• Billing and Coding

  • Are you taking advantage of these resources?

    • Have coding or billing questions?

      Contact TMA’s certified coders at (800) 880-1300, ext. 1414 or at paymentadvocacy@texmed.org for assistance.
    • Deadlines for Doctors

      Find out about upcoming state and federal compliance timelines and key health policy issues that impact Texas physicians. Learn about topics including the new ICD-10-CM implementation date on October 1, 2015.
    • Practice Consulting

      Need a coding and documentation review? Contact TMA’s Practice Consulting. 
    • 30-Minute Billing Cure

      TMA staff experts provide free half-hour consultations to member physicians and their employees at the county society headquarters. Contact your CMS to see when mini-consults will be in your area.
  • The Ins and Outs of Billing and Collections

    • TMA Webinars Cover Revenue Cycle, Claims Submission
      This series will cover prompt payment rules and clean claims submissions that help ensure physicians are paid fairly and in full. It will also address the discomfort many feel about asking patients for money and will outline how to reduce lost revenue, how to create a collection policy for your practice, how to implement effective and tactful collection strategies, and how to talk to patients from whom you need to collect payment.
    • Business Management Help From TMA
      The TMA Financial Trend Tracker is a free online tool to help association members and their staff track monthly and yearly net collection ratios, accounts receivable percentages, and new and established patient visits. The tool presents a practice's key performance indicators via easy-to-read graphs and charts.
    • Doctors: Get Ready to Accept Chip Credit Cards in Your Practice
      The looming switch to ICD-10 this fall isn't the only financial transition affecting medical practices in the future. U.S. banks are stepping up security to reduce fraud by switching from strip-based to microchip-based cards by the end of the year.
    • “Incident to” and the Initial Medicare Visit
      Novitas Solutions will deny or downcode claims for initial office visits billed as "incident to" when a nonphysician practitioner performs the initial history and physical.
    • Don’t Miss New and Revised LCDs From Novitas
      Take a look at these new and revised Medicare local coverage determinations (LCDs) and article updates from Novitas Solutions. Remember, Novitas will reject claims that don’t adhere to LCDs, so be sure to stay abreast of all LCDS — as well as national coverage determinations (NCDs) from Centers for Medicare & Medicaid Services — that affect your practice.
    • Payer Roundup, September 2015
      In case you missed these — here is a roundup of coding, payment, and policy changes and tips from commercial payers, compiled by TMA’s reimbursement specialists. If you have questions about billing and coding or payer policies, contact the specialists at paymentadvocacy@texmed.org for help, or call TMA Knowledge Center at (800) 880-7955. 
  • Coding

    • Global Obstetric Package and ICD-10 Transition
       Which diagnostic code set should I report when the dates of the global obstetric package span across ICD-9-CM to ICD-10-CM? 
    • Take Our Billing and Coding Quiz
      TMA Knowledge Center staff fields hundreds of questions about coding and billing from TMA members. Here are a few FAQs. Do you know the answers to these questions?
    • Modifier 25: The “Separately Identifiable E&M” Modifier
      Don’t forget to append modifier 25 when warranted, or payers will consider your evaluation and management (E&M) service as part of a procedure, and not pay for it.
    • ICD-10: Now the Real Work Begins
      Two weeks into ICD-10, your practice already may be experiencing the cash-flow repercussions of the new codes. Take time to identify and nip in the bud any problems that could end up costing you a lot more in the long run.
    • Having ICD-10 Problems? TMA Wants to Know
      Oct. 1 was the mandatory date to switch to the ICD-10 coding system. The government's paltry "grace period" notwithstanding, all claims to Medicare, Medicaid, commercial insurers, and other payers with a date of service on or after Oct. 1 must use ICD-10. If you run into problems submitting claims, email PaymentAdvocacy@texmed.org, or send a report to TMA's Hassle Factor Log. TMA staff will monitor the reports and contact health plans, Medicare, or Medicaid.
    • It’s Flu Season 2015-16
      The Centers for Medicare & Medicaid Services has published Medicare payment amounts for flu vaccines and their administration for the 2015-16 flu season.
    • Private Payer Roundup, September 2015
      In case you missed these — here is a roundup of useful items from health care payment plans’ newsletters and updates, compiled by TMA’s reimbursement specialists. Find out about medical, pharmacy and payment policy changes, a new ID card to watch for, and more.
    • Is Medicare’s Chronic Care Management Program for You?
      Interested in the possibility of getting paid as much as $75,000, or even more, for something you already more or less do? Medicare now pays separately for chronic care management services. To help you decide if this new opportunity is right for your practice, TMA created a new online resource center.