TMB steps up office-based anesthesia inspections

September 22, 2016

In accordance with Texas Medical Board’s office-based anesthesia rule (Chapter 192), the TMB has recently begun inspections of registered office-based anesthesia (OBA) providers. Registered OBA providers should be aware that once an inspection is scheduled by the TMB, it will likely not be re-scheduled even if the surgeons or anesthesiologists are not available for the inspection at the assigned time. Being unavailable for the inspection can result in the provider being found non-compliant with the TMB’s rules pertaining to office-based anesthesia.

If essential persons or equipment are unavailable during the time assigned for the inspection, the TMB may not return for a second inspection visit. This means the provider will be unable to prove compliance with TMB requirements.

In particular, this issue may affect providers who are using the services of a mobile anesthesiologist (as the presence of the anesthesiologist and his or her equipment is essential for the inspection of the surgeon’s office). If scheduled for a TMB OBA inspection, it is imperative that the mobile anesthesiologist and all equipment be present on the assigned date and time chosen by the TMB inspector.

New call coverage rules from the Texas Medical Board

In October 2016, the TMB adopted new call coverage rules.

Next Presentation

How to report a Texas Medical Board complaint

Because the threat of a disciplinary action is all too real, every TMLT policy includes Medefense coverage....

TMB steps up office-based anesthesia inspections

Previous Article

Next Presentation

Other content in this Stream

TMB issued guidance stating that checking the PMP is required for inpatient care.

Retiring, closing, or leaving a practice? You can now notify patients electronically and on your website.

The TMB is trying to clear up confusion about the new 10-day opioid prescribing limit for acute pain.

Overview of your TMLT coverages: Medefense, Cyber liability, EPLI, and Medical Director.

Medefense covers legal expenses, fines, and penalties associated with disciplinary actions, such as actions by the TMB, a hospital review committee, or a federal regulatory agency.

Scope of practice changes for physical therapists and CRNAs.

With the growing popularity of medical spas comes an increased risk of malpractice lawsuits for physicians who offer medical spa services within their practices.

New legislation places a 10-day limit on opioid prescriptions for acute pain.

A review of significant TMB changes and trends over the last 40 years.

Texas physicians will be required to use a new system to submit death certificates beginning January 1, 2019.

Texas physicians will soon be required to check the Texas Prescription Monitoring database before prescribing opioids, benzodiazepines, barbiturates, or carisoprodol.

The amount you can charge for supplying copies of medical records has changed, as the Office of Civil Rights has issued guidance that clarifies allowable fees.

During the renewal process, physicians are required to answer questions regarding any status changes since their last renewal. Certain answers or omissions can trigger an investigation by the board.

During registration, physicians must answer questions regarding any status changes since their last renewal. However, certain answers or omissions can trigger an investigation by the Board.

In October 2016, the TMB adopted new call coverage rules.

Because the threat of a disciplinary action is all too real, every TMLT policy includes Medefense coverage. Medefense covers legal expenses, fines, and penalties associated with disciplinary actions,

TMB has announced that in 2014 they will begin inspecting offices of physicians registered to perform office-based anesthesia.

On November 7, 2013, the new TMB rules on standing delegation orders for nonsurgical cosmetic procedures became effective.

Discussion of more challenging TMB rules: new death certificate requirements, standing delegation rules, and office-based anesthesia rules.

Discussion of more challenging TMB rules: physician advertising, actions to take when leaving a medical practice, documentation of patient encounters, and documentation of prescriptions.