• Billing and Coding

    • Are Your Claims Being Rejected?

      Has a payer upheld a claim denial, even after an appeal? The TMA Hassle Factor Log program is here to help.  

      The collection and analysis of TMA member complaints continues to benefit members by allowing TMA to document and respond to reimbursement hassles. Ultimately, participation by physician members in the Hassle Factor Log Program enhances TMA's ability to make reimbursement less of a hassle for all Texas physicians. 

      See user information and additional HFL program resources for more details.

  • 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

    • Get Claims Paid Promptly With TMA Live Webinars
      On July 15, during the noon-1 pm lunch hour, a new live TMA webinar will address prompt pay issues as they relate to your practice and your revenue cycle and will instruct you on how to put yourself in a position of advantage to enforce the prompt payment of your claims.
    • When Should We Write Off Large Patient Balances?
      Q. Is there a formula to calculate the net present value for the balance of a patient's account compared with a payoff of, say, $50 per month for many years for a $2,000 balance? What is the best way to deal with large balances (thousands of dollars) for people who pay $10 to $50 dollars each month? It must cost us more than that just to service these accounts.
    • Sending Patient Accounts to Collections
      We have several patient accounts (due to no insurance, insurance termed, patient co-insurance) that are extremely high-dollar accounts. On most of them, the patients pay minimal monthly payments, e.g., $10 or $20. Some are even on “monthly budgets” set up long ago to pay these amounts. Can we legally turn these accounts over to collections to reduce our accounts receivable? 
    • State Pilot to Streamline Medicare-Medicaid Patient Care
      The federal government and states are partnering to find a fix to a costly problem. In early 2015, Texas will test a new way to integrate care for dual eligibles by allowing some of the state's Medicaid managed care plans to take over patients' Medicare services and coordinate care across both programs.
    • Automate Drug Prior Authorizations Free With CoverMyMeds
      If you are not using CoverMyMeds for drug prior authorizations (PAs), you should take a look at this free service that streamlines a typically tedious task.
    • Private Payer Round-Up, June 2014
      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