Keyword: Court_Cases

Court Cases and Decisions 11/17/2009 10:27:13 AM Court Cases and Decisions PFHSE Physician Survey on TMA Web Site 8/18/2009 2:01:35 PM The Physicians’ Foundation for Health Systems Excellence (PFHSE) national survey of physicians can now be accessed through the TMA Web site. TMA's Legal Action Against Health Care Payment Plans 6/2/2009 3:37:16 PM Countless meetings with health insurers and insurance regulators early this decade and in the late 1990s failed to resolve the avalanche of downcoding,bundling,and slow pay/no pay. That’s why,TMA joined other state medical associations and individuals in a class action lawsuit alleging that insurers engaged in racketeering by maintaining claims processing practices and systems that lowered physician reimbursement. Insurance Watchdog Needs Testers 3/2/2009 2:12:49 PM The Physicians Advocacy Institute (PAI) has a new database that gives you the tools to tell exactly how insurers are processing the claims you file, and allows you to keep an eye on them to make sure they are keeping their promises to change the way they do business. The database lets you know whether the insurer paid the claim at the correct fee schedule, and paid promptly in compliance with state laws and contract terms. BCBS Coding Provisions in Effect 3/2/2009 2:11:07 PM Several coding provisions of the Blue Cross and Blue Shield settlement agreement, which provide for greater transparency in claims processing and payment practices, took effect Jan. 21. Patients' Right to Know 3/2/2009 2:09:18 PM Health insurance reform is TMA's main priority in the 2009 legislative session and the association is taking bold steps to convince lawmakers to make insurers' business practices more transparent and accountable to physicians and patients. More Healthy Benefits From Tort Reform 1/6/2009 9:11:15 AM Two reports released in December continue to document the positive effects of TMA's 2003 medical liability reforms. They're working. Chemical Dependency Counselors Back Down 10/1/2008 1:11:41 PM TMA has persuaded the state's Licensed Chemical Dependency Counselor (LCDC) Program not to allow counselors to diagnose substance disorders. State law allows only properly trained physicians to make such diagnoses, TMA believes. Blue Cross Compliance Process Announced 9/15/2008 9:23:11 AM Physicians can file a Compliance Dispute Form if they believe Blue Cross and Blue Shield is not complying with the terms of its settlement of organized medicine's lawsuit against it and other for-profit HMOs. Any physician who did not opt out of the settlement can file a complaint. TMA, TMLT Battle Wyeth in U.S. Supreme Court 8/18/2008 12:44:40 PM The quality of patient care could be compromised and physicians would risk more liability lawsuits if the U.S. Supreme Court sides with the drug manufacturer Wyeth in a Vermont case. Page: 1 of 5