Distinguished Service Award

At the January 13, 2009, meeting of the BCMS Past Presidents Advisory Council, the BCMS Distinguished Service Award was established. The first recipient of the BCMS Distinguished Service Award will be William H. gBillh Hinchey, MD. Award presented at the Installation of Officers.


                                         Date presented

William H. gBillh Hinchey, MD     2009

George gRickh Evans              2010

Charles Rockwood, MD          2010

Marion Primomo                     2011















Bexar County Medical Society

4334 N Loop 1604 W., Suite 200

San Antonio, TX 78249







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 steve.fitzer@bcms.org.

All rights reserved. Unauthorized use prohibited.

Copyright © 2015 Bexar County Medical Society, San Antonio, Texas. 

All rights reserved.